TEST BANK
,Chapter 1: Healthy People 2020
Test Bank
MULTIPLE CHOICE
1. The purpose of Healthy People 2020 is to:
a. examine world health needs.
b. evaluate accomplishments for years 2010–2020.
c. focus primarily on infant health and mortality.
d. examine funding issues for health care.
ANS: B
Healthy People 2020 is an evidence-based 10-year report card describing health-care
accomplishments in the United States between the years of 2010 and 2020.
DIF: Cogni ve Level: Comprehension REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: Interven on
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
2. A health-care worker planning a research project related to teenage pregnancy in his
community would include in the ini al assessment the health status of the target
popula on. Health status could be best evaluated by the examina on of the: a. birth
rate, disease morbidity, and life expectancy.
b. birth rate, access to health care, and death rate.
c. disease morbidity, life expectancy, and health insurance coverage.
d. health insurance coverage, death rate, and access to health care.
ANS: B
Birth rate sta s cs iden fy age of mother; death rates include infant mortality and age of
mother; access to health care may a ect a teenager’s ability to obtain adequate prenatal
care.
DIF: Cogni ve Level: Applica on REF: p. 6 OBJ: 3
TOP: Health status KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
3. The health-care worker teaches a group of new parents about the “back to sleep”
program, which is directed toward the reduc on of sudden infant death syndrome
(SIDS) by: a. posi oning the baby on a small at pillow.
b. placing the baby on its back in the crib.
c. gently rocking the baby before returning it to bed.
d. tucking infant snuggly in the crib with a light blanket.
ANS: B
The back to sleep program helps reduce the incidence of SIDS by placing the infant on its
back rather than on its stomach.
DIF: Cogni ve Level: Applica on REF: p. 8 OBJ: 5
, TOP: Back to sleep program KEY: Nursing Process Step: Interven on
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
4. Healthy People 2020 endorses the comple on of a high school educa on primarily to enable a
person to:
a. secure a be er job.
b. increase the quality of life.
c. make healthy lifestyle choices.
d. maintain the family unit.
ANS: C
One of the goals of Healthy People 2020 is to increase the number of persons gradua ng
from high school so that they have a be er educa on basis on which to make healthy
lifestyle choices.
DIF: Cogni ve Level: Applica on REF: p. 8 OBJ: 4
TOP: Health indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA
5. Healthy People 2020 is published by the:
a. Centers for Disease Control and Preven on.
b. Department of the Interior.
c. World Health Organiza on.
d. Department of Health and Human Services.
ANS: D
Healthy People 2020 is published by the U.S. Department of Health and Human Services.
DIF: Cogni ve Level: Knowledge REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA
6. Infant mortality rates are based on infant deaths that occur:
a. at birth, per 1000 deliveries.
b. before 1 year of age, per 1000 live births.
c. from infec on and congenital disorders, per 1000 live births.
d. from unexplained causes, per 1000 live births.
ANS: B
Infant mortality is reported on deaths occurring before the age of 1 year per 1000 live
births.
DIF: Cogni ve Level: Knowledge REF: p. 6 OBJ: 4
TOP: Infant mortality KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promo on and Maintenance: growth and development
7. Although the life expectancy has increased, Healthy People 2020 will focus on the older adult’s
need for:
a. be er pharmacy insurance coverage.
b. improved extended care facili es.
c. increased compliance to medical protocols.
d. maintenance of independent lifestyles.
, ANS: D
The maintenance of independent lifestyles is an ongoing problem for the older adult.
DIF: Cogni ve Level: Comprehension REF: p. 9 OBJ: 4
TOP: Older adults KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
8. Informa on about morbidity and mortality gives the health-care worker data to iden fy: a.
lifespan sta s cs.
b. high-risk age groups for certain diseases or hazards.
c. e ec veness of treatment.
d. cost-e ec ve treatment for the general popula on.
ANS: B
Evalua ng speci c details of the determinants of health help health-care workers develop
an understanding of the health status of the popula on. Morbidity and mortality sta s cs
can iden fy risks for disease or health hazard by age group.
DIF: Cogni ve Level: Knowledge REF: p. 6 OBJ: 3
TOP: Morbidity KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
9. A major cause of death for children under the age of 1 year is:
a. congenital abnormali es.
b. infec on.
c. cancer.
d. injuries.
ANS: A
The Centers for Disease Control and Preven on has iden ed congenital abnormali es as
a leading cause of death for children under the age of 1 year.
DIF: Cogni ve Level: Knowledge REF: p. 6, Box 1-1
OBJ: 1 TOP: Health status
KEY: Nursing Process Step: Interven on
MSC: NCLEX: Health Promo on and Maintenance: preven on and early detec on of disease
10. The health-care worker advises a young woman who is 7 weeks pregnant to include folic acid
supplements in her diet in order to:
a. strengthen muscles in prepara on for e ec ve labor.
b. help control excessive weight gain during pregnancy.
c. reduce incidence of congenital malforma ons.
d. enhance the probability of carrying the pregnancy to full term.
ANS: C
One of the goals of Healthy People 2020 is to promote use of folic acid supplements early
in pregnancy. Ideally, folic acid supplements, or adequate dietary folic acid, should be
recommended early in the pregnancy to help prevent congenital malforma ons, especially
spina bi da.