EPP 101-Chapter 22: Veterans Health Nies: Community/Public Health Nursing, 7th Edition

EPP 101-Chapter 22: Veterans Health Nies: Community/Public Health Nursing, 7th Edition MULTIPLE CHOICE 1. Which person meets the legal definition of a veteran? a. A 32-year-old male who has been dishonorably discharged from the Army b. A 50-year-old female who retired from the Navy c. A 65-year-old male who served in the National Guard d. A 22-year-old female who is currently serving in the Air Force ANS: B Legally, a veteran is an individual who has served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable. Any individual who completed service for any branch of armed forces is a veteran as long as they were not dishonorably discharged. Personnel serving in the National Guard are considered to be part-time employees and not active duty, full-time personnel. DIF: Cognitive Level: Understand (Comprehension) 2. Which is the largest branch of the U.S. military? a. Navy b. Marine Corps c. Coast Guard d. Army ANS: D The U.S. Army is the largest branch of the military, making up 39% of all military personnel. Other branches of the service include the Air Force, the Navy, the Marine Corps, and the Coast Guard. DIF: Cognitive Level: Remember (Knowledge) 3. A client is describing the time period that he served in the National Guard. Which statement would he be most likely to make? a. “I completed monthly drills and 2-week annual trainings.” b. “I achieved the rank of officer and was promoted to the U.S. Army.” c. “I served overseas based on decisions made by the federal government.” d. “I selected Japan as my destination for my overseas tour of duty.” ANS: A Personnel serving in the National Guard or Reserves are considered part-time employees. The key difference among them is that the Reserves report to the federal government, whereas the National Guard is administered by each state (e.g., the Pennsylvania National Guard is called into action by the governor of Pennsylvania). These individuals serve no more than 39 days a year, unless called into action. Usually, their service consists of monthly drills and 2-week annual trainings. Reservists may be called very suddenly to active duty (full-time) for deployments, requiring that they leave their family, regular job, and community for a time. The National Guard and Army are two separate entities—promotion does not change the military that is being served. NURSINGTB.COM Community Public Health Nursing 7th Edition Nies Test Bank NU RS IN GT B.CO M DIF: Cognitive Level: Apply (Application) 4. A veteran is receiving veteran’s health care benefits. Which department directly coordinates these benefits? a. Veterans Benefits Administration (VBA) b. Veterans Health Administration (VHA) c. U.S. Department of Veterans Affairs (VA) d. Civilian Health and Medical Program of the Department of Veteran’s Affairs (CHAMPVA) ANS: B The Department of Veterans Affairs has three subdivisions: the VHA, the Veterans Benefits Administration (VBA), and the National Cemetery Administration. The VHA provides all types of health care in every setting, including inpatient, outpatient, and long-term care. The VBA is an administrative arm responsible for unemployment and pension payments, home loans, vocational training, and educational benefits. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a program in which the costs of some health care services for eligible civilian beneficiaries are covered by the VA. DIF: Cognitive Level: Apply (Application) 5. A nurse is interviewing a client to determine if she is eligible for VA benefits. Which question would assist the nurse in determining the requirement of service? a. “Did you serve active duty for 24 consecutive months?” b. “Which branch of the military service did you serve?” c. “Were you dishonorably discharged?” d. “How long has it been since you left the military?” ANS: A Veterans—and sometimes their survivors and dependents—are eligible for VA benefits when they fulfill two requirements related to service and separation. (1) Service: they must have served in active duty for 24 consecutive months or for a full period of call (Reserves and Guard). There are some exceptions to the length of service minimum, the most important being when a person is discharged for disability incurred or aggravated in the line of duty. (2) Separation: they must have been separated under any condition other than dishonorable. DIF: Cognitive Level: Apply (Application) 6. A client reports hearing loss and tinnitus following military duty in the Gulf War. Which term would best describe this client’s injury? a. Posttraumatic stress disorder b. Polytrauma c. Traumatic brain injury d. Service-connected disability ANS: D NURSINGTB.COM Community Public Health Nursing 7th Edition Nies Test Bank NU RS IN GT B.CO M A service-connected disability is a disease or injury that was incurred as a result of or during the veteran’s active duty, or one that was aggravated by military service. Posttraumatic stress disorder is a mental illness that develops in some individuals who have experienced a shocking, frightening, or dangerous event. A traumatic brain injury is a disruption of brain function caused by an external mechanical force, including blunt force trauma, penetration by a foreign object, acceleration or deceleration movements, and pressure waves from explosive blasts. The term polytrauma refers to two or more injuries sustained in the same incident, affecting multiple body parts or organ systems, and resulting in various kinds of impairments and functional disabilities. Polytrauma is often the result of a blast-related event and frequently includes TBI. DIF: Cognitive Level: Apply (Application) 7. A veteran tells the nurse that he hates the VA health insurance program and wishes that he would be allowed to see the local doctor instead of traveling to the VA clinic. Which statement would be most appropriate to be made by the nurse? a. “I will check to see if your local doct