TEST BANK
Growth and Development Across the Lifespan
Gloria Leifer, Eve Fleck
3rd Edition
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
Table of Contents
1. Healthy People 2030
2. Government Influences on Health Care
3. Cultural Considerations Across the Lifespan and in Health and Illness
4. The Influence of Family on Developing a Lifestyle
5. Theories of Development
6. Prenatal Influences on Healthy Development
7. The Infant
8. Early Childhood
9. Middle Childhood
10. Adolescence
11. Young Adulthood
12. Middle Adulthood
13. Late Adulthood
14. Advanced Old-Age and Geriatrics
15. Planning for the End of Life
16. Loss, Grief, and Bereavement
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
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-careaccomplishments in the United States between the
years of 2010 and 2020.
DIF: Cognitive Level: Comprehension REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
2. A health-care worker planning a research project related to teenage pregnancy
in his community would include in the initial assessment the health status of
the target population.Health status could be best evaluated by the examination
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
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
Birth rate statistics identify age of mother; death rates include infant
mortality and age ofmother; access to health care may affect a teenager’s
ability to obtain adequate prenatal care.
DIF: Cognitive Level: Application REF: p. 6 OBJ: 3
TOP: Health status KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
3. The health-care worker teaches a group of new parents about the “back to
sleep” program,which is directed toward the reduction of sudden infant death
syndrome (SIDS) by: a.
positioning the baby on a small flat 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 itsback rather than on its stomach.
DIF: Cognitive Level: Application REF: p. 8 OBJ: 5
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
TOP: Back to sleep program KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
4. Healthy People 2020 endorses the completion of a high school education
primarily to enablea person to:
a. secure a better 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 graduatingfrom high school so that they have a better education
basis on which to make healthy lifestyle choices.
DIF: Cognitive Level: Application 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 Prevention.
b. Department of the Interior.
c. World Health Organization.
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: Cognitive Level: Knowledge REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
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 infection 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 livebirths.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 4
TOP: Infant mortality KEY: Nursing Process Step:
PlanningMSC: NCLEX: Health Promotion and Maintenance:
growth and development
7. Although the life expectancy has increased, Healthy People 2020 will focus
on the olderadult’s need for:
a. better pharmacy insurance coverage.
b. improved extended care facilities.
c. increased compliance to medical protocols.
d. maintenance of independent lifestyles.
ANS: D
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
The maintenance of independent lifestyles is an ongoing problem for the older
adult.
DIF: Cognitive Level: Comprehension REF:
p. 9 OBJ: 4TOP: Older adults KEY: Nursing Process
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
8. Information about morbidity and mortality gives the health-care worker data to
identify: a.
lifespan statistics.
b. high-risk age groups for certain diseases or hazards.
c. effectiveness of treatment.
d. cost-effective treatment for the general population.
ANS: B
Evaluating specific details of the determinants of health help health-care
workers develop an understanding of the health status of the population.
Morbidity and mortality statistics can identify risks for disease or health
hazard by age group.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ:
3TOP: Morbidity KEY: Nursing Process
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
9. A major cause of death for children under the age of 1 year is:
a. congenital abnormalities.
b. infection.
c. cancer.
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
d. injuries.
ANS: A
The
CentersaforaDiseaseaControlaandaPreventionahasaidentifiedacongenitalaabnorm
alitiesaasaaaleadingacauseaofadeathaforachildrenaunderatheaageaofa1ayear.
DIF: CognitiveaLevel:aKnowledge
REF:ap.a6,aBoxa1-1OBJ:
a a1
TOP:aHealthastatus
KEY:aNursingaProcessaStep:aIntervention
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
10. Theahealth-
careaworkeraadvisesaaayoungawomanawhoaisa7aweeksapregnantatoaincludeafol
icacid
a asupplementsainaheradietainaorderato:
a. strengthenamusclesainapreparationaforaeffectivealabor.
b. helpacontrolaexcessiveaweightagainaduringapregnancy.
c. reduceaincidenceaofacongenitalamalformations.
d. enhanceatheaprobabilityaofacarryingatheapregnancyatoafullaterm.
ANS:aC
OneaofatheagoalsaofaHealthyaPeoplea2020aisatoapromoteauseaofafolicaacidasupp
lementsaearlyin
a apregnancy.aIdeally,afolicaacidasupplements,aoraadequateadieta
ryafolicaacid,ashouldabearecommendedaearlyainatheapregnancyatoahelpapreventa
congenitalamalformations,aespeciallyspina
a abifida.
DIF: CognitiveaLevel:aApplication REF:ap.a8
OBJ:a4TOP:
a aFolicaacid
KEY:aNursingaProcessaStep:aIntervention
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
11. Guidelinesafora“baby-friendly”ahospitalsainclude:
a. informationaaboutaimmunizations.
b. activeasupportaofaparent–babyabonding.
c. controlaofaperi-deliveryainfection.
d. encouragementatoabreastfeedaforatheafirstayearaofalife.
ANS:aD
Baby-friendlyahospitalsaencourageabreastfeedingaduringatheafirstayearaofalife.
DIF: CognitiveaLevel:aComprehension
REF:ap.a8 OBJ:a4aTOP:aBaby-
friendlyahospitals
KEY:aNursingaProcessaStep:aPlanningaMSC:NCLEX:
a a
HealthaPromotionaandaMaintenance:agrowthaandadevelopmen
t
12. Theastatisticawidelyausedatoacompareatheahealthastatusaofadifferentapopulationsais:
a. incidenceaofaspecificainfectionsasuchaasaAIDSaorasmallpox.
b. maternalamortalityarate.
c. infantamortalityarate.
d. healthainsuranceacoverage.
ANS:aC
Infantamortalityaratesaareausedaworldwideaasaanaindicatoraofatheahealthaofaaanation.
DIF: CognitiveaLevel:aComprehension REF:ap.a8 OBJ:a3
TOP:aHealthyaPeopleaprogress KEY:aNursingaProcessaStep:aIntervention
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
13. Aahealth-
careaworkerawhoaisaplanningaaahealthaeducationaprogramaforageriatricaadultsab
asedon
a atheagoalsaofaHealthyaPeoplea2020awouldainclude:aa.a smokingacessatio
n.
b. drugaandaalcoholaabuse.
c. educationaaboutamedications.
d. fallaprevention.
ANS:aD
Reducingafallsawillareduceatheaincidenceaofahipafracture,awhichacontinuesatoabeaaapr
oblem,especially
a aamongaelderlyafemales.
DIF: CognitiveaLevel:aApplication REF:ap.a9 OBJ:a4
TOP:aHealthaeducation KEY:aNursingaProcessaStep:aPlanning
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
14. Thearoleaofatheaprofessionalanurseahasaevolvedatoainclude:
a. providingadirectacareatoapatientsaatatheabedside.
b. managingacareatoacureahealthaproblemsaonceatheyahaveaoccurred.
c. planningapatientacareatoacoveralongerahospitalastays.
d. formingalegislationaforapoliciesaandapracticesarelatedatoahealthacare.
ANS:aD
Growth and Development Across the Lifespan
Gloria Leifer, Eve Fleck
3rd Edition
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
Table of Contents
1. Healthy People 2030
2. Government Influences on Health Care
3. Cultural Considerations Across the Lifespan and in Health and Illness
4. The Influence of Family on Developing a Lifestyle
5. Theories of Development
6. Prenatal Influences on Healthy Development
7. The Infant
8. Early Childhood
9. Middle Childhood
10. Adolescence
11. Young Adulthood
12. Middle Adulthood
13. Late Adulthood
14. Advanced Old-Age and Geriatrics
15. Planning for the End of Life
16. Loss, Grief, and Bereavement
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
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-careaccomplishments in the United States between the
years of 2010 and 2020.
DIF: Cognitive Level: Comprehension REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
2. A health-care worker planning a research project related to teenage pregnancy
in his community would include in the initial assessment the health status of
the target population.Health status could be best evaluated by the examination
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
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
Birth rate statistics identify age of mother; death rates include infant
mortality and age ofmother; access to health care may affect a teenager’s
ability to obtain adequate prenatal care.
DIF: Cognitive Level: Application REF: p. 6 OBJ: 3
TOP: Health status KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
3. The health-care worker teaches a group of new parents about the “back to
sleep” program,which is directed toward the reduction of sudden infant death
syndrome (SIDS) by: a.
positioning the baby on a small flat 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 itsback rather than on its stomach.
DIF: Cognitive Level: Application REF: p. 8 OBJ: 5
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
TOP: Back to sleep program KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
4. Healthy People 2020 endorses the completion of a high school education
primarily to enablea person to:
a. secure a better 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 graduatingfrom high school so that they have a better education
basis on which to make healthy lifestyle choices.
DIF: Cognitive Level: Application 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 Prevention.
b. Department of the Interior.
c. World Health Organization.
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: Cognitive Level: Knowledge REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
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 infection 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 livebirths.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 4
TOP: Infant mortality KEY: Nursing Process Step:
PlanningMSC: NCLEX: Health Promotion and Maintenance:
growth and development
7. Although the life expectancy has increased, Healthy People 2020 will focus
on the olderadult’s need for:
a. better pharmacy insurance coverage.
b. improved extended care facilities.
c. increased compliance to medical protocols.
d. maintenance of independent lifestyles.
ANS: D
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
The maintenance of independent lifestyles is an ongoing problem for the older
adult.
DIF: Cognitive Level: Comprehension REF:
p. 9 OBJ: 4TOP: Older adults KEY: Nursing Process
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
8. Information about morbidity and mortality gives the health-care worker data to
identify: a.
lifespan statistics.
b. high-risk age groups for certain diseases or hazards.
c. effectiveness of treatment.
d. cost-effective treatment for the general population.
ANS: B
Evaluating specific details of the determinants of health help health-care
workers develop an understanding of the health status of the population.
Morbidity and mortality statistics can identify risks for disease or health
hazard by age group.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ:
3TOP: Morbidity KEY: Nursing Process
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early
detection of disease
9. A major cause of death for children under the age of 1 year is:
a. congenital abnormalities.
b. infection.
c. cancer.
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
d. injuries.
ANS: A
The
CentersaforaDiseaseaControlaandaPreventionahasaidentifiedacongenitalaabnorm
alitiesaasaaaleadingacauseaofadeathaforachildrenaunderatheaageaofa1ayear.
DIF: CognitiveaLevel:aKnowledge
REF:ap.a6,aBoxa1-1OBJ:
a a1
TOP:aHealthastatus
KEY:aNursingaProcessaStep:aIntervention
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
10. Theahealth-
careaworkeraadvisesaaayoungawomanawhoaisa7aweeksapregnantatoaincludeafol
icacid
a asupplementsainaheradietainaorderato:
a. strengthenamusclesainapreparationaforaeffectivealabor.
b. helpacontrolaexcessiveaweightagainaduringapregnancy.
c. reduceaincidenceaofacongenitalamalformations.
d. enhanceatheaprobabilityaofacarryingatheapregnancyatoafullaterm.
ANS:aC
OneaofatheagoalsaofaHealthyaPeoplea2020aisatoapromoteauseaofafolicaacidasupp
lementsaearlyin
a apregnancy.aIdeally,afolicaacidasupplements,aoraadequateadieta
ryafolicaacid,ashouldabearecommendedaearlyainatheapregnancyatoahelpapreventa
congenitalamalformations,aespeciallyspina
a abifida.
DIF: CognitiveaLevel:aApplication REF:ap.a8
OBJ:a4TOP:
a aFolicaacid
KEY:aNursingaProcessaStep:aIntervention
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
11. Guidelinesafora“baby-friendly”ahospitalsainclude:
a. informationaaboutaimmunizations.
b. activeasupportaofaparent–babyabonding.
c. controlaofaperi-deliveryainfection.
d. encouragementatoabreastfeedaforatheafirstayearaofalife.
ANS:aD
Baby-friendlyahospitalsaencourageabreastfeedingaduringatheafirstayearaofalife.
DIF: CognitiveaLevel:aComprehension
REF:ap.a8 OBJ:a4aTOP:aBaby-
friendlyahospitals
KEY:aNursingaProcessaStep:aPlanningaMSC:NCLEX:
a a
HealthaPromotionaandaMaintenance:agrowthaandadevelopmen
t
12. Theastatisticawidelyausedatoacompareatheahealthastatusaofadifferentapopulationsais:
a. incidenceaofaspecificainfectionsasuchaasaAIDSaorasmallpox.
b. maternalamortalityarate.
c. infantamortalityarate.
d. healthainsuranceacoverage.
ANS:aC
Infantamortalityaratesaareausedaworldwideaasaanaindicatoraofatheahealthaofaaanation.
DIF: CognitiveaLevel:aComprehension REF:ap.a8 OBJ:a3
TOP:aHealthyaPeopleaprogress KEY:aNursingaProcessaStep:aIntervention
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
, Test Bank - Growth and Development Across the Lifespan 3rd Edition (Leifer, 2023)
13. Aahealth-
careaworkerawhoaisaplanningaaahealthaeducationaprogramaforageriatricaadultsab
asedon
a atheagoalsaofaHealthyaPeoplea2020awouldainclude:aa.a smokingacessatio
n.
b. drugaandaalcoholaabuse.
c. educationaaboutamedications.
d. fallaprevention.
ANS:aD
Reducingafallsawillareduceatheaincidenceaofahipafracture,awhichacontinuesatoabeaaapr
oblem,especially
a aamongaelderlyafemales.
DIF: CognitiveaLevel:aApplication REF:ap.a9 OBJ:a4
TOP:aHealthaeducation KEY:aNursingaProcessaStep:aPlanning
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:apreventionaandaearlyadetectio
naofadisease
14. Thearoleaofatheaprofessionalanurseahasaevolvedatoainclude:
a. providingadirectacareatoapatientsaatatheabedside.
b. managingacareatoacureahealthaproblemsaonceatheyahaveaoccurred.
c. planningapatientacareatoacoveralongerahospitalastays.
d. formingalegislationaforapoliciesaandapracticesarelatedatoahealthacare.
ANS:aD
