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What is the principal factor behind ongoing legislation on the federal level related to health care?
a. Change needed to reflect differences in health needs today
b. Efforts to control constantly increasing costs
c. Need to focus on population as a whole
d. Need to expand technological breakthroughs
B. efforts to control constantly increasing costs.
What has happened to the hospitals built or expanded by Hill-Burton Act funds?
a. Many such hospitals have consolidated or closed.
b. Not needing to expand, hospitals have used the funds to upgrade their facilities.
c. They have continued to use such funds to expand.
d. When funding ceased, so did hospital expansion.
A. Many such hospitals have consolidated or closed.
What was one effect of the Welfare Reform Act of 1996?
a. Individuals who were required to obtain employment lost their health coverage.
b. Many were happy to be off the government dole and self-supporting.
c. Persons sought and obtained employment that often included insurance benefits.
d. The food stamp program also decreased in size.
A. individuals who were required to obtain employment lost their health coverage.
What might be noticeable about the State Child Health Improvement Act (SCHIP) of 1997
a. The law included goals and programs but no funding to achieve them
b. The law received extensive support by both Republicans and Democrats
c. The law was extended, then not renewed by the Bush administration, then renewed again by the Obama administration
C. the law was extended, then not renewed by the bush administration, then renewed again by the obama administration
What was notable about the Medicare Modernization Act of 2003?
a. Additional restrictions in reimbursement were imposed.
b. Law now includes reimbursement for experimental treatments.
c. Reimbursement procedures were modernized and made more efficient.
d. The revision included a prescription drug benefit.
D. The revision included a prescription drug benefit
What has been slowly increasing in consistency among states in their approach to health care?
a. Federal funding encourages experimentation in creating new programs.
b. Insurance regulations concerning reimbursement cross state lines.
c. Information about successful programs is known to legislators.
d. States frequently develop new programs as federal funds become available to pay for them.
D. States frequently develop new programs as general funds become available to pay for them.
Despite multiple bills by Congress, what major health problem remains?
a. Inadequate number of licensed professional caregivers
b. Lack of sufficient clinics to serve all communities and neighborhoods
c. Ongoing increase in infections such as nosocomial infections and human immunodeficiency virus
d. Rising number of underinsured and uninsured citizens
D. rising number of underinsured and uninsured citizens
What is the most common organization for receiving personal health care in the U.S. today?
a. A group of physicians all in a particular specialty group who share an office
b. Community health center that includes educational and social services
c. Fee for service by a physician in practice by himself
d. Managed care organization with capitated payments to providers, both professionals and organizations
D. managed care organization with captivated payments to providers, both professionals and organizations.
How do voluntary health agencies fit into the overall health care system?
a.They fill in the gaps between services offered by private and public health systems.
b.They primarily serve as sources of financial aid for the underserved.
c.They supplement the effort of the public health care system.
d.They support research, education, and services for particular groups of patients.
D. they support research, education, and services for particular groups of patients
Which federal agency is responsible for administering most of the federal health-related activities?
a.Centers for Disease Control and Prevention
b.Department of Health and Human Services
c.Health Resources and Services Administration
d. National Institutes of Health
B. department of health and human services
Which federal agency is responsible for the Women, Infants, and Children Program, food stamps, and school-based nutrition programs?
a. Aid to Dependent Children Department
b. Department of Agriculture
c. Department of Education
d. Department of Health and Human Services
B. department of agriculture
What has led to the more recent focus on cooperation between the state and the federal level in relation to public health?
a. The emphasis of Healthy People 2020
b. The ongoing continued restriction of financial resources
c. The new presidential administration’s goals
d. The threat of bioterrorism
D. the threat of bioterrorism
Which level of government primarily establishes regulations and provides funding for health care?
b.Local health departments
c.Regional health districts
d.State health departments
Who primarily provides care for military personnel, their families, and veterans, as well as Native Americans?
a. Federal government
b. Local health departments
c. Regional health districts
d. State health departments
A. federal government
As funds become more limited, which health care providers are actually seeing an increase in demand for their services?
a. Ambulatory care centers
b. Crisis clinics
d. Long-term-care facilities
D. long term care facilities
Which advanced nurse does not have advanced education in a clinical specialty?
a. Clinical nurse leader
b. Clinical nurse specialist
c. Nurse midwife
d. Nurse practitioner
A. clinical nurse leader
What is the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?
a. Data are publicized so consumers can make informed decisions about where to go for care.
b. Data are used to measure performance in the accreditation of MCOs’ process.
c. Obvious improvement in provision of health care has resulted from requiring health care providers to collect and analyze such data.
B. data are used to measure performance in the accreditation of MCOs process
What effect did President Clinton’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999) have?
a. Created improvement in both physician and nurse educational programs
c. Stimulated national interest in improving health care and seeking reform
d. Stimulated the Institute of Medicine to explore quality in more depth
D. stimulated the institute of medicine to explore quality in more depth
What was the primary conclusion of the report To Err Is Human: Building a Safer Health System?
a. Hospital staffing must be improved to focus on safety rather than cost containment.
b. Quality of care and medical error are not easily defined.
c. Patients must recognize that care providers are human and errors will occasionally be made.
d. System failures are resulting in an incredible amount of harm from medical errors.
D. system failures are resolution gin an incredible amount of harm from medical errors
What suggestion was in the Health Professions Education report?
a. Expand efforts to increase enrollment in nursing education programs.
b. Interdisciplinary teams should utilize informatics to provide patient-centered care.
c. Primary care should be emphasized over education for specialty practice.
d. All health professions should be required to communicate and collaborate in patient education.
B. Interdisciplinary teams should utilize informatics to provide patient-centered care.
How might the U.S. total health care costs be reduced by at least 10%?
a. Consolidate major health care facilities while expanding neighborhood primary care clinics
b. Continue the move to computer-based medical records and other efficiencies in informatics
c. Decrease current fraud and abuse
d. Streamline and make more consistent all documents needed for third-party reimbursement
C. decrease fraud and abuse
What was a conclusion of the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care?
a. Disparities are found only in particular disease categories.
b. Lack of access in some neighborhoods is a primary cause of inequities.
c. Provider bias and stereotyping contribute to inequalities.
provider bias and stereotyping contribute to inequalities
What was the poverty guideline for a family of four in mainland United States in 2009?
a. Above $22,000
b. Above $25,000
c. Above $28,000
d. Above $32,000
What is the best definition of economics?
a.Assets that can be traded for different assets
b.Income and outgo of monies
c.Science of allocation of resources
d.Study of goods, services, talents, and transportation
science of allocation of resources.
Historically, how did patients pay for health care?
a. Patients paid out of their pockets for whatever care the provider charged.
b. Public health employees gave care to those who needed it.
c. There was little health care to be had, regardless of a person’s wealth.
d. Workers who belonged to a union had their bills paid by insurance.
patients paid out of their pockets for whatever care the provider charged
What happened to health care providers during the Great Depression when so many persons were unemployed?
a. The amount of charity care greatly increased.
b. Both hospitals and physicians went bankrupt.
c. Government funding was legislated to assist those in need.
d. Public health greatly expanded to care for those in need.
both hospitals and physicians went bankrupt
Why did employers decide to offer health insurance as an employee benefit?
a. Hospitals and physicians quit offering charity care to those who could not pay.
b. Society was focused on not having to pay for doctor visits and other needed health benefits.
c. Teachers were role models for unions to demand insurance as a benefit.
d. To obtain and retain the limited number of persons available to work when government rules forbid raising wages, insurance was offered.
to obtain and retain the limited number of persons abatable to work when gov. rules forbid raising wages, insurance was offered.
5. What was the first government step in trying to stop constantly rising costs?
a.Insurance companies were told to cease adding new members to their plan.
b.Payment reimbursement was based on diagnosis and client characteristics rather than on treatment given.
c.Physicians were limited to a maximum amount that would be paid for any particular service.
d.Reimbursement was based on prospective payment, that is, in advance of admittance for care.
payment reimbursement was based on diagnosis and client characteristics rather than on treatment
What message are public health leaders trying to emphasize to the public?
Assume responsibility for your own health by choosing healthy behaviors
Have a primary physician and get yearly checkups
Obtain immunizations and screenings when they are offered
Support legislative efforts to improve our medical care system
a. assume responsibility for your own health by choosing healthy behaviors
What would be the least expensive approach to treating chronic diseases?
Choose healthy lifestyle behaviors to retain health
Continue media campaigns encouraging early detection and treatment
Encourage patients to seek care at a local neighborhood health clinic
Suggest self-therapies that have been demonstrated to be effective
choose healthy lifestyle behaviors to retain health
Because people respond to incentives, how has having health insurance affected lifestyle behaviors?
Health promotion disease prevention programs are attended because they are reimbursable.
Health education is widespread, because insurance companies promote such education.
Medications and medical treatment are relied on for cure.
Screening is widespread because of insurance sponsorship.
medications and medical treatment are relied on for cure
Why do so many Americans continue to engage in unhealthy behaviors?
Americans are not knowledgeable on how to change their behavior.
Because of the belief that most illnesses can be cured with insurance footing the bill
Health is not a concern to most Americans.
Most Americans do not know which behaviors are unhealthy.
because of the belief that most illnesses can be cured with insurance footing the bill
Which groups of persons are more likely to engage in health-oriented lifestyle behaviors?
People with higher socioeconomic and education attainment
Military retirees and their families
Persons who are employed somewhere in the health care system
Those who have watched the media public health service slots
people with higher socioeconomic and education attainmemt
Who pays the majority of the costs for pharmaceutical drugs in the United States today?
Individuals (out of pocket)
Pharmaceutical company (freebies, samples, and special programs)
What conclusion can be drawn from reviewing how health care costs are spread over a person’s lifetime?
Expenditures increase with age.
Infants and newborns who spend time in neonatal intensive care units incur more costs than other children from birth through adulthood (age 21 years).
Majority of cost is incurred during middle age when chronic diseases strike.
Persons aged 85 years and above are usually in nursing homes so Medicaid pays for the care.
expenditures increase with a ge
What was a major change after Medicare began a prescription drug benefit?
a. Number of prescriptions ordered by physicians decreased.
b. Medications increased without affecting patient care outcomes.
c. U.S. expenditures on drugs approached the same level as that of other industrialized nations.
d. Utilization of drugs and their cost immediately increased.
utilization of drugs and their cost immediately increased.
What is a current trend regarding heath care services?
a. Nonprofit organizations are assuming responsibilities for service from for-profit organizations.
b. Health care organizations are offering services low in cost and higher in reimbursement.
c. Ways to minimize reimbursement using current procedural terminology (CPT) codes have been created.
d. Postponing computerized medical record programs increases profitability.
health care organizations are offering services low in cost and higher in reimbursement
What is a “carve-out” service?
a. A particular service that is offered only by a designated provider or group.
b. Although most procedures are acceptable, one particular procedure (for example, abortion) is not reimbursed.
c. One particular treatment is not allowed within a particular diagnosis.
d. Prescription drug benefit is available but only for drugs in the organization’s formulary
a particular service that is offered only by a designated provider or group
Because of an interest in social justice, what major event affecting health care occurred in the 1960s?
a. The amount of charity care by health care providers greatly increased.
b. Hospitals began to voluntarily pay taxes to the communities where they were located.
c. Legislation greatly expanded funds available to train physicians, nurses, and other health care providers.
d. Social Security Act was amended to create Medicare and Medicaid legislation.
social security act was amended to create medicare and medicaid legislation
On what basis does the federal government give special funding for health care?
To stay consistent with the societal priorities such as 2020 Health Objectives
Democratically elected legislators can make a plea for special funding for some group within their state or territory.
Depends on whether a health organization wrote a grant demonstrating special need
If the request is from a state and consistent with the state’s long-term health goals
to stay consistent with the societal priorities such as 2020 health objectives
What is the usual result of a state or health care organization receiving federal funding for a special health care need?
a. Other groups see the project and write grants wanting similar projects in their geographic area.
b. Participants continue to demand the services so local funding has to be readjusted to continue the care.
c. Research is done demonstrating whether or not the intervention was successful and should be replicated.
d. When funds cease, so does the health care; therefore continuity is lacking
when funds cease, so does the health care; therefore continuity is lacking
What is the primary thrust of philanthropic groups involved in health care?
a.Direct care to patients with problems related to the philanthropic group’s primary interest area
b.Lobbying legislators for increased funding for their special interests
c.Primary informational and research activities
d.Special services such as housing, transportation, or appearance aid
primary informational and research activities
Indemnity plans were very much appreciated, but what flaw did they have?
a. Blue Cross and Blue Shield had a great idea, but they went bankrupt.
b. Cost sharing was expected of Blue Cross and Blue Shield enrollees.
c. Enrollees could not choose their provider or manage their own care.
d. Plans lacked any incentives to contain costs.
plans lacked any incentives to contain costs
What did large industrial giants do to stop the constant increase in their costs for health insurance for their employees?
Assembled their own health care programs
Established health promotion programs that employees were required to attend
Signed only certain providers to give care at a reduced rate in exchange for so many new patients
Suggested that employees seek only the most necessary services
assembled their own health care programs
What did physicians do to compete with new competition from health maintenance organizations (HMOs)?
a. Accepted employment directly under the insurance company
b. Organized preferred provider organizations (PPOs) to negotiate with insurance companies
c. Set up practice with colleagues within hospital medical complexes
d. Went on strike and refused to work in the new HMOs
organized preferred provider organizations to negotiate with insurance companies
When Medicare first began reimbursing hospitals based on diagnosis-related groups (DRGs), which might have been less than actual cost, how did hospitals cope?
a. Charged more for patients whose care was paid by insurance
b. Decreased nursing staff to cut labor costs
c. Lobbied politicians to increase Medicare reimbursement to reflect actual costs
d. Refused to accept Medicare patients
charged more for patients whose care was paid by insurance
How might all the changes resulting from attempts to control costs be summarized?
a. Conflict between providers, patients, employer, and insurance plans raged.
b. Costs were controlled, at least temporarily.
c. Demand for health care drastically dropped.
d. Most employers discontinued their insurance plans for employees.
conflict between providers, patients, employer, and insurance plans raged
When was the idea of national health care insurance first debated in the United States?
a. Clinton’s 1992 presidential campaign as he attempted to achieve such a plan
b. During President Johnson’s administration when Medicare and Medicaid were instituted in the 1960s
c. President Franklin Roosevelt’s attempt to include health insurance in Social Security legislation in the 1930s
d. President Theodore Roosevelt advocated such national medical coverage in 1916.
President Theodore roosevelt advocated such national medical coverage in 1916
How was the government successful at containing costs?
a. The original legislation for Medicare and Medicaid had built-in cost controls.
b. Certificate-of-need requirements restricted provider overtreatment.
c. Utilization review determining appropriateness of care.
d. Prospective payments were based on diagnosis-related groups (DRGs).
e. Peer standard review organizations were effective watchdogs
prospective payments were based on diagnosis related groups
How might providers legally improve their profit under the current reimbursement process?
a. Accept more patients and work more hours so former high income is retained
b. Always order the cheapest generic medications and treatments possible
c. Convince patients that they do not want or cannot afford appropriate treatment
d. Practice very conservatively to earn an incentive payment by delivering care for less cost than allocated
practice very conservatively to earn an incentive payment by delivering care for less cost than allocated
Why would large employers decide to self-insure?
a. They can claim to offer more benefits to employees.
b. More control over health care providers
c. More effective at keeping employees happy
d. To reduce administrative costs charged by insurance companies
to reduce administrative costs charged by insurance companies
Why should nurses be knowledgeable about health care funding?
a. So they are able to accept positions in insurance companies and be effective in restricting reimbursement
b. To be knowledgeable when media ask for opinions on some new legislation
c. To better serve as patient advocates in policy making for funding that provides appropriate care for the greatest good
To know how to write nursing notes that reflect higher reimbursement possibilitie
to better serve as patient advocates in policy making for funding that provides appropriate care for the greatest good
How is the population of the United States changing?
a. Growth will occur because of a decrease in the death rate.
b. Growth will occur because of ongoing immigration.
c. Growth will occur because of an increase in the birth rate.
d. Growth will increase because of lengthening of the normal life span.
e. Population is essentially stable.
growth will occur because of ongoing immigration
What is meant by Leininger’s term “culture universal”?
a. It is universal that all people prefer to be cared for by someone from their own cultural group for maximum ease and comfort.
b. The commonalities of values, norms, and life patterns that are held in all cultures
c. The particular values, beliefs, and patterning of behavior that is universal within a particular culture
d. That all cultures have created health care roles, norms, and behaviors that are involved when illness or injury occur
the commonalities of values, normal, and life patterns hat are held in all cultures
A patient had wrapped a tummy band around her newborn’s abdomen. What should the nurse say to the new mother?
a. “Can you tell me why you wrapped a band around the baby’s tummy?”
b. “In the hospital, we prefer to expose the umbilical cord to air so it’s easier to put medication on it as it dries up.”
c. “Let me put some medication on the baby’s cord, and then I’ll put the tummy band back.”
d. “Please remove that band; it is not helpful as the umbilical cord needs to be kept clean and dry.”
"can you tell me why you wrapped a band around the baby's tummy"
A baby was dehydrated because of diarrhea. The mother explained that she had finally gone to a folk healer who told her to give the baby herbal tea, which did seem to be helping a bit, but the baby still seemed ill. What would be the best approach?
a. “Folk healers can’t cure such problems; let me give you appropriate fluids for your baby.”
b. “Let’s go back to feeding the baby formula, and see how the baby does.”
c. “You continue to give the baby herbal tea, but let’s put some sugar and salt in the tea.”
d. “Your healer is correct; fluids are crucial for your baby. Let me give you some special fluids for you to give the baby.”
"your healer is correct; fluids are crucial for your baby. let me give you some special fluids for you to give the baby"
A nurse carefully explained that the medication had to be taken three times a day, with each meal. The patient came to the clinic with symptoms of medication overdose. How should the nurse respond?
a. “Can you explain what you believe happened to make you so ill now?”
b. “Can you tell me when in the day you and your family eat?”
c. “Please review with me when I taught you to take your medication.”
d. “Why did you take more medication than we suggested?”
can you tell me when int eh day you and your family eat2
An unidentified patient was injured in a hit-and-run accident and was now conscious. When asked how he felt, the patient looked very confused and responded in a language the nurse didn’t recognize. What should the nurse do?
a. Look closely at the person, try to determine the patient’s ethnic background, and then seek someone fluent in his language
b. Report the language barrier to administration, and let them handle the problem
c. Tell the unit supervisor so various translators can be brought to the floor until the language is recognized and communication can be established
d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking
use gestures and pantomime until the nurse is able to determine what language the patient is speaking
A woman, who spoke English, was an immigrant from the Middle East, attending the clinic for the first time with two female friends. When a male nurse attempted to get a health history, the woman refused to respond to his questions. What can the nurse do?
a. Ask a female nurse to talk with the client
b. Ensure that the client has privacy, with the two female friends waiting outside before trying again
c. Explain that the woman cannot see a physician until the nurse obtains a health history and does an initial exam
d. Stress that the clinic is free and she doesn’t have to pay extra to see both the nurse and the physici
ask a female nurse to talk with the client
A nurse was explaining a problem to the client so the client could make an informed decision from alternative treatment approaches. The client responded, “The doctor will choose the best treatment. Do whatever the doctor says.” What should the nurse do next?
a. Ask if the client would like to discuss the choices with her family
b. Explain that the client has to decide, and wait for the client’s decision
c. Explain that physicians can’t decide; perhaps the client could just flip a coin?
d. Nothing; simply accept that some fatalistic-oriented clients literally don’t know how to choose
e. Suggest that the client discuss the situation with her ancestors and wait for guidanc
nothing; simply accept that some fatalistic oriented clients literally don't know how to chose.
The nurse made a follow-up appointment for a client at the clinic, but the client didn’t come. Two days later the client presented at the clinic explaining that a temporary job had come up and he couldn’t come back until he’d finished and been paid for that job. What should the nurse do?
a. Explain that patients are seen by appointment only, and set up another appointment for the client
b. Reinforce the need to plan ahead before arranging another appointment
c. Stress that health is a number one priority, and try to fit client in sometime the same day
d. Understand that some clients are present oriented, and fit the client in so care can be give
understand that some clients are present oriented and fit the clint in so care can be given
When a nurse visited a client’s home, it was apparent that the client had not begun to implement the needed exercise program. Rather, the client had been drawing about his illness experience. What should the nurse do?
a. Express admiration for his artistic ability, and do not schedule future visits because the patient is noncompliant
b. Point out the negative consequences that will ensue if the client doesn’t begin exercising
c. Review with the client why exercise is so crucial to his recovery
d. Suggest his drawing might be more forceful after exercisin
suggest his drawing might be more forceful after exercising.
A nurse reviewed the treatment the surgeon recommended for a woman’s breast lump. When the nurse asked the woman if she could be admitted to the hospital for immediate surgery, the husband thanked the nurse for her time and said they would get back in touch. What should the nurse do?
a. Ask if there was some reason the woman could not be immediately admitted for treatment
b. Explain to the woman why postponing the surgery was dangerous
c. Point out it that it’s the woman’s decision, and stress that she should go to the hospital immediately
d. Recognize that the husband and other family members may need to have input into this decisio
recognize that the husband and other family members may need to have input into this decision.
When one woman asked her friend to stay while a painful procedure was done, it was explained that only one immediate family member could be in the room. The woman asked, “How do you define family?” In the clinic, what would be the best response?
a. A person’s husband, wife, or children
b. Anyone related to you by law or by blood ties
c. Someone who lives with you and has ties of commitment
d. Whoever you tell us is your family
whoever you tell us is your family
A nurse felt very good about an Asian man who had responded positively to the instructions given to him. Later, the nurse heard him tell his wife that there was no way he could implement the suggestions. What could be the problem?
a. Polite response may not equal agreement.
b. Men don’t take instruction from women.
c. His culture may value harmonious relationships over expressing disagreement.
d. The nurse told him what to do but didn’t ask if he could do it.
his culture may blue harmonious relationships over expressing disagreement
In a client’s culture it was exceedingly rude to ask any question about income or wealth. How might the nurse draw conclusions about the client’s socioeconomic status (SES) or ability to pay?
a. Ask about the client’s education or employment position
b. Ask his or her religious leader to share such information with the nurse
c. Let the financial office deal with the problem
d. Refer the issue to the social worker who has better sources of information
ask about clients education or employment piositon
A nurse was responsible for setting up a 1-day–long health fair with free pizza being served during lunch. The nurse observed quite a few people who didn’t eat but just talked quietly during lunch. What, if anything, should the nurse do?
a. Assume it was a religious fast day, and not worry about it
b. Discuss with the supervisor what was traditional food in that neighborhood
c. Offer to let those who didn’t eat take the leftover pizza home for a meal later in the day
d. Talk to the group, and ask what foods might have been more acceptable
talk to the group and ask what foods might have been more acceptable.
A nurse set up a clinic appointment for Friday of the following week. An Arab patient asked to come earlier in the week. As those days were heavily booked, the nurse left the appointment on Friday. The patient was a “no show.” What might have been the problem?
a. A lot of people do family errands such as shopping on Fridays, Saturdays, and Sundays.
b. It was inconvenient for the client so he didn’t come.
c. Muslims’ holy day is from sunset Thursday to sunset Friday.
d. Patients don’t like being told what to do
muslims holy day is sunset thursday to sunset friday
What is the most important first step before interviewing a Hispanic family?
a. Compliment each member on some visible asset
b. Establish rapport, and gain trust and confidence
c. Greet them in Spanish even if badly spoken and accented
d. Recognize the male as the authority figure in the family
establish rapport and gain trust and confidence
A woman stood very close to the nurse and asked a question about her husband’s condition. The nurse took a step back and shared the requested information. No other questions were asked. Was this a successful interaction?
a. No, because the nurse shouldn’t answer any questions about a client, even if the wife is the one asking
b. No, because the woman and the nurse had different perceptions of personal space
c. Obviously yes, because the woman sought information, received it, and had no further questions
d. Yes, because the nurse was knowledgeable and able to respond appropriatel
no, because the woman and the nurse had different perceptions of personal sapce
A nurse became frustrated because after each interview question there was a long pause before the client responded. What should the nurse do?
a. Accept the hesitation before receiving an answer
b. Ask the client what silence after a question means
c. Copy the client’s behavior; insert a pause before asking the next question
d. Recognize that the client was distracted, and reschedule the home visit
ask the client what silence after a question means
A client, accompanied by her son, spoke only Spanish while the nurse did not. What should the nurse do to meet the client’s need?
a. Ask the woman if it’s OK if the son translates for her
b. Call until she finds a Spanish interpreter employed by the agency
c. Let the son translate because he’s obviously informed about the problem
d. Use gestures and pantomime to make oneself clear
call until she finds a spanish interpreter employed by the agency.
At a military base, a family from Qatar, a Muslim Arabic country, came in because the wife believed she was pregnant. If there are no intervening variables, who should see the family?
a. A male obstetrician, expert in high-risk pregnancies
b. The female nurse midwife
c. The male obstetrician with a female nurse always in the room with the wife
d. Whichever nurse was on duty until the pregnancy was confirmed
the female nurse widwife
A woman comes to the clinic, and your best guess is that she is speaking French. She seems to understand English. You need to do a physical examination to confirm the health problem. If you are a male, what should you do?
a. Ask the client if she prefers a female caregiver
b. Automatically go to your female colleague, and ask her to assume care
c. Have the physician see her immediately
d. Ignore gender, and give excellent professional nursing care
ask the client if she prefers a female caregiver
After being given negative news about a health problem, the client, with tears running down her face, asks, “Why did this happen to me?” What is your response?
a. Could someone have cursed you?
b. Do you feel your life is out of balance?
c. God has a plan for each of us even if we don’t understand it.
d. Why do you think it might have happened?
why do you think it might have happened
Crying, a clinic patient explained that she knew she had this breast lump because she had spread nasty gossip about her neighbor. What intervention would probably be most successful?
a.Explain the causes of a breast lump and the usual treatments
b.Refer the woman for an immediate biopsy to determine the status of the lump
c.Suggest that she has to repent and as much as possible undo her sin, but also make an appointment for a biopsy
d.Suggest that she has to repent, apologize to her neighbor, and pray for forgiveness
suggest she has to repent and as much as possible undo her sin but also make an appt for a biopsy
Your friend calls you complaining of symptoms of a cold. What would you tell your friend?
a. Ask what your friend’s family usually does for a cold; suggest that be done but to call you back if the situation worsens
b. Go to the urgent care center for assistance
c. Make an appointment to see your health care provider
d. Point out you are a nurse and can’t treat patients
ask what your friends family does for a cold, suggest that be done but to call you back if the situation worsens
A nurse made a home visit for prenatal care and teaching to an Asian woman. The nurse noted the woman was having a hot lunch of foods the nurse didn’t recognize. When the nurse suggested some appropriate cold protein foods be added to the meal, the woman looked horrified and distrusting. What might be the problem?
a. Interfering with eating seemed incredibly intrusive and inappropriate.
b. The nurse was giving advice when advice had not been sought.
c. The nurse had suggested foods unknown to the woman.
d. The yin and yang theory requires only hot food be eaten when female yin energy is dominant.
the yin and yang theory requires only hot food by eaten when female yin energy is dominant
A nurse was assigned to create and implement a community education program with the goal of preventing diabetes among the Hispanic population. As the nurse did not speak Spanish and was just beginning to be comfortable with the neighborhood Hispanic culture, what is the nurse’s best approach?
a. Be sure to use appropriate images in the handouts
b. Copy literature and procedures found successful in other Hispanic communities
c. Tell the supervisor the nurse is not competent for this task
d. Try to find Hispanic volunteers who may be able to do the actual teaching
try to find hispanic volunteers who may be able to do the actual teaching
What can balance the fact that poverty is typically a major factor in certain groups having poorer health?
a. A strong community health center in the neighborhood
b. Intact families where fathers are married to children’s mothers
c. Strong family and community support for healthy behaviors
d. The large number of programs available to be of assistance in fighting poverty
strong family and community support for health behaviors
What did the federal government do to help improve health disparities among minorities?
a. Created scholarships and traineeships only for minority applicants
b. Created the National Center on Minority Health and Health Disparities
c. Established grants that funded only minority health projects
d. Legislated funds to create new colleges for preparing health professionals in minority neighborhoods.
created the national center on minority health and health disparties
What would be most helpful in caring for a patient from a different culture?
a. Ask to have a nurse from that culture assigned to the patient even if the nurse must be obtained from a different clinical area
b. Be aware of cultural similarities and differences between the nurse and the client
c. Explain that the patient must follow the rules of the hospital while a patient
d. Verbalize the nurse’s own discomfort, and ask for assistance with surmounting the cultural difference
be aware of cultural similarities and differences between he nurse and the client.
The clinic was seeing a great number of Hmong immigrants from the mountainous regions of the Far East. If the nurse could not obtain a translator, what might be the next best action?
a. Require each patient to bring a family member fluent in English
b. Start teaching Hmong patients English on each clinic visit
c. Suggest Hmong patients might be more comfortable seeking care elsewhere
d. Try to make flash cards with common phrases used during clinic visit
Try to make flash cards with common phrases used during clinic visit.
Which definition of family is probably the most useful for the nurse practicing in the community?
a. A group of persons with shared convictions
b. A social unit interacting with the larger society
c. People descended from a common ancestor
d. Persons related either by blood or by legal contract (marriage)
e. Whoever the family says is in their family
whoever the family says is in their family.
How can a family be said to meet the needs of society?
a. By living and existing in the wider community
b. Meeting the needs of the individual family members
c. Procreation and socialization
d. Productivity seen in employment positions
procreation and socialization
How have the majority of American women chosen to first have a long-term relationship?
a. By childbirth and raising the child as a single parent
b. By cohabitation (living together but without legal sanction)
c. By marriage
d. With same-sex roommates
Roughly what proportion of children live in a single-parent family?
a. Fewer than 10%
e. More than 30%
more than 30%
The school health nurse was driving home when a child darted out into the road and hit the side of the nurse’s car. What should the nurse ask the child?
a. “Didn’t your mother teach you to be more careful?”
b. “What is the telephone number of your mother?”
c. “Whom do you live with that I can call to come be with you at the hospital?”
d. “Why didn’t you look before you ran into the street?”
whom do you live with that i can call to come be with you at hospital
A nurse was teaching a class on good hygiene at a local day care center when one child volunteered, “I have two mommies.” What would be your response?
a. “Don’t tell anyone; that’s a secret.”
b. “That’s nice—why did you share that?”
c. “Yes, some children have two mommies, some have a mommy and a daddy, and some just have daddies. Some people only have one grown-up to love them.”
d. “Which mommy is your real mommy?”
yes some children have two mommies, some have a mommy and a daddy and some just have daddies. some people only have one grown up to love them
What is a major barrier to a nurse caring for the family as a whole?
a. Families often don’t want to know what is wrong with their loved one.
b. Nurses don’t know how to care for families.
c. Reimbursement is paid only for services given to an individual.
d. The family often isn’t available when the nurse is giving care.
reimbursement is paid only for services given to an indiviudal
What is crucial to remember about the first assessment interview with the family for a nurse entering an apartment for the first time?
a. Analyze the power relationships before focusing on needed information
b. Be on best behavior with manners and courtesy, starting with a self-introduction
c. Determine as soon as possible who makes decisions within the family
d. Evaluate the safety of the immediate environment for self and the family
be on best behavior with manners and courts starting with a self-introduction
What purpose is served by the nurse interviewing the family beyond gathering needed information for future interventions?
a. Assessing the safety of the immediate environment before further planning can be done
b. establishing a process for the nurse and the family to make decisions
c. Engaging in focused planned conversation, which has healing potential in itself
d. Focusing on giving compliments to make the family feel good about themselves
engaging in focused planned conversation which has healing potential in itself
Which question is crucial to ask very early in a family interview?
a. “Do you see any way this problem could have been avoided—so future problems could be prevented?”
b. “What do you all as a family hope to achieve during your time with me?”
c. “What would you like me to do for you today?”
d. “Would you like to know my perception of what our goals together should be?”
what do you all as a family hope to achieve during your time with me
A young son was so physically fidgety that his mother was seriously embarrassed by his inability to be quiet and involved in the interview. What comment by the nurse might be most helpful?
a. “Isn’t it marvelous how much energy your son has?”
b. “Is there something your son could be doing for you that would use some of that energy?”
c. “Is your son always so fidgety? Have you discussed his behavior with his pediatrician?”
d. “Why don’t you let your son go to his room until we’re finished?”
isnt it marvelous how much energy your son has
Why would a nurse ask about the meals of all family members, rather than focus on a nutritional history for the post–myocardial infarction patient?
a. It is assumed that all family members eat the same food at the same time each day.
b. Lifestyle choices among family members are usually consistent.
c. Many parents eat whatever their children don’t rather than throw away good food, so the nurse should know what the children eat.
d. The nurse was afraid to assume that whoever cooked would only prepare one meal for everyone to share.
lifestyle choices among family members are usually consistent
A nurse asked of a family, “Could each of you tell me what you typically do during the week?” How might the nurse follow up such an open-ended question?
a. “Could you tell me about what you do at your job?”
b. “Do you believe those choices are the best use of your free time?”
c. “How do you feel about those activities?”
d. “Is there anything you would like to do differently?”
could you tell me about what you do at your job
When making a home visit, a nurse is usually expected to focus attention on the ill family member. But whom might the nurse focus on instead?
a. The children who are being affected by the stress of the situation
b. The ill family member’s primary caregiver
c. The spouse of the ill family member
d. The neighbors of the family who may be able to help
the ill family members primary caregiver
Because the current school year is now over, why would the school health nurse spend time summarizing the records of all the children who had come into the school health office during the completed school year?
a. Because analysis can help establish priorities for future health programs
b. Because annual reports are expected by the school board
c. Because it’s very personally rewarding to see all the help one has given throughout the year
d. Because the nurse has to justify the school health office budget for each year
because analysis can help establish priorities for future health programs
What might a school health nurse conclude when record data demonstrated that there were a very large number of children in the school district whose insurance plan was the Children’s Health Insurance Program (CHIP)?
a.There are a large number of parents who know how to use and abuse government programs.
b.There are a large number of homeless families.
c.There are a large number of unemployed poverty-stricken families.
d.There are a large number of working low-income parents.
there are a large number of working low income parents
A father was very excited about his new job offer in a nearby state. But he asks you, “Will my daughter still be under Medicaid until I get on my feet?” What is your response?
“I’m sorry, but once you have an employment position she won’t be eligible.”
“Medicaid requirements vary by state so you’d have to check in your new location.”
“Yes, if she’s eligible now, she’ll stay eligible.”
“You can keep your daughter on Medicaid until your salary puts you over the poverty line.”
medicaid requirements vary by state so you'd have to check in your new location
A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer. What would you most want to emphasize when you help the woman make an appointment at the diabetic clinic for follow-up testing and treatment?
“Bring a food diary of everything you’ve eaten for 1 week with you to the appointment to help with future meal planning.”
“It’s really not that hard to learn how to inject insulin, and it really doesn’t hurt.”
“Please encourage all your family members, including your parents, to be tested for diabetes as well.”
“They’ll teach you how to manage your meals and medications to stay healthy.”
please encourage all you family members including your parents to be tested for diabetes as well
A nurse needed to help a child who was not behaving consistently with the requirements of the new preschool program that began that fall. What would probably be most helpful for the nurse to do?
Meet with the child each day to let the child have a safe play environment without the regular program frustrations
Meet with the child’s parents to discuss how their parenting may need to change to help improve their child’s behavior at school
Meet with the child’s teacher to brainstorm ways to help the child cope with school requirements
Point out to the child that if behavior doesn’t improve, the child won’t be able to play with all the other children at the school
meet with the childs parents to discuss how their parenting may need to change to help improve their childs behavior at school
A family came in to discuss a problem with one of their children. Which family behavior would cause you concern?
Each family member made supportive comments about each other.
Every Sunday the family attends religious services together.
Family members made humorous comments about their life together.
The family seemed to rather quickly determine priorities for action.
The family wanted the nurse to decide what they should do.
the family wanted the nurse to decide what they should od
Which are examples of the internal structure of the family?
Ethnicity and race
Extended family members
Gender and rank order of birth
Social class and religion
gender and rank order of birth
A man had been in an extended-care facility for 5 weeks and was now home. His wife tells you, “He’s trying to take up where he left off but we’ve adapted to not having him home. He keeps thinking things will be just as they were when he left but they aren’t.” What is your response?
“Are the changes making him uncomfortable or are the rest of you uncomfortable?”
“Do you want me to talk to him and try to explain?”
“How can we make things as they were before he left?”
“You all adapted to running the house without him; it will be challenging now to adapt back.”
you all adapted to running the house without him, it will be challenging now to adapt back
Each evening, a newly disabled man becomes angry when his wife, just home from her new full-time job, does not have dinner on the table at 6 PM. As the nurse, what would you do?
Allow the wife to express her frustration and anger to you
Explain to the husband that he is going to have to begin learning how to cook
Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone
Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on weekends
help all family members recognize that log time roles are being changed
A mother says to you, “I know I should be feeling an empty nest sadness now that our youngest has left for college—but mainly I’m dying to turn his room into my craft room. Do you think that’s normal for a mom? I really do love my kids.” What is your response?
“Hmm, that is unusual. Would you like me to make an appointment with a psychologist for you?”
“Maybe you’ve always wanted to be an artist and now you can, so enjoy the feeling—and the room!”
“You’re probably trying to put a positive spin on the situation to keep feelings of sadness at bay.”
“Very normal; you’ve launched your family and now you can devote attention to your own life and preferences—such as crafts.”
“Would you like to talk about how you feel?”
very normal; you've launched your family and now you can devote attention to your own life
A nurse asked a family if they’d work with her to create a family genogram. The mother asked, “Why would you want to know so much about our family?” What is a good response?
“A genogram helps you see how some problems run in families. Your children will need to know this.”
“If you’re willing to share, we can discuss family history and possibly some hereditary health issues.”
“Please be assured you don’t have to answer any question you don’t want to answer.”
“Why would you want to keep your family members secret? Is there some problem?”
if your willing to share we can discuss family history and possibly some hereditary health issues
You have just begun a family health tree. Which question might be most helpful as you work with the family on promoting their health?
“Can you tell me the cause of death of your older relatives back several generations?”
“Do you know of any chronic health problems any of your relatives or their spouses have had?”
“What concerns do you have about your family’s health?”
“What do your family members do to keep in shape and handle stress?”
what do your family member do to keep in shape and handle stress
A nurse was creating an ecomap for a family, which consisted of a 3-year-old girl, an 8-year-old boy, and their mother. Which question might be useful for the nurse?
“Are you involved with any groups or resources in the community?”
“Can you tell me about your extended family wherever they live?”
“Have you thought about what would happen if you needed help?”
“What were the causes of death for your older family members?”
are you involved in any groups or resources in the community.
A family agreed to bring all the children in to the clinic at one time to begin to catch up on the children’s immunizations, but they didn’t keep their appointment. What might you conclude?
Obtaining immunizations might have been the nurse’s goal, not the family’s.
Some barrier or restraint interfered with the family’s ability to come.
The family had other, more important priorities.
The nurse didn’t adequately emphasize the importance of obtaining immunizations.
some barrier or restraint interfered with the family ability to come
Which theoretical approach would be most useful to the nurse who wants to improve patient-provider communication and address the gap between what providers discuss and what families want to know about?
Network therapy theory
The Kentucky Partnership model
What is an appropriate conclusion to draw from research based on network therapy theory?
Nurses can help at-risk populations access or build support systems.
Problems in our health care system are worsened by specialization and fragmentation.
Social class places limitations on access to health care.
The family is culturally anchored in American beliefs.
A Nurses can help at-risk populations access or build support systems.
What is one unexpected result of the decrease in funding to traditional public and private forms of health care?
Emergency departments where patients can’t be turned away are overwhelmed with patients needing nonemergency care.
Grants are increasingly being requested to pay for care.
More people don’t receive needed health care in a timely manner.
Programs are developed as a result of community efforts.
32. What has research suggested is the most critical resource for single adolescent mothers?
What is an accurate definition of impairment?
A disadvantage resulting from a disability that prevents fulfillment of an expected role
A restriction or inability to perform an activity in a normal manner
An anatomical, mental, or psychological loss or abnormality
A defect that affects society on a macro level
Which problem depends on the responses of other people and therefore cannot be measured?
What is a problem with the Nagi model that uses functional limitations to determine whether an individual is disabled?
Environment can help determine whether a person can function in a social role.
Functional limitations aren’t easily objectified and measured.
The model doesn’t distinguish between genetic limitations and limitations imposed by injury or illness.
Persons are or are not limited according to choices they make.
What insight is being stressed by advocacy groups regarding persons with disabilities today?
Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life.
Handicapped persons have as much right to social support as nonhandicapped persons.
It is recognized that an individual may be limited by an environmental barrier in society.
Impairment is a result of society’s reaction more than mental or physical condition.
What concerns can a nurse as a citizen help address?
Advocating for removal of environmental and social barriers to needed services
Continuing to engage in political action to increase funding for care for the handicapped
Recognizing that it is better to offer to help than to wait for a person with handicaps to have to ask for assistance
The need to not stare or ask personal questions of a person with a disability
when a person was brought into the clinic in a wheelchair, the new nurse asked the patient if he felt a need for a priest. Why would the nurse be asking about spiritual health during the intake assessment?
All patients have spiritual as well as physical needs.
Medical personnel have to collaborate with religious leaders.
People reach out for spiritual care when they’ve suddenly become ill.
Some people perceive disabilities as punishment for sin.
A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. What should be the nurse’s question after welcoming him to the clinic?
“Are you a vet home from the war?”
“Can I help you into the treatment room to see the nurse practitioner?”
“Do you have any family with you to help today?”
“What brings you to the clinic today?”
A young woman rolled her wheelchair up the ramp into the clinic to the desk where the intake nurse greeted her. What should be the nurse’s first response?
“How can I help you?”
“Who came with you today?”
Compliment her on her skill with the wheelchair
Sit so the nurse is on eye level with the young woman
, Approximately what proportion of the U.S. population is made up of persons with a long-lasting condition or disability?
The number is about 5% and increasing.
The number is about 10% and stable.
The proportion is about 15% and stable.
The proportion is almost 20% and increasing.
About how many households with at least one child with a disabling condition should a school nurse working in an elementary school expect to see?
The mother confided in the nurse, “I don’t think my child is improving.” What would be your response?
“My assessment shows your child is improving.”
“The children seem to be playing with and accepting your child.”
“The teacher reported to me that your child is doing much better.”
“What is causing you concern?”
What should every school-aged child with a disability have?
A teacher who understands the child’s needs
An advocate within the school system
An assessment with comparison with developmental milestones
An Individualized Education Plan (IEP)
What is the current perspective on how communities should treat persons with disabilities (PWD)?
Be supportive of PWDs and try to reduce environmental barriers
Maximize opportunities for PWDs to work and otherwise contribute to community life
PWDs have civil rights just as other citizens do.
Recognize that PWDs deserve our support both financially and otherwise
The professional strongly encouraged institutionalization so the parents could focus on care of their other family members. What do you suggest to the parents would be best for the child?
As the expert pointed out, institutionalization will reduce family stress.
The child has a right to an education in the least-restrictive setting.
The child will eventually adapt to whatever choice the parents make.
The choice of what to do is entirely the parents’.
A man came for follow-up care to the free clinic, explaining that he had applied for a job based on his education and years of previous work experience, but, being in a wheelchair, he was turned down. What do you tell the man?
“If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law.”
“No one would want to hire a handicapped person, so you can continue to come here for free care.”
“Because it can be expensive to obtain the necessary equipment to help you do that job, the employer has every right to refuse to hire you.”
“The law says, if a handicapped person applies, he or she has to get hired even if an able-bodied person also applies.”
What problem was the Ticket to Work and Work Incentives Improvement Act (TWWIIA) designed to address?
Employers trying to avoid hiring persons with disabilities
Employers resenting being forced to hire persons with disabilities
Employers not getting reimbursed for the needed accommodations
Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports
What was the result when the American Recovery and Reinvestment Act of 2009 was passed, which offered money to employers willing to hire persons with disabilities (PWD)?
A few employers accepted the extra funds and employed more PWDs.
Large numbers of employers accepted the extra funds and employed more PWDs.
Employers still refused to employ PWDs.
Little change has occurred.
What did the National Healthcare Disparities Report of 2008 suggest was one reason that there are such disparities in health care outcomes inside the health care system?
Care provider bias and poor communication
Funding is inadequate to give appropriate care to persons with disabilities.
Many people don’t seek care until it’s almost too late.
The national shortage of care providers
A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that didn’t require driving. The nurse said, “I never realized how difficult it is to get some places without two good legs. Now I know how persons with disabilities must feel!” What is an appropriate response?
“I’m sure you’ll be even more understanding and supportive now.”
“Not really; you’ll be out of that cast in a few weeks.”
“What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful.”
“Why don’t you just take some sick leave rather than try to work with that leg cast?”
What is the conclusion of research studies regarding the feelings of parents of a child with disabilities?
Denial and rejection
Impaired family functioning and deficits
Joy amid chronic sorrow
A student of nursing had prepared thoroughly for giving care to a long-term disabled client assigned for care. On entering the room, the student eagerly explained the most recent relevant research. The patient, rather than express appreciation, said, “I prefer to have my care given this way.” The student explained that research suggested an alternative approach was more clinically effective, but the patient said, “I am more comfortable during the day if my care is given this way.” What should the student do?
Accept that the patient knows best what works
Ask the instructor to review the research with the client
Give evidence-based care according to current research findings
Negotiate a compromise between patient preferences and research-based approach to care
Why do some advocacy groups take a strong stand against physician-assisted suicide?
Ethical belief that life is always preferable to death
Emphasis that there is always hope for a research breakthrough or discovery of a new treatment intervention
Fear that some persons may be “encouraged” to accept an early death merely because they are not valued by society for their contributions
Helping someone die is murder, plain and simple
What results in a person being called chronically homeless?
Person has been homeless for more than a year.
Person who lives with a roommate when between jobs.
Person who has been staying with friends or family for an extended period of time.
Person has been residing each night in a homeless shelter for almost 3 months.
What proportion of the homeless are families rather than individuals?
More than 40%
On the basis of all the work done by social scientists, approximately how many homeless persons should be expected and tolerated in our society?
No more than 5%
No more than 10%
No more than 15%
There should not be homeless persons in America.
Besides the obvious, namely poverty, what are the two most frequent causes of homelessness?
Domestic violence and alcoholism
HIV/AIDS and veterans
Substance abuse issues and serious mental illness
Youth who were runaways/throwaways and elderly females
Among families who are homeless, who are the most frequent victims?
What is the major problem with the Section 8 housing program for low-income renters?
Direct access to an apartment in a public housing facility is faster and easier.
Most renters prefer the program to make direct payment to apartment owners willing to rent to them.
Section 8 housing is essentially slum housing, and no one wants to live there.
Supply is vastly less than the demand.
What do persons who work full-time and receive the typical minimum wage discover when seeking an apartment?
Few clean and decent low-rent apartments exist.
People don’t like to rent to low-income persons.
To afford housing, they need a job that pays at least three times minimum wage.
There are not many trailer parks near their employment.
What could prevent a homeless person from accepting employment adequate to pay for housing?
Couldn’t complete an employment application because of lack of mailing address
Hope for a better position than the service positions available
Lack of safe child care and transportation
Prefer to receive a handout than to have to work
How are health care professionals involved in the problem of homelessness?
Homeless persons make everyone uncomfortable when they beg for handouts.
Homeless persons often live in emergency departments and clinics.
Poverty leads to crimes, and health care professionals can be attacked and robbed outside health care facilities.
Serious illnesses or disability creates high medical bills, which may lead to homelessness.
What is probably the most prevalent health problem among homeless men?
Posttraumatic stress syndrome (veterans)
Severe mental illness
How do many poverty-stricken persons avoid being homeless?
They become adept at using public facilities such as universities for sleeping and recreation.
They beg for handouts very successfully.
They depend on friends and family to house them at least temporarily.
They hide so no one knows they are homeless.
What is a major difference between women who have always had shelter and women who have been homeless?
Differences in educational opportunities and attainment
Differences in history of gender relationships (marriages, divorces)
Differences in level of involvement with physical and/or sexual abuse
Differences in skills necessary for paid employment
What institution houses homeless women besides shelters for the homeless?
Jails and prisons
Various charity groups that open their homes to individuals or families
Wealthy people of faith that pay for housing on a temporary basis
A school nurse was asked to see Lisa, a student in the fourth grade who, according to rumor, was living in a car with her mother. Why might the teacher have been concerned?
Lisa isn’t always respectful of the teacher.
Lisa hasn’t been doing her homework.
Lisa may be developmentally delayed.
Lisa may have behaved in a sexually inappropriate manner.
The male home health nurse parked his marked car in preparation for visiting the next client when a young female walked over to the car and asked him if he’d like to have some fun. Why would a girl do such a thing?
The girl was skipping school and wanted money for entertainment.
The male nurse was extremely young and attractive and looked like he had money.
The girl may have hoped a nurse would give her enough money to eat.
Young girls often engage in thrilling, if high-risk, behaviors.
Which person is most likely to have difficulty finding safe shelter for the night?
A single man
A young mother with two young children
An early adolescent boy
An early adolescent girl
Which persons will have the most difficulty in obtaining adequate support services to find a long-term home?
Mentally ill homeless
What are the most frequent problems suffered by the chronically homeless?
Chronic conditions such as hypertension, bronchitis, and emphysema
HIV/AIDS and other sexually transmitted diseases, tuberculosis, and hepatitis C
Respiratory infections, trauma, and skin disorders
Severe mental illness and substance abuse disorders
Which problem do homeless persons have beyond the problems all poverty-level persons have in obtaining health care?
Why would a health care provider refuse to accept a patient who has obtained Medicaid to pay for his or her care?
Poverty-stricken Medicaid patients make others in the waiting room uncomfortable.
Providers may already have a full case load of complex patients.
Providers prefer to work with people like themselves, well-paid professionals.
Reimbursement from Medicaid is inadequate and requires extensive documentation.
Which sentence reflects the model of justice U.S. health care is based on?
All people are entitled to minimum standards of care.
All people are responsible to help their neighbors.
All people have a right to whatever their own efforts allow them to purchase.
Like firefighting, police protection, libraries, and roads and highways, health care must be supported by tax money for the good of all who need such services.
What do public health experts mean when they say the United States engages in structural violence against some of its citizens?
Although no physical harm results, white collar crime destroys lives.
Crimes including homicide, rape, assault, and battery occur daily.
Episodes of community violence, such as shooters aiming at random targets, occur.
Inequalities are built into our social systems.
Which comment by a nurse represents an expanded social consciousness?
“All our patients receive the very best care we can give.”
“Even if she is a Medicaid patient, she should be admitted overnight for observation.”
“I don’t even know which of our patients have insurance and which don’t.”
“I’m fortunate to be employed so I’m going to volunteer at the free clinic.”
Where might you expect to find persons with mental illness if they are not homeless?
In extended-care facilities
In mental health institutions
Research, expert opinion, and years of experience have taught us how to reduce homelessness. Why then is homelessness continuing to increase?
Because of the poor economy
Because of the housing foreclosure crisis
Lack of political will to take the necessary actions
The aging of America’s housing stock, especially in large urban areas
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