j j j j
Development
AcrosstheLifespan 2
j j j
ndEditionLeifer
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,Chapter 1: Healthy People 2020
j j j j
TestBank
j
MULTIPLEjCHOICE
1. ThejpurposejofjHealthyjPeoplej2020jisjto:
a. examinejworldjhealthjneeds.
b. evaluatejaccomplishmentsjforjyearsj2010–2020.
c. focusjprimarilyjonjinfantjhealthjandjmortality.
d. examinejfundingjissuesjforjhealthjcare.
ANS:jB
HealthyjPeoplej2020jisjanjevidence-basedj10-yearjreportjcardjdescribingjhealth-
carejaccomplishmentsjinjthejUnitedjStatesjbetweenjthejyearsjofj2010jandj2020.
DIF: CognitivejLevel:jComprehension REF:jp.j1 OBJ:j1
TOP:jHealthyjPeoplej2020 KEY:jNursingjProcessjStep:jIntervention
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
2. Ajhealth-
carejworkerjplanningjajresearchjprojectjrelatedjtojteenagejpregnancyjinjhisjcommunityj
wouldjincludejinjthejinitialjassessmentjthejhealthjstatusjofjthejtargetjpopulation.jHealthj
statusjcouldjbejbestjevaluatedjbyjthejexaminationjofjthe:ja.j birthjrate,jdiseasejmorbidity
,jandjlifejexpectancy.
b. birthjrate,jaccessjtojhealthjcare,jandjdeathjrate.
c. diseasejmorbidity,jlifejexpectancy,jandjhealthjinsurancejcoverage.
d. healthjinsurancejcoverage,jdeathjrate,jandjaccessjtojhealthjcare.
ANS:jB
Birthjratejstatisticsjidentifyjagejofjmother;jdeathjratesjincludejinfantjmortalityjandjagejofjmother;j
accessjtojhealthjcarejmayjaffectjajteenager’sjabilityjtojobtainjadequatejprenatal
care.
DIF: CognitivejLevel:jApplication REF:jp.j6 OBJ:j3
TOP:jHealthjstatus KEY:jNursingjProcessjStep:jPlanning
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
3. Thejhealth-
carejworkerjteachesjajgroupjofjnewjparentsjaboutjthej“backjtojsleep”jprogram,jwhich
jisjdirectedjtowardjthejreductionjofjsuddenjinfantjdeathjsyndromej(SIDS)jby:ja.jpositio
ningjthejbabyjonjajsmalljflatjpillow.
b. placingjthejbabyjonjitsjbackjinjthejcrib.
c. gentlyjrockingjthejbabyjbeforejreturningjitjtojbed.
d. tuckingjinfantjsnugglyjinjthejcribjwithjajlightjblanket.
ANS:jB
ThejbackjtojsleepjprogramjhelpsjreducejthejincidencejofjSIDSjbyjplacingjthejinfantjonjitsjbackj
ratherjthanjonjitsjstomach.
DIF: CognitivejLevel:jApplication REF:jp.j8 OBJ:j5
, TOP:jBackjtojsleepjprogram KEY:jNursingjProcessjStep:jIntervention
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
4. HealthyjPeoplej2020jendorsesjthejcompletionjofjajhighjschooljeducationjprimarilyjtojenablejajpers
onjto:
a. securejajbetterjjob.
b. increasejthejqualityjofjlife.
c. makejhealthyjlifestylejchoices.
d. maintainjthejfamilyjunit.
ANS:jC
OnejofjthejgoalsjofjHealthyjPeoplej2020jisjtojincreasejthejnumberjofjpersonsjgraduatingjfromj
highjschooljsojthatjtheyjhavejajbetterjeducationjbasisjonjwhichjtojmakejhealthyjlifestylejchoi
ces.
DIF: CognitivejLevel:jApplication REF:jp.j8
OBJ:j4jTOP:jHealthjindicatorsjKEY:jNursingjProcessjStep:jNAjMSC:jN
CLEX:jNA
5. HealthyjPeoplej2020jisjpublishedjbyjthe:
a. CentersjforjDiseasejControljandjPrevention.
b. DepartmentjofjthejInterior.
c. WorldjHealthjOrganization.
d. DepartmentjofjHealthjandjHumanjServices.
ANS:jD
HealthyjPeoplej2020jisjpublishedjbyjthejU.S.jDepartmentjofjHealthjandjHumanjServices.
DIF: CognitivejLevel:jKnowledge REF:jp.j1
OBJ:j1jTOP:jHealthyjPeoplej2020jKEY:jNursingjProcessjStep:jNAjMSC:j
NCLEX:jNA
6. Infantjmortalityjratesjarejbasedjonjinfantjdeathsjthatjoccur:
a. atjbirth,jperj1000jdeliveries.
b. beforej1jyearjofjage,jperj1000jlivejbirths.
c. fromjinfectionjandjcongenitaljdisorders,jperj1000jlivejbirths.
d. fromjunexplainedjcauses,jperj1000jlivejbirths.
ANS:jB
Infantjmortalityjisjreportedjonjdeathsjoccurringjbeforejthejagejofj1jyearjperj1000jlivejbirths.
DIF: CognitivejLevel:jKnowledge REF:jp.j6 OBJ:j4
TOP:jInfantjmortality
KEY:jNursingjProcessjStep:jPlanningj
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jgrowthjandjdevelopment
7. Althoughjthejlifejexpectancyjhasjincreased,jHealthyjPeoplej2020jwilljfocusjonjthejolderjadult’sjnee
djfor:
a. betterjpharmacyjinsurancejcoverage.
b. improvedjextendedjcarejfacilities.
c. increasedjcompliancejtojmedicaljprotocols.
d. maintenancejofjindependentjlifestyles.
, ANS:jD
Thejmaintenancejofjindependentjlifestylesjisjanjongoingjproblemjforjthejolderjadult.
DIF: CognitivejLevel:jComprehension REF:jp.j9
OBJ:j4jTOP:jOlderjadults
KEY:jNursingjProcessjStep:jPlanning
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
8. Informationjaboutjmorbidityjandjmortalityjgivesjthejhealth-carejworkerjdatajtojidentify:ja.
lifespanjstatistics.
b. high-riskjagejgroupsjforjcertainjdiseasesjorjhazards.
c. effectivenessjofjtreatment.
d. cost-effectivejtreatmentjforjthejgeneraljpopulation.
ANS:jB
Evaluatingjspecificjdetailsjofjthejdeterminantsjofjhealthjhelpjhealth-
carejworkersjdevelopjanjunderstandingjofjthejhealthjstatusjofjthejpopulation.jMorbidityjandj
mortalityjstatisticsjcanjidentifyjrisksjforjdiseasejorjhealthjhazardjbyjagejgroup.
DIF: CognitivejLevel:jKnowledge REF:jp.j6
OBJ:j3jTOP:jMorbidity
KEY:jNursingjProcessjStep:jPlanning
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
9. Ajmajorjcausejofjdeathjforjchildrenjunderjthejagejofj1jyearjis:
a. congenitaljabnormalities.
b. infection.
c. cancer.
d. injuries.
ANS:jA
ThejCentersjforjDiseasejControljandjPreventionjhasjidentifiedjcongenitaljabnormalitiesjasjajle
adingjcausejofjdeathjforjchildrenjunderjthejagejofj1jyear.
DIF: CognitivejLevel:jKnowledge REF:jp.j6,jBoxj1-
1jOBJ:j1
TOP:jHealthjstatus
KEY:jNursingjProcessjStep:jIntervention
MSC:jNCLEX:jHealthjPromotionjandjMaintenance:jpreventionjandjearlyjdetectionjofjdisease
10. Thejhealth-
carejworkerjadvisesjajyoungjwomanjwhojisj7jweeksjpregnantjtojincludejfolicjacidjsupplementsjinj
herjdietjinjorderjto:
a. strengthenjmusclesjinjpreparationjforjeffectivejlabor.
b. helpjcontroljexcessivejweightjgainjduringjpregnancy.
c. reducejincidencejofjcongenitaljmalformations.
d. enhancejthejprobabilityjofjcarryingjthejpregnancyjtojfulljterm.
ANS:jC
OnejofjthejgoalsjofjHealthyjPeoplej2020jisjtojpromotejusejofjfolicjacidjsupplementsjearlyjinjpre
gnancy.jIdeally,jfolicjacidjsupplements,jorjadequatejdietaryjfolicjacid,jshouldjbe
recommendedjearlyjinjthejpregnancyjtojhelpjpreventjcongenitaljmalformations,jespeciallyjspinaj
bifida.