Denham Eggenberger Young Family Focused Nursing Care – Test Bank
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Sample
Test
Chapter 3- Moving to Family-Focused Care
MULTIPLE CHOICE
1. Which
of the following does not contribute to the high costs of medical care in the
last year of life?
|
1. |
Caring for severe illness |
|
2. |
Functional impairment |
|
3. |
Nursing home expenditures |
|
4. |
Over-prescribing practices |
ANS: 4
Rationale:
According to Hogan (2001), caring for severe illness, functional
impairment, and nursing home expenditures contribute to the high cost of
medical care in the last year of life.
PTS: 1
KEY: Content Area: Differentiate among terms like healthy,
unhealthy, and societal health | Integrated Process: Caring | Client Need:
Physiological Integrity | Cognitive Level: Knowledge | Question Type: Multiple
Choice
2. What
percent of U.S. adults are overweight or obese?
|
1. |
Less than 25% |
|
2. |
34% |
|
3. |
40% |
|
4. |
More than 50% |
ANS: 2
Rationale:
The obesity crisis is of great concern. According to the Centers
for Disease Control and Prevention (2011), about 33.8% of U.S. adults are
overweight or obese.
PTS: 1
KEY: Content Area: Differentiate among terms like healthy,
unhealthy, and societal health | Integrated Process: Nursing Process | Client
Need: Physiological Integrity | Cognitive Level: Knowledge | Question Type:
Multiple Choice
3. Consider
the following statements:
Statement A. When physicians discuss end-of-life with cancer
patients, their health-care costs are much higher in the last week of life.
Statement B. Many dying persons never get referred to hospice
care.
|
1. |
Both statements A and B are
true. |
|
2. |
Both statements A and B are
false. |
|
3. |
Statement A is true and
statement B is false. |
|
4. |
Statement A is false and
statement B is true. |
ANS: 4
Rationale:
According to Zhang et al. (2009), costs are much lower when
physicians discuss end-of-life care with their patients. Yet many dying persons
are never referred to hospice. More than a third of those referred only spend
seven days enrolled, although many would benefit greatly from aspects of care
management lasting longer (Jennings, Ryndes, D’Onofrio, & Baily, 2010).
PTS: 1
KEY: Content Area: Differentiate among terms like healthy,
unhealthy, and societal health | Integrated Process: Nursing Process | Client
Need: Safe and Effective Care Environment | Cognitive Level: Knowledge |
Question Type: Multiple Choice
4. An
____ point of view encourages one to see connections between society and
individual or societal health.
|
1. |
Educated |
|
2. |
Ecumenical |
|
3. |
Ecological |
|
4. |
Environmental |
ANS: 3
Rationale:
An ecological point of view encourages one to see connections
between society and individual or societal health.
PTS: 1
KEY: Content Area: Discuss ways thinking family improves individual,
family, and societal health | Integrated Process: Nursing Process | Client
Need: Health Promotion and Maintenance | Cognitive Level: Knowledge | Question
Type: Multiple Choice
5. How
much greater is U.S. health-care spending compared to other nations?
|
1. |
About 2.5 times as high |
|
2. |
About 4 times as high |
|
3. |
About 7.5 times as high |
|
4. |
About 10 times as high |
ANS: 1
Rationale:
The United States is one of the wealthiest nations in the world
and spends more money on health care than anywhere else; health-care spending
is about 2.5 times as high as other nations.
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge |
Question Type: Multiple Choice
6. Which
of the following is not a priority of the Affordable Care Act’s quality
improvement strategy?
|
1. |
New health-care delivery
models. |
|
2. |
Families engaged as partners
in care. |
|
3. |
Less emphasis on preventive
care. |
|
4. |
Use of best practices. |
ANS: 3
|
|
Feedback |
|
1 |
New health-care delivery
models, families engaged as partners in care, and use of best practices are
all priorities of the Affordable Health Care Act’s quality improvement
strategy. |
|
2 |
New health-care delivery
models, families engaged as partners in care, and use of best practices are
all priorities of the Affordable Health Care Act’s quality improvement
strategy. |
|
3 |
Rather than less emphasis
on preventive care, a priority is to promote the most effective prevention
and treatment practices for leading causes of mortality. |
|
4 |
New health-care delivery
models, families engaged as partners in care, and use of best practices are
all priorities of the Affordable Health Care Act’s quality improvement
strategy. |
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge |
Question Type: Multiple Choice
MULTIPLE RESPONSE
1. Which
of the following may prevent illness?
|
1. |
Adequate sleep |
|
2. |
Early diagnosis |
|
3. |
Stress management |
|
4. |
Adequate nutrition |
ANS: 1, 3, 4
Rationale:
Adequate sleep, nutrition, and stress management help to prevent
illness. Early diagnosis of illness is important too, but it does not prevent
illness.
PTS: 1
KEY: Content Area: Identify various perspectives linked
with health and illness | Integrated Process: Nursing Process | Client Need:
Health Promotion and Maintenance | Cognitive Level: Knowledge | Question Type:
Multiple Response
2. Which
of the following increase risk for illness?
|
1. |
Physical activity |
|
2. |
Tobacco use |
|
3. |
Sedentary lifestyle |
|
4. |
Poverty |
ANS: 2, 3, 4
Rationale:
Tobacco use and a sedentary lifestyle are high-risk behaviors;
socioeconomic status also correlates with increased risk for illness.
PTS: 1
KEY: Content Area: Identify various perspectives linked
with health and illness | Integrated Process: Nursing Process | Client Need:
Health Promotion and Maintenance | Cognitive Level: Knowledge | Question Type:
Multiple Response
3. What
do families desire from hospice care?
|
1. |
Continuity of care. |
|
2. |
Comfort for the dying
family member. |
|
3. |
Autonomy for family
members. |
|
4. |
Case management. |
ANS: 1, 2, 3, 4
Rationale:
Continuity of care, comfort for the dying family member,
autonomy for family members, and case management are all aspects of hospice
care.
PTS: 1
KEY: Content Area: Differentiate among terms like healthy,
unhealthy, and societal health | Integrated Process: Caring | Client Need: Safe
and Effective Care Environment | Cognitive Level: Knowledge | Question Type:
Multiple Response
4. Which
of the following factors influence societal health?
|
1. |
Access to care providers |
|
2. |
Educational institutions |
|
3. |
Wealth distribution |
|
4. |
Respect of human rights |
ANS: 1, 3, 4
Rationale:
Access to care providers, distribution of wealth, and respect of
human rights all influence the health of society. Educational institutions are
not essential for health and wellness.
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension
| Question Type: Multiple Response
5. Which
of the following are reasons the United States has a growing health disadvantage
when compared with peer countries?
|
1. |
Uninsured segments of the
population |
|
2. |
High poverty rates |
|
3. |
An efficient health-care
delivery system |
|
4. |
Lack of care coordination |
ANS: 1, 2, 4
Rationale:
Uninsured people, high poverty rates, and lack of care
coordination contribute to the growing health disadvantage of the United
States, despite it being one of the wealthiest countries and spending more on
health care compared to other nations. The U.S. health-care system is not
efficient. There is much duplication, yet there are many gaps in care.
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Safe and Effective Care Environment | Cognitive Level:
Comprehension | Question Type: Multiple Response
6. Which
of the following assumptions about the family perspective will guide nursing
actions?
|
1. |
Family members need full
disclosure and clear explanations. |
|
2. |
Family members are usually
afraid of being involved in care. |
|
3. |
Family confidence
influences care giving. |
|
4. |
Family members have rights
and can make choices. |
ANS: 1, 3, 4
Rationale:
Assumptions that may help to guide nursing actions include that
family members need full disclosure and clear explanations, that their
confidence influences care giving, and that they have rights and can make
choices. Families are usually comfortable with other family members and want to
be involved, but will need information that will enable their involvement.
PTS: 1
KEY: Content Area: Describe ways nurses think family to
deliver family focused care | Integrated Process: Nursing Process | Client
Need: Psychosocial Integrity | Cognitive Level: Application | Question Type:
Multiple Response
7. Which
of the following actions by the nurse demonstrate the nurse is thinking family?
Susan, a nurse who thinks
family:
|
1. |
Introduces herself to each
of her patients in the acute-care setting. |
|
2. |
Ensures that family members
are not in the room when procedures are done. |
|
3. |
Practices active listening
with all her patients’ visitors. |
|
4. |
Commends family members for
their positive interactions with her patients. |
ANS: 3, 4
Rationale:
Thinking family is demonstrated by actively listening to
patients’ visitors and commending family members for their positive
interactions with patients. Introducing oneself to each patient and ensuring
that family members are not in the room when procedures are done only shows
concern for the individual, not for the family.
PTS: 1
KEY: Content Area: Describe ways nurses think family to
deliver family focused care | Integrated Process: Communication and
Documentation | Client Need: Psychosocial Integrity | Cognitive Level:
Application | Question Type: Multiple Response
COMPLETION
1. As
early as 1995, the American Nurses Association’s Social Policy Statement
described ____________________ as a target for nursing care.
ANS: family
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | Question
Type: Completion
SHORT ANSWER
1. List
several influencers of norms or standards regarding health.
ANS:
Age, genetics, geographical region, culture/ethnicity, etc.
PTS: 1
KEY: Content Area: Identify various perspectives linked
with health and illness | Integrated Process: Nursing Process | Client Need:
Health Promotion and Maintenance | Cognitive Level: Comprehension | Question
Type: Short Answer
2. Compare
and contrast obesity and malnutrition as public health issues, and describe how
families can influence them.
ANS:
Nurses and the general public are often unaware of public health
measures that might be used to reverse the obesity epidemic. Some solutions
rest outside the health-care industry, but clinicians might make important
differences. For example, lifestyle choices, the built environment, leadership capacities,
prevention, public policy, and government interventions offer alternative
approaches to the obesity problem. Coordinated actions are needed to solve a
problem of this magnitude. Nurses that think family can help by looking beyond
primary care settings and find ways to address this concern—one of which is to
educate families. Malnutrition and starvation are also growing problems, not
only for the homeless or the unemployed, but one that is faced daily by
families with inadequate incomes. Families often choose between food and other
basic needs (e.g., rent, utilities, and medical care). Nurses that think family
consider the health and illness of the family units and the larger society, not
merely individuals.
PTS: 1
KEY: Content Area: Identify various perspectives linked
with health and illness | Integrated Process: Nursing Process | Client Need:
Health Promotion and Maintenance | Cognitive Level: Comprehension | Question
Type: Short Answer
3. Explain
what is meant by this statement of the Royal College of Physicians and
Surgeons:
“Societal needs for medical health care have both quantitative
and qualitative perspectives.”
ANS:
Quantitative means that the appropriate number, type, and mix of
physicians, nurses, or other health-care professionals are available.
Qualitative needs have to do with the adequacy of the professionals’ knowledge,
skills, attitudes, and willingness to assume the roles needed by diverse
societies. Professional competencies needed by population groups are often
culturally specific responses to societal needs, social determinants of health,
and the burden of illness.
PTS: 1
KEY: Content Area: Discuss ways thinking family improves
individual, family, and societal health | Integrated Process: Nursing Process |
Client Need: Health Promotion and Maintenance | Cognitive Level: Application |
Question Type: Short Answer
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