Which best describes the primary reason that Americans are concerned about health care quizlet?

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Terms in this set (73)

Which best describes the primary reason that Americans are concerned about health care?

Our national health care costs keep increasing

A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement important?

Nurses are the largest segment of health care providers.

What conclusion can be drawn from examining where nurses are employed?

There is an increased emphasis on community-based health care.

Which ethical belief would be most helpful in the current health care crisis?

Emphasis should be on social justice and collective responsibility.

What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices?

Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.

What responsibility does the American Nurses Association (ANA) Code of Ethics require of the nurse beyond giving excellent care to patients?

Support health legislation to improve accessibility and cost of health care.

What is the community health nursing definition of health?

Health is families and aggregates choosing actions to ensure safety and well-being.

How does community health nursing define community?

A group of persons who share a common identity and environment

Which variable has a major influence on a community's health?

Behavior choices made by persons in the community

What change could most effectively lead to a longer life span in Americans?

The belief that smoking is shameful and disgusting, as well as expensive,
becoming the social norm

What is the health issue causing the most concern in the United States today?

Increase in obesity

What factors are most responsible for the increasing length of life of Americans over the past 100 years?

Better nutrition and family planning options

Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?

To be able to observe the community's statistics over time and compare the
community with other communities

How do public health efforts differ from medical efforts in improving the health of our citizens?

Medical care providers focus on disease diagnosis and management, whereas public health care providers focus on health promotion and disease prevention.

Which primary prevention would the school nurse choose to address the school's number of unwed pregnancies?

Convince the school board to allow sex education classes to include birth control
measures.

What would be the proper term for the action of the school health nurse arranging for all the students in the elementary school to receive H1N1 immunizations?

Specific protection

Which action would probably result in the largest change in health care outcomes for Americans?

Redirect a large portion of federal funding from acute care to health promotion activities.

Which task will be most helpful in meeting the public health agency's goals?

Actively participate in community agencies' collaborative action plan to meet the
community's health goals for the year.

A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

Reviewing the most recent hospital patient data collected by the local college of
nursing

A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

Community-based nursing

Which task is most crucial for the community health nurse to do well?

Give testimony regarding proposed state health legislation.

A new public health nurse carefully assessed all the local mortality and morbidity data in preparation for making appropriate planning suggestions at a meeting next week. What other action is crucial before the nurse can feel prepared?

Meet members of the community to determine their culture and values.

Why are high-risk and vulnerable subpopulations identified by public health nurses before deciding on appropriate interventions?

Populations are not homogeneous, and resources are limited.

A nurse works hard to develop alliances among various community organizations toward improving health in the community. What are actions such as this called?

Building coalitions

After completing a master's degree, a nurse took a course in marketing. Should the agency reimburse the nurse's tuition costs?

Yes, the nurse could use such information in social marketing for the agency.

Which factor is most responsible for differences in an individual's health?

Individual's education and income

What are the leading health indicators found in Healthy People 2020? (Select all that apply.)

Health system issues

individual behaviors

physical and social environmental factors

What historically have been public health nurses' two most important priorities? (Select all that apply.)

engaging in political activity to improve living conditions

working with the community to confront health issues and poverty

Based on Healthy People 2010, what are the two primary goals of Healthy People 2020? (Select all that apply.)

Eliminate health disparities.

increase quality and years of healthy life

Which statement best summarizes Lillian Wald's achievements?

She demonstrated how to improve health in communities.

Which statement best describes "thinking upstream"?

Modifying economic, political, and environmental factors`

Which statement best describes a weakness of early nursing theories?

Most nursing theories focused on microscopic individual concerns.

Which best describes the primary purpose of nursing theory?

To improve nursing practice

A client did not attend the clinic for required follow-up care after his extensive surgery. Using the Health Belief Model, which would be the most appropriate conclusion for the nurse to make?

The health care system is not meeting the client's perceived needs.

Which assumption makes Orem's theory difficult to use?

that clients are able to control their environment

Which statement best describes the major assumption of the Health Belief Model (HBM)?

The major determinant of preventive health behavior is avoiding disease.

Which assumption of the Health Belief Model (HBM) is problematic?

People have both free will and access to health resources.

A nurse is using Milio's framework for prevention to improve the health of clients. Which would the nurse most likely implement?

Create appropriate national health policies.

A nurse is using Milio's approach when caring for a client. Which advantage will the nurse experience?

It will encourage the assessment of the personal and societal resources of the
client.

Which health-related variable is examined by the critical theoretical perspective?

Social inequalities

A nurse is using the critical theoretical perspective in daily nursing practice. Which activity would the nurse most likely complete?

Expose social values underlying the health care system.

A nurse is using Healthy People 2020 as a guide to improve the health and well-being of the community. Which strategy would the nurse most likely implement?

Address the root causes of health problems.

Which is most closely associated with morbidity and mortality outcomes?

Insurance status

A nurse has accepted a new position in a public health department. Which characteristic is crucial to the nurse's success?

Listening and showing respect

A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?

Providing testimony to legislators concerning proposed legislation

A nurse is using Milio's framework to promote healthy eating choices among members of the community. Which intervention would the nurse most likely implement?

Promote legislation to increase taxation on unhealthy food choices.

A nurse has a broad, aggregate focus when providing care to clients. Which best describes how this approach will help improve client outcomes? (Select all that apply.)

Empowers decision-making based on both individual and community goals, needs, and priorities

encourages allocation of time for population-focused preventive efforts

A community health nurse is using the Health Belief Model (HBM) as a basis for providing client care. Which best describes the problems associated with using the HBM? (Select all that apply.)

it ignores the need to reduce health system. barriers to action

the choice and the burden for acting are entirely with the client

A nurse is using the critical theoretical perspective in practice. Which best describes how the nurse would respond when a client suggests that the physician prescribe a widely advertised medication for tension and anxiety? (Select all that apply.)

can you tell me what is going on In your life right now?

what have you tried in the past to relieve tension and anxiety?

According to the critical theoretical perspective, which should be held responsible for many of the illnesses of Americans today? (Select all that apply.)

Advertisers who market sugar- and fat-saturated food products'

Alcoholic beverage manufacturers, marketers, and sellers

Manufacturers of products that increase morbidity and mortality

tobacco manufacturers who sponsor sports events

A nurse reviewed information before meeting with the community residents who were attending a program on healthful living. Which best describes the action by the nurse?

health promotion

A 50-year-old woman comes to the clinic for her first mammogram. Which best describes the action of this client?

health protection

Which is the best definition of health?

Complete state of well-being

A nurse was becoming frustrated. She had given her client extensive information on his health problem, but the client continued to be noncompliant in making needed changes. Which principle had the nurse forgotten?

information while necessary will not motivate people to change

The nurse working with a client to change behavior to maximize health asked the client to bring his family to the next visit. Which best describes why the nurse wants the family to come with the client?

to evaluate the family's approval of the proposed changes

A nurse is using the theory of reasoned action when working with a client to exercise on a regular basis. Which would be the easiest way for the nurse to determine if the client will engage in this activity?

the clients intention to exercise regularly

A nurse is using the theory of planned behavior when working with a client to change her behavior and improve her health. Which consideration should be made by the nurse?

the clients belief about factors that may facilitate or impede behavior

Some people believe that the air within their workplace makes them ill. Which premises support this belief?

they consistently feel worse on workdays and weeks without holidays

It is rumored that there is something in the workplace that is causing persons employed there to feel ill. Which action would be most appropriate for the nurse to take?

assess the risk, including identifying any toxic substance

Which risk factors are least subject to modification?

environmental exposure

Which best describes why risk reduction is of such importance in the United States today?

the leading causes of death are all related to lifestyle choices

Which is the cause of most preventable deaths in the United States?

`tobacco

A nurse is completing a health history with a client. Which question would be most important to include?

what kinds of tobacco do u use daily

During a health history, the client looked confused and said, "But everybody drinks, like at parties and such. How much drinking do you think is too much?" Which would be most appropriate response by the nurse?

"per day, no more than one drink for women or two drinks for men"

Which best describes the reason why so many Americans are obese?

for many people, caloric intake is more than needed for their physical activity

Based on statistics, which group is probably more physically active?

a group of highly paid college graduates

A young couple is searching for a home in a new neighborhood. Which neighborhood would most likely promote a healthy lifestyle?

one with high walkability

Which factors have a profound, if sometimes unrecognized, impact on one's health? (Select
all that apply.)

Adequate resources to allow easy access to health services

Interpersonal relationships with family and friends

Local, state, and national policies

physical neighborhood where one works or lives

A nurse is using Pender's model to explain what influences individuals to pursue health promotion activities. Which factors would be examined? (Select all that apply.)

A belief that one can change one's behaviors

Environmental choices possible

the reward one believes will result if action is taken

what ones family and peers believe should be done

A nurse is using the Health Belief Model to help a client improve lifestyle choices. Which interventions would the nurse most likely implement? (Select all that apply.)

Examine the individual's perceptions of his or her health in relation to current
lifestyle behavior choices.

Review how lifestyle changes can reduce risk and improve the client's life.

Share statistics regarding the probability of health problems and their seriousness if
action is not taken.

Use communication channels to send reminders of action currently needed.

A nurse was becoming frustrated. It had been 2 weeks, and although the client had verbalized that the best time of day to take a 15-minute walk was early in the morning, the client had not begun to exercise. Which principles of the Transtheoretical Model had the nurse forgotten? (Select all that apply.)

A decision to act always occurs before action begins.

Behavior change is difficult and takes time.

Which actions have been effective in reducing problems related to alcohol use? (Select all that apply.)

Enforcement of ban on sales of alcohol to minors

Increased taxes on alcoholic beverages

A nurse asks a client how she has been sleeping. Which best describes the rationale behind this question? (Select all that apply.)

Many adults report sleep problems or occasional lack of sleep.

Many important functions occur during sleep.

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What is the primary goal of public health quizlet?

The goal of public healthcare is to keep populations healthy through a larger "reach" than connection at the individual level.

Which best describes the primary purpose for nursing theory?

Purposes of Nursing Theories. The primary purpose of theory in nursing is to improve practice by positively influencing the health and quality of life of patients. Nursing theories are also developed to define and describe nursing care, guide nursing practice, and provide a basis for clinical decision-making.

Which is the simplest definition of primary health care quizlet?

Primary health care is generally defined as essential care made universally accessible to individuals and families in a community with their full participation and at a cost that the community can afford.

What kind of health care system does the United States have quizlet?

The United States does not have a universal health care system covering all citizens. Health insurance is primarily employer-based. Employers purchase health insurance plans as a fringe benefit for their employees. Health insurance protects employees against the high cost of health care services.