Term
Which of the following has not been a central issue in the 1990s debate about healthcare reform? |
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Preventing epidemics and the spread of disease, such as sexually transmit disease, is an example of: |
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A retired military woman who has severe diabetes and no health insurance comes to you for information on health care programs available to her because she has no other form of insurance. Where should you refer this client? |
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Definition
refer the client to a rural public clinic |
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Term
What level of care are you delivering when caring for a hospice client at home? |
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The largest group of healthcare providers in the United States comprises: |
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Term
A system that assumes responsibility and accountability for the health of a population for a set fee is: |
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Which of the following publications promotes the goals of disease prevention and health promotion for all citizens in the United States? |
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Definition
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Term
A major problem facing the U.S. healthcare system in the 21st century is: |
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Definition
appropriate access to care |
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Term
What is one of the important determinants in the poor showing of U.S. health outcomes when compared to other industrialized nations? |
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Definition
lack of universal access to quality health care |
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Term
Where do many of the uninsured receive care? |
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Definition
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What level of healthcare delivery has been the focus of the U.S healthcare system until comparatively recently |
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Term
Which of the following is defined as federal financial medical assistance to the poor and medically indigent, funded through federal and state matching funds, and administered by each individual state? |
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Definition
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Medicare Part A covers all of the following groups or services except |
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Definition
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Term
What is the greatest counterforce to collaboration in addressing the economic issues facing the promotion of health care? |
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Definition
nursings lack of unity regarding financing of health care |
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Term
Healthcare cost containment measures include which of the following? |
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Definition
reimbursing advanced practice nurses in primary care settings |
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Term
The term for the monetary total of all finished goods and services produced within a nation in 1 year is: |
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Definition
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Term
Access to health care has historically been recognized as a professional issue for which of the following? |
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Definition
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Term
A major barrier to healthcare access includes |
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Definition
inability to pay for services |
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Term
Currently, the source of healthcare financing contributing the highest percentage to the cost of health care is: |
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Definition
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Term
What was established in the 1960s as an amendment to the Social Security Act of 1935? |
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Definition
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Term
Which of the following is a factor that has contributed to high and rising health costs? |
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Definition
increased government healthcare payments |
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Term
What is one important way for community health nurses to support patients in the current economic environment of health practice? |
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Definition
Helping patients become informed as consumers in consumer-driven health care |
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Term
Which federal agency is the most involved with the health and welfare concerns of Americans |
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Definition
Department of Health and Human Services (HHS) |
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Term
A state's legal basis for its governmental role in health care, such as mandatory seat belt use, is termed: |
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Definition
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Term
The use of medical lobbyists, such as the AMA, to act as a "voice" for the nursing community is a role of the community health nurse in the political process. |
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Definition
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Term
Which of the following best describes "state power" in relation to healthcare policy? |
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Definition
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Term
All of the following are branches of the federal government except: |
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Definition
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Term
As a nurse working in a local jail, you know that an essential function of correctional nursing is providing: |
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Definition
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Term
All of the following are major activities of forensic nursing except: |
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Definition
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Term
What was the first federal program to provide health care for citizens other than federal employees? |
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Definition
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Term
By which of the following is statutory law established? |
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Definition
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Term
Who may introduce a bill to a legislature? |
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Definition
a member of the legislature |
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Term
Which of the following best exemplifies "police power" in regard to legislation and health? |
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Definition
State government protection of residents through immunization requirements |
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Term
Which of the following must occur for nurses to effectively influence healthcare policy relating to nursing practice |
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Definition
Higher membership levels in the ANA and other nursing organizations |
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Term
A governmental policy that affects healthcare in national, state, and local arenas is |
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Definition
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Term
The aim of policymaking is to change the decision of organizations regarding their use of which of the following? |
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Definition
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Term
All of the following are components in the design of an effective policy except: |
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Definition
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Term
Which of the following stakeholders might be included in policy development regarding the problem of teen suicide? |
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Definition
media health professionals consumers all are correct |
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Term
Organized groups whose interests are affected by current policies are termed |
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Definition
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Term
Policies require approved amounts of funds to be available over a period of 1 year to put the policy into effect. These funds are included in which component of the policymaking process? |
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Definition
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Term
All of the following are examples of focused policies proposed by nurses concerned with child welfare except |
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Definition
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Term
How can community health nurses take best advantage of social media networks as tools for policy advocacy |
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Definition
Focus on linking public health and community groups, nationally and locally |
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Term
Since the 1980s, child poverty has increased for which one of the following reasons? |
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Definition
Cutbacks to resources available to poor families |
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Term
What is the central strategic activity to influence policies? |
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Definition
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Term
The U.S. community health nurse who thinks that all clients should speak English is displaying |
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Definition
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Term
The most appropriate initial response to a client's comment that he or she recently saw a curandero (folk healer) would be: |
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Definition
discouraging the client from returning to the curandero |
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Term
Mrs. Warren, a client at poverty level, has been reluctant in obtaining immunizations for her preschool children. Which of the following approaches is most appropriate for the community health nurse to use first in encouraging this client to obtain this service? |
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Definition
Investigate feelings and attitudes toward practice of immunization |
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Term
The creative use for transcultural nursing concepts, principles, research, knowledge, and practices that focus on large, overall designated communities for the purpose of providing culturally competent nursing care is referred to as: |
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Definition
community bases trans cultural nursing |
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Term
All of the following fundamentals describe the characteristics associated with transcultural nursing except: |
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Definition
cultures tend to be unstable |
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Term
You are a community nurse visiting a client from Venezuela who lives in rural Montana. The client is a diabetic and is hypertensive. She does not speak English, and she lives alone. What would be your first and most important goal? |
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Definition
Enter the patients world and assist in a therapeutic and beneficial way |
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Term
Powerful directive forces that give order and meaning to why people think, act, and make decisions is referred to as |
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Definition
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Term
As a community health nurse, you feel that your own Southern cultural background is preferable to those of your lower class Haitian clients. You are exhibiting which of the following? |
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Definition
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Term
Which of the following terms was coined by Dr. Madeline Leininger as nursing care within and across cultural context? |
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Definition
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Term
What is the Sunrise Model? |
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Definition
A guide to visualize dimensions of Leininger's theory |
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Term
A guide to visualize dimensions of Leininger's theor |
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Definition
To help nurses discover and apply culture care findings in community-based practices |
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Term
What is a cultural barrier? |
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Definition
An obstacle that prevents cooperation between cultures |
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Term
you are required by state law to report a 45-year-old woman's positive gonorrhea culture. She begs you just to treat her and not tell anyone. By officially reporting the test results you have violated which of the following |
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Definition
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Term
One of the most important ethical dilemmas in community health nursing today is |
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Definition
the distribution and rationing of healthcare services |
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Term
Which one of the following rules specifies that the nurse act to bring about the greatest balance of good over evil or benefit over harm |
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Definition
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Term
It is presumed that policymakers will use which of the following approaches in developing public policy and appropriating monies? |
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Definition
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Term
Informed consent requires that the client be |
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Definition
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Term
Which of the following terms refers to the study of how we should behave or how we determine the correct thing to do |
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Definition
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Term
Most decisions are based on three major ethical approaches. All of the following are ethical approaches except: |
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Definition
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Term
Which of the following best describes the role of the nurse in speaking in support of the interests of a vulnerable client population? |
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Definition
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Term
In which of the following situations would paternalism be justified? |
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Definition
When it prevents life-threatening physical harm |
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Term
Advance directives are based on the principle of: |
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Definition
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Term
Withholding information from clients about their conditions constitutes a violation of: |
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Definition
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Term
Which statement made by the client most represents health promotion? |
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Definition
I walk at least 4 miles every day before breakfast, which is essential to help me maintain balance in my life |
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Term
The medicine wheel as a model for health promotion is based on which conception of health? |
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Definition
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Term
Which of the following is defined as "a state of being"? |
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Definition
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Term
A person achieves wellness through |
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Definition
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Term
Primary prevention in health promotion for the elderly includes all of the following except: |
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Definition
completing a health appraisal for hypertension |
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Term
National goals for health promotion and disease prevention are described in |
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Definition
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Term
Which of the following are nursing interventions useful for health promotion |
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Definition
Nutrition, rest, stress management |
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Term
Disease prevention differs from health promotion because |
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Definition
it targets aggregates who are at risk for a particular disease. |
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Term
Most of the preventable causes of death are: |
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Definition
related to lifestyle behaviors |
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Term
What is the concept that has wellness as its target? |
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Definition
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Term
What triggers the demand for more information on food labels? |
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Definition
An increasing desire by consumers to be responsible for their own health |
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