Deck 3: Moving to Family-Focused Care

Question 1

Which of the following are reasons the United States has a growing health disadvantage when compared with peer countries?

A) Uninsured segments of the population
B) High poverty rates
C) An efficient health-care delivery system
D) Lack of care coordination

Answer 1

Uninsured segments of the population
High poverty rates
Lack of care coordination

Question 2

Which of the following does not contribute to the high costs of medical care in the last year of life?

A) Caring for severe illness
B) Functional impairment
C) Nursing home expenditures
D) Over-prescribing practices

Answer 2

Over-prescribing practices

Question 3

How much greater is U.S. health-care spending compared to other nations?

A) About 2.5 times as high
B) About 4 times as high
C) About 7.5 times as high
D) About 10 times as high

Answer 3

About 2.5 times as high

Question 4

What percent of U.S. adults are overweight or obese?

A) Less than 25%
B) 34%
C) 40%
D) More than 50%

Question 5

Which of the following factors influence societal health?

A) Access to care providers
B) Educational institutions
C) Wealth distribution
D) Respect of human rights

Question 6

Which of the following may prevent illness?

A) Adequate sleep
B) Early diagnosis
C) Stress management
D) Adequate nutrition

Question 7

Which of the following increase risk for illness?

A) Physical activity
B) Tobacco use
C) Sedentary lifestyle
D) Poverty

Question 8

An ____ point of view encourages one to see connections between society and individual or societal health.

A) Educated
B) Ecumenical
C) Ecological
D) Environmental

Question 9

Compare and contrast obesity and malnutrition as public health issues, and describe how families can influence them.

Question 10

Which of the following is not a priority of the Affordable Care Act's quality improvement strategy?

A) New health-care delivery models.
B) Families engaged as partners in care.
C) Less emphasis on preventive care.
D) Use of best practices.

Question 11

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.

A) Both statements A and B are true.
B) Both statements A and B are false.
C) Statement A is true and statement B is false.
D) Statement A is false and statement B is true.

Question 12

Which of the following assumptions about the family perspective will guide nursing actions?

A) Family members need full disclosure and clear explanations.
B) Family members are usually afraid of being involved in care.
C) Family confidence influences care giving.
D) Family members have rights and can make choices.

Question 13

What do families desire from hospice care?

A) Continuity of care.
B) Comfort for the dying family member.
C) Autonomy for family members.
D) Case management.
E) None of the above.

Question 14

List several influencers of norms or standards regarding health.

Question 15

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.

Question 16

Which of the following actions by the nurse demonstrate the nurse is thinking family? Susan, a nurse who thinks family:

A) Introduces herself to each of her patients in the acute-care setting.
B) Ensures that family members are not in the room when procedures are done.
C) Practices active listening with all her patients' visitors.
D) Commends family members for their positive interactions with her patients.

Question 17

As early as 1995, the American Nurses Association's Social Policy Statement described ____________________ as a target for nursing care.