Chapter 4 Verified Test Bank Families And Health Policy

Chapter 4: Families and Health Policy: The Intersection of Family Policies, Health Disparities, and Health Care Policies

Multiple Choice:

1. The nurse notes that the community health clinic has added a section for “family” on the assessment form. Which definition is most likely being used for “family”?

1. Biologically related members

2. Anyone who lives in the same residence

3. Anyone who the client says is the family

4. Two or more people living together who are related by birth, marriage, or adoption

2. The nurse provides care in the women and children’s shelter twice a week. What characteristic of the child should the nurse consider when providing care?

1. Educationally equal to children living in a permanent home

2. Educationally inferior to children living in a permanent home

3. Emotionally advanced over children living in a permanent home

4. Emotionally inferior to children living in a permanent home

3. The nurse learns that a child being seen in the community clinic has health coverage through the State Children’s Health Insurance Program (CHIP). What does this coverage indicate to the nurse?

1. The child has a chronic disability.

2. The child receives special education.

3. The child is being raised in a single-parent family.

4. The child has no insurance and is not eligible for Medicaid.

4. The nurse prepares a presentation on health disparities for the city council. What should the nurse identify as the social determinant contributing to health disparities?

1. Poverty

2. Housing

3. Education

4. Food security

5. The nurse learns that a client with a chronic health problem has not been taking medication as prescribed. Which social issue should the nurse consider as a potential reason for this client’s nonadherence to treatment?

1. Racism

2. Isolation

3. Health literacy

4. Social exclusion

6. The nurse understands that which of the following is not a level of racism according to Jones’s Three Levels of Racism Theory?

1. Institutional racism

2. Personally remediated racism

3. Family racism

4. Internalized racism

7. The nurse is presenting to a group of nurses on the topic of the Affordable Care Act (ACA). Which statement made by the nurse would require more education?

1. “An objective of the ACA is to decrease the number of uninsured U.S. citizens.”

2. “An objective of the ACA is to guarantee a decrease in health disparities.”

3. “An objective of the ACA is to improve the efficiency of health care.”

4. “An objective of the ACA is to improve health care outcomes.”

8. A nursing student is asking why it is important to apply the use of theoretical models, such as Jones’s Three Levels of Racism Theory and Bronfenbrenner’s Ecological Systems Theory, to policies. Which response by the nursing instructor is not accurate when addressing the student’s question?

1. “Theories such as these improve our understanding of health care.”

2. “Theories such as these emphasize the importance of recognizing environmental impact on health.”

3. “Theories such as these improve our treatment and promotion of health care.”

4. “Theories such as these will eradicate all health disparities.”

Multiple Response:

9. The nurse prepares an educational seminar on family policy for a community health fair. Which areas should the nurse emphasize as affected by family policy? Select all that apply.

1. Health

2. Housing

3. Education

4. Transportation

5. Food and water

10. The nurse works in a community health clinic that has LGBTQ+ clients. Which policy-related stigma or barriers should the nurse be aware of when caring for these clients? Select all that apply.

1. Reduced use of alcohol and tobacco

2. Increased use of health insurance benefits

3. More likely to delay accessing health services

4. Less likely to receive preventive screenings such as mammograms

5. Higher rates of prostitution and substance use among adolescents

11. The nurse refers to the determinants of health before assessing a family newly relocated to a community. Which should the nurse identify as behavioral determinants of health? Select all that apply.

1. Gender

2. Tobacco use

3. Ethnicity

4. Substance abuse

5. Physical activity

12. The nurse suspects that members of a community are being subjected to subtle acts of institutional racism. What did the nurse assess to make this determination? Select all that apply.

1. Waited to be seen by the clinic physician after others who arrived later were seen

2. Notified by the city that trash removal would occur on Mondays and Thursdays every week

3. Received notification of an increase in Medicaid benefits for members of the household

4. Had the water and electricity turned off by the landlord of an apartment because the children “make too much noise”

5. Overlooked for a job in a fast-food restaurant even though open positions were posted and other people in the community were hired after the individual applied

13. The nurse notes that a large number of clients in the community health clinic have type 2 diabetes mellitus. What should the nurse consider as reasons for the number of people with this chronic illness? Select all that apply.

1. Lower income

2. Unhealthy diet

3. Lack of exercise

4. Use of public transportation

5. Inability to pay for medications

14. The nurse desires to change health policy in a local community. Which action should the nurse take? Select all that apply.

1. Contact elected officials to lobby against harmful policies

2. Ensure that resources are available for clients before discharge

3. Read articles to learn the process of making a policy into a law

4. Join a professional organization that supports change in family policies

5. Participate in community meetings where health policy is being challenged

15. The nurse is leading a presentation on the importance of health literacy. Which of the following would be accurate when addressing aspects of health literacy? Select all that apply.

1. Health literacy is identified in the Healthy People 2030 objectives.

2. Low health literacy is a significant problem in both Canada and the United States.

3. Low health literacy has been linked to lower adherence to healthy lifestyles.

4. Health literacy is one of the social determinants that contributes to health disparities.

5. Health literacy changes with expertise, cultural influences, and age.