Contemporary_Nursing_Issues_Trends & management Testbank

. Clara Barton is known for: a. becoming the first black public health nurse. b. establishing the Henry Street Settlement. c. founding the American Red Cross. d. publicizing the inadequacies of hospital-based nursing ...

. Clara Barton is known for: a. becoming the first black public health nurse. b. establishing the Henry Street Settlement. c. founding the American Red Cross. d. publicizing the inadequacies of hospital-based nursing schools. ANS: C The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to continue public health nursing. DIF: Knowledge REF: p. 11 2. Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference? a. Social Security Act b. Hill-Burton Act c. Sheppard-Towner Act d. U.S. Civil Service Act ANS: B The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to help states in plan for other health care facilities in accordance with the needs of communities. DIF: Knowledge REF: p. 13 3. The practice of public health nursing and the Henry Street Settlement are credited to: a. Mary Breckenridge. b. Mary Seacole. c. Clara Barton. d. Lillian Wald. ANS: D Lillian Wald, a pioneer in public health nursing, is best known for the development and establishment of the Henry Street Settlement. DIF: Knowledge REF: p. 6 4. Occupational health nursing features beliefs similar to those of which early nursing pioneer? a. Lillian Wald b. Florence Nightingale c. Clara Barton d. Mary Seacole ANS: A Lillian Wald developed the first nursing service for occupational health. DIF: Comprehension REF: p. 10 5. What historical event first led to the recognition of the contribution of blacks to nursing? a. Florence Nightingale’s acceptance of black nurses into the first nursing school b. The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America c. Mary Seacole’s efforts to care for soldiers during the Crimean War d. The work done by wives of wealthy black nobles who carried food and medicine from house to house during the Middle Ages ANS: C Although Nightingale’s school refused Seacole, she was able to make a difference in the Crimean War and later was recognized for her efforts. DIF: Comprehension REF: pp. 8-9 6. World War I contributed to the advancement of health care by: a. increasing the number of private care hospitals and decreasing the role of public health services. b. employing a large number of civilians to provide care to returning soldiers through the Red Cross. c. introducing specialists in nursing such as nurse anesthetists. d. increasing the number of community health nurses. ANS: C World War I offered nurses a chance to enter into new fields of specialization, as is seen in the example of nurse anesthetists, who became part of surgical teams at the front lines. DIF: Comprehension REF: p. 11 7. The primary purpose of the Social Security Act of 1935 was to: a. increase research that focused on minority groups. b. provide medical care for chemically impaired persons. c. ensure health care for older adults through a national insurance system. d. decrease the public’s financial burden by limiting services offered by local health departments. ANS: C By providing health insurance for older adults, the Social Security Act of 1935 set the precedent for the passage of the Medicare and Medicaid Acts that followed in 1965, but the act also provided maternal and child welfare services, rehabilitation for the mentally and physically challenged, medical care for blind individuals and crippled children, and unemployment benefits. DIF: Comprehension REF: p. 12 8. A client asks the nurse, “Can you explain Medicare, an amendment to the Social Security Act?” The nurse responds that Medicare: a. led to many hospital closings, along with a decrease in acute care hospital–based nursing care. b. provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer. c. provided preventive care for women, infants, and children. d. ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance. ANS: D The Medicare program provides hospital insurance, Part A, and medical insurance, Part B, to all people ages 65 and older who are eligible to receive Social Security benefits; people with total, permanent disabilities; and people with end-stage renal disease. DIF: Comprehension REF: p. 14 9. A comparison of nursing in the 1980s to nursing in the 1990s reveals that: a. in the 1990s nursing experienced a significant reduction occurred in preventable diseases caused by unsafe/unhealthy lifestyles. b. tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS epidemic emerged and was its focus during the 1990s. c. a decrease in ambulatory services in the 1980s prompted an increase in public health nurses in the 1990s. d. the demand for advanced practice nurses increased in the 1980s and the 1990s as a result of the economy and concern about the health of the nation. ANS: D The numbers of advanced nurse practitioners increased as evidence of their cost-effectiveness as providers of primary and preventive health care became established. DIF: Comprehension REF: pp. 16-17