Public Health Science Nursing Practice Savage Kub Grove Test Bank

Public Health Science Nursing Practice Savage Kub

Grove Test Bank

To download the complete and accurate content document, go to:

https://testbankbell.com/download/public-health-science-nursing-practice-savage-kub
-grove-test-bank/

Visit TestBankBell.com to get complete for all chapters

Chapter 9: Noncommunicable Diseases

MULTIPLE RESPONSE

1. Nurses working with diabetes patients know that this noncommunicable chronic disease (NCD) has
which of the following characteristics?
Select all that apply.
A. It cannot be prevented by a vaccination.
B. It cannot be cured by a medication.
C. It requires long-term management.
D. It is not affected by weight.
E. It does not require lifestyle changes such as regular exercise.
ANS: A, B, C
Objective: 3. Describe the risk factor at the individual and population levels related to development of
a noncommunicable disease.
p. 204
Heading: Noncommunicable Chronic Diseases
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Metabolism
Difficulty: Easy

Feedback
1 This is correct. Diabetes cannot be prevented by a vaccination.
2 This is correct. Diabetes cannot be cured by a medication.
3 This is correct. Long-term management of diabetes includes incorporating healthy lifestyle
changes such as proper eating, exercise, and weight management in addition to medication.
4 This is incorrect. Long-term management of diabetes includes incorporating healthy lifestyle
changes such as proper eating, exercise and weight management in addition to medication.
5 This is incorrect. Long-term management of diabetes includes incorporating healthy lifestyle
changes such as proper eating, exercise and weight management in addition to medication.

PTS: 1 CON: Promoting Health | Metabolism

2. In caring for their chronic disease patients, nurses must do which of the following?
Select all that apply.
A. Know others who have or have had the disease.
B. Know the pathophysiology of the disease.
C. Understand the disease from a public health perspective.
D. Help patients understand self-management techniques.
E. Work in a hospital setting.
ANS: B, C, D
Objective: 1. Describe the impact of noncommunicable diseases on the health of a population.
p. 204
Heading: Noncommunicable Chronic Diseases
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health
 Difficulty: Moderate

Feedback
1 This is incorrect. It is not necessary to know others with a specific disease in order for a
nurse to provide care for chronic disease patients.
2 This is correct. Nurses should know the pathophysiology of the disease in order to care for
their patients.
3 This is correct. It is important to understand chronic disease impact on public health.
4 This is correct. It is important to help patients understand what they need to do to manage
their disease.
5 This is incorrect. Chronic diseases nurses work in many settings.

PTS: 1 CON: Promoting Health

3. Nurses working with chronic disease patients consider it important to know about the burden of
disease associated with a specific disease because it does which of the following?
Select all that apply.
A. Takes into account what impact the disease will have on the community as a whole
B. Provides an overview of the disease’s social and economic impact
C. Helps determine promotion and prevention efforts targeting most common chronic
diseases
D. Does not impact treatment cost
E. Does not affect risk of injury
ANS: A, B, C
Objective: 2. Define the burden of noncommunicable diseases using current epidemiological
frameworks.
pp. 204-206
Heading: Noncommunicable Chronic Diseases > Burden of Disease
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Economics
Difficulty: Moderate

Feedback
1 This is correct. The burden of disease impacts the community as a whole.
2 This is correct. The burden of disease provides an overview of social and economic impact.
3 This is correct. The burden of disease helps target promotion and prevention efforts.
4 This is incorrect. The burden of disease impacts treatment cost.
5 This is incorrect. The burden of disease affects risk of injury.

PTS: 1 CON: Promoting Health | Economics

MULTIPLE CHOICE

4. Nurses working with chronic disease patients assess them based on which of the following risk
factors?
A. Nutrition
B. Both 1 and 3
C. Alcohol and tobacco use
D. Height
 ANS: B
Objective: 3. Describe the risk factor at the individual and population levels related to development of
a noncommunicable disease.
pp. 206-207
Heading: Noncommunicable Diseases in the United States
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Assessment; Nutrition; Addiction
Difficulty: Moderate

Feedback
A Poor nutrition is a risk factor for chronic disease.
B Risk factors for chronic disease development are poor nutrition, alcohol use, and
tobacco use.
C Alcohol and tobacco are risk factors for chronic disease.
D This is incorrect. Height is not a risk factor for chronic disease.

PTS: 1 CON: Assessment | Nutrition | Addiction

5. A nurse working with chronic disease patients readily recognizes that the common forms of diabetes
include:
A. Type 1
B. Type 3
C. Both 1 and 4
D. Type 2
ANS: C
Objective: 2. Define the burden of noncommunicable diseases using current epidemiological
frameworks.
pp. 206-207
Heading: Noncommunicable Diseases in the United States
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Metabolism
Difficulty: Moderate

Feedback
A Type 1 diabetes, which results when the body loses its ability to produce insulin, is a
common form of the disease.
B This is incorrect. There is no Type 3 diabetes.
C Type 1 and Type 2 are common forms of diabetes.
D Type 2 diabetes, which develops from a combination of resistance to the action of
insulin and insufficient insulin production, is a common form of the disease.

PTS: 1 CON: Metabolism

6. When a nurse treats a heart disease patient, he or she evaluates which of the patient’s risk factors to
determine how modification might help bring about improvement?
A. Tobacco use
B. Both 1 and 3
C. Amount of exercise
 D. Height
ANS: B
Objective: 3. Describe the risk factor at the individual and population levels related to development of
a noncommunicable disease.
pp. 206-207
Heading: Noncommunicable Diseases in the United States
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Perfusion; Assessment; Addiction; Sleep, Rest, and Activity
Difficulty: Moderate

Feedback
A Tobacco use is a risk factor for heart disease.
B Tobacco use and inactivity are among the risk factors for heart disease.
C Inactivity is a risk factor for heart disease.
D This is incorrect. Height is not a risk factor for heart disease.

PTS: 1 CON: Perfusion | Assessment | Addiction | Sleep, Rest, and Activity

7. Cardiovascular nurses know that over a third of adults have two or more risk factors for heart disease
and stroke, which may include
A. High blood pressure
B. An inactive lifestyle
C. Both 1 and 2
D. Normal body weight
ANS: C
Objective: 3. Describe the risk factor at the individual and population levels related to development of
a noncommunicable disease.
pp. 206-207
Heading: Noncommunicable Diseases in the United States
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension [Understanding]
Concept: Perfusion; Promoting Health
Difficulty: Moderate

Feedback
A High blood pressure is a risk factor for heart disease.
B An inactive lifestyle is a risk factor for heart disease.
C High blood pressure and inactivity are risk factors for heart disease.
D This is incorrect. Obesity is a risk fact for heart disease.

PTS: 1 CON: Perfusion | Promoting Health

8. A public health nurse (PHN) can employ which of the following to help determine what leads to the
development of disease?
A. Case control study
B. Cohort study
C. Epidemiological survey
D. All of the above
 ANS: D
Objective: 2. Define the burden of noncommunicable diseases using current epidemiological
frameworks.
pp. 209-210
Heading: Risk Factors
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Critical Thinking
Difficulty: Moderate
Feedback
A A case control study helps determine the relative risk or the odds ratio of disease
occurring based on exposure to a risk factor.
B A cohort study helps determine the relative risk or the odds ratio of disease occurring
based on exposure to a risk factor.
C An epidemiological survey helps determine the relative risk or the odds ratio of disease
occurring based on exposure to a risk factor.
D Case control studies, cohort studies, and epidemiological surveys help determine what
leads to the development of disease.

PTS: 1 CON: Promoting Health | Critical Thinking

9. A nurse working in a hospital oncology unit notices that the number of lung cancer admissions has
increased in a particular zip code. What steps should the nurse take to determine what is causing the
increase?
A. Notify the nurse manager.
B. Both 1 and 4
C. Disregard admissions records for similar cases.
D. Present the findings to the public health department for their review.
ANS: B
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 209-210
Heading: Risk Factors
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Cellular Regulation; Promoting Health; Critical Thinking
Difficulty: Moderate

Feedback
A Notifying the nurse manager is the first step in the review process.
B The nurse should notify the manager, check for similar admissions, and present relevant
findings to the public health department.
C This is incorrect. The nurse should include admissions records for similar cases.
D The nurse should present relevant findings to the public health department.

PTS: 1 CON: Cellular Regulation | Promoting Health | Critical Thinking

10. A PHN evaluating an increase in lung cancer cases in a certain area would take which of the following
steps to determine what was causing the increase?
A. Conduct a retrospective case control study.
 B. Both 1 and 3
C. Ask family members of lung cancer patients for additional information.
D. Not survey town residents
ANS: B
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 209-210
Heading: Risk Factors
Integrated Processes: Nursing Process
Client Need: Health Promotion and Management
Cognitive Level: Application [Applying]
Concept: Cellular Regulation; Promoting Health; Critical Thinking
Difficulty: Moderate

Feedback
A The PHN would conduct a retrospective case control study.
B The PHN would conduct a retrospective case study, survey town residents, and ask the
families for additional patient information.
C The PHN would request additional information from the family members of those with
lung cancer.
D This is incorrect. The PHN would survey residents of the town with and without cancer
in relation to demographics, smoking history, occupation, family history of cancer,
source of their drinking water, and residential history.

PTS: 1 CON: Cellular Regulation | Promoting Health | Critical Thinking

11. A nurse working with diabetes patients noted that most of them are obese and that this is a risk factor
affecting their disease. The nurse knows that in 2009 and 2010 approximately ____ of U.S adults and
____ of children were obese, meaning they had a body mass index greater than or equal to 30.
A. 35.7 %, 16.7%
B. 22.5%, 17.9%
C. 40%, 15%
D. 25.5%, 35.5%
ANS: A
Objective: 3. Describe the risk factor at the individual and population levels related to development of
a noncommunicable disease.
pp. 210-214
Heading: Risk Factors > Behavioral Risk Factors
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Nutrition; Metabolism
Difficulty: Moderate
Feedback
A In 2009 and 2010 approximately 35.7% of adults and 16.7% of children were obese.
B This is incorrect. In 2009 and 2010 approximately 35.7% of adults and 16.7% of
children were obese.
C This is incorrect. In 2009 and 2010 approximately 35.7% of adults and 16.7% of
children were obese.
D This is incorrect. In 2009 and 2010 approximately 35.7% of adults and 16.7% of
children were obese.
 PTS: 1 CON: Nutrition | Metabolism

12. A cardiovascular nurse is treating a smoker with a high risk for cardiovascular disease. Which of the
following should the nurse discuss with the patient?
A. Outline the health risks associated with smoking.
B. Share statistics about adverse health outcomes related to smoking.
C. Both 1 and 2
D. Recommend smoking more.
ANS: C
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 210-214
Heading: Risk Factors > Behavioral Risk Factors
Integrated Processes: Teaching/Learning
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Perfusion; Addiction; Nursing Roles
Difficulty: Moderate

Feedback
A The nurse should outline the health risks associated with smoking.
B The nurse should share statistics about adverse health outcomes related to smoking.
C The nurse should outline the health risks associated with smoking and share statistics
about adverse health outcomes related to smoking.
D This is incorrect. The nurse should not recommend smoking more. Smoking is a risk
factor.

PTS: 1 CON: Perfusion | Addiction | Nursing Roles

13. A PHN concerned about the increase in NCDs in a community screens patients for which of the
following?
A. Socioeconomic risk
B. Genetic predispositions
C. Behavioral factors
D. All of the above
ANS: D
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
p. 215
Heading: Risk Factors > Socioeconomic Risk for Noncommunicable Disease
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Assessment; Promoting Health
Difficulty: Moderate
Feedback
A Socioeconomic risk affects the development of NCDs.
B Genetic predispositions affect the development of NCDs.
C Behavioral factors affect the development of NCDs.
D Socioeconomic risk, genetic predispositions, and behavioral factors affect the
 development of NCDs.

PTS: 1 CON: Assessment | Promoting Health

14. A nurse working in a community clinic understands that morbidity and mortality related to NCD is
affected by access to health care, so the nurse makes sure the patients:
A. Have access to preventive screenings
B. Ignore follow-up appointments
C. Both 1 and 4
D. Get resources to help them manage care
ANS: C
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 215-217
Heading: Disparity and Noncommunicable Disease
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Assessment
Difficulty: Moderate

Feedback
A Access to preventive screenings is an important part of NCD management.
B This is incorrect. Follow-up appointments are an important part of NCD management.
C Access to preventive screenings and resources for management is important in treating
NCDs.
D Resources are an important part of care management.

PTS: 1 CON: Promoting Health | Assessment

15. A nurse who treats diabetic patients encourages the patient to follow which of these recommendations
to manage their disease diagnosis over time?
A. Monitor blood sugar.
B. Adhere to medication treatment.
C. Both 1 and 2
D. Avoid regular checkups with a health-care provider.
ANS: C
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 215-217
Heading: Disparity and Noncommunicable Disease
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Medication; Assessment; Promoting Health; Nursing Roles; Metabolism
Difficulty: Easy

Feedback
A It is important for those with diabetes to monitor their blood sugar levels.
B Taking medication as prescribed is important in managing diabetes.
C Those with diabetes can better manage their disease by monitoring blood sugar levels,
 adhering to medication treatment, and having regular checkups.
D This is incorrect. Partnering with a health-care provider is an important part of
managing diabetes.

PTS: 1
CON: Medication | Assessment | Promoting Health | Nursing Roles | Metabolism

16. Nurses working with persons at high risk for NCDs encourage their patients to prevent disease
development by:
A. Incorporating healthy eating habits
B. Leading a sedentary lifestyle
C. Getting regular preventive screenings
D. Both 1 and 3
ANS: D
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
pp. 217-218
Heading: Prevention Strategies for Noncommunicable Diseases
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Nutrition; Sleep, Rest, and Activity; Assessment; Promoting Health; Nursing Roles
Difficulty: Moderate

Feedback
A Incorporating healthy nutrition helps prevent NCD development.
B This is incorrect. Getting more exercise is an important part of preventing NCDs.
C Regular screenings, such as mammograms, can help prevent NCDs.
D Healthy nutrition, adequate exercise and regular preventive screenings help prevent
NCDs.

PTS: 1
CON: Nutrition | Sleep, Rest, and Activity | Assessment | Promoting Health | Nursing Roles

17. An important part of a nurse’s role is to make sure patients understand the importance of ____ in
treating their chronic disease.
A. Adhering to medication regimens
B. Both 1 and 3
C. Practicing CDSM
D. Eating anything they want
ANS: B
Objective: 4. Apply current evidence-based population interventions to the prevention of
noncommunicable diseases.
p. 220
Heading: Prevention Strategies for Noncommunicable Disease > Chronic Disease Self-Management
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Nutrition; Medication; Promoting Health; Nursing Roles
Difficulty: Moderate
 Feedback
A Adhering to medication regimens is important in managing chronic disease.
B Adhering to medication regimens, following proper nutrition guidelines, and practicing
CDSM are important in managing chronic disease.
C Practicing CDSM is important in managing chronic disease.
D This is incorrect. Following nutrition guidelines is an important part of managing
chronic disease.

PTS: 1 CON: Nutrition | Medication | Promoting Health | Nursing Roles

18. To educate their patients about the risks of developing NCDs, nurses might share which of the
following facts?
A. The five leading causes of death in the United States are NCDs .
B. Risk for NCD is not affected by individual behaviors, the environment, and
socioeconomic factors.
C. Prevention occurs across the continuum starting with primary prevention during the
perinatal period through tertiary prevention measures such as CDSM programs.
D. Both 1 and 3
ANS: D
Objective: Describe the impact of noncommunicable diseases on the health of a population.
pp. 220-221
Heading: Culture and Noncommunicable Diseases
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Nursing Roles
Difficulty: Moderate

Feedback
A The five leading causes of death in the United States are NCDs.
B This is incorrect. Risk for NCD combines individual behaviors, the environment, and
socioeconomic factors.
C Prevention occurs across the continuum starting with primary prevention during the
perinatal period through tertiary prevention measures such as CDSM programs.
D The leading causes of death are NCDs, which result from a combination of individual
behaviors, the environment, and socioeconomic factors. They require self-management
programs.

PTS: 1 CON: Promoting Health | Nursing Roles

19. A pediatric nurse in Florida reviewed a report for the state’s schools and found which of the following
statistics?
A. Twenty-one percent of schools required students to take two or more health education
courses.
B. Seventy-six percent taught 14 key nutrition and dietary behavior topics in a required
course.
C. Both 1 and 2
D. Ten percent taught a required physical education (P.E.) course in all grades in the school.
ANS: C
Objective: 2. Define the burden of noncommunicable diseases using current epidemiological
frameworks.
Public Health Science Nursing Practice Savage Kub Grove Test Bank

pp. 220-221
Heading: Culture and Noncommunicable Diseases
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Nursing
Difficulty: Moderate

Feedback
A This statistic is correct. Health education courses are an important part of school
curriculum.
B This statistic is correct. Students learn about good nutrition in school.
C Both of these statistics are correct. Health education, courses on diet, and P.E. courses
are all important parts of a school’s curriculum.
D This is incorrect. Developing an active lifestyle with adequate exercise is an important
part of education and 55% of the schools taught P.E.

PTS: 1 CON: Promoting Health | Nursing

20. When screening a patient for NCD risk, a nurse reviews the social determinants of health, including
which of the following?
A. The social gradient
B. Early life
C. Work life
D. All of the above
ANS: D
Objective: 2. Define the burden of noncommunicable diseases using current epidemiological
frameworks.
pp. 220-221
Heading Culture and Noncommunicable Diseases
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Assessment; Promoting Health
Difficulty: Moderate
Feedback
A Placement on the social gradient—meaning the further down the social ladder, the
greater the incidence of disease and the shorter the life expectancy—is part of NCD
risk.
B Early life is part of determining NCD risk.
C Work life, especially stress, may affect NCD risk.
D The social gradient, early life, and work life are all parts of the social determinants of
health.

PTS: 1 CON: Assessment | Promoting Health

Visit TestBankBell.com to get complete for all chapters