What
has the IOM consistently highlighted as one solution for insuring safe and
quality health care?
B.S.N. program for nurses
An advanced practice degree
Informatics in the nursing clinical
experience
The use of health information technologies
Question 2. What is the major factor that
impacts the inflow of foreign-born or foreign-educated RN’s?
availability of RN jobs
availability of temporary to permanent
housing
availability of
employment-based visas
salary and benefits
Question 3. All of the following are
examples of medical errors except:
equipment failure
misinterpretation of medical orders
nosocomial
infections
diagnostic errors
Question 4. Select the best example of
behavior change:
teaching a patient
with chronic heart failure about the early symptoms that could lead to an
avoidable visit to an emergency room
Helping a patient
with chronic heart failure to adjust their own medications in response to
symptoms that could lead to an avoidable visit to an emergency room.
paying physicians to keep their offices open
longer so that patients with symptoms of heart failure could be seen there
instead of having to visit an emergency room.
Giving patients 24 hour access to a nurse to
find out if they should take more or less medicine in response to symptoms that
could lead to an avoidable visit an emergency room.
Question 5. Population health is best
defined:
Distribution of
health outcomes within a population, the health determinants that influence
distribution, and the policies and interventions that impact the determinants.
Health of a population measured by health
status indicators and influences by social, economic, and physical
environments, personal health practices, individual capacity and coping skills,
human biology, early childhood development and health services.
Aggregate health outcome of health adjusted
life expectancy of a group of individuals in an economic framework that
balances the relative marginal return from the multiple determinants of health.
A conceptual framework for thinking about why
some populations are healthier than others, as well as the policy development,
research agenda, and resource allocation that flow from it.
Question 6. Which of the following is
responsible for the most deaths in the United States?
Breast cancer
Motor vehicle accidents
AIDS
Medical errors
Question 7. You have a client who has been
smoking for more than 20 years and wants to quit. He just signed up for a
smoking cessation program that begins next week. What stage of change is he
most likely in?
Preparation
Action
Question 8. What was the one rule for
invitations to the TIGER summit?
There had to be more informatics
professionals than nursing leaders in attendance.
The summit had to garner the attention of
healthcare policy makers.
The summit results had to be the next
publication in the IOM series on transforming health.
There had to be more
nursing leaders than informatics professionals in attendance.
Question 9. Key concepts employed in a
population-based approach to health include all of the following except:
Understanding the determinants of health in
different populations
Focusing on acute
medical care for individuals
Measuring health outcomes on a larger scale
Improving systems of care to improve health
care delivery
Question 10. People in the Contemplation
stage of change:
Do not plan to change their behavior in the
foreseeable future
Changed their behavior more than 6 months ago
and have been able to keep it up
Changed their behavior more than 6 months ago
but are thinking of giving up
Plan to change their
behavior in the next 6 months
Question 11. Which model for the study of the
social determinants of disease recognizes two opposing forces: the rights of
individuals and the needs of the common good?
Life Course Theory
Theory of
Vulnerability
Course of Vulnerability Theory
Infant Life Theory
Question 12. Which of the following is not a
factor that influences the value of outcome measures?
Validity and reliability of translations
Physicians’ perceptions and beliefs of
patient diagnosis and treatment
Background
differences in interviewers or raters
Instrument’s conceptual perspective and
population of origin
Question 13. How must the four pillars
interact to improve population health?
Education
Management of chronic disease
Patient activation
All of the above
Question 14. The moral tradition that the
right action is one that maximizes the benefits to the greatest number of
persons is called:
Casuistry
Deontology
Utilitarianism
Principalism
Question 15. Which element that does not fit
in the five segments of population health status:
Wellness (
)
Acute illness (
)
Catastrophic illness (
)
Epidemic illness (
)
At risk (
)
Chronic illness
Instructor Explanation:
Question 16. Publicly funded home and
community-based services for chronic illness have traditionally focused on:
short-term solutions
to chronic illness
collaboration with medical services
subsidized housing
Medicare
reimbursement for waiver programs
Question 17. Which of the following
statements is not true of allied health professionals?
Allied health
professionals comprise the majority of the health care workforce.
Allied health
professionals typically attend 4-year or post-graduate educational programs in
senior colleges and universities.
Allied health professionals decrease the cost
of patient care.
Allied health professionals represent over 85
distinct occupations.
Question 18. Select the one best definition
of Health Promotion:
Increasing the use of activities such as
dieting and exercise to reduce the future burden of disease
Any media-based campaign that draws attention
to healthy behaviors in the general population
Enabling people to
increase control over their health and its determinants, and thereby improve
their health
A focused initiative that seeks to increase
an activity that has direct health benefits to society; for example, wearing
seat belts.
Question 19. Which of the following is the
best example of a health disparity?
Persons from a
certain zip code consistently have longer waits in the emergency room prior to
being seen by a physician
Persons from a certain zip code consistently
get their medications from a certain pharmacy, compared to another
Persons with fair skin are noted to have a
greater incidence of skin cancer
Newborn children are
inconsistently given immunizations against hepatitis B
Question 20. Which process of change would
you most likely use to help someone move from the precontemplation stage to the
contemplation stage of change?
Consciousness
raising (becoming informed)
stimulus control (manage your environment)
counter conditioning (use alternatives)
reinforcement management (use rewards)
Question 21. Which definition best describes
ethics?
A set of laws that public health officials
must follow.
The beliefs that everyone in society must
hold in order to be part of that society.
A system of values
that we feel are important to who we are which can guide our decision-making.
A set of rules that only apply to population
health research.
Question 22. Which of the following form a
foundation for population health?
Scientific evidence
Health care delivery
Policies
All of the above
Question 23. Which of the following is an
example of secondary prevention?
Mammograms to detect
early stage breast cancer
An educational campaign that helps young
adults avoid unwanted pregnancy
Using an ultrasound machine at a community
fair to find individuals with blocked arteries in their neck who are at risk
for stroke
All of the above
Question 24. For which group is the
population of those aged 90 and over supposed to be the highest by the year
2070?
Whites
Blacks
Hispanics
Asian/Pacific Islanders
Question 25. Which of the following is one of
the five categories of 30 safe practices that can work to reduce or prevent
adverse events?
Providing generic settings or processes of
care
Decreasing safe medication use
Matching healthcare
needs with services delivery capability
Facilitating unclear communication
Question 26. Behavior and prevention are
important components of which pillar?
Health policy
Quality and safety
Chronic care
management
Public health
Question 27. Why do some interest groups
struggle to be heard whiles others have greater access to policy makers?
Nurses have typically dominated physicians in
policy debates.
The interests of community hospitals often
outweigh those of the academic medical centers.
Consumer advocacy groups carry more weight
than the business community in regard to policies related to health insurance.
Policies and
programs that are most reflective of the strongest interests in the healthcare
field have greatest chance of being taken under consideration.
Question 28. The IOM proposes a core set of
competencies for all health professions which includes all of the following
except:
Work in
interdisciplinary teams
Employ evidence-based practice
Provide
disease-centered care
Utilize informatics
Question 29. What is the name of the process
that seeks to strengthen the viability and competitive position of an agency or
organization?
Accreditation
Licensure
Credentialing
Certification
Question 30. What comprises the largest
single portion of spending in the healthcare sector?
Hospital costs
Cost-per-patient
Ambulatory costs
Pharmaceuticals
Question 31. What is the name of the theory
that suggests that risk factors for adults are a function of biological
programming during critical periods of growth and development?
Life Course Theory
Theory of Vulnerability
Course of Vulnerability Theory
Infant Life Theory
Question 32. At the federal level, which
group is responsible for administering programs created by Congress?
Health Resources and Services Administration
Department of Health
and Human Services
State health department
Department of Medicare Services
Question 33. Which of the following is an
example of Traditional Chinese medicine? (Select all that are correct.)
Chiropractic
Herbals
Acupuncture
Polarity
Points Received: 3.75 of 5
Question 34. Primary prevention is:
Preventive screening for early detection
Decreasing complications and comorbidities
Health promotion and
disease prevention
Avoidance of disease
Question 35. Which of the following,
according to the WHO, is NOT one of the factors controlled by humankind that
are contributing to the threats against public health security?
false sense of
security with a reduction in acute infectious disease outbreaks
inadequate animal husbandry and food
processing practices
policy changes that undermine evidence-based
public health interventions
adequate investment
in public health
Question 36. Education and advocacy is the
focus of which pillar?
Health policy
Quality and safety
Chronic care management
Public health
Question 37. Historically what was the
dominant group shaping health policy?
Physicians
Nurses
Patients
Pharmaceutical manufacturers
Question 38. Prescription drug programs may
feature
Drug Formularies
Mail order programs
Incentives to use generic drugs
All of the above
Question 39. Which movement is Margaret
Sanger credited with?
college education
for nurses
medical malpractice
family planning
none of the above
Question 40. The consumer-based group that
provides information on how well hospitals provide recommended care for
specific conditions is:
AARP
Sorry Works! Coalition
Hospital Compare
Ralph Nader’s Raiders
Question 41. Learning methods that are
recommended in a population-health framework for health professions education
include the use of:
Service-learning
Problem-based learning
Interdisciplinary education
All of the above
Question 42. What is the purpose of the TIGER
initiative?
To identify action plan goals that could be
accomplished by the organization
To identify seven key foci within the
healthcare ecosystem
To identify
information/ knowledge management best practices and effective technology
capabilities for nurses
To interweave enabling technologies
transparently into nursing practice and education
Question 43. Which of the following is the
best measure of the health of a population?
vitality
rates of disease
prevalence of risk factors
immunization rates
Question 44. Which of the following is NOT a
central value to guide population health?
respect for persons
prevention of harm
eradication of
disease
Social justice
Question 45. What is the host important
manifestation of the transformation of U.S. health care in the 20th century?
defining medical
care in terms of prevention and comfort
centralizing care in
increasingly complex institutions
hospitals charging for services and opening
their doors to private practitioners
decentralizing care in social service
institutions
Question 46. Who was identified as the beneficiary
of the TIGER initiative?
Patients
Doctors
Nursing educators
Nursing workforce
Question 47. What is the key to expert power
in an organization?
how many stakeholders have such power
the proximity of stakeholders with such power
intensity of power
as perceived by others
legitimacy as
perceived by others
Question 48. Which pillar of population
health focuses on healthcare delivery and processes?
Health policy
Quality and safety
Chronic care management
Public Health
Question 49. Which of the following was not a
cause of the shift in the balance of power between the government and doctors
in the 1980’s?
government was one
of the largest payers of health services
increasing cost of care
rate of medical innovation and the aging of
the population
orientation of the
healthcare system toward “cure” vs. “care”
Question 50. What are the key principles from
the individual perspective of the Theory of Vulnerability?
dependence and autonomy
interdependence and autonomy
dependence and restraint
independence and
autonomy
