Public Community Health Final

True or False? Physical factors affecting community health include geography, community size, and industrial development.

True

The beginning of government's major involvement in social issues, including health, was marked by the

Social Security Act of 1935

True or False? The ability of the health care system to prevent, protect against, quickly respond to, and recover from health emergencies defines medical preparedness.

True

True or False? Health care delivery is public health concern of the 21st century.

True

Actions that society takes collectively to ensure that the conditions in which people can be healthy can occur defines

Public health

True or False? A time of great growth in health care facilities and providers describes the spiritual era of public health.

False

True or False? Politics and religion are examples of social and cultural factors affecting community health

True

Eating wisely, wearing a safety belt, and visiting a physician are examples of:

personal health activities

Communicable diseases remain a concern in the 21st century because they are the primary cause for:

days missed from work and school

The people of the city of Columbus," "seniors in the church," and "those on welfare," are examples of:

communities

True or False? Local health departments are responsible for restaurant inspections.

True

Nongovernmental health agencies are funded primarily by

private donations

True or False? Voluntary health agencies were created in Europe

False

The mission of professional health organizations is to

promote high standards of professional practice for their specific professions

True or False? The American Red Cross is classified as a quasi-governmental health organization.

True

An example of a quasi-governmental health organization is

the National Science Foundation

Which agency maintains records, analyzes disease trends, and publishes epidemiological reports on all types of diseases?

Centers for Disease Control and Prevention (CDC)

True or False? The most widely recognized international health organization today is the United Nations.

False

True or False? The Department of Health and Human Services is the only entity under the federal government that plays a role in our nation's health.

False

The largest and most visible international health agency is the

World Health Organization

The number of events that occur in a given population in a given period of time is a:

rate

A study that seeks to compare those diagnosed with a disease with those who do not have the disease for prior exposure to specific risk factors is a:

case/control study

The national health survey that is a state-based telephone survey of the civilian, noninstitutional, adult population that seeks to ascertain the prevalence of high-risk behaviors is the:

Behavioral Risk Factor Surveillance System

True or False? The average number of years a person from a specific cohort is projected to live from a given point in time is their life expectancy

True

Morbidity rates measure

sickness

True or False? The rate of an illness in a population is the natality rate.

False

True or False? Vital statistics are statistical summaries of records of major life events such as births, deaths, marriages, divorces, and infant deaths

True

True or False? The electronic reporting system used by state health departments and the CDC to report notifiable disease is Morbidity and Mortality Weekly Report (MMWR).

False

Studies that seek to describe the extent of disease in regard to person, time, and place are

descriptive studies

True or False? A disease that lasts three months or less is a chronic disease

False

True or False? AIDS and tuberculosis are examples of chronic communicable diseases.

True

True or False? The center of the multicausation disease model is behavioral choices.

False

True or False? In the chain of infection, a disease-producing agent leaves its reservoir through a portal of entry

False

Tuberculosis and influenza are examples of:

airborne diseases

True or False? In the communicable disease model, the cause of a disease or health problem is the host

False

Adequate food supply and getting regular exercise are examples of:

primary prevention of noncommunicable diseases

True or False? Mammography for breast cancer is an example of primary prevention.

False

Community efforts aimed at preventing the recurrence of an epidemic is an example of:

tertiary prevention of communicable diseases

Communities implementing case-finding measures and providing adequate health personnel, equipment, and facilities for the community are examples of:

secondary prevention of noncommunicable diseases

A pathogenic agent enters a susceptible host through a

portal of entry

True or False? An activity or activities designed to create change in people is a needs assessment.

False

For community organizing/building and health promotion programming efforts to be successful, people must:

change their behavior

Relationships and structures within a community that promote cooperation for mutual benefit describes

social capital

True or False? Those who the health promotion program is intended to serve are the priority population.

True

True or False? When mapping community capacity, primary building blocks are the most accessible assets

True

A process by which an intervention is planned to help meet the needs of a priority population is

program planning

True or False? Community capacity is the characteristics of communities that affect their ability to identify, mobilize, and address social and public health problems.

True

True or False? The ideal school health advisory council would include representation from a wide variety of school personnel, community members, and community health agencies.

True

True or False? The written plan for school health education is referred to as the health sequence.

False

Providing direct health care to students and staff, providing screening and referral for health conditions, and promoting health are all responsibilities of the:

school nurses

True or False? School health policies include laws, mandates, regulations, standards, resolutions, and guidelines to provide a foundation for school district practices and procedures.

True

The group whose primary role is to provide coordination of the various components of the Coordinated School Health Program is the:

school health advisory council

Which individuals are most often selected as the coordinator of the school health advisory council?

school nurses and health educators

True or False? The "gag rule" regulations on discussing abortion in family planning clinics has been stable and unchanged since its enactment in 1984.

False

True or False? Approximately one-half of pregnancies in the United States are unintended.

True

True or False? A teenage mother is at greater risk for pregnancy complications than a mother older than 20.

True

True or False? Sleeping on the back rather than the stomach greatly increases the risk of SIDS among healthy full-term infants.

False

A low-birth-weight infant is one that weight less than

5.5 pounds at birth

The majority of unintentional deaths in children are the result of:

motor vehicle crashes

The process of determining the preferred number and spacing of children in one's family and choosing the appropriate means to achieve this preference defines:

family planning

The best single behavioral change Americans can make to reduce morbidity and mortality is to

stop smoking

A critical period in life, during which many health-related beliefs, attitudes, and behaviors are adopted and consolidated is

adolescence and young adulthood

The diseases that cause considerable morbidity in adolescents and young adults are

sexually transmitted diseases

The number one cause of death in the adult age group is:

cancer

True or False? Adults are categorized as those ages 25-64.

True

True or False? Nearly half of all new STD cases are acquired by the 15-24-year-old population

True

Individual or environmental characteristics, conditions, or behaviors that reduce the effects of stressful life events are:

protective factors

True or False? The percentage of children younger than 18 living in a single-parents family has been decreasing ever since 1965.

False

Obesity in the United States is considered an epidemic.

True

Monitoring the Future is a current data source available regarding health behaviors of:

a broad participant age range

A person unable to leave home for normal activities is considered:

homebound

True or False? Handling personal finances and preparing meals are examples of activities of daily living (ADLs).

False

The largest percentage of elder income comes from

Social Security

A comparison between those individuals whom society considers economically unproductive and those considered economically productive is the

dependency ratio

True or False? Compared to other age groups, elders are the heaviest users of health care services

True

Elder abuse and neglect are special problems for elders because they are:

frail

True or False? Once someone is an elder, it is too late to gain benefit from changing health behaviors

False

One who helps identify the health care needs of an individual and also personally performs caregiving services is a

care provider

The leading causes of death for elders are

heart disease, cancer, stroke, and CLRD

Important vaccinations for elders include:

pneumonia and influenza

What occurs when two separate data reporting systems are used to obtain rates by race and Hispanic origin?

bias analysis

True or False? The reporting of more than one race for multiracial persons was strongly encouraged in the U.S. Census- beginning in the late 1990s.

True

The three kinds of power associated with empowerment are:

social, political, and psychological

True or False? Asian Americans have the highest median incomes compared with all other racial and ethnic groups.

True

True or False? Today, the majority of Americans are referred to as white, non-Hispanic.

True

The factor considered to be the most influential single contributor to premature morbidity and mortality by many public health researchers is:

socioeconomic status

People who flee one area or country to seek shelter or protection from danger in another are referred to as:

refugees

True or False? The median income for black Americans has consistently ranked lower than all racial and ethnic groups in the United States.

True

People of Hawaii, Guam, and Samoa are referred to as

Pacific Islanders

True or False? More than 50% of black Americans live in the southern regions of the United States.

True

True or False? Only about one-third of those diagnosed with a mental disorder receive treatment.

True

Psychophysiological disorders associated with stress include

depression, hypertension, skin disorders

Treatment of mental disorders through verbal communication is

psychotherapy

The Mental Health Parity and Addiction Act was created under

President Clinton

True or False? Mental illness is the second leading cause of disability in the United States.

False

The most influential book in mental health is

the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

Diseases that result from chronic exposure to excess levels of stressors, which produce a General Adaptation Syndrome response are

diseases of adaptation

The widespread use of lobotomies became unnecessary because of

antipsychotic and antidepressive drugs

Deinstitutionalization from state mental hospitals began in the

1950s

True or False? Mental disorders are health conditions that are characterized by alteration in thinking, mood, or behavior associated with distress and/or impaired functioning.

True

Restorative care is a component of:

long-term practice

Medicare is available to those

with certain disabilities

True or False? The largest amount of all health care workers today are employed in nursing/residential facilities

False

The amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services is the:

deductible

True or False? Health care delivery in the United States is very similar to other developed countries.

False

The type of managed care that buys fixed-rate health services from providers and sells them to consumers is:

PPOs

True or False? The Joint Commission is the predominant organization responsible for accrediting health care facilities

True

The type of health care practice that incorporates interventions aimed at disease prevention and health promotion is:

population-based public health practice

The part of Medicare that is prescription drug coverage is:

Part D

In the third-party payment system, the patient is the

first party

True or False? A clinic is a facility in which two or more physicians practice as a group.

True

Those lacking the financial ability to pay for their own medical care are referred to as

medically indigent

The part of Medicare that is the hospital insurance portion is

Part A

A negotiated set amount that a patient pays for certain services is a:

copayment

True or False? The Hill-Burton Act provided substantial funds for medical education

False

The government insurance program that specifically targets low-income children who are ineligible for other insurance coverage is:

CHIP

In the third-party payment system, the provider is the

second party

A written agreement between a private insurance company and an individual or group of individuals to pay for certain health care costs during a certain time period in return for regular, periodic payments is a health insurance

policy

Managed care is a system of health care delivery that focuses on

efficiency, control over utilization, the price of services

True or False? Of employed registered nurses, the largest majority work in offices of physicians.

False

Tobacco smoke inhaled and exhaled by the smoker is referred to as:

mainstream smoke

Those at greatest risk of lead poisoning are:

young children

Leading factors contributing to foodborne disease outbreaks are:

inadequate cooking temperatures, unsanitary conditions at the point of service, drinking raw milk

True or False? The number one cause of lung cancer among nonsmokers is secondhand smoke

False

The federal law aimed at ensuring that all rivers are swimmable and fishable and that limits the discharge of pollutants in U.S. waters to zero is the

Clean Water Act

True or False? The current number one method of disposal of municipal solid waste is combustion.

False

True or False? Factors or conditions in the environment that increase the risk of human injury, disease, or death are environmental hazards

True

True or False? Solid waste with properties that make it dangerous or potentially harmful to human health or the environment is classified as municipal waste.

False

The practice of establishing and maintaining healthy or hygienic conditions in the environment is:

sanitation

The average U.S. resident uses an average of how much water each day?

80-100 gallons

An example of injury prevention through regulation is

setting speed limits

Any behavior that would increase the probability of an injury occurring is an:

unsafe act

The place where the most unintentional injuries occur is:

the home

The failure of a parent or guardian to care for or otherwise provide the necessary subsistence for a child is

child neglect

The single most important factor in intentional and unintentional injuries is:

alcohol

True or False? Injury prevention is an organized effort to prevent injuries or to minimize their severity.

True

The place where the most unintentional injury deaths occur is:

the home

True or False? After the first year of life, unintentional injuries become the leading cause of death and disability in children

True

The second leading cause of unintentional injury death in the United States is

poisonings

In the United States, the leading type of unintentional injury death is due to

motor vehicle crashes

True or False? The federal agency charged with the responsibility of administering the provisions of the OSHAct is NIOSH.

False

Worksite programs that include screenings and interventions designed to change employees' health behaviors and reduce risks are:

worksite health promotion programs

A research body located in the Centers for Disease Control and Prevention responsible for developing and recommending occupational safety and health standards is

the National Institute for Occupational Safety and Health (NIOSH)

Having procedures for opening and closing a workplace is an example of what kind of prevention strategy for workplace violence?

administrative controls

True or False? Workplace-based programs that assist employees who have substance abuse, domestic, psychological, or social problems that interfere with their work performance are employee assistance programs.

True

In the service-producing industries, the area with the highest incident rate of nonfatal occupational injuries and illnesses is:

education and health services

The type of workplace violence in which the perpetrator has a legitimate relationship with the business and becomes violent while being served is:

Customer/client (Type II)

True or False? The goods-producing industries have a higher rate of nonfatal injuries and illnesses than the service-providing industries.

True

True or False? Workplace illnesses are reported more than workplace injuries.

False

The leading cause of fatal work-related injuries is

highway incidents