TEST BANK GROWTH and DEVELOPMENT
ACROSS THE LIFESPAN 2ND EDITION BY
LEIFER 2025 – 2026
Chapter,1:,Healthy,People,2020
,Test,Bank
MULTIPLE,CHOICE
1. The,purpose,of,Healthy,People,2020,is,to:
a. examine,world,health,needs.
b. evaluate,accomplishments,for,years,2010–2020.
c. focus,primarily,on,infant,health,and,mortality.
d. examine,funding,issues,for,health,care.
ANS:,B
Healthy,People,2020,is,an,evidence-based,10-year,report,card,describing,health-
care,accomplishments,in,the,United,States,between,the,years,of,2010,and,2020.
DIF: Cognitive,Level:,Comprehension REF:,p.,1 OBJ:,1
TOP:,Healthy,People,2020 KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
2. A,health-
care,worker,planning,a,research,project,related,to,teenage,pregnancy,in,his,community,would,
include,in,the,initial,assessment,the,health,status,of,the,target,population.,Health,status,could,
be,best,evaluated,by,the,examination,of,the:,a.
birth,rate,,disease,morbidity,,and,life,expectancy.
b. birth,rate,,access,to,health,care,,and,death,rate.
c. disease,morbidity,,life,expectancy,,and,health,insurance,coverage.
d. health,insurance,coverage,,death,rate,,and,access,to,health,care.
ANS:,B
Birth,rate,statistics,identify,age,of,mother;,death,rates,include,infant,mortality,and,age,of,m
other;,access,to,health,care,may,affect,a,teenager’s,ability,to,obtain,adequate,prenatal,
care.
DIF: Cognitive,Level:,Application REF:,p.,6 OBJ:,3
TOP:,Health,status KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
3. The,health-
care,worker,teaches,a,group,of,new,parents,about,the,“back,to,sleep”,program,,which,is,direct
ed,toward,the,reduction,of,sudden,infant,death,syndrome,(SIDS),by:,a.,positioning,the,baby,on
,a,small,flat,pillow.
b. placing,the,baby,on,its,back,in,the,crib.
c. gently,rocking,the,baby,before,returning,it,to,bed.
d. tucking,infant,snuggly,in,the,crib,with,a,light,blanket.
ANS:,B
The,back,to,sleep,program,helps,reduce,the,incidence,of,SIDS,by,placing,the,infant,on,its,bac
k,rather,than,on,its,stomach.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,5
TOP:,Back,to,sleep,program KEY:,Nursing,Process,Step:,Intervention
, MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
4. Healthy,People,2020,endorses,the,completion,of,a,high,school,education,primarily,to,enable,a,
person,to:
a. secure,a,better,job.
b. increase,the,quality,of,life.
c. make,healthy,lifestyle,choices.
d. maintain,the,family,unit.
ANS:,C
One,of,the,goals,of,Healthy,People,2020,is,to,increase,the,number,of,persons,graduating,fro
m,high,school,so,that,they,have,a,better,education,basis,on,which,to,make,healthy,lifestyle,c
hoices.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,4,
TOP:,Health,indicators,KEY:,Nursing,Process,Step:,NA,MSC:,NCLEX:,NA
5. Healthy,People,2020,is,published,by,the:
a. Centers,for,Disease,Control,and,Prevention.
b. Department,of,the,Interior.
c. World,Health,Organization.
d. Department,of,Health,and,Human,Services.
ANS:,D
Healthy,People,2020,is,published,by,the,U.S.,Department,of,Health,and,Human,Services.
DIF: Cognitive,Level:,Knowledge REF:,p.,1 OBJ:,1
TOP:,Healthy,People,2020,KEY:,Nursing,Process,Step:,NA,MSC:,NCLEX:,NA
6. Infant,mortality,rates,are,based,on,infant,deaths,that,occur:
a. at,birth,,per,1000,deliveries.
b. before,1,year,of,age,,per,1000,live,births.
c. from,infection,and,congenital,disorders,,per,1000,live,births.
d. from,unexplained,causes,,per,1000,live,births.
ANS:,B
Infant,mortality,is,reported,on,deaths,occurring,before,the,age,of,1,year,per,1000,live,birt
hs.
DIF: Cognitive,Level:,Knowledge REF:,p.,6 OBJ:,4
TOP:,Infant,mortality KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,growth,and,development
7. Although,the,life,expectancy,has,increased,,Healthy,People,2020,will,focus,on,the,older,adult’s
,need,for:
a. better,pharmacy,insurance,coverage.
b. improved,extended,care,facilities.
c. increased,compliance,to,medical,protocols.
d. maintenance,of,independent,lifestyles.
ANS:,D
The,maintenance,of,independent,lifestyles,is,an,ongoing,problem,for,the,older,adult.
DIF: Cognitive,Level:,Comprehension REF:,p.,9 OBJ:,4
TOP:,Older,adults KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
, 8. Information,about,morbidity,and,mortality,gives,the,health-
care,worker,data,to,identify:,a.,lifespan,statistics.
b. high-risk,age,groups,for,certain,diseases,or,hazards.
c. effectiveness,of,treatment.
d. cost-effective,treatment,for,the,general,population.
ANS:,B
Evaluating,specific,details,of,the,determinants,of,health,help,health-
care,workers,develop,an,understanding,of,the,health,status,of,the,population.,Morbidit
y,and,mortality,statistics,can,identify,risks,for,disease,or,health,hazard,by,age,group.
DIF: Cognitive,Level:,Knowledge REF:,p.,6 OBJ:,3
TOP:,Morbidity KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
9. A,major,cause,of,death,for,children,under,the,age,of,1,year,is:
a. congenital,abnormalities.
b. infection.
c. cancer.
d. injuries.
ANS:,A
The,Centers,for,Disease,Control,and,Prevention,has,identified,congenital,abnormalities,as,
a,leading,cause,of,death,for,children,under,the,age,of,1,year.
DIF: Cognitive,Level:,Knowledge REF:,p.,6,,Box,1-1
OBJ:,1 TOP:,Health,status
KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
10. The,health-
care,worker,advises,a,young,woman,who,is,7,weeks,pregnant,to,include,folic,acid,supplements
,in,her,diet,in,order,to:
a. strengthen,muscles,in,preparation,for,effective,labor.
b. help,control,excessive,weight,gain,during,pregnancy.
c. reduce,incidence,of,congenital,malformations.
d. enhance,the,probability,of,carrying,the,pregnancy,to,full,term.
ANS:,C
One,of,the,goals,of,Healthy,People,2020,is,to,promote,use,of,folic,acid,supplements,early,i
n,pregnancy.,Ideally,,folic,acid,supplements,,or,adequate,dietary,folic,acid,,should,be,reco
mmended,early,in,the,pregnancy,to,help,prevent,congenital,malformations,,especially,spin
a,bifida.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,4
TOP:,Folic,acid KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
11. Guidelines,for,“baby-friendly”,hospitals,include:
a. information,about,immunizations.
b. active,support,of,parent–baby,bonding.
c. control,of,peri-delivery,infection.
d. encouragement,to,breastfeed,for,the,first,year,of,life.
ANS:,D
ACROSS THE LIFESPAN 2ND EDITION BY
LEIFER 2025 – 2026
Chapter,1:,Healthy,People,2020
,Test,Bank
MULTIPLE,CHOICE
1. The,purpose,of,Healthy,People,2020,is,to:
a. examine,world,health,needs.
b. evaluate,accomplishments,for,years,2010–2020.
c. focus,primarily,on,infant,health,and,mortality.
d. examine,funding,issues,for,health,care.
ANS:,B
Healthy,People,2020,is,an,evidence-based,10-year,report,card,describing,health-
care,accomplishments,in,the,United,States,between,the,years,of,2010,and,2020.
DIF: Cognitive,Level:,Comprehension REF:,p.,1 OBJ:,1
TOP:,Healthy,People,2020 KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
2. A,health-
care,worker,planning,a,research,project,related,to,teenage,pregnancy,in,his,community,would,
include,in,the,initial,assessment,the,health,status,of,the,target,population.,Health,status,could,
be,best,evaluated,by,the,examination,of,the:,a.
birth,rate,,disease,morbidity,,and,life,expectancy.
b. birth,rate,,access,to,health,care,,and,death,rate.
c. disease,morbidity,,life,expectancy,,and,health,insurance,coverage.
d. health,insurance,coverage,,death,rate,,and,access,to,health,care.
ANS:,B
Birth,rate,statistics,identify,age,of,mother;,death,rates,include,infant,mortality,and,age,of,m
other;,access,to,health,care,may,affect,a,teenager’s,ability,to,obtain,adequate,prenatal,
care.
DIF: Cognitive,Level:,Application REF:,p.,6 OBJ:,3
TOP:,Health,status KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
3. The,health-
care,worker,teaches,a,group,of,new,parents,about,the,“back,to,sleep”,program,,which,is,direct
ed,toward,the,reduction,of,sudden,infant,death,syndrome,(SIDS),by:,a.,positioning,the,baby,on
,a,small,flat,pillow.
b. placing,the,baby,on,its,back,in,the,crib.
c. gently,rocking,the,baby,before,returning,it,to,bed.
d. tucking,infant,snuggly,in,the,crib,with,a,light,blanket.
ANS:,B
The,back,to,sleep,program,helps,reduce,the,incidence,of,SIDS,by,placing,the,infant,on,its,bac
k,rather,than,on,its,stomach.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,5
TOP:,Back,to,sleep,program KEY:,Nursing,Process,Step:,Intervention
, MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
4. Healthy,People,2020,endorses,the,completion,of,a,high,school,education,primarily,to,enable,a,
person,to:
a. secure,a,better,job.
b. increase,the,quality,of,life.
c. make,healthy,lifestyle,choices.
d. maintain,the,family,unit.
ANS:,C
One,of,the,goals,of,Healthy,People,2020,is,to,increase,the,number,of,persons,graduating,fro
m,high,school,so,that,they,have,a,better,education,basis,on,which,to,make,healthy,lifestyle,c
hoices.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,4,
TOP:,Health,indicators,KEY:,Nursing,Process,Step:,NA,MSC:,NCLEX:,NA
5. Healthy,People,2020,is,published,by,the:
a. Centers,for,Disease,Control,and,Prevention.
b. Department,of,the,Interior.
c. World,Health,Organization.
d. Department,of,Health,and,Human,Services.
ANS:,D
Healthy,People,2020,is,published,by,the,U.S.,Department,of,Health,and,Human,Services.
DIF: Cognitive,Level:,Knowledge REF:,p.,1 OBJ:,1
TOP:,Healthy,People,2020,KEY:,Nursing,Process,Step:,NA,MSC:,NCLEX:,NA
6. Infant,mortality,rates,are,based,on,infant,deaths,that,occur:
a. at,birth,,per,1000,deliveries.
b. before,1,year,of,age,,per,1000,live,births.
c. from,infection,and,congenital,disorders,,per,1000,live,births.
d. from,unexplained,causes,,per,1000,live,births.
ANS:,B
Infant,mortality,is,reported,on,deaths,occurring,before,the,age,of,1,year,per,1000,live,birt
hs.
DIF: Cognitive,Level:,Knowledge REF:,p.,6 OBJ:,4
TOP:,Infant,mortality KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,growth,and,development
7. Although,the,life,expectancy,has,increased,,Healthy,People,2020,will,focus,on,the,older,adult’s
,need,for:
a. better,pharmacy,insurance,coverage.
b. improved,extended,care,facilities.
c. increased,compliance,to,medical,protocols.
d. maintenance,of,independent,lifestyles.
ANS:,D
The,maintenance,of,independent,lifestyles,is,an,ongoing,problem,for,the,older,adult.
DIF: Cognitive,Level:,Comprehension REF:,p.,9 OBJ:,4
TOP:,Older,adults KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
, 8. Information,about,morbidity,and,mortality,gives,the,health-
care,worker,data,to,identify:,a.,lifespan,statistics.
b. high-risk,age,groups,for,certain,diseases,or,hazards.
c. effectiveness,of,treatment.
d. cost-effective,treatment,for,the,general,population.
ANS:,B
Evaluating,specific,details,of,the,determinants,of,health,help,health-
care,workers,develop,an,understanding,of,the,health,status,of,the,population.,Morbidit
y,and,mortality,statistics,can,identify,risks,for,disease,or,health,hazard,by,age,group.
DIF: Cognitive,Level:,Knowledge REF:,p.,6 OBJ:,3
TOP:,Morbidity KEY:,Nursing,Process,Step:,Planning
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
9. A,major,cause,of,death,for,children,under,the,age,of,1,year,is:
a. congenital,abnormalities.
b. infection.
c. cancer.
d. injuries.
ANS:,A
The,Centers,for,Disease,Control,and,Prevention,has,identified,congenital,abnormalities,as,
a,leading,cause,of,death,for,children,under,the,age,of,1,year.
DIF: Cognitive,Level:,Knowledge REF:,p.,6,,Box,1-1
OBJ:,1 TOP:,Health,status
KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
10. The,health-
care,worker,advises,a,young,woman,who,is,7,weeks,pregnant,to,include,folic,acid,supplements
,in,her,diet,in,order,to:
a. strengthen,muscles,in,preparation,for,effective,labor.
b. help,control,excessive,weight,gain,during,pregnancy.
c. reduce,incidence,of,congenital,malformations.
d. enhance,the,probability,of,carrying,the,pregnancy,to,full,term.
ANS:,C
One,of,the,goals,of,Healthy,People,2020,is,to,promote,use,of,folic,acid,supplements,early,i
n,pregnancy.,Ideally,,folic,acid,supplements,,or,adequate,dietary,folic,acid,,should,be,reco
mmended,early,in,the,pregnancy,to,help,prevent,congenital,malformations,,especially,spin
a,bifida.
DIF: Cognitive,Level:,Application REF:,p.,8 OBJ:,4
TOP:,Folic,acid KEY:,Nursing,Process,Step:,Intervention
MSC:,NCLEX:,Health,Promotion,and,Maintenance:,prevention,and,early,detection,of,disease
11. Guidelines,for,“baby-friendly”,hospitals,include:
a. information,about,immunizations.
b. active,support,of,parent–baby,bonding.
c. control,of,peri-delivery,infection.
d. encouragement,to,breastfeed,for,the,first,year,of,life.
ANS:,D
