Why did the Metropolitan Life Insurance Company es

Question 1 of 5

Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders?

A. Creating such a service was the morally correct thing to do. B. Employing nurses directly was less expensive than paying taxes to the city for the same purpose. C. Having the companyâ€™s nurses make home visits increased worker morale. D. Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus lowering costs for the insurance company.

Correct Answer: D

Rationale: Metropolitan Life saw a 7% decline in mortality and 20% in child deaths under 3, reducing costs due to visiting nurses. Funding was scarce (B), and morale (C) or morality (A) werenâ€™t primary drivers.

Question 2 of 5

A public health nurse is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic?

A. The Future of Public Health B. Healthy People 2020 C. Patient Protection and Affordable Care Act D. Scope and Standards of Public Health Nursing Practice

Correct Answer: B

Rationale: Healthy People 2020 sets goals for preventing chronic diseases like breast cancer via early detection. The Future of Public Health (A) discusses system issues, PPACA (C) focuses on insurance, and Scope/Standards (D) outlines nursing processes.

Question 3 of 5

How did Florence Nightingale help bring about community health nursing? (Select all that apply.)

A. She convinced socially prominent wealthy women to volunteer to give care. B. She focused on her earnings. C. She interacted with each individual person, assessing his or her needs and acting to meet those needs. D. She kept careful records on what was done and what were the results.

Correct Answer: D

Rationale: Nightingale used a population-based approach, improving soldiersâ€™ environments (B) and documenting outcomes (D). She didnâ€™t recruit wealthy volunteers (A) or focus on individual care (C).

Question 4 of 5

How did nursing education change in the 1950s? (Select all that apply.)

A. Baccalaureate nursing programs typically included public health nursing concepts. B. Diploma schools of nursing continued to expand their student numbers. C. Junior and community colleges stopped offering nursing programs. D. Nurses were strongly encouraged to have a scientific basis for their practice.

Correct Answer: A

Rationale: In the 1950s, baccalaureate programs added public health (A), and junior/community colleges started nursing programs (C). Diploma schools declined (B), and scientific basis (D) grew later.

Question 5 of 5

Which statement best summarizes Lillian Wald's achievements?

A. She suggested new nursing specialties. B. She demonstrated how to improve health in communities. C. She gave expert clinical nursing care to her clients. D. She was appointed a national nursing leader.

Correct Answer: B

Rationale: Lillian Wald improved health in a community by using diplomacy and neighborhood power. She was elected president of a national nursing organization and created new nursing specialties such as school nursing. However, she is primarily known for her creation of Henry Street House (see Chapter 2 of text), which led to the Visiting Nurses Association and notably improved health in many communities.

Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders?

Nurselytic

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