Test Bank For Community Based Nursing 3rd Edition Melanie Mcewen
Test Bank For Community Based Nursing 3rd Edition Melanie Mcewen
Test Bank For Community Based Nursing 3rd Edition Melanie Mcewen
3. Currently, approximately what percentage of nurses in the United States do not work in
acute care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
5. All of the following are “focus areas” described in Healthy People 2010 except:
1. Access to quality health services.
2. Cancer.
3. Oral health.
4. Senior health.
5. Tobacco use.
ANS: 4 DIF: Knowledge
REF: Page Reference: 10 (Healthy People 2010 box) OBJ: 3
TOP: Healthy People 2010
6. Health promotion and illness prevention activities, such as well-child checkups, routine
physical examinations, and prenatal care are examples of:
1. Comprehensive health care.
2. Primary health care.
3. Secondary health care.
4. Tertiary health care.
ANS: 2 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight
bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord
injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient
cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic
back pain.
ANS: 3 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
9. There are differences in the scope of practice and foci between community-based nursing
practice and community health nursing. Which of the following is more descriptive of
community-based nursing practice?
1. Emphasis is on preservation and protection of health.
2. Main objective is managing acute or chronic conditions in community settings.
3. Primary focus is on populations or aggregates.
4. Provision of both direct and indirect health services is common.
ANS: 2 DIF: Application REF: Page Reference: 6
OBJ: 1 TOP: Community-Based Nursing and Community Health
Nursing
10. According to the findings from the survey of RNs conducted by the Department of Health
and Human Services’ Division of Nursing, geographic maldistribution of nurses is a
significant problem. Regions with the lowest rates of nurses per capita are:
1. The District of Columbia and Virginia.
2. Midwestern states and the Dakotas.
3. Mountain states (Nevada, Idaho) and the southwest (Oklahoma, Texas).
4. New England states (Massachusetts, Rhode Island, Vermont).
ANS: 3 DIF: Knowledge REF: Page Reference: 7-8
OBJ: 2 TOP: Current Trends in Nursing Employment
11. It is anticipated that over the next decade, the number of nurses working in community-
based settings will:
1. Decrease dramatically.
Test Bank 1-4
2. Decrease slightly.
3. Increase somewhat.
4. Remain the same.
ANS: 3 DIF: Comprehension REF: Page Reference: 8
OBJ: 2 TOP: Current Trends in Nursing Employment
13. Among the uses of Healthy People 2010 are all of the following except to:
1. Be used as a framework to promote healthy choices for individuals.
2. Encourage increased fiscal allocations by state and federal legislative bodies.
3. Incorporate objectives to guide health promotion activities and programs in
schools, clinics, and worksites.
4. Serve as a benchmark for health promotion activities.
ANS: 2 DIF: Application REF: Page Reference: 10
OBJ: 3 TOP: Healthy People 2010
Another random document with
no related content on Scribd:
“The poor Prince de la Paz is covered with wounds and
contusions, and is cast into prison, where he constantly invokes the
terrible moment of his death. He thinks of nobody but his friend the
Grand Duke of Berg, and says he is the only person to whom he
looks for his salvation.
“My father, mother, and I have talked with your respected
commander. He will tell you all. I trust in your friendship, and that by
that you will save us all three and the poor prisoner.
“I have not time to say more, but I trust in you. My father will add
two lines to this letter.
“I am, from my heart,
“Your most affectionate Sister and Friend,
“Maria Luisa.”
1808–1814
“In Bayonne,
“April 16, 1808.
“My Brother,
“I have received the letter of Your Royal Highness. You will
have seen by your father’s papers what an interest I have always
shown in him, so you will allow me now to speak to you with
frankness and loyalty.
“I had hoped to come to Madrid and persuade my august friend
to make certain necessary reforms in his dominions which would
give public satisfaction. The separation of His Majesty from the
Prince of the Peace seemed to me absolutely necessary for his
happiness and that of his vassals. Events in the North retarded my
journey, and the occurrences of Aranjuez have intervened.
“I do not constitute myself a judge of what happened, or of the
conduct of the Prince of the Peace; but I know very well that it is very
dangerous to Kings for the people to become accustomed to
shedding blood in their own attempts to obtain justice. God grant that
Your Highness may not find it so yourself! It would not be for the
interest of Spain to persecute a Prince who has married a Princess
of the Royal Family, and who has so long governed the kingdom. He
has no friends already, and Your Highness will have none, either, if
you come to be disgraced one day, for people like to avenge
themselves for the respect they have had to show us.
“Moreover, how could a Cause be framed against the Prince of
the Peace without framing it also against the King and Queen, your
parents? This Cause would foment hate and seditious passions, and
the result would be fatal to the crown. To this crown Your Royal
Highness has no rights beyond those transmitted by your mother. If
the Cause soils her honour, Your Highness destroys your own rights.
Do not listen to weak, perfidious counsels. Your Highness has no
right to judge the Prince of the Peace; the sins which are imputed to
him disappear in the rights of the throne.
“I have often expressed my wish for the Prince of the Peace to be
removed from affairs. If I have not been more insistent, it has been
because my friendship for King Charles overlooked the weakness of
his affection. Oh, miserable humanity! Weakness and error are our
lot. But all this can be made right if the Prince of the Peace is exiled
from Spain, and I offer him an asylum in France.
“As the abdication of Charles IV. took place at the moment when
my armies were occupying Spain, it will seem in the eyes of all
Europe and of posterity that I sent these troops with the sole object
of dethroning my ally and friend. As a Sovereign and a neighbour, I
must therefore hear all about the event before recognizing the
abdication.
“I tell Your Royal Highness that if the abdication of Charles was
spontaneous, and he was not forced to it by the insurrection and
consequent meeting in Aranjuez, I have no objection to admitting it,
and acknowledging Your Royal Highness as King of Spain. I
therefore desire to confer with Your Royal Highness on this matter.
“The circumspection I have observed for the past month in the
matter ought to convince Your Highness that you will always have
my support if factions of any kind disturb you on the throne.
“When King Charles told me of the recent events in October, I
flattered myself that I had contributed by my entreaties to the
peaceful conclusion of the Escorial matter.
“Your Highness is not free from faults; the letter you have written
me is sufficient to show that, and I have always wished to forget it.
Being a King, you know how sacred are the rights of the throne; any
step of an hereditary Prince towards a foreign Sovereign is criminal. I
consider the marriage of a French Princess with Your Royal
Highness would be conformable to the interests of my people, and,
above all, as a circumstance which will unite me by fresh bonds to a
house which I have had every wish to honour ever since I ascended
the throne.
“Your Royal Highness ought to beware of the consequences of
popular insurrections; you might be able to make an assault on my
scattered soldiers, but it would only lead to the ruin of Spain.
“I have seen with regret some letters from the Captain-General of
Catalonia which tried to rouse the people.
“Your Royal Highness knows all the depth of my heart; you will
observe that I am full of many ideas which require consideration; but
you can be sure that in any case I shall behave to you as I have to
the King your father.
“Your Royal Highness must be assured of my desire to conciliate
matters, and to find occasions of giving you proofs of my affection
and perfect esteem.
“May God have you in His holy and worthy keeping!
“Napoleon.”[8]
“Vittoria,
“April 18, 1808.
“Señor, my Brother,
“I have received with great satisfaction your letter of the
16th, sent by General Savary. The confidence with which Your
Majesty inspires me, and my desire to show you that my father’s
abdication was the consequence of his own impulse, have decided
me to go immediately to Bayonne. I hope therefore to leave to-
morrow for Irun, proceeding thence to the country-seat of Marrae,
where Your Majesty is.
“I am, my good Brother, with the highest esteem and sincerest
affection,
“Ferdinand.”
“Aranda,
“April 25, 1808.
“Charles.”[9]
The affectionate tone of these royal letters shows that the royal
couple thought that Napoleon was about to restore to them the
sceptre which had been torn from their hands.
When the King and Queen arrived at Villareal, they asked what
reports were circulated about affairs, and the Duke of Mahon replied:
“It is said that the Emperor of the French is calling the Royal Family
of Spain together at Bayonne in order to deprive them of the throne.”
The Queen looked surprised, but she thought for a moment, and
then said:
“Napoleon has always been a great enemy of our family.
Nevertheless, he has made Charles repeated promises to protect
him, and I cannot believe he is now acting with such scandalous
perfidy.”
The royal arrival at Bayonne was announced by a salute of 101
guns, the garrison lined the streets, and Charles, on dismounting
from his carriage, showed his pleasure at the reception vouchsafed
to him by talking even to those he did not know.
A shadow came over the King’s genial countenance when he
saw Ferdinand standing with his brother at the foot of the staircase,
and it was only the younger Prince who was given a cordial “Good-
day” by the King, and who was embraced fondly by his mother.
Although Ferdinand saw that he was ignored, he made a step
forward to greet his parents. But Charles stopped, made a
movement of indignation, and began mounting the stairs with a
severe face. The Queen, however, who was behind, could not forget
that she was a mother, and folded her treacherous son to her
bosom.
Then the Princes repaired to their apartments, and their parents
hastened to greet the exile Godoy with tears of joy.
The Emperor of the French lost no time in paying his respects to
the royal travellers, but he did not ask them to dinner until the
following day.
As Charles’s rheumatism gave him some difficulty in mounting
the stairs of the imperial abode, he gladly accepted Napoleon’s arm,
saying: “I have not the strength that I had. It has been all knocked
out of me.”
“We will soon see about that,” returned the Emperor. “Lean on
me, and I will find strength for both.”
Thereupon the King stopped, and said emphatically: “So I
believe, and I base all my hopes upon you.”
On taking their seats at the table, Charles noticed the absence of
Godoy, and he exclaimed with tender concern: “And Manuel? Where
is Manuel?”
So Napoleon, anxious to please his ally, sent for the Prince of the
Peace, and the party was complete.
At the meeting at which it was hoped Napoleon would bring the
Royal Family to a satisfactory understanding there were very violent
scenes. It was natural that the sight of their renegade son should
revive all the bitterness of the King and Queen’s recent trials, but it
was a pity that they did not restrain the passions which made them
lose their royal dignity.
The Emperor announced that Ferdinand would restore on the
morrow to His Majesty the crown he had snatched from his father’s
brow. This Ferdinand stoutly declared he would not do, and Maria
Luisa, who had destroyed the proofs of her son’s guilt in the
conspiracy of the Escorial, was now so mad with rage that,
according to the report of Caballero, she cried to the Emperor to
punish the crimes of her son by committing him to prison.
Ferdinand was silent during the interview, but a few hours later
he wrote to his father, maintaining that the abdication had been a fait
accompli and declaring that he would only give up the crown at the
request of the Cortes and all the tribunals.
To this letter the King replied:
“My Son,
“The perfidious counsels of the people about you have
brought Spain into a very critical condition, and only the Emperor can
save it.... You have been too easily led away by the hatred which
your late wife had for France, and you have thoughtlessly shared her
unjust feelings against my Ministers, your mother, and myself.
“I was obliged, in support of my rights as a King and a father, to
have you arrested, for your papers contained proof of your crime.
But as I am approaching the end of my life, and I was miserable at
the idea of my son dying in a dungeon, I let myself be softened by
your mother’s tears. And yet my subjects have been upset by the
deceitful courses of the faction you formed, and from that time I have
had no peace in my life....
“You introduced disorder into my palace, you summoned the
Royal Guard against my own person. Your father has been your
prisoner; my Prime Minister, whom I created and received into my
family, was covered with blood, and taken from one prison to
another.... I am King by the right of my fathers. My abdication was
due to force and violence. I have nothing to accept from you, nor can
I consent to any meeting or to any new and base suggestion on the
part of the people about you.”
“Valençay,
“May 3, 1810.
“Señor,
“The letters now published in Le Moniteur show the whole
world the sentiments of perfect love which I entertain for Your
Imperial Majesty, and the deep desire I cherish of becoming your
adopted son. The publicity which Your Imperial Majesty has deigned
to give my letters makes me hope that you do not disapprove of my
sentiments nor of the desire I have formed, and this hope fills me
with joy.
“Permit me, sire, to confide to you the thoughts of a heart which I
do not hesitate to say is worthy of your adoption. If Your Imperial
Majesty would unite me to a French Princess, you would fulfil my
most ardent wish. By this union, apart from my personal happiness,
all Europe would be convinced of my unalterable respect for the will
of Your Majesty, and it would see that you deign to make some
return for such sincere feelings.
“I will venture to add that this union and the sight of my happiness
will exercise a beneficial effect on the destiny of all Spain, and will
rob a blind and furious people of the pretext of covering a country
with blood in the name of a Prince, the eldest son of an ancient
dynasty, who has, by a solemn treaty by his own choice and by the
most glorious of all adoptions, made himself a French Prince and a
son of Your Imperial Majesty.
“I venture to hope that such ardent wishes, and an affection so
absolute, will touch the magnanimous heart of Your Majesty, and that
you will deign to make me share the fate of the many Your Majesty
has made happy.
“Señor, I am, etc.,
“(Signed) Ferdinand.”
“Sir, my Brother,
“I have for a long time wished for an opportunity to send
Your Majesty a letter signed by my hand, to express the deep
interest and the profound feeling which I have entertained for you
since you were taken from your kingdom and your faithful subjects.
Whatever the violence and cruelty with which the usurper of the
throne of Spain oppresses that nation, it ought to be of great
consolation to Your Majesty to know that your people retains its
loyalty and love for its legitimate Sovereign, and Spain makes
continual efforts to maintain the rights of Your Majesty and to re-
establish those of the monarchy. The resources of my kingdom, my
squadrons, and my armies, will be employed in aiding the vassals of
Your Majesty in this great cause, and my ally the Prince Regent of
Portugal has also contributed with all the zeal and perseverance of
his faithful friend.
“The only thing which is wanting to your faithful subjects and your
allies is the presence of Your Majesty in Spain, where it would give
fresh energy. Therefore I ask Your Majesty, with all the frankness of
alliance and friendship which bind me to your interests, to think of
the most prudent and efficacious way of escaping from the
indignities which you suffer, and to present yourself in the midst of a
people unanimous in its desire for the glory and happiness of Your
Majesty.
“I beg Your Majesty to be sure of my sincere friendship, and of
the true affection with which I am—in the palace of the Queen,
Monday, January 31, 1810—sir, my Brother,
“Your worthy Brother,
“George R.”
“By command of the King,
“Wellesley.”[10]
1814–1829
So Spaniards once more had a King of their own blood. The pity of
the matter was that the man himself was so unworthy of the people’s
trust. Brought up in a Court honeycombed with intrigue, truth and
sincerity seemed unknown to Ferdinand, and although he constantly
said, “I hate and abhor despotism,” there never was a Sovereign
more despotic than this son of Charles IV.
Being untrustworthy himself, he thought everybody was
unreliable, and so he set spies on his entourage, and stooped to
listen to stories from his servants.
Thus, no Minister or officer was safe from being sent off to prison,
and with the duplicity which had been perfected by constant practice
in his youth sentence of condemnation would be given by Ferdinand
with an air of friendliness, with a wave of his cigar or the offer of his
caramels, followed by thrumming on the table, or the pulling of his
ear, or the slapping of his forehead, with which his courtiers were
familiar as signs of bad temper.
The Duke of Alagon was the King’s most constant attendant in
any gallant adventure, and, indeed, his departures in that respect
were those of a man who seemed to atone for his want of personal
attractions by a surplus of gallantry to the fair sex. It was whilst
pursuing one of these intrigues with a charming widow at the royal