Test Generator Questions, Chapter 16, Global Health Nursing

Format: Multiple Choice

Chapter: 16

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Apply

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 1

Page and Header: 451, A Framework for Global Health Nursing Assessment

1. Which would the community health nurse likely to include when designing a community-based program within the context of a global framework?

A) Population demographics

B) Provider characteristics

C) Procedures that are covered by insurance

D) Physical space

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 451, A Framework for Global Health Nursing Assessment

2. When applying the Universal Imperatives of Care, which would be the priority?

A) Mortality

B) Daily functioning

C) Decision- making

D) Cost

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 450, Introduction

3. A nursing student is considering a career in international community health nursing. Which statements are accurate regarding the context of international community health nursing? Select all that apply.

A) Global community health care is complex and is affected by multiple factors relating to geography, history, politics, culture, religion, and economy.

B) The types of services that can be provided include a range from providing clinical services to policy making at an international level.

C) People’s conception of health, wellness, and illness are static from culture to culture.

D) By looking through a computer window, the student is able to see almost anyplace, connect to about any person, and access information about almost any concept.

E) The ways in which people view nurses and other health care providers are affected by their attitudes toward women, their culture, and belief systems.

Difficulty: Easy

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 468, Tuberculosis

4. A community health nurse is preparing a presentation for a community group about tuberculosis (TB) and its current epidemic status. Which statements about TB would the nurse highlight in the presentation to most accurately represent the epidemic status of this disease?

A) “TB kills about 1.5 million people each year.”

B) “All persons who are infected by the causative organism become ill and can spread the causative organism to others throughout the remainder of their lifetime.”

C) “Three fourths of the world’s population is thought to be currently infected by the causative organism.”

D) “The highest number of deaths is in Eastern Europe.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 451, A Framework for Global Health Nursing Assessment

5. Which statement made by the student nurse would accurately describe the role the public health nurse has in decreasing the adverse effects of environmental hazards?

A) “The role of the public health nurse in decreasing the adverse effects of environmental hazards is to assess, correct, control, and prevent environmental factors.”

B) “The role of the public health nurse in decreasing the adverse effects of environmental hazards is to educate, correct, and control environmental factors.”

C) “The role of the public health nurse in decreasing the adverse effects of environmental hazards is to correct, control, and evaluate environmental factors.”

D) “The role of the public health nurse in decreasing the adverse effects of environmental hazards is to assess, educate, and prevent adverse effects from environmental factors.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 451, Epidemiologic Transitions

6. Which factor has resulted in the Era of Chronic Long-Term Health Conditions?

A) Decreased usage of tobacco by young populations.

B) Despite programs of control, many infectious diseases persist with many people surviving to experience chronic, long-term conditions secondary to the infectious disease.

C) Shorter life expectancies due to chronic diseases.

D) Death from infectious diseases results in a decrease in degenerative diseases.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 4

Page and Header: 471, Acute Respiratory Tract Infections

7. For which illness would the nurse develop a community-wide education program to decrease the rate of a leading cause of death worldwide?

A) Tuberculosis

B) Smallpox

C) Acute respiratory tract infection

D) Infectious diarrheal disease

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 453, Global Health Concepts

8. A nurse is teaching about the global burden of disease to peers. Which statement indicates that the teaching was effective?

A) Global burden of disease is impacted by health disparities.

B) Global burden of disease was initially created to assess the World Health Organization’s budget.

C) The focus of global burden of disease is to effectively assess the longevity of life years.

D) Analysis of the global burden of disease allows for development of effective interventions designed to address life expectancy.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 468, Tuberculosis

9. When providing teaching, which statement about tuberculosis (TB) is the most accurate for the nurse to include?

A) TB is not endemic in any countries at present.

B) TB will be eradicated by the current campaign by 2030.

C) TB has a multidrug resistance, which impacts controlling the problem.

D) TB affects those in developed countries.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 454, Health for All: A Primary Health Care Initiative

10. A community health nurse is reading a journal article about global health and the development of the WHO initiatives directed as primary health care. Which best describes PHC today in the United States?

A) PHC developed into the Healthy People initiative.

B) The effort produced more insurance coverage for primary health care.

C) The burden of PHC is addressed by each state.

D) The development of health care policies that were instituted federally.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 472, Secondary Prevention

11. Which statement about immunization is true?

A) The World Health Organization estimates that a billion more lives could be saved each year with immunizations.

B) Vaccines are one of the most cost-effective interventions found in public health.

C) Half of the world’s children are being reached with essential vaccines.

D) In the United States, toddlers are thoroughly vaccinated.

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 461, Table 16-1 Global Health Organizations

12. A community health nurse is discussing the different types of global health organizations with a group of nursing students. Which statement made by the group of nursing students summarizes the World Health Organization?

A) The WHO is a UN agency that promotes maternal and child health.

B) The WHO is an intergovernmental agency that directs and coordinates authority on international health.

C) The WHO is an intergovernmental agency that provides technical and epidemiologic assistance.

D) The WHO is a UN agency that assists people informing peaceful and inclusive societies.

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 468, Ebola

13. A community health nurse is preparing to work in a country where Ebola is present. Which action would the nurse need to take first?

A) Understand community traditions and practices.

B) Review epidemiologic data such as birth and death rates.

C) Become aware of hospitals and clinics that might impact care.

D) Avoid situations that may cause the spread of Ebola.

Difficulty: Moderate

Integrated Process: Caring

Objective: 6

Page and Header: 452, Box 16-1 Patterns of Care

14. Which statement about the personal and professional perceptions that nurses bring to providing community health nursing interventions within an international context is most accurate?

A) Community health nurses are not susceptible to preconceived perceptions and biases.

B) It is not necessary for community health nurses to face their own beliefs.

C) Community health nurses are universally opposed to female circumcision, the use of nonlicensed personnel to carry out medical treatments, and the use of Western interventions used simultaneously with other methods of treatment.

D) It is critical for community health nurses to face their own beliefs when confronting female circumcision, the use of nonlicensed personnel to carry out medical treatments, and the use of Western interventions used simultaneously with other methods of treatment.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 6

Page and Header: 461, Table 16-1 Global Health Organizations

15. The community health nurse discusses the mission of the World Health Organization (WHO) with a student nurse. Which statement made by the student nurse demonstrates the correct purpose of the WHO’s mission?

A) “The WHO collaborates with others in health development to free the world from poverty.”

B) “The WHO is a specialized agency that provides economic and humanitarian assistance overseas.”

C) “The WHO represents the global interests and concerns of the nursing profession.”

D) “The WHO promotes global health by supporting the development efforts of governments, organizations, and universities throughout the world.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 454, Health for All: A Primary Health Care Initiative

16. An instructor in community health nursing teaches a group of students about the role of the World Health Organization and global health, reviewing the importance of the Declaration of Alma-Ata. The instructor determines that the students have grasped the importance when they describe it as:

A) the beginning of the Carter Center’s work in disease prevention and agriculture.

B) a formal document written by 134 nations in 1978 to achieve “health for all.”

C) participatory development activities, working in partnership with voluntary organizations.

D) alliance building and communicating best practices for global health development.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 6

Page and Header: 461, Table 16-1 Global Health Organizations

17. Which statements about the International Council of Nurses (ICN) are accurate? Select all that apply.

A) ICN represents the global interests and concerns of the nursing profession.

B) The mission of ICN is to maintain the role of nursing in health care through its global voice.

C) ICN has, as members, nursing organizations from 130 countries representing 13 million nurses.

D) ICN is a governmental organization.

E) ICN employs Regional Nursing Advisors.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 6

Page and Header: 461, Table 16-1 Global Health Organizations

18. After teaching a class of community health nursing students about the World Health Organization, the instructor determines that the teaching was successful when the class identifies which as the highest governing body?

A) World Health Assembly

B) WHO Collaborating Centers

C) The European Union

D) U.S. Agency for International Development

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 6

Page and Header: 461, Table 16-1 Global Health Organizations

19. A group of students are reviewing for an examination on nongovernmental organizations that provide global interventions. The students demonstrate the need for additional study when they identify which entity as an example?

A) Global Health Council

B) CARE

C) Carter Center

D) World Bank

Difficulty: Moderate

Integrated Process: Caring

Objective: 6

Page and Header: 464, Table 16-2 WHO Emergency Response Framework (ERF) Levels for Graded Emergencies

20. A nurse is reviewing the events that occurred on September 11, 2001. Which level would be assigned for this type of emergency according to the WHO Emergency Response Framework (ERF)?

A) Ungraded

B) Grade 1

C) Grade 2

D) Grade 3

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 451, Demographic Transitions

21. The community health nurse is discussing demographic transitions. Which statement made by a student nurse demonstrates how demographic transitions occur in global health?

A) “Demographic transitions are based on births, deaths, and migrations.”

B) “Demographic transitions focus on a high birth rate and high death rate.”

C) “Demographic transition is based on a low birth rate as people survived infections and aged with chronic conditions.”

D) “Demographic transition is based on the neighborhood and personal lifestyle behaviors.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 451, Epidemiologic Transitions

22. The community health nurse is discussing epidemiologic transitions. Which transition uses social issues such as areas that one lives and personal lifestyle behaviors?

A) Era of Infectious Diseases

B) Ear of Chronic Long-Term Health Conditions

C) Era of Social Health Conditions

D) Era of Global Warming

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 6

Page and Header: 472, Primary Prevention

23. The community health nurse is planning to travel to a developing country and will be promoting prenatal care. Which level of prevention will the nurse be implementing?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 472, Primary Prevention

24. The community health nurse is traveling to a developing country and will be providing education about ways to prevent malaria. Which level of prevention will the nurse be implementing?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 472, Primary Prevention

25. The community health nurse is advocating breast-feeding and child spacing in a developing country to prevent acute upper respiratory infections, which is a leading cause of death worldwide. Which level of prevention is the nurse implementing?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 472, Secondary Prevention

26. The community health nurse is designing a program that targets HIV-infected males regarding safe sex practices and medication adherence. Which level of prevention is the nurse implementing?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 472, Primary Prevention

27. The community health nurse is designing a program that targets expectant mothers who have been infected with the Zika virus. Which level of prevention is the nurse implementing?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary