,Chapter 01: Health Care Delivery and Evidence-Based Nursing
Practice
1. The public health nurse is presenting a health promotion class to a group of new mothers. How
should the nurse best define health?
A) Health is being disease free.
B) Health is having fulfillment in all domains of life.
C) Health is having psychological and physiological harmony.
D) Health is being connected in body, mind, and spirit.
ANSWER : D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state
of complete physical, mental, and social well-being and not merely the absence of disease and
infirmity. The other answers are incorrect because they are not congruent with the WHO definition
of health.
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What
is one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism
ANSWER : A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be
culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and
strict adherence to routine are not characteristics needed to be an effective nurse. The ability to
handle criticism is important, but to a lesser degree than cultural competence.
,3. With increases in longevity, people have had to become more knowledgeable about their health and
the professional health care that they receive. One outcome of this phenomenon is the development
of organized self-care education programs. Which of the following do these programs prioritize?
A) Adequate prenatal care
B) Government advocacy and lobbying
C) Judicious use of online communities
D) Management of illness
ANSWER : D
Feedback:
Organized self-care education programs emphasize health promotion, disease prevention,
management of illness, self-care, and judicious use of the professional health care system. Prenatal
care, lobbying, and Internet activities are secondary.
4. The home health nurse is assisting a patient and his family in planning the patients return to work
after surgery and the development of postsurgical complications. The nurse is preparing a plan of
care that addresses the patients multifaceted needs. To which level of Maslows hierarchy of basic
needs does the patients need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
ANSWER : D
Feedback:
Maslows highest level of human needs is self-actualization, which includes self-fulfillment, desire
to know and understand, and aesthetic needs. The other answers are incorrect because self-
fulfillment does not relate directly to them.
5. The view that health and illness are not static states but that they exist on a continuum is central to
professional health care systems. When planning care, this view aids the nurse in appreciating which
of the following?
A) Care should focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
, C) A person can transition from health to illness rapidly.
D) Care should focus on the patients compliance with interventions.
ANSWER : B
Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being neither
completely healthy nor completely ill. Instead, a persons state of health is ever-changing and has
the potential to range from high-level wellness to extremely poor health and imminent death. The
other answers are incorrect because patient care should not focus just on the treatment of disease.
Rapid declines in health and compliance with treatment are not key to this view of health.
6. A group of nursing students are participating in a community health clinic. When providing care in
this context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health.
ANSWER : D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is
seen as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do
not teach that disease prevention is best achieved through attending self-help groups, by reducing
stress, or by being an active participant in the community, though each of these activities is
consistent with a healthy lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality
committee. When describing quality improvement programs to nursing colleagues and members of
other health disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems.
Practice
1. The public health nurse is presenting a health promotion class to a group of new mothers. How
should the nurse best define health?
A) Health is being disease free.
B) Health is having fulfillment in all domains of life.
C) Health is having psychological and physiological harmony.
D) Health is being connected in body, mind, and spirit.
ANSWER : D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state
of complete physical, mental, and social well-being and not merely the absence of disease and
infirmity. The other answers are incorrect because they are not congruent with the WHO definition
of health.
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What
is one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism
ANSWER : A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be
culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and
strict adherence to routine are not characteristics needed to be an effective nurse. The ability to
handle criticism is important, but to a lesser degree than cultural competence.
,3. With increases in longevity, people have had to become more knowledgeable about their health and
the professional health care that they receive. One outcome of this phenomenon is the development
of organized self-care education programs. Which of the following do these programs prioritize?
A) Adequate prenatal care
B) Government advocacy and lobbying
C) Judicious use of online communities
D) Management of illness
ANSWER : D
Feedback:
Organized self-care education programs emphasize health promotion, disease prevention,
management of illness, self-care, and judicious use of the professional health care system. Prenatal
care, lobbying, and Internet activities are secondary.
4. The home health nurse is assisting a patient and his family in planning the patients return to work
after surgery and the development of postsurgical complications. The nurse is preparing a plan of
care that addresses the patients multifaceted needs. To which level of Maslows hierarchy of basic
needs does the patients need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
ANSWER : D
Feedback:
Maslows highest level of human needs is self-actualization, which includes self-fulfillment, desire
to know and understand, and aesthetic needs. The other answers are incorrect because self-
fulfillment does not relate directly to them.
5. The view that health and illness are not static states but that they exist on a continuum is central to
professional health care systems. When planning care, this view aids the nurse in appreciating which
of the following?
A) Care should focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
, C) A person can transition from health to illness rapidly.
D) Care should focus on the patients compliance with interventions.
ANSWER : B
Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being neither
completely healthy nor completely ill. Instead, a persons state of health is ever-changing and has
the potential to range from high-level wellness to extremely poor health and imminent death. The
other answers are incorrect because patient care should not focus just on the treatment of disease.
Rapid declines in health and compliance with treatment are not key to this view of health.
6. A group of nursing students are participating in a community health clinic. When providing care in
this context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health.
ANSWER : D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is
seen as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do
not teach that disease prevention is best achieved through attending self-help groups, by reducing
stress, or by being an active participant in the community, though each of these activities is
consistent with a healthy lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality
committee. When describing quality improvement programs to nursing colleagues and members of
other health disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems.
