1
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Global Health Nursing in the 21st
Century–First Edition
Test Bank
By Suellen Breakey PhD RN and Inge B. Corless PhD RN FAAN
Table of Contents
Unit 1: Chapter 1: Global Health and Global Nursing
Unit 2: Chapter 2: Climate Change, Climate Justice, and Environmental Health Issues
Unit 3: Chapter 3: A Foundation for Global Health — The Lancet Report on Health
Professionals for a New Century
Unit 4: Chapter 4: Global Health Ethics
Unit 5: Chapter 5: Health, Human Rights, and Social Justice
Unit 6: Chapter 6: The Intersection of Global Health and Community/Public Health Nursing
Unit 7: Chapter 7: Global Health Partnerships
Unit 8: Chapter 8: The Importance of Water for Global Nursing
Unit 9: Chapter 9: Access to Clean Water and the Impact on Global Health
Unit 10: Chapter 10: The Impact of HIV/AIDS on the Nursing Profession in Sub-Saharan Africa
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Unit 1: Chapter 1: Global Health and Global Nursing
Question 1. Which statement best defines global health as a field of study?
A. The study of diseases found only in developing countries
B. A discipline focused on health issues that transcend national boundaries and
require collaborative action
C. The provision of medical aid by wealthy nations to poorer ones
D. A branch of tropical medicine concerned with infectious diseases
✅ Correct Answer: B. A discipline focused on health issues that transcend
national boundaries and require collaborative action
Rationale: Global health is defined as an area of study, research, and practice that
prioritizes improving health and achieving health equity for all people worldwide,
transcending national boundaries. Option A is too narrow; C describes aid only; D
conflates global health with tropical medicine.
DIF: Easy
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 2. The emergence of global health as a distinct field was most
strongly influenced by which historical development?
A. The discovery of antibiotics in the 1940s
B. The recognition that health challenges are interconnected across borders due to
globalization
C. The establishment of the first nursing schools in Europe
D. The invention of the stethoscope by Laënnec
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✅ Correct Answer: B. The recognition that health challenges are
interconnected across borders due to globalization
Rationale: The field of global health emerged from the realization that diseases,
environmental threats, and social determinants of health do not respect national
borders. Antibiotics (A), nursing schools (C), and the stethoscope (D) were
important but did not define the emergence of global health as a discipline.
DIF: Moderate
TOP: Emergence of the Field
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 3. Globalization has impacted 21st-century global medicine and
nursing primarily by:
A. Reducing the need for international health organizations
B. Limiting the spread of communicable diseases to specific regions
C. Facilitating rapid transmission of diseases and increasing the need for cross-
border health collaboration
D. Eliminating health disparities between developed and developing nations
✅ Correct Answer: C. Facilitating rapid transmission of diseases and
increasing the need for cross-border health collaboration
Rationale: Globalization increases travel, trade, and migration, enabling rapid
disease spread (e.g., pandemics) and demanding international cooperation. It has
not reduced the need for organizations (A), limited disease spread (B), or
eliminated disparities (D).
DIF: Easy
TOP: Globalization and 21st-Century Global Medicine/Nursing
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 4. Which organization serves as the directing and coordinating
authority for international health within the United Nations system?
A. International Council of Nurses (ICN)
B. World Health Organization (WHO)
C. Centers for Disease Control and Prevention (CDC)
D. Médecins Sans Frontières (MSF)
✅ Correct Answer: B. World Health Organization (WHO)
Rationale: WHO is the UN specialized agency for health, responsible for providing
leadership on global health matters. ICN (A) represents nurses specifically; CDC
(C) is a U.S. agency; MSF (D) is an NGO providing emergency medical care.
DIF: Easy
TOP: Global Health Organizations
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 5. A nurse participating in an interprofessional global health team
understands that interprofessional education (IPE) is best described as:
A. Training nurses separately from other health professionals to maintain
discipline-specific expertise
B. Occasions when two or more professions learn with, from, and about each other
to improve collaboration and health outcomes
C. Online continuing education modules completed independently by each
profession
D. A mentorship program pairing experienced physicians with novice nurses
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✅ Correct Answer: B. Occasions when two or more professions learn with,
from, and about each other to improve collaboration and health outcomes
Rationale: IPE is defined by collaborative learning across professions to enhance
teamwork and patient care. Separate training (A) contradicts IPE; independent
modules (C) lack the collaborative component; physician-nurse mentorship (D) is
too narrow.
DIF: Moderate
TOP: Nursing as Professional and Interprofessional Education
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 6. The Institute of Medicine (IOM) report 'The Future of Nursing'
recommended that nurses should:
A. Practice exclusively under physician supervision to ensure patient safety
B. Practice to the full extent of their education and training
C. Focus solely on bedside care rather than leadership roles
D. Limit their scope of practice to acute care settings
✅ Correct Answer: B. Practice to the full extent of their education and
training
Rationale: The IOM/RWJF report emphasized removing scope-of-practice barriers
so nurses can practice fully, achieve higher education levels, and serve as full
partners in healthcare. Options A, C, and D contradict these recommendations.
DIF: Easy
TOP: IOM and RWJF Initiatives
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
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Question 7. The United Nations Millennium Development Goals (MDGs) were
significant to global health nursing because they:
A. Focused exclusively on high-income countries' health systems
B. Established time-bound targets to reduce poverty, disease, and inequity
worldwide
C. Were created solely by nursing organizations
D. Replaced the World Health Organization's role in global health governance
✅ Correct Answer: B. Established time-bound targets to reduce poverty,
disease, and inequity worldwide
Rationale: The MDGs set specific, measurable targets (2000–2015) addressing
poverty, maternal/child health, HIV/AIDS, and other global challenges. They were
not limited to high-income countries (A), created by many stakeholders not just
nursing (C), and complemented rather than replaced WHO (D).
DIF: Moderate
TOP: UN MDGs and WHO Role
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 8. A nurse researcher is studying global health disparities. Which
factor is considered the most significant driver of health inequities worldwide?
A. Genetic variation among populations
B. Social determinants of health including poverty, education, and access to
resources
C. Geographic latitude and climate
D. Availability of advanced surgical technology
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✅ Correct Answer: B. Social determinants of health including poverty,
education, and access to resources
Rationale: Social determinants—conditions in which people are born, grow, live,
work, and age—are the primary drivers of health inequities. Genetics (A) plays a
limited role; climate (C) and surgical technology (D) are less impactful on overall
global health disparities.
DIF: Moderate
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 9. Which of the following best illustrates the concept of 'health as a
global public good'?
A. A pharmaceutical company restricting vaccine access to maximize profits
B. International collaboration to eradicate smallpox benefiting all nations
C. A country refusing to share disease surveillance data with WHO
D. Restricting nursing education programs to domestic students only
✅ Correct Answer: B. International collaboration to eradicate smallpox
benefiting all nations
Rationale: The eradication of smallpox through global cooperation exemplifies
health as a public good—nonexclusive and beneficial to all. Restricting access (A,
C) and limiting education (D) contradict the public good concept.
DIF: Hard
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
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Global Health Nursing in the 21st
Century–First Edition
Test Bank
By Suellen Breakey PhD RN and Inge B. Corless PhD RN FAAN
Table of Contents
Unit 1: Chapter 1: Global Health and Global Nursing
Unit 2: Chapter 2: Climate Change, Climate Justice, and Environmental Health Issues
Unit 3: Chapter 3: A Foundation for Global Health — The Lancet Report on Health
Professionals for a New Century
Unit 4: Chapter 4: Global Health Ethics
Unit 5: Chapter 5: Health, Human Rights, and Social Justice
Unit 6: Chapter 6: The Intersection of Global Health and Community/Public Health Nursing
Unit 7: Chapter 7: Global Health Partnerships
Unit 8: Chapter 8: The Importance of Water for Global Nursing
Unit 9: Chapter 9: Access to Clean Water and the Impact on Global Health
Unit 10: Chapter 10: The Impact of HIV/AIDS on the Nursing Profession in Sub-Saharan Africa
, 3
Unit 1: Chapter 1: Global Health and Global Nursing
Question 1. Which statement best defines global health as a field of study?
A. The study of diseases found only in developing countries
B. A discipline focused on health issues that transcend national boundaries and
require collaborative action
C. The provision of medical aid by wealthy nations to poorer ones
D. A branch of tropical medicine concerned with infectious diseases
✅ Correct Answer: B. A discipline focused on health issues that transcend
national boundaries and require collaborative action
Rationale: Global health is defined as an area of study, research, and practice that
prioritizes improving health and achieving health equity for all people worldwide,
transcending national boundaries. Option A is too narrow; C describes aid only; D
conflates global health with tropical medicine.
DIF: Easy
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 2. The emergence of global health as a distinct field was most
strongly influenced by which historical development?
A. The discovery of antibiotics in the 1940s
B. The recognition that health challenges are interconnected across borders due to
globalization
C. The establishment of the first nursing schools in Europe
D. The invention of the stethoscope by Laënnec
, 4
✅ Correct Answer: B. The recognition that health challenges are
interconnected across borders due to globalization
Rationale: The field of global health emerged from the realization that diseases,
environmental threats, and social determinants of health do not respect national
borders. Antibiotics (A), nursing schools (C), and the stethoscope (D) were
important but did not define the emergence of global health as a discipline.
DIF: Moderate
TOP: Emergence of the Field
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 3. Globalization has impacted 21st-century global medicine and
nursing primarily by:
A. Reducing the need for international health organizations
B. Limiting the spread of communicable diseases to specific regions
C. Facilitating rapid transmission of diseases and increasing the need for cross-
border health collaboration
D. Eliminating health disparities between developed and developing nations
✅ Correct Answer: C. Facilitating rapid transmission of diseases and
increasing the need for cross-border health collaboration
Rationale: Globalization increases travel, trade, and migration, enabling rapid
disease spread (e.g., pandemics) and demanding international cooperation. It has
not reduced the need for organizations (A), limited disease spread (B), or
eliminated disparities (D).
DIF: Easy
TOP: Globalization and 21st-Century Global Medicine/Nursing
, 5
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 4. Which organization serves as the directing and coordinating
authority for international health within the United Nations system?
A. International Council of Nurses (ICN)
B. World Health Organization (WHO)
C. Centers for Disease Control and Prevention (CDC)
D. Médecins Sans Frontières (MSF)
✅ Correct Answer: B. World Health Organization (WHO)
Rationale: WHO is the UN specialized agency for health, responsible for providing
leadership on global health matters. ICN (A) represents nurses specifically; CDC
(C) is a U.S. agency; MSF (D) is an NGO providing emergency medical care.
DIF: Easy
TOP: Global Health Organizations
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 5. A nurse participating in an interprofessional global health team
understands that interprofessional education (IPE) is best described as:
A. Training nurses separately from other health professionals to maintain
discipline-specific expertise
B. Occasions when two or more professions learn with, from, and about each other
to improve collaboration and health outcomes
C. Online continuing education modules completed independently by each
profession
D. A mentorship program pairing experienced physicians with novice nurses
, 6
✅ Correct Answer: B. Occasions when two or more professions learn with,
from, and about each other to improve collaboration and health outcomes
Rationale: IPE is defined by collaborative learning across professions to enhance
teamwork and patient care. Separate training (A) contradicts IPE; independent
modules (C) lack the collaborative component; physician-nurse mentorship (D) is
too narrow.
DIF: Moderate
TOP: Nursing as Professional and Interprofessional Education
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
Question 6. The Institute of Medicine (IOM) report 'The Future of Nursing'
recommended that nurses should:
A. Practice exclusively under physician supervision to ensure patient safety
B. Practice to the full extent of their education and training
C. Focus solely on bedside care rather than leadership roles
D. Limit their scope of practice to acute care settings
✅ Correct Answer: B. Practice to the full extent of their education and
training
Rationale: The IOM/RWJF report emphasized removing scope-of-practice barriers
so nurses can practice fully, achieve higher education levels, and serve as full
partners in healthcare. Options A, C, and D contradict these recommendations.
DIF: Easy
TOP: IOM and RWJF Initiatives
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
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Question 7. The United Nations Millennium Development Goals (MDGs) were
significant to global health nursing because they:
A. Focused exclusively on high-income countries' health systems
B. Established time-bound targets to reduce poverty, disease, and inequity
worldwide
C. Were created solely by nursing organizations
D. Replaced the World Health Organization's role in global health governance
✅ Correct Answer: B. Established time-bound targets to reduce poverty,
disease, and inequity worldwide
Rationale: The MDGs set specific, measurable targets (2000–2015) addressing
poverty, maternal/child health, HIV/AIDS, and other global challenges. They were
not limited to high-income countries (A), created by many stakeholders not just
nursing (C), and complemented rather than replaced WHO (D).
DIF: Moderate
TOP: UN MDGs and WHO Role
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 8. A nurse researcher is studying global health disparities. Which
factor is considered the most significant driver of health inequities worldwide?
A. Genetic variation among populations
B. Social determinants of health including poverty, education, and access to
resources
C. Geographic latitude and climate
D. Availability of advanced surgical technology
, 8
✅ Correct Answer: B. Social determinants of health including poverty,
education, and access to resources
Rationale: Social determinants—conditions in which people are born, grow, live,
work, and age—are the primary drivers of health inequities. Genetics (A) plays a
limited role; climate (C) and surgical technology (D) are less impactful on overall
global health disparities.
DIF: Moderate
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 9. Which of the following best illustrates the concept of 'health as a
global public good'?
A. A pharmaceutical company restricting vaccine access to maximize profits
B. International collaboration to eradicate smallpox benefiting all nations
C. A country refusing to share disease surveillance data with WHO
D. Restricting nursing education programs to domestic students only
✅ Correct Answer: B. International collaboration to eradicate smallpox
benefiting all nations
Rationale: The eradication of smallpox through global cooperation exemplifies
health as a public good—nonexclusive and beneficial to all. Restricting access (A,
C) and limiting education (D) contradict the public good concept.
DIF: Hard
TOP: What is Global Health
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of
Care
