Community Health Nursing NCLEX
Questions and Solutions.
The nurse is preparing a smoking cessation class and is amazed at how many people still smoke even with the
information on lung cancer so readily available. She believes that her class will convert many smokers to
nonsmokers once they get all the latest information. The nurse is a believer in which of the following health
care models?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - ANS: A
The Health Belief Model addresses the relationship between a person's beliefs and behaviors. The Health
Promotion Model is more complex than the Health Belief Model in that it notes that each person has unique
personal characteristics and experiences that affect subsequent actions. The Basic Human Needs Model is
based on the theory that all people share basic human needs, and the extent to which basic needs are met is a
major factor in determining a person's level of health. The Holistic Health Model recognizes the natural healing
abilities of the body and incorporates complementary and alternative interventions such as music therapy.
Education is important but is not the sole determinant of change.
The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
a. Health Belief
b. Health Promotion
c. Basic Human Needs
d. Holistic Health - ANS: C
The Basic Human Needs Model believes that the extent to which basic needs are met is a major factor in
determining a person's level of health. Maslow's hierarchy of needs is a model that nurses use to understand
the interrelationships of basic human needs. The Health Belief Model addresses the relationship between a
person's beliefs and behaviors. The Health Promotion Model notes that each person has unique personal
characteristics and experiences that affect subsequent actions. The Holistic Health Model recognizes the
natural healing abilities of the body and incorporates complementary and alternative interventions such as
, music therapy.
The patient is describing moderate incisional pain that was not relieved by the last dose of hydromorphone
(Dilaudid) given 90 minutes earlier. The patient is not due for another dose of medication for another 2 1/2
hours. The nurse repositions the patient, asks what type of music she likes, and puts on the music channel on
the television, setting it to play that type of music. The nurse is attempting to utilize which health care model?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - ANS: D
The Holistic Health Model recognizes the natural healing abilities of the body and incorporates complementary
and alternative interventions such as music therapy. The Health Belief Model addresses the relationship
between a person's beliefs and behaviors. The Health Promotion Model notes that each person has unique
personal characteristics and experiences that affect subsequent actions. The Basic Human Needs Model
believes that the extent to which basic needs are met is a major factor in determining a person's level of
health. Maslow's hierarchy of needs is a model that nurses use to understand the interrelationships of basic
human needs.
Many variables influence a patient's health beliefs and practices. Internal and external variables influence how
a person thinks and acts. An example of an internal variable would be
a. Perception of functioning.
b. Family practices.
c. Socioeconomic factors.
d. Cultural background. - ANS: A
Internal variables include a person's developmental stage, intellectual background, perception of functioning,
and emotional and spiritual factors. External variables influencing a person's health beliefs and practices
include family practices, socioeconomic factors, and cultural background.
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being
admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient
about her employment status and displays a nonjudgmental attitude. Why does the nurse do this?
a. Noncompliant patients thrive on the disapproval of authority figures.
Questions and Solutions.
The nurse is preparing a smoking cessation class and is amazed at how many people still smoke even with the
information on lung cancer so readily available. She believes that her class will convert many smokers to
nonsmokers once they get all the latest information. The nurse is a believer in which of the following health
care models?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - ANS: A
The Health Belief Model addresses the relationship between a person's beliefs and behaviors. The Health
Promotion Model is more complex than the Health Belief Model in that it notes that each person has unique
personal characteristics and experiences that affect subsequent actions. The Basic Human Needs Model is
based on the theory that all people share basic human needs, and the extent to which basic needs are met is a
major factor in determining a person's level of health. The Holistic Health Model recognizes the natural healing
abilities of the body and incorporates complementary and alternative interventions such as music therapy.
Education is important but is not the sole determinant of change.
The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
a. Health Belief
b. Health Promotion
c. Basic Human Needs
d. Holistic Health - ANS: C
The Basic Human Needs Model believes that the extent to which basic needs are met is a major factor in
determining a person's level of health. Maslow's hierarchy of needs is a model that nurses use to understand
the interrelationships of basic human needs. The Health Belief Model addresses the relationship between a
person's beliefs and behaviors. The Health Promotion Model notes that each person has unique personal
characteristics and experiences that affect subsequent actions. The Holistic Health Model recognizes the
natural healing abilities of the body and incorporates complementary and alternative interventions such as
, music therapy.
The patient is describing moderate incisional pain that was not relieved by the last dose of hydromorphone
(Dilaudid) given 90 minutes earlier. The patient is not due for another dose of medication for another 2 1/2
hours. The nurse repositions the patient, asks what type of music she likes, and puts on the music channel on
the television, setting it to play that type of music. The nurse is attempting to utilize which health care model?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model - ANS: D
The Holistic Health Model recognizes the natural healing abilities of the body and incorporates complementary
and alternative interventions such as music therapy. The Health Belief Model addresses the relationship
between a person's beliefs and behaviors. The Health Promotion Model notes that each person has unique
personal characteristics and experiences that affect subsequent actions. The Basic Human Needs Model
believes that the extent to which basic needs are met is a major factor in determining a person's level of
health. Maslow's hierarchy of needs is a model that nurses use to understand the interrelationships of basic
human needs.
Many variables influence a patient's health beliefs and practices. Internal and external variables influence how
a person thinks and acts. An example of an internal variable would be
a. Perception of functioning.
b. Family practices.
c. Socioeconomic factors.
d. Cultural background. - ANS: A
Internal variables include a person's developmental stage, intellectual background, perception of functioning,
and emotional and spiritual factors. External variables influencing a person's health beliefs and practices
include family practices, socioeconomic factors, and cultural background.
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being
admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient
about her employment status and displays a nonjudgmental attitude. Why does the nurse do this?
a. Noncompliant patients thrive on the disapproval of authority figures.
