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