,Chapter 1- Health Care Needs for the 21st Century
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. The nurse is teaching a class on global trends linked with nursing practice. Which response from a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
student indicates a need for additional teaching?
vv vv vv vv vv vv vv
1. Technology is a huge force in global change. vv vv vv vv vv vv vv
2. Humans have had increasing effect on the natural environment. vv vv vv vv vv vv vv vv
3. Technology has slowed the development of new infectious diseases. vv vv vv vv vv vv vv vv
4. Medical tourism is a legitimate, growing source of income for many nations.
vv vv vv vv vv vv vv vv vv vv vv
vv ANS: 3 v v
Feedback
1 Science and technology are huge drivers of global change.
vv vv vv vv vv vv vv vv
2 There is increasing awareness of humankind’s effect on the planet including environmental
vv vv vv vv vv vv vv vv vv vv vv
resources.
vv
3 Although technology has flourished, more than 30 new infectious diseases have been
vv vv vv vv vv vv vv vv vv vv vv
identified since 1973, and the next pandemics are predicted to arise from organisms not yet
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
identified.
vv
4 Medical tourism is one of the fastest growing industries in the health-care sector and is a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
positive source of revenue for many nations.
vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
2. Which of the following statements on global trends linked with nursing practice is inaccurate?
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Globalization ensures the equal distribution of costs and benefits of health care. vv vv vv vv vv vv vv vv vv vv vv
2. Parts of the world may be considered more youthful than other parts of the world.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
3. By 2025, the majority of the world's population will live in urban areas.
vv vv vv vv vv vv vv vv vv vv vv vv
4. As countries modernize, the risk for developing certain health problems changes.
vv vv vv vv vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 The costs and benefits of globalization are not always distributed equally—globalization
vv vv vv vv vv vv vv vv vv vv
does not ensure equal distribution of health-care costs and benefits.
vv vv vv vv vv vv vv vv vv vv
2 Trends in birth, death, immigration, and migration patterns point toward population
vv vv vv vv vv vv vv vv vv vv
growth in Asia and Africa that will result in them becoming the youthful areas of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
world.
3 In 2009, 50% of the world’s population lived in urban areas; by 2025, this is projected to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
increase to 57%.
vv vv vv
4 A shift from traditional diseases, such as those resulting from infection, to modern diseases
vv vv vv vv vv vv vv vv vv vv vv vv vv
that result from lifestyle choices has been noted in developed countries.
vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
3. The nurse is coordinating care with a family whose 10-year old daughter has diabetes. Which of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
following principles of care coordination guides the nurse's actions?
vv vv vv vv vv vv vv vv vv
, 1. Provide the right care at the right time for the right person.
vv vv vv vv vv vv vv vv vv vv vv
2. Identify health problems and intervene. vv vv vv vv
3. Allow families to initiate contact as they determine all their needs.
vv vv vv vv vv vv vv vv vv vv
4. Ensure family privacy by limiting interdisciplinary information exchange.
vv vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 Providing the right care at the right time for the right person is a principle of health-care
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
reform to obtain the best quality outcomes in the best possible way.
vv vv vv vv vv vv vv vv vv vv vv vv
2 The nurse must form a partnership with the family and negotiate to create a plan that fits
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
with the family priorities and concerns.
vv vv vv vv vv vv
3 The nurse must work together with the family to determine needs and assist them in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
contacting resources if the family wishes the nurse to do so.
vv vv vv vv vv vv vv vv vv vv vv
4 The nurse must consider privacy laws, institutional policies, and family preferences to
vv vv vv vv vv vv vv vv vv vv vv
create an effective care coordination communication plan.
vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Care coordination | Integrated Process: Nursing Process | Client Need: Safe and
v v vv vv vv vv vv vv vv vv vv vv vv vv vv
Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
4. The nurse is teaching a class on coordinating care for families with a chronically ill member. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
response made by a student indicates a need for further teaching in the area of family assessment?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Identifying accessible community resources is an important aspect of family assessment.
vv vv vv vv vv vv vv vv vv vv
2. Family engagement in shared health-care decision-making has little impact on health
vv vv vv vv vv vv vv vv vv vv
outcomes.
vv
3. Lifestyle factors to assess include family access to food, housing, and transportation.
vv vv vv vv vv vv vv vv vv vv vv
4. Money spent is not always linked to better health outcomes.
vv vv vv vv vv vv vv vv vv
vv ANS: 2 v v
Feedback
1 The nurse will benefit families greatly by providing families with appropriate resource
vv vv vv vv vv vv vv vv vv vv vv
information in their home communities for health promotion and chronic disease
vv vv vv vv vv vv vv vv vv vv vv
management.
2 Shared decision-making occurs within therapeutic relationships that honor family
vv vv vv vv vv vv vv vv
preferences and unique circumstances.
vv vv vv vv
3 Environmental factors include family access to food, housing, and transportation; vv vv vv vv vv vv vv vv vv
lifestyle factors include tobacco use, lack of adequate nutrition, physical inactivity, and
vv vv vv vv vv vv vv vv vv vv vv
substance abuse.
vv vv
4 The U.S. spends much more on health care than the other 12 industrial nations in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Organization for Economic Cooperation and Development, but the quality and vv vv vv vv vv vv vv vv vv
availability of care varies.
vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Safe and
v v vv vv vv vv vv vv vv vv vv vv vv vv vv
Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
5. Health disparities occur as a result of which of the following?
vv vv vv vv vv vv vv vv vv vv
1. Groups being at different risk for disease. vv vv vv vv vv vv
2. Equal distribution of health-care dollars.
vv vv vv vv
3. Gender equity. vv
4. Multicultural understandings. vv
, ANS: v v 1
Feedback
1 Health disparities refer to differences in health outcomes that occur between groups,
vv vv vv vv vv vv vv vv vv vv vv
usually in minority or at-risk groups.
vv vv vv vv vv vv
2 Health disparities occur as a result of unequal distribution of health-care dollars.
vv vv vv vv vv vv vv vv vv vv vv
3 Health disparities occur as a result of being treated differently based on gender.
vv vv vv vv vv vv vv vv vv vv vv vv
4 Health disparities occur with misunderstanding of cultures that leads to differences in
vv vv vv vv vv vv vv vv vv vv vv
treatment.
vv
PTS: 1 v v v v
KEY: Content Area: Health disparities | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
6. Which statement best describes health inequity?
vv vv vv vv vv
1. Differences in health outcomes between groups. vv vv vv vv vv
2. Disruptions in family health due to war. vv vv vv vv vv vv
3. Shifts in population health due to changing immigration patterns.
vv vv vv vv vv vv vv vv
4. Differences in infectious disease risk between genders. vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 Health inequity refers to differences or inequalities in health outcomes between groups.
vv vv vv vv vv vv vv vv vv vv vv
2 War is best described as a social factor that can disrupt health.
vv vv vv vv vv vv vv vv vv vv vv
3 Change in immigration patterns is best described as a social factor that can influence health.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
4 Differences in infectious disease risk leading to health inequities are typically due to
vv vv vv vv vv vv vv vv vv vv vv vv
poverty, not gender.
vv vv vv
PTS: 1 v v v v
KEY: Content Area: Health inequity | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Evaluation | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
7. Which of the following best describes the health implications of industrialization in remote areas?
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Economic opportunities outweigh the health risks. vv vv vv vv vv
2. Projects protect local health by developing indigenous crops.
vv vv vv vv vv vv vv
3. Local people have more dollars for health care through new job opportunities.
vv vv vv vv vv vv vv vv vv vv vv
4. Access to health-care facilities is improved.
vv vv vv vv vv
vv ANS: 3 v v
Feedback
1 Industrial processes often lead to environmental conditions such as erosion, air
vv vv vv vv vv vv vv vv vv vv
pollution, or contaminated ground water that have unwelcome health effects. Economic
vv vv vv vv vv vv vv vv vv vv
gains go to project developers, not the indigenous people.
vv vv vv vv vv vv vv vv vv
2 Projects typically develop land for high-value nonindigenous crops that require fertilizers
vv vv vv vv vv vv vv vv vv vv
and irrigation, which pose health risks rather than protect health.
vv vv vv vv vv vv vv vv vv vv
3 Increased employment provides economic resources to enable local people to seek health
vv vv vv vv vv vv vv vv vv vv vv
care.
vv
4 Industrialization is not a guarantee that health-care facilities will be built and access vv vv vv vv vv vv vv vv vv vv vv vv
increased.
vv
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. The nurse is teaching a class on global trends linked with nursing practice. Which response from a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
student indicates a need for additional teaching?
vv vv vv vv vv vv vv
1. Technology is a huge force in global change. vv vv vv vv vv vv vv
2. Humans have had increasing effect on the natural environment. vv vv vv vv vv vv vv vv
3. Technology has slowed the development of new infectious diseases. vv vv vv vv vv vv vv vv
4. Medical tourism is a legitimate, growing source of income for many nations.
vv vv vv vv vv vv vv vv vv vv vv
vv ANS: 3 v v
Feedback
1 Science and technology are huge drivers of global change.
vv vv vv vv vv vv vv vv
2 There is increasing awareness of humankind’s effect on the planet including environmental
vv vv vv vv vv vv vv vv vv vv vv
resources.
vv
3 Although technology has flourished, more than 30 new infectious diseases have been
vv vv vv vv vv vv vv vv vv vv vv
identified since 1973, and the next pandemics are predicted to arise from organisms not yet
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
identified.
vv
4 Medical tourism is one of the fastest growing industries in the health-care sector and is a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
positive source of revenue for many nations.
vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
2. Which of the following statements on global trends linked with nursing practice is inaccurate?
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Globalization ensures the equal distribution of costs and benefits of health care. vv vv vv vv vv vv vv vv vv vv vv
2. Parts of the world may be considered more youthful than other parts of the world.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
3. By 2025, the majority of the world's population will live in urban areas.
vv vv vv vv vv vv vv vv vv vv vv vv
4. As countries modernize, the risk for developing certain health problems changes.
vv vv vv vv vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 The costs and benefits of globalization are not always distributed equally—globalization
vv vv vv vv vv vv vv vv vv vv
does not ensure equal distribution of health-care costs and benefits.
vv vv vv vv vv vv vv vv vv vv
2 Trends in birth, death, immigration, and migration patterns point toward population
vv vv vv vv vv vv vv vv vv vv
growth in Asia and Africa that will result in them becoming the youthful areas of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
world.
3 In 2009, 50% of the world’s population lived in urban areas; by 2025, this is projected to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
increase to 57%.
vv vv vv
4 A shift from traditional diseases, such as those resulting from infection, to modern diseases
vv vv vv vv vv vv vv vv vv vv vv vv vv
that result from lifestyle choices has been noted in developed countries.
vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
3. The nurse is coordinating care with a family whose 10-year old daughter has diabetes. Which of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
following principles of care coordination guides the nurse's actions?
vv vv vv vv vv vv vv vv vv
, 1. Provide the right care at the right time for the right person.
vv vv vv vv vv vv vv vv vv vv vv
2. Identify health problems and intervene. vv vv vv vv
3. Allow families to initiate contact as they determine all their needs.
vv vv vv vv vv vv vv vv vv vv
4. Ensure family privacy by limiting interdisciplinary information exchange.
vv vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 Providing the right care at the right time for the right person is a principle of health-care
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
reform to obtain the best quality outcomes in the best possible way.
vv vv vv vv vv vv vv vv vv vv vv vv
2 The nurse must form a partnership with the family and negotiate to create a plan that fits
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
with the family priorities and concerns.
vv vv vv vv vv vv
3 The nurse must work together with the family to determine needs and assist them in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
contacting resources if the family wishes the nurse to do so.
vv vv vv vv vv vv vv vv vv vv vv
4 The nurse must consider privacy laws, institutional policies, and family preferences to
vv vv vv vv vv vv vv vv vv vv vv
create an effective care coordination communication plan.
vv vv vv vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Care coordination | Integrated Process: Nursing Process | Client Need: Safe and
v v vv vv vv vv vv vv vv vv vv vv vv vv vv
Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
4. The nurse is teaching a class on coordinating care for families with a chronically ill member. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
response made by a student indicates a need for further teaching in the area of family assessment?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Identifying accessible community resources is an important aspect of family assessment.
vv vv vv vv vv vv vv vv vv vv
2. Family engagement in shared health-care decision-making has little impact on health
vv vv vv vv vv vv vv vv vv vv
outcomes.
vv
3. Lifestyle factors to assess include family access to food, housing, and transportation.
vv vv vv vv vv vv vv vv vv vv vv
4. Money spent is not always linked to better health outcomes.
vv vv vv vv vv vv vv vv vv
vv ANS: 2 v v
Feedback
1 The nurse will benefit families greatly by providing families with appropriate resource
vv vv vv vv vv vv vv vv vv vv vv
information in their home communities for health promotion and chronic disease
vv vv vv vv vv vv vv vv vv vv vv
management.
2 Shared decision-making occurs within therapeutic relationships that honor family
vv vv vv vv vv vv vv vv
preferences and unique circumstances.
vv vv vv vv
3 Environmental factors include family access to food, housing, and transportation; vv vv vv vv vv vv vv vv vv
lifestyle factors include tobacco use, lack of adequate nutrition, physical inactivity, and
vv vv vv vv vv vv vv vv vv vv vv
substance abuse.
vv vv
4 The U.S. spends much more on health care than the other 12 industrial nations in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Organization for Economic Cooperation and Development, but the quality and vv vv vv vv vv vv vv vv vv
availability of care varies.
vv vv vv vv
PTS: 1 v v v v
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Safe and
v v vv vv vv vv vv vv vv vv vv vv vv vv vv
Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
5. Health disparities occur as a result of which of the following?
vv vv vv vv vv vv vv vv vv vv
1. Groups being at different risk for disease. vv vv vv vv vv vv
2. Equal distribution of health-care dollars.
vv vv vv vv
3. Gender equity. vv
4. Multicultural understandings. vv
, ANS: v v 1
Feedback
1 Health disparities refer to differences in health outcomes that occur between groups,
vv vv vv vv vv vv vv vv vv vv vv
usually in minority or at-risk groups.
vv vv vv vv vv vv
2 Health disparities occur as a result of unequal distribution of health-care dollars.
vv vv vv vv vv vv vv vv vv vv vv
3 Health disparities occur as a result of being treated differently based on gender.
vv vv vv vv vv vv vv vv vv vv vv vv
4 Health disparities occur with misunderstanding of cultures that leads to differences in
vv vv vv vv vv vv vv vv vv vv vv
treatment.
vv
PTS: 1 v v v v
KEY: Content Area: Health disparities | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
6. Which statement best describes health inequity?
vv vv vv vv vv
1. Differences in health outcomes between groups. vv vv vv vv vv
2. Disruptions in family health due to war. vv vv vv vv vv vv
3. Shifts in population health due to changing immigration patterns.
vv vv vv vv vv vv vv vv
4. Differences in infectious disease risk between genders. vv vv vv vv vv vv
vv ANS: 1 v v
Feedback
1 Health inequity refers to differences or inequalities in health outcomes between groups.
vv vv vv vv vv vv vv vv vv vv vv
2 War is best described as a social factor that can disrupt health.
vv vv vv vv vv vv vv vv vv vv vv
3 Change in immigration patterns is best described as a social factor that can influence health.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
4 Differences in infectious disease risk leading to health inequities are typically due to
vv vv vv vv vv vv vv vv vv vv vv vv
poverty, not gender.
vv vv vv
PTS: 1 v v v v
KEY: Content Area: Health inequity | Integrated Process: Nursing Process | Client Need: Health
v v vv vv vv vv vv vv vv vv vv vv vv vv
Promotion and Maintenance | Cognitive Level: Evaluation | Question Type: Multiple Choice
vv vv vv vv vv vv vv vv vv vv vv vv
7. Which of the following best describes the health implications of industrialization in remote areas?
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Economic opportunities outweigh the health risks. vv vv vv vv vv
2. Projects protect local health by developing indigenous crops.
vv vv vv vv vv vv vv
3. Local people have more dollars for health care through new job opportunities.
vv vv vv vv vv vv vv vv vv vv vv
4. Access to health-care facilities is improved.
vv vv vv vv vv
vv ANS: 3 v v
Feedback
1 Industrial processes often lead to environmental conditions such as erosion, air
vv vv vv vv vv vv vv vv vv vv
pollution, or contaminated ground water that have unwelcome health effects. Economic
vv vv vv vv vv vv vv vv vv vv
gains go to project developers, not the indigenous people.
vv vv vv vv vv vv vv vv vv
2 Projects typically develop land for high-value nonindigenous crops that require fertilizers
vv vv vv vv vv vv vv vv vv vv
and irrigation, which pose health risks rather than protect health.
vv vv vv vv vv vv vv vv vv vv
3 Increased employment provides economic resources to enable local people to seek health
vv vv vv vv vv vv vv vv vv vv vv
care.
vv
4 Industrialization is not a guarantee that health-care facilities will be built and access vv vv vv vv vv vv vv vv vv vv vv vv
increased.
vv
