,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 NU!increases NU!in NU!longevity, NU!people NU!have NU!had NU!to NU!become NU!more NU!knowledgeable
NU!about NU!their NU!health NU!and NU!the NU!professional NU!health NU!care NU!that NU!they NU!receive. NU!One
NU!outcome NU!of NU!this NU!phenomenon NU!is NU!the NU!development NU!of NU!organized NU!self-care
NU!education NU!programs. NU!Which NU!of NU!the NU!following NU!do NU!these NU!programs NU!prioritize?
A) Adequate NU! prenatal NU! care
B) Government NU! advocacy N U ! and NU! lobbying
C) Judicious NU!use NU! of NU!online NU! communities
D) Management NU! of NU! illness
NU! ANSWER NU!: NU! D
Feedback:
Organized N U ! self-care N U ! education N U ! programs N U ! emphasize N U ! health N U ! promotion,
N U ! disease N U ! prevention, N U ! management NU!of NU!illness, NU!self-care, NU!and NU!judicious NU!use NU!of
NU!the NU!professional NU!health NU!care NU!system. NU!Prenatal NU!care, NU!lobbying, NU!and NU!Internet
NU!activities NU!are NU!secondary.
4. The NU!home NU!health NU!nurse NU!is NU!assisting NU!a NU!patient NU!and NU!his NU!family NU!in NU!planning
NU!the NU!patients NU!return NU!to NU!work NU!after NU!surgery NU!and NU!the NU!development NU!of
NU!postsurgical NU!complications. NU!The NU!nurse NU!is NU!preparing NU!a NU!plan NU!of NU!care NU!that
NU!addresses NU!the NU!patients NU!multifaceted NU!needs. NU!To NU!which NU!level NU!of NU!Maslows
NU!hierarchy NU!of NU!basic NU!needs NU!does NU!the NU!patients NU!need NU!for NU!self-fulfillment NU!relate?
A) Physiologic
B) Transcendence
C) Love NU!and NU!belonging
D) Self-actualization
NU! ANSWER NU!: NU! D
Feedback:
Maslows NU!highest NU!level NU!of NU!human NU!needs NU!is NU!self-actualization, NU!which NU!includes
NU!self-fulfillment, NU!desire NU!to N U ! know NU!and NU!understand, NU!and NU!aesthetic NU!needs. NU!The
NU!other NU!answers NU!are NU!incorrect NU!because NU!self-fulfillment NU!does NU!not NU!relate NU!directly
NU!to NU!them.
5. The NU!view NU!that NU!health NU!and NU!illness NU!are NU!not NU!static NU!states NU!but NU!that NU!they NU!exist
NU!on NU!a NU!continuum NU!is NU!central NU!to NU!professional NU!health NU!care NU!systems. NU!When
NU!planning NU!care, NU!this NU!view NU!aids NU!the NU!nurse NU!in NU!appreciating NU!which NU!of NU!the
NU!following?
, A) Care NU!should NU!focus NU!primarily NU!on NU!the NU! treatment NU!of NU!disease.
B) A NU!persons NU!state NU!of NU!health NU!is NU!ever-changing.
C) A NU!person NU!can NU!transition NU!from NU!health NU!to NU!illness NU!rapidly.
D) Care NU!should NU! focus NU!on NU! the NU!patients NU! compliance NU!with NU! interventions.
NU! ANSWER NU!: NU! B
Feedback:
By NU!viewing NU!health NU!and NU!illness NU!on NU!a NU!continuum, NU!it NU!is NU!possible NU!to NU!consider
NU!a NU!person NU!as NU!being NU!neither NU!completely NU!healthy NU!nor NU!completely NU!ill. NU!Instead, NU!a
NU!persons NU!state NU!of NU!health NU!is NU!ever-changing NU!and NU!has NU!the NU!potential NU!to NU!range
NU!from NU!high-level NU!wellness NU!to NU!extremely NU!poor NU!health NU!and NU!imminent NU!death. NU!The
NU!other NU!answers NU!are NU!incorrect NU!because NU!patient NU!care NU!should NU!not NU!focus NU!just NU!on
NU!the NU!treatment NU!of NU!disease. NU!Rapid NU!declines NU!in NU!health NU!and NU!compliance NU!with
NU!treatment NU!are NU!not NU!key NU!to NU!this NU!view NU!of NU!health.
6. A NU!group NU!of NU!nursing NU!students NU!are NU!participating NU!in NU!a NU!community NU!health NU!clinic.
NU!When NU!providing NU!care NU!in NU!this NU!context, NU!what NU!should NU!the NU!students NU!teach
NU!participants NU!about NU!disease NU!prevention?
A) It NU!is NU! best NU!achieved NU! through NU! attending NU!self-help NU! groups.
B) It NU!is NU! best NU! achieved NU! by NU!reducing NU! psychological NU! stress.
C) It NU!is NU!best NU!achieved NU!by NU!being NU!an NU!active NU!participant NU!in NU!the NU!community.
D) It NU!is NU!best NU!achieved NU! by NU!exhibiting NU!behaviors NU! that NU!promote NU!health.
NU! ANSWER NU!: NU! D
Feedback:
Today, NU!increasing NU!emphasis NU!is NU!placed NU!on NU!health, NU!health NU!promotion, NU!wellness, NU!and
NU!self-care. NU!Health NU!is NU!seen N U ! as N U ! resulting N U ! from N U ! a N U ! lifestyle N U ! oriented N U ! toward
N U ! wellness. N U ! Nurses N U ! in N U ! community N U ! health N U ! clinics N U ! do N U ! not N U ! teach NU!that
N U ! disease N U ! prevention N U ! is N U ! best N U ! achieved N U ! through N U ! attending N U ! self-help N U ! groups,
N U ! by N U ! reducing N U ! stress, N U ! or N U ! by NU!being NU!an NU!active NU!participant NU!in NU!the NU!community,
NU!though NU!each NU!of NU!these NU!activities NU!is NU!consistent NU!with NU!a NU!healthy NU!lifestyle.
7. A NU!nurse NU!on NU!a NU!medical-surgical NU!unit NU!has NU!asked NU!to NU!represent NU!the NU!unit NU!on
NU!the NU!hospitals NU!quality NU!committee. NU!When NU!describing NU!quality NU!improvement
NU!programs NU!to NU!nursing NU!colleagues NU!and NU!members NU!of NU!other NU!health NU!disciplines,
NU!what NU!characteristic NU!should NU!the NU!nurse NU!cite?
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 NU!increases NU!in NU!longevity, NU!people NU!have NU!had NU!to NU!become NU!more NU!knowledgeable
NU!about NU!their NU!health NU!and NU!the NU!professional NU!health NU!care NU!that NU!they NU!receive. NU!One
NU!outcome NU!of NU!this NU!phenomenon NU!is NU!the NU!development NU!of NU!organized NU!self-care
NU!education NU!programs. NU!Which NU!of NU!the NU!following NU!do NU!these NU!programs NU!prioritize?
A) Adequate NU! prenatal NU! care
B) Government NU! advocacy N U ! and NU! lobbying
C) Judicious NU!use NU! of NU!online NU! communities
D) Management NU! of NU! illness
NU! ANSWER NU!: NU! D
Feedback:
Organized N U ! self-care N U ! education N U ! programs N U ! emphasize N U ! health N U ! promotion,
N U ! disease N U ! prevention, N U ! management NU!of NU!illness, NU!self-care, NU!and NU!judicious NU!use NU!of
NU!the NU!professional NU!health NU!care NU!system. NU!Prenatal NU!care, NU!lobbying, NU!and NU!Internet
NU!activities NU!are NU!secondary.
4. The NU!home NU!health NU!nurse NU!is NU!assisting NU!a NU!patient NU!and NU!his NU!family NU!in NU!planning
NU!the NU!patients NU!return NU!to NU!work NU!after NU!surgery NU!and NU!the NU!development NU!of
NU!postsurgical NU!complications. NU!The NU!nurse NU!is NU!preparing NU!a NU!plan NU!of NU!care NU!that
NU!addresses NU!the NU!patients NU!multifaceted NU!needs. NU!To NU!which NU!level NU!of NU!Maslows
NU!hierarchy NU!of NU!basic NU!needs NU!does NU!the NU!patients NU!need NU!for NU!self-fulfillment NU!relate?
A) Physiologic
B) Transcendence
C) Love NU!and NU!belonging
D) Self-actualization
NU! ANSWER NU!: NU! D
Feedback:
Maslows NU!highest NU!level NU!of NU!human NU!needs NU!is NU!self-actualization, NU!which NU!includes
NU!self-fulfillment, NU!desire NU!to N U ! know NU!and NU!understand, NU!and NU!aesthetic NU!needs. NU!The
NU!other NU!answers NU!are NU!incorrect NU!because NU!self-fulfillment NU!does NU!not NU!relate NU!directly
NU!to NU!them.
5. The NU!view NU!that NU!health NU!and NU!illness NU!are NU!not NU!static NU!states NU!but NU!that NU!they NU!exist
NU!on NU!a NU!continuum NU!is NU!central NU!to NU!professional NU!health NU!care NU!systems. NU!When
NU!planning NU!care, NU!this NU!view NU!aids NU!the NU!nurse NU!in NU!appreciating NU!which NU!of NU!the
NU!following?
, A) Care NU!should NU!focus NU!primarily NU!on NU!the NU! treatment NU!of NU!disease.
B) A NU!persons NU!state NU!of NU!health NU!is NU!ever-changing.
C) A NU!person NU!can NU!transition NU!from NU!health NU!to NU!illness NU!rapidly.
D) Care NU!should NU! focus NU!on NU! the NU!patients NU! compliance NU!with NU! interventions.
NU! ANSWER NU!: NU! B
Feedback:
By NU!viewing NU!health NU!and NU!illness NU!on NU!a NU!continuum, NU!it NU!is NU!possible NU!to NU!consider
NU!a NU!person NU!as NU!being NU!neither NU!completely NU!healthy NU!nor NU!completely NU!ill. NU!Instead, NU!a
NU!persons NU!state NU!of NU!health NU!is NU!ever-changing NU!and NU!has NU!the NU!potential NU!to NU!range
NU!from NU!high-level NU!wellness NU!to NU!extremely NU!poor NU!health NU!and NU!imminent NU!death. NU!The
NU!other NU!answers NU!are NU!incorrect NU!because NU!patient NU!care NU!should NU!not NU!focus NU!just NU!on
NU!the NU!treatment NU!of NU!disease. NU!Rapid NU!declines NU!in NU!health NU!and NU!compliance NU!with
NU!treatment NU!are NU!not NU!key NU!to NU!this NU!view NU!of NU!health.
6. A NU!group NU!of NU!nursing NU!students NU!are NU!participating NU!in NU!a NU!community NU!health NU!clinic.
NU!When NU!providing NU!care NU!in NU!this NU!context, NU!what NU!should NU!the NU!students NU!teach
NU!participants NU!about NU!disease NU!prevention?
A) It NU!is NU! best NU!achieved NU! through NU! attending NU!self-help NU! groups.
B) It NU!is NU! best NU! achieved NU! by NU!reducing NU! psychological NU! stress.
C) It NU!is NU!best NU!achieved NU!by NU!being NU!an NU!active NU!participant NU!in NU!the NU!community.
D) It NU!is NU!best NU!achieved NU! by NU!exhibiting NU!behaviors NU! that NU!promote NU!health.
NU! ANSWER NU!: NU! D
Feedback:
Today, NU!increasing NU!emphasis NU!is NU!placed NU!on NU!health, NU!health NU!promotion, NU!wellness, NU!and
NU!self-care. NU!Health NU!is NU!seen N U ! as N U ! resulting N U ! from N U ! a N U ! lifestyle N U ! oriented N U ! toward
N U ! wellness. N U ! Nurses N U ! in N U ! community N U ! health N U ! clinics N U ! do N U ! not N U ! teach NU!that
N U ! disease N U ! prevention N U ! is N U ! best N U ! achieved N U ! through N U ! attending N U ! self-help N U ! groups,
N U ! by N U ! reducing N U ! stress, N U ! or N U ! by NU!being NU!an NU!active NU!participant NU!in NU!the NU!community,
NU!though NU!each NU!of NU!these NU!activities NU!is NU!consistent NU!with NU!a NU!healthy NU!lifestyle.
7. A NU!nurse NU!on NU!a NU!medical-surgical NU!unit NU!has NU!asked NU!to NU!represent NU!the NU!unit NU!on
NU!the NU!hospitals NU!quality NU!committee. NU!When NU!describing NU!quality NU!improvement
NU!programs NU!to NU!nursing NU!colleagues NU!and NU!members NU!of NU!other NU!health NU!disciplines,
NU!what NU!characteristic NU!should NU!the NU!nurse NU!cite?
