Community Health Nursing NCLEX
Questions
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 - ANSANS: 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 - ANSANS: 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 - ANSANS: 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. - ANSANS: 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.
b. External variables have little effect on compliance.
c. A person's compliance is affected by economic status.
d. Employment status is an internal variable that impacts compliance. - ANSANS: C
A person's compliance with treatment is affected by economic status. A person tends to give a
higher priority to food and shelter than to costly drugs or treatments. A person generally seeks
approval and support from social networks, and this desire for approval affects health beliefs
and practices. Internal and external variables influence how a person thinks and acts toward
health care. Employment status is an external variable, not an internal variable.
The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in
the drinking water of the community. In doing so, the nurse is fostering the concept of
a. Illness prevention.
b. Active health promotion.
c. Wellness education.
d. Passive health promotion. - ANSANS: D
Fluoridation of municipal drinking water and fortification of homogenized milk with vitamin D are
examples of passive health promotion strategies. With active strategies of health promotion,
individuals are motivated to adopt specific health programs such as weight reduction and
smoking cessation programs. Illness prevention activities such as immunization programs
Questions
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 - ANSANS: 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 - ANSANS: 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 - ANSANS: 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. - ANSANS: 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.
b. External variables have little effect on compliance.
c. A person's compliance is affected by economic status.
d. Employment status is an internal variable that impacts compliance. - ANSANS: C
A person's compliance with treatment is affected by economic status. A person tends to give a
higher priority to food and shelter than to costly drugs or treatments. A person generally seeks
approval and support from social networks, and this desire for approval affects health beliefs
and practices. Internal and external variables influence how a person thinks and acts toward
health care. Employment status is an external variable, not an internal variable.
The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in
the drinking water of the community. In doing so, the nurse is fostering the concept of
a. Illness prevention.
b. Active health promotion.
c. Wellness education.
d. Passive health promotion. - ANSANS: D
Fluoridation of municipal drinking water and fortification of homogenized milk with vitamin D are
examples of passive health promotion strategies. With active strategies of health promotion,
individuals are motivated to adopt specific health programs such as weight reduction and
smoking cessation programs. Illness prevention activities such as immunization programs
