NSG 3480: Community Health Unit 2,
3, 4 Review for Exam 1 Questions with
Correct Answers
Which statement best summarizes the importance of Lillian Wald's achievements?
a. She suggested new nursing specialties.
b. She demonstrated how to improve health in communities.
c. She gave expert clinical nursing care to her clients.
d. She was appointed a national nursing leader. - ANSWERSb. She demonstrated how
to improve health in communities.
Which statement best describes the focus of macroscopic therapy "thinking upstream"?
a. Modifying economic, political, and environmental factors
b. Preparing for nursing career long-term goals by planning now
c. Seeking causes of water and air pollution "upstream" from cities
d. Trying to understand how or why someone got ill - ANSWERSa. Modifying economic,
political, and environmental factors
Which statement best describes a weakness of early nursing theories?
a. Many nurses did not know or understand the theoretical basis of nursing practice.
b. Most nursing theories focused on microscopic individual concerns.
c. The theories did not reflect the actual world of nursing practice.
d. The theories had global applicability to nursing practice. - ANSWERSb. Most nursing
theories focused on microscopic individual concerns.
Which is the primary purpose of nursing theory?
a. To improve nursing practice
b. To demonstrate that nursing is a profession
c. To organize nursing knowledge
d. To serve as a basis for ongoing nursing research - ANSWERSa. To improve nursing
practice
A client did not attend the clinic for required follow-up care after his extensive surgery.
Using the Health Belief Model, which would be the most appropriate conclusion for the
nurse to make when a client does not attend the clinic for required follow-up care after
his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
,c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
e. The nurse has not motivated the client appropriately. - ANSWERSc. The health care
system is not meeting the client's perceived needs.
Which assumption makes Orem's theory difficult to implement?
a. That nurses will always be caring for families and groups
b. That clients are able to control their environment
c. That clients recognize the need for nursing intervention
d. That teaching clients self-care is the primary goal of nursing practice - ANSWERSb.
That clients are able to control their environment
Which statement best describes the major assumption of the Health Belief Model
(HBM)?
a. People will act if action is both easy and convenient.
b. People will act if exposed to fear messages stressing their vulnerability.
c. The major determinant of preventive health behavior is avoiding disease.
d. The major determinant of preventive behavior is providing proper health education. -
ANSWERSc. The major determinant of preventive health behavior is avoiding disease.
Which assumption of the Health Belief Model (HBM) is problematic?
a. People have both free will and access to health resources.
b. People listen to the advice given by health care professionals.
c. People are influenced by health messages given over media channels.
d. People make what they perceive as rational decisions in a given situation. -
ANSWERSa. People have both free will and access to health resources.
A nurse is using Milio's framework for prevention to improve the health of clients. Which
intervention would the nurse most likely implement?
a. Creating appropriate national health policies
b. Developing health programs that make healthy choices the easiest choices
c. Promoting nationwide educational programs with information on making healthy
choices
d. Stressing that clients are responsible for their own health - ANSWERSa. Creating
appropriate national health policies
Which advantage will the nurse experience when using Milio's approach to care for a
client?
a. It will allow for care interventions outside the hospital system.
b. It will demonstrate the effectiveness of using a variety of community resources.
c. It will encourage the assessment of the personal and societal resources of the client.
d. It facilitates open communication between the client and the nurse. - ANSWERSc. It
will encourage the assessment of the personal and societal resources of the client.
, Which health-related variables is examined by the critical theoretical perspective?
a. Cultural beliefs
b. Effect of history and tradition
c. Ethnic and racial differences
d. Social inequalities - ANSWERSd. Social inequalities
A nurse is using the critical theoretical perspective in daily nursing practice. Which
activity would the nurse most likely complete?
a. Criticize health insurance programs as a barrier to health care.
b. Expose social values underlying the health care system.
c. Promote individual freedom and decision-making.
d. Exert control over the client's environment. - ANSWERSb. Expose social values
underlying the health care system.
A nurse is using Healthy People 2030 as a guide to improve the health and well-being
of the community. Which strategy would the nurse most likely implement?
a. Address the root causes of health problems.
b. Choose one of the 28 focal areas for emphasis in funding and media attention.
c. Concentrate on the goals of improving the quality of life.
d. Continue funding expansion of the health care system.
e. Expand efforts to put all medical records on electronic media. - ANSWERSa. Address
the root causes of health problems
Which is most closely associated with morbidity and mortality outcomes?
a. Number of physicians per capita
b. Insurance status
c. Crime rate
d. Personality traits - ANSWERSb. Insurance status
A nurse has accepted a new position in a public health department. Which characteristic
is crucial to the nurse's success?
a. Advanced educational preparation
b. Being knowledgeable about the community's needs
c. Listening and showing respect
d. Caring and empathetic personality - ANSWERSc. Listening and showing respect
A nurse is using a macroscopic approach when providing care. Which would the nurse
most likely demonstrate?
a. Emphasizing behaviors that will help in healing
b. Examining the family's responses to illness
c. Explaining how these actions will help in healing
3, 4 Review for Exam 1 Questions with
Correct Answers
Which statement best summarizes the importance of Lillian Wald's achievements?
a. She suggested new nursing specialties.
b. She demonstrated how to improve health in communities.
c. She gave expert clinical nursing care to her clients.
d. She was appointed a national nursing leader. - ANSWERSb. She demonstrated how
to improve health in communities.
Which statement best describes the focus of macroscopic therapy "thinking upstream"?
a. Modifying economic, political, and environmental factors
b. Preparing for nursing career long-term goals by planning now
c. Seeking causes of water and air pollution "upstream" from cities
d. Trying to understand how or why someone got ill - ANSWERSa. Modifying economic,
political, and environmental factors
Which statement best describes a weakness of early nursing theories?
a. Many nurses did not know or understand the theoretical basis of nursing practice.
b. Most nursing theories focused on microscopic individual concerns.
c. The theories did not reflect the actual world of nursing practice.
d. The theories had global applicability to nursing practice. - ANSWERSb. Most nursing
theories focused on microscopic individual concerns.
Which is the primary purpose of nursing theory?
a. To improve nursing practice
b. To demonstrate that nursing is a profession
c. To organize nursing knowledge
d. To serve as a basis for ongoing nursing research - ANSWERSa. To improve nursing
practice
A client did not attend the clinic for required follow-up care after his extensive surgery.
Using the Health Belief Model, which would be the most appropriate conclusion for the
nurse to make when a client does not attend the clinic for required follow-up care after
his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
,c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
e. The nurse has not motivated the client appropriately. - ANSWERSc. The health care
system is not meeting the client's perceived needs.
Which assumption makes Orem's theory difficult to implement?
a. That nurses will always be caring for families and groups
b. That clients are able to control their environment
c. That clients recognize the need for nursing intervention
d. That teaching clients self-care is the primary goal of nursing practice - ANSWERSb.
That clients are able to control their environment
Which statement best describes the major assumption of the Health Belief Model
(HBM)?
a. People will act if action is both easy and convenient.
b. People will act if exposed to fear messages stressing their vulnerability.
c. The major determinant of preventive health behavior is avoiding disease.
d. The major determinant of preventive behavior is providing proper health education. -
ANSWERSc. The major determinant of preventive health behavior is avoiding disease.
Which assumption of the Health Belief Model (HBM) is problematic?
a. People have both free will and access to health resources.
b. People listen to the advice given by health care professionals.
c. People are influenced by health messages given over media channels.
d. People make what they perceive as rational decisions in a given situation. -
ANSWERSa. People have both free will and access to health resources.
A nurse is using Milio's framework for prevention to improve the health of clients. Which
intervention would the nurse most likely implement?
a. Creating appropriate national health policies
b. Developing health programs that make healthy choices the easiest choices
c. Promoting nationwide educational programs with information on making healthy
choices
d. Stressing that clients are responsible for their own health - ANSWERSa. Creating
appropriate national health policies
Which advantage will the nurse experience when using Milio's approach to care for a
client?
a. It will allow for care interventions outside the hospital system.
b. It will demonstrate the effectiveness of using a variety of community resources.
c. It will encourage the assessment of the personal and societal resources of the client.
d. It facilitates open communication between the client and the nurse. - ANSWERSc. It
will encourage the assessment of the personal and societal resources of the client.
, Which health-related variables is examined by the critical theoretical perspective?
a. Cultural beliefs
b. Effect of history and tradition
c. Ethnic and racial differences
d. Social inequalities - ANSWERSd. Social inequalities
A nurse is using the critical theoretical perspective in daily nursing practice. Which
activity would the nurse most likely complete?
a. Criticize health insurance programs as a barrier to health care.
b. Expose social values underlying the health care system.
c. Promote individual freedom and decision-making.
d. Exert control over the client's environment. - ANSWERSb. Expose social values
underlying the health care system.
A nurse is using Healthy People 2030 as a guide to improve the health and well-being
of the community. Which strategy would the nurse most likely implement?
a. Address the root causes of health problems.
b. Choose one of the 28 focal areas for emphasis in funding and media attention.
c. Concentrate on the goals of improving the quality of life.
d. Continue funding expansion of the health care system.
e. Expand efforts to put all medical records on electronic media. - ANSWERSa. Address
the root causes of health problems
Which is most closely associated with morbidity and mortality outcomes?
a. Number of physicians per capita
b. Insurance status
c. Crime rate
d. Personality traits - ANSWERSb. Insurance status
A nurse has accepted a new position in a public health department. Which characteristic
is crucial to the nurse's success?
a. Advanced educational preparation
b. Being knowledgeable about the community's needs
c. Listening and showing respect
d. Caring and empathetic personality - ANSWERSc. Listening and showing respect
A nurse is using a macroscopic approach when providing care. Which would the nurse
most likely demonstrate?
a. Emphasizing behaviors that will help in healing
b. Examining the family's responses to illness
c. Explaining how these actions will help in healing
