,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 Vzincreases Vzin Vzlongevity, Vzpeople Vzhave Vzhad Vzto Vzbecome Vzmore Vzknowledgeable Vzabout
Vztheir Vzhealth Vzand Vzthe Vzprofessional Vzhealth Vzcare Vzthat Vzthey Vzreceive. VzOne Vzoutcome Vzof Vzthis
Vzphenomenon Vzis Vzthe Vzdevelopment Vzof Vzorganized Vzself-care Vzeducation Vzprograms. VzWhich Vzof
Vzthe Vzfollowing Vzdo Vzthese Vzprograms Vzprioritize?
A) Adequate Vz prenatal Vz care
B) Government Vz advocacy Vz and Vz lobbying
C) Judicious Vz use Vz of Vz online Vz communities
D) Management Vz of Vz illness
ANSWER Vz: Vz
Vz D
Feedback:
Organized V z self-care V z education V z programs V z emphasize V z health V z promotion, V z disease
V z prevention, V z management Vzof Vzillness, Vzself-care, Vzand Vzjudicious Vzuse Vzof Vzthe Vzprofessional
Vzhealth Vzcare Vzsystem. VzPrenatal Vzcare, Vzlobbying, Vzand VzInternet Vzactivities Vzare Vzsecondary.
4. The Vzhome Vzhealth Vznurse Vzis Vzassisting Vza Vzpatient Vzand Vzhis Vzfamily Vzin Vzplanning Vzthe Vzpatients
Vzreturn Vzto Vzwork Vzafter Vzsurgery Vzand Vzthe Vzdevelopment Vzof Vzpostsurgical Vzcomplications. VzThe
Vznurse Vzis Vzpreparing Vza Vzplan Vzof Vzcare Vzthat Vzaddresses Vzthe Vzpatients Vzmultifaceted Vzneeds. VzTo
Vzwhich Vzlevel Vzof VzMaslows Vzhierarchy Vzof Vzbasic Vzneeds Vzdoes Vzthe Vzpatients Vzneed Vzfor Vzself-
fulfillment Vzrelate?
A) Physiologic
B) Transcendence
C) Love Vz and Vz belonging
D) Self-actualization
ANSWER Vz: Vz
Vz D
Feedback:
Maslows Vzhighest Vzlevel Vzof Vzhuman Vzneeds Vzis Vzself-actualization, Vzwhich Vzincludes Vzself-
fulfillment, Vzdesire Vzto V z know Vzand Vzunderstand, Vzand Vzaesthetic Vzneeds. VzThe Vzother Vzanswers
Vzare Vzincorrect Vzbecause Vzself-fulfillment Vzdoes Vznot Vzrelate Vzdirectly Vzto Vzthem.
5. The Vzview Vzthat Vzhealth Vzand Vzillness Vzare Vznot Vzstatic Vzstates Vzbut Vzthat Vzthey Vzexist Vzon Vza
Vzcontinuum Vzis Vzcentral Vzto Vzprofessional Vzhealth Vzcare Vzsystems. VzWhen Vzplanning Vzcare, Vzthis
Vzview Vzaids Vzthe Vznurse Vzin Vzappreciating Vzwhich Vzof Vzthe Vzfollowing?
A) Care Vz should Vz focus Vz primarily Vz on Vz the Vz treatment Vz of Vz disease.
, B) A Vz persons Vz state Vz of Vz health Vzis Vzever-changing.
C) A Vz person Vzcan Vz transition Vz from Vz health Vzto Vzillness Vz rapidly.
D) Care Vz should Vz focus Vz on Vz the Vz patients Vz compliance Vz with Vz interventions.
ANSWER Vz: Vz
Vz B
Feedback:
By Vzviewing Vzhealth Vzand Vzillness Vzon Vza Vzcontinuum, Vzit Vzis Vzpossible Vzto Vzconsider Vza Vzperson
Vzas Vzbeing Vzneither Vzcompletely Vzhealthy Vznor Vzcompletely Vzill. VzInstead, Vza Vzpersons Vzstate Vzof
Vzhealth Vzis Vzever-changing Vzand Vzhas Vzthe Vzpotential Vzto Vzrange Vzfrom Vzhigh-level Vzwellness Vzto
Vzextremely Vzpoor Vzhealth Vzand Vzimminent Vzdeath. VzThe Vzother Vzanswers Vzare Vzincorrect Vzbecause
Vzpatient Vzcare Vzshould Vznot Vzfocus Vzjust Vzon Vzthe Vztreatment Vzof Vzdisease. VzRapid Vzdeclines Vzin
Vzhealth Vzand Vzcompliance Vzwith Vztreatment Vzare Vznot Vzkey Vzto Vzthis Vzview Vzof Vzhealth.
6. A Vzgroup Vzof Vznursing Vzstudents Vzare Vzparticipating Vzin Vza Vzcommunity Vzhealth Vzclinic. VzWhen
Vzproviding Vzcare Vzin Vzthis Vzcontext, Vzwhat Vzshould Vzthe Vzstudents Vzteach Vzparticipants Vzabout
Vzdisease Vzprevention?
A) It Vz is Vz best Vz achieved Vz through Vz attending Vz self-help Vz groups.
B) It Vz is Vz best Vz achieved Vz by Vz reducing Vz psychological Vz stress.
C) It Vz is Vz best Vz achieved Vz by Vz being Vz an Vz active Vzparticipant Vzin Vz the Vz community.
D) It Vz is Vz best Vz achieved Vz by Vz exhibiting Vz behaviors Vz that Vz promote Vz health.
ANSWER Vz: Vz
Vz D
Feedback:
Today, Vzincreasing Vzemphasis Vzis Vzplaced Vzon Vzhealth, Vzhealth Vzpromotion, Vzwellness, Vzand Vzself-
care. VzHealth Vzis Vzseen V z as V z resulting V z from V z a V z lifestyle V z oriented V z toward V z wellness.
V z Nurses V z in V z community V z health V z clinics V z do V z not V z teach Vzthat V z disease V z prevention V z is
V z best V z achieved V z through V z attending V z self-help V z groups, V z by V z reducing V z stress, V z or V z by
Vzbeing Vzan Vzactive Vzparticipant Vzin Vzthe Vzcommunity, Vzthough Vzeach Vzof Vzthese Vzactivities Vzis
Vzconsistent Vzwith Vza Vzhealthy Vzlifestyle.
7. A Vznurse Vzon Vza Vzmedical-surgical Vzunit Vzhas Vzasked Vzto Vzrepresent Vzthe Vzunit Vzon Vzthe
Vzhospitals Vzquality Vzcommittee. VzWhen Vzdescribing Vzquality Vzimprovement Vzprograms Vzto
Vznursing Vzcolleagues Vzand Vzmembers Vzof Vzother Vzhealth Vzdisciplines, Vzwhat Vzcharacteristic
Vzshould Vzthe Vznurse Vzcite?
A) These Vz programs Vz establish Vz consequences Vz for Vz health Vz care Vz professionals Vz actions.
B) These Vz programs Vz focus Vz on Vz the Vz processes Vz used Vz to Vz provide Vz care.
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 Vzincreases Vzin Vzlongevity, Vzpeople Vzhave Vzhad Vzto Vzbecome Vzmore Vzknowledgeable Vzabout
Vztheir Vzhealth Vzand Vzthe Vzprofessional Vzhealth Vzcare Vzthat Vzthey Vzreceive. VzOne Vzoutcome Vzof Vzthis
Vzphenomenon Vzis Vzthe Vzdevelopment Vzof Vzorganized Vzself-care Vzeducation Vzprograms. VzWhich Vzof
Vzthe Vzfollowing Vzdo Vzthese Vzprograms Vzprioritize?
A) Adequate Vz prenatal Vz care
B) Government Vz advocacy Vz and Vz lobbying
C) Judicious Vz use Vz of Vz online Vz communities
D) Management Vz of Vz illness
ANSWER Vz: Vz
Vz D
Feedback:
Organized V z self-care V z education V z programs V z emphasize V z health V z promotion, V z disease
V z prevention, V z management Vzof Vzillness, Vzself-care, Vzand Vzjudicious Vzuse Vzof Vzthe Vzprofessional
Vzhealth Vzcare Vzsystem. VzPrenatal Vzcare, Vzlobbying, Vzand VzInternet Vzactivities Vzare Vzsecondary.
4. The Vzhome Vzhealth Vznurse Vzis Vzassisting Vza Vzpatient Vzand Vzhis Vzfamily Vzin Vzplanning Vzthe Vzpatients
Vzreturn Vzto Vzwork Vzafter Vzsurgery Vzand Vzthe Vzdevelopment Vzof Vzpostsurgical Vzcomplications. VzThe
Vznurse Vzis Vzpreparing Vza Vzplan Vzof Vzcare Vzthat Vzaddresses Vzthe Vzpatients Vzmultifaceted Vzneeds. VzTo
Vzwhich Vzlevel Vzof VzMaslows Vzhierarchy Vzof Vzbasic Vzneeds Vzdoes Vzthe Vzpatients Vzneed Vzfor Vzself-
fulfillment Vzrelate?
A) Physiologic
B) Transcendence
C) Love Vz and Vz belonging
D) Self-actualization
ANSWER Vz: Vz
Vz D
Feedback:
Maslows Vzhighest Vzlevel Vzof Vzhuman Vzneeds Vzis Vzself-actualization, Vzwhich Vzincludes Vzself-
fulfillment, Vzdesire Vzto V z know Vzand Vzunderstand, Vzand Vzaesthetic Vzneeds. VzThe Vzother Vzanswers
Vzare Vzincorrect Vzbecause Vzself-fulfillment Vzdoes Vznot Vzrelate Vzdirectly Vzto Vzthem.
5. The Vzview Vzthat Vzhealth Vzand Vzillness Vzare Vznot Vzstatic Vzstates Vzbut Vzthat Vzthey Vzexist Vzon Vza
Vzcontinuum Vzis Vzcentral Vzto Vzprofessional Vzhealth Vzcare Vzsystems. VzWhen Vzplanning Vzcare, Vzthis
Vzview Vzaids Vzthe Vznurse Vzin Vzappreciating Vzwhich Vzof Vzthe Vzfollowing?
A) Care Vz should Vz focus Vz primarily Vz on Vz the Vz treatment Vz of Vz disease.
, B) A Vz persons Vz state Vz of Vz health Vzis Vzever-changing.
C) A Vz person Vzcan Vz transition Vz from Vz health Vzto Vzillness Vz rapidly.
D) Care Vz should Vz focus Vz on Vz the Vz patients Vz compliance Vz with Vz interventions.
ANSWER Vz: Vz
Vz B
Feedback:
By Vzviewing Vzhealth Vzand Vzillness Vzon Vza Vzcontinuum, Vzit Vzis Vzpossible Vzto Vzconsider Vza Vzperson
Vzas Vzbeing Vzneither Vzcompletely Vzhealthy Vznor Vzcompletely Vzill. VzInstead, Vza Vzpersons Vzstate Vzof
Vzhealth Vzis Vzever-changing Vzand Vzhas Vzthe Vzpotential Vzto Vzrange Vzfrom Vzhigh-level Vzwellness Vzto
Vzextremely Vzpoor Vzhealth Vzand Vzimminent Vzdeath. VzThe Vzother Vzanswers Vzare Vzincorrect Vzbecause
Vzpatient Vzcare Vzshould Vznot Vzfocus Vzjust Vzon Vzthe Vztreatment Vzof Vzdisease. VzRapid Vzdeclines Vzin
Vzhealth Vzand Vzcompliance Vzwith Vztreatment Vzare Vznot Vzkey Vzto Vzthis Vzview Vzof Vzhealth.
6. A Vzgroup Vzof Vznursing Vzstudents Vzare Vzparticipating Vzin Vza Vzcommunity Vzhealth Vzclinic. VzWhen
Vzproviding Vzcare Vzin Vzthis Vzcontext, Vzwhat Vzshould Vzthe Vzstudents Vzteach Vzparticipants Vzabout
Vzdisease Vzprevention?
A) It Vz is Vz best Vz achieved Vz through Vz attending Vz self-help Vz groups.
B) It Vz is Vz best Vz achieved Vz by Vz reducing Vz psychological Vz stress.
C) It Vz is Vz best Vz achieved Vz by Vz being Vz an Vz active Vzparticipant Vzin Vz the Vz community.
D) It Vz is Vz best Vz achieved Vz by Vz exhibiting Vz behaviors Vz that Vz promote Vz health.
ANSWER Vz: Vz
Vz D
Feedback:
Today, Vzincreasing Vzemphasis Vzis Vzplaced Vzon Vzhealth, Vzhealth Vzpromotion, Vzwellness, Vzand Vzself-
care. VzHealth Vzis Vzseen V z as V z resulting V z from V z a V z lifestyle V z oriented V z toward V z wellness.
V z Nurses V z in V z community V z health V z clinics V z do V z not V z teach Vzthat V z disease V z prevention V z is
V z best V z achieved V z through V z attending V z self-help V z groups, V z by V z reducing V z stress, V z or V z by
Vzbeing Vzan Vzactive Vzparticipant Vzin Vzthe Vzcommunity, Vzthough Vzeach Vzof Vzthese Vzactivities Vzis
Vzconsistent Vzwith Vza Vzhealthy Vzlifestyle.
7. A Vznurse Vzon Vza Vzmedical-surgical Vzunit Vzhas Vzasked Vzto Vzrepresent Vzthe Vzunit Vzon Vzthe
Vzhospitals Vzquality Vzcommittee. VzWhen Vzdescribing Vzquality Vzimprovement Vzprograms Vzto
Vznursing Vzcolleagues Vzand Vzmembers Vzof Vzother Vzhealth Vzdisciplines, Vzwhat Vzcharacteristic
Vzshould Vzthe Vznurse Vzcite?
A) These Vz programs Vz establish Vz consequences Vz for Vz health Vz care Vz professionals Vz actions.
B) These Vz programs Vz focus Vz on Vz the Vz processes Vz used Vz to Vz provide Vz care.
