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1. Which statement best summarizes the importance of Lillian Wald's achieve-
ments?
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.: b. She demonstrated how to improve health
in communities.
2. 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: a. Modifying economic, political, and
environmental factors
3. 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 re�ect the actual world of nursing practice.
d. The theories had global applicability to nursing practice.: b. Most nursing theories
focused on microscopic individual concerns.
4. 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: a. To improve nursing practice
5. 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
, NSG 3480: Community Health Unit 2, 3, 4 Review for Exam 1
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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 su ering 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.: c. The health care system is not
meeting the client's perceived needs.
6. Which assumption makes Orem's theory di cult 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: b. That
clients are able to control their environment
7. 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.: c. The major determinant of preventive health behavior is avoiding disease.
8. 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 in�uenced by health messages given over media channels.
d. People make what they perceive as rational decisions in a given situation.: a.
People have both free will and access to health resources.
9. A nurse is using Milio's framework for prevention to improve the health of
clients. Which intervention would the nurse most likely implement?
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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: a. Creating appropriate
national health policies
10. 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 e ectiveness of using a variety of community re-
sources.
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.: c. It will
encourage the assessment of the personal and societal resources of the client.
11. Which health-related variables is examined by the critical theoretical per-
spective?
a. Cultural beliefs
b. E ect of history and tradition
c. Ethnic and racial di erences
d. Social inequalities: d. Social inequalities
12. 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.: b. Expose social values underlying the health
care system.
13. 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.