Chapter 1 Health Care Needs for the 21st Century

Chapter 1  Health Care Needs for the 21st Century

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is teaching a class on global trends linked with nursing practice. Which response from a student indicates a need for additional teaching?
1.
Technology is a huge force in global change.
2.
Humans have had increasing effect on the natural environment.
3.
Technology has slowed the development of new infectious diseases.
4.
Medical tourism is a legitimate, growing source of income for many nations.

ANS: 3

Feedback
1
Science and technology are huge drivers of global change.
2
There is increasing awareness of humankind’s effect on the planet including environmental resources.
3
Although technology has flourished, more than 30 new infectious diseases have been identified since 1973, and the next pandemics are predicted to arise from organisms not yet identified.
4
Medical tourism is one of the fastest growing industries in the health-care sector and is a positive source of revenue for many nations.

PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice

2. Which of the following statements on global trends linked with nursing practice is inaccurate?
1.
Globalization ensures the equal distribution of costs and benefits of health care.
2.
Parts of the world may be considered more youthful than other parts of the world.
3.
By 2025, the majority of the world’s population will live in urban areas.
4.
As countries modernize, the risk for developing certain health problems changes.

ANS: 1

Feedback
1
The costs and benefits of globalization are not always distributed equally—globalization does not ensure equal distribution of health-care costs and benefits.
2
Trends in birth, death, immigration, and migration patterns point toward population growth in Asia and Africa that will result in them becoming the youthful areas of the world.
3
In 2009, 50% of the world’s population lived in urban areas; by 2025, this is projected to increase to 57%.
4
A shift from traditional diseases, such as those resulting from infection, to modern diseases that result from lifestyle choices has been noted in developed countries.

PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice

3. The nurse is coordinating care with a family whose 10-year old daughter has diabetes. Which of the following principles of care coordination guides the nurse’s actions?
1.
Provide the right care at the right time for the right person.
2.
Identify health problems and intervene.
3.
Allow families to initiate contact as they determine all their needs.
4.
Ensure family privacy by limiting interdisciplinary information exchange.

ANS: 1

Feedback
1
Providing the right care at the right time for the right person is a principle of health-care reform to obtain the best quality outcomes in the best possible way.
2
The nurse must form a partnership with the family and negotiate to create a plan that fits with the family priorities and concerns.
3
The nurse must work together with the family to determine needs and assist them in contacting resources if the family wishes the nurse to do so.
4
The nurse must consider privacy laws, institutional policies, and family preferences to create an effective care coordination communication plan.

PTS: 1
KEY: Content Area: Care coordination | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

4. The nurse is teaching a class on coordinating care for families with a chronically ill member. Which response made by a student indicates a need for further teaching in the area of family assessment?
1.
Identifying accessible community resources is an important aspect of family assessment.
2.
Family engagement in shared health-care decision-making has little impact on health outcomes.
3.
Lifestyle factors to assess include family access to food, housing, and transportation.
4.
Money spent is not always linked to better health outcomes.

ANS: 2

Feedback
1
The nurse will benefit families greatly by providing families with appropriate resource information in their home communities for health promotion and chronic disease management.
2
Shared decision-making occurs within therapeutic relationships that honor family preferences and unique circumstances.
3
Environmental factors include family access to food, housing, and transportation; lifestyle factors include tobacco use, lack of adequate nutrition, physical inactivity, and substance abuse.
4
The U.S. spends much more on health care than the other 12 industrial nations in the Organization for Economic Cooperation and Development, but the quality and availability of care varies.

PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice