Chapter 01: Health Care Delivery and Nursing Practice

Chapter 01: Health Care Delivery and Nursing Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. The school nurse is presenting a health promotion class to a group of high school students. How does the nurse define health?
2. A) Health is being disease free.
3. B) Health is having fulfilling relationships.
4. C) Health is having a clean drinking source and nutritious food.
5. D) Health is being connected in body, mind, and spirit.

Ans:  D

Chapter:  1

Client Needs:  B

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Teaching/Learning

Objective:  1

Page and Header:  6, Health, Wellness, and Health Promotion

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 how WHO defines health.

2. A nurse is speaking to a group of high school 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?
3. A) Sensitivity to cultural differences
4. B) Team-focused nursing approach
5. C) Strict adherence to routine
6. D) One set cultural practice

Ans:  A

Chapter:  1

Client Needs:  C

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  2

Page and Header:  7, Influences on Health Care Delivery

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. “One set” cultural practice is nonexistent.

3. With the changing population and increased longevity, people have had to become more knowledgeable about their health and the professional health care they receive. A development that has been born of this trend is organized self-care education programs. What is one thing these programs emphasize?
4. A) Good prenatal care
5. B) An abundance of information
6. C) Judicious use of internet self-help groups
7. D) Management of illness

Ans:  D

Chapter:  1

Client Needs:  D-3

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  2

Page and Header:  6, Health, Wellness, and Health Promotion

Feedback:  Organized self-care education programs emphasize health promotion, disease prevention, management of illness, self-care, and judicious use of the professional health care system. The other answers are incorrect because they are not emphasized by self-care education programs.

4. The home health nurse is assisting a patient and his family in planning the patient’s return to work after an extensive illness. On which level of Maslow’s hierarchy of basic needs does the patient’s need for self-fulfillment fit?
5. A) Physiologic
6. B) Safety and security
7. C) Love and belonging
8. D) Self-actualization

Ans:  D

Chapter:  1

Client Needs:  C

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  1

Page and Header:  5, The Health Care Industry and the Nursing Profession

Feedback:  Maslow’s highest level of human needs is self-actualization, which includes self-fulfillment, desire to know and understand, and aesthetic needs. The other answers are incorrect because self-fulfillment does not fit on any of them.

5. The view that health and illness are not static states but lie on a continuum is not just a nursing concept; it runs throughout the professional health care system. What does this view aid the nurse in understanding?
6. A) That care should focus on the treatment of disease
7. B) That a person’s state of health is ever changing
8. C) That a person does not have varying degrees of illness
9. D) That care should focus on the patient’s response to medications

Ans:  B

Chapter:  1

Client Needs:  B

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  1

Page and Header:  6, Health, Wellness, and Health Promotion

Feedback:  By viewing health and illness on a continuum, it is possible to consider a person as being neither completely healthy nor completely ill. Instead, a person’s state of health is ever-changing and has the potential to range from high-level wellness to extremely poor health and imminent death. The other answers are incorrect because patient care should not focus just on the treatment of disease, people do have varying degrees of illness, and care should not focus on the response to medications but on the patient’s response to all aspects of nursing care.