Chapter 19: Global Health

Chapter 19: Global Health

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

The nurse is preparing a seminar for staff nurses on the issues surrounding global health. What information should the nurse include as important for nurses to know about this topic? (Select all that apply.)

1. Contributes to creating solutions to global health challenges.
2. Identifies progress that has been made in global health problems.
3. Highlights the global health challenges that need to be addressed.
4. Encourages nurses to migrate to other countries to address ongoing health issues.
5. Identifies the relevance of global health concepts in relation to community health.

Correct Answer: 1, 2, 3, 5

Rationale: It is important for nurses to study global health in order to identify the relevance of global health concepts to nurses’ practice in their local communities, to gain a better understanding of progress that has already been made in addressing global health problems, and to identify the global health challenges that remain to be addressed and how to address them most effectively. Knowledge of global health issues is not supported to encourage nurses to migrate to other countries to address ongoing health issues.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: V.1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments; including local, state, national, and global healthcare trends.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Planning; Teaching/Learning

Learning Outcome: 1. Consider the importance of individual nurses having knowledge of global health.

Page Number: p. 354

Question 2

The nurse is identifying strategies to assist a group of community members with a similar health challenge. Which biological determinants of health should the nurse identify that will affect the members’ health going forward? (Select all that apply.)

1. Age
2. Stress
3. Income
4. Genetics
5. Ethnicity

Correct Answer: 1, 4, 5

Rationale: Biological determinants of health are typically innate individual characteristics that are less amenable to change by an individual’s actions. Examples of biological determinants of health include genetics, ethnicity, sex at birth, and age. Although some biological characteristics can be changed, their influence on an individual’s well-being and how they are perceived by other members of society typically requires societal change for acceptance. Social determinants of health include a wide range of factors such as income, employment and working conditions, housing, education, nutrition, social support, social exclusion, stress, and violence.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: V.1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments; including local, state, national, and global healthcare trends.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Describe the interrelationship between determinants of health and international efforts to achieve health for all, including the strengths and limitations of health as a human right.

Page Number: p. 357

Question 3

A group of community members are diagnosed with a chronic illness affecting the same body system. What should the nurse consider as social determinants of health that contributed to the development of the disease process in these individuals? (Select all that apply.)

1. Age
2. Housing
3. Gender at birth
4. Community violence
5. Office location of employment

Correct Answer: 2, 4, 5

Rationale: Social determinants of health include a wide range of factors such as income, employment and working conditions, housing, education, nutrition, social support, social exclusion, stress, and violence. Social determinants of health are believed to explain both the causation of ill health in individuals and the social distribution or patterns of ill health. Age and gender at birth are considered biological determinants of health.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: V.1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments; including local, state, national, and global healthcare trends.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Describe the interrelationship between determinants of health and international efforts to achieve health for all, including the strengths and limitations of health as a human right.

Page Number: p. 357

Question 4

The nurse is researching material for a presentation on health issues and human rights. What should the nurse emphasize as a foundational statement within the Universal Declaration of Human Rights?

1. All children shall have social protection.
2. People who work have the right to security.
3. Mothers receive the same consideration as the rest of society.
4. Unemployment and disability limits human rights expectations.

Correct Answer: 1

Rationale: Article 25 of the Universal Declaration of Human Rights relates specifically to health and health care stating: (1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing, medical care, necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age, or other lack of livelihood in circumstances beyond his control.

(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: V.1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments; including local, state, national, and global healthcare trends.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Implementation; Nursing Process

Learning Outcome: 2. Describe the interrelationship between determinants of health and international efforts to achieve health for all, including the strengths and limitations of health as a human right.

Page Number: p. 360