Chapter 8 Global Influences on Population Health

Chapter 8   Global Influences on Population Health

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) A national health budget is developed to provide preventive health services to all segments of the population. The majority of the population lives in outlying rural areas. A dilemma for this health service is:

1. Reaching hard-to-serve populations.
2. Reconciling individual practice patterns with national standards and systems.
3. Balancing the need for regional and national coordination of health services.
4. Integration of primary care with hospital and specialty services.

Answer:  1

Explanation:  1. A rural population will traditionally be harder to reach than an urban population; therefore, this population’s access to preventive services will become an additional concern. Reconciling individual practice patterns to national standards is not addressed, nor is there any indication that coordination is necessary at this time. Primary care integration with hospital and specialty services is not addressed with preventive services.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  8-8

2) The Gates Foundation is funding the development of a viable AIDS vaccine and the eradication of childhood diseases through immunization. Though based in the United States, this foundation is considered a:

1. Bilateral agency.
2. Sector-wide approach to health.
3. Unilateral agency.
4. Non-governmental organization.

Answer:  4

Explanation:  4. Non-governmental organizations (NGOs) are agencies outside of official government-sponsored agencies that work for the public good. The Gates Foundation has committed its resources and funding to engage in activities that address worldwide health concerns. Examples of NGOs include religious groups, philanthropic foundations, corporations, and other organizations. Bilateral agencies usually involve only two countries on a project. Sector-wide approaches to health focus attention on the resolution of health-related problems by addressing conditions that affect health in a broader social sense. Unilateral agencies represent one country.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  8-7

3) The population nurse is reviewing the purpose of multilateral health agencies, such as the World Health Organization (WHO). What should the nurse identify as this organization’s major purpose?

1. Direct and coordinate global health efforts and work with countries to strengthen their health programs.
2. Work on set programs with selected countries to improve health efforts.
3. Improve health outcomes in Third World countries.
4. Coordinate health programs and efforts with other United Nations Assembly members.

Answer:  1

Explanation:  1. As a multilateral agency, WHO works with many countries in health-related activities. WHO is the primary agency affiliated with the UN that deals with global health issues. It does not restrict its activities to setting programs. While many of its efforts are directed to Third World countries, its focus is health for all people worldwide.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  8-7

4) As part of the NAFTA trade agreement, sister cities in Mexico and the United States have had cultural exchanges to learn and share health practices and treatments. This could best be described as an effort of:

1. Global health concerns.
2. International health.
3. Bilateral assistance.
4. Border protection.

Answer:  2

Explanation:  2. International health involves health matters that affect two or more countries. Cultural exchanges to learn and share health practices between the United States and Mexican practitioners is an example of international health cooperation. Global health addresses multinational efforts. Cultural exchanges are not bilateral assistance but mutual learning experiences. Border protection involves actions taken to protect a national border from something occurring in another nation.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  8-3