Question 1

Which best describes the primary purpose of nursing theory?

Accepted Answer

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

Question 2

A nurse is using Healthy People 2020 as a guide to improve the health and well-being of the community.Which strategy would the nurse most likely implement?

Accepted Answer

A) Address the root causes of health problems 
B) Choose one of the 28 focal areas for emphasis in funding and media attention 
C) Concentrate on the goals of improving the quality of life 
D) Continue funding expansion of the health care system 
E) Expand efforts to put all medical records on electronic media. A

Question 3

Which is most closely associated with morbidity and mortality outcomes?

Accepted Answer

A) Number of physicians per capita 
B) Insurance status 
C) Crime rate 
D) Personality traits B

Question 4

A nurse is using Milio's approach when caring for a client.Which advantage will the nurse experience?

Accepted Answer

A) It will allow for care interventions outside the hospital system 
B) It will demonstrate the effectiveness of using a variety of community resources 
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.

Question 5

A nurse has a broad,aggregate focus when providing care to clients.Which best describes how this approach will help improve client outcomes? (Select all that apply.)

Accepted Answer

A) Ensures that collaborative efforts of many professionals will be used 
B) Confirms the individual's responsibility for resolving the health problem 
C) Empowers decision-making based on both individual and community goals,needs,and priorities 
D) Enables the nurse to ask for assistance from other community professionals 
E) Encourages allocation of time for population-focused preventive efforts
F)Upholds professional nursing standards of care

Question 6

A community health nurse is using the Health Belief Model (HBM)as a basis for providing client care.Which best describes the problems associated with using the HBM? (Select all that apply.)

Accepted Answer

A) It ignores the need to reduce health system barriers to action 
B) It is extremely difficult to change the client's belief system 
C) It is the nurse's responsibility to persuade clients to engage in the appropriate behavior 
D) Clients do not have the knowledge to correctly analyze the seriousness of the disease or their susceptibility to it 
E) Clients expect health professionals to take preventive actions for them
F)The choice and the burden for acting are entirely with the client.

Question 7

A nurse is using Milio's framework for prevention to improve the health of clients.Which would the nurse most likely implement?

Accepted Answer

A) Create appropriate national health policies 
B) Develop health programs that make healthy choices the easiest choices 
C) Promote nationwide educational programs with information on making healthy choices 
D) Stress that clients are responsible for their own health.

Question 8

A nurse has accepted a new position in a public health department.Which characteristic is crucial to the nurse's success?

Accepted Answer

A) Advanced educational preparation 
B) Being knowledgeable about the community's needs 
C) Listening and showing respect 
D) Caring and empathetic personality

Question 9

A nurse is using the critical theoretical perspective in daily nursing practice.Which activity would the nurse most likely complete?

Accepted Answer

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.

Question 10

Which health-related variable is examined by the critical theoretical perspective?

Accepted Answer

A) Cultural beliefs 
B) Effect of history and tradition 
C) Ethnic and racial differences 
D) Social inequalities

Question 11

A nurse is using a macroscopic approach when providing care.Which would the nurse most likely demonstrate?

Accepted Answer

A) Emphasizing behaviors that will help in healing 
B) Examining the family's responses to illness 
C) Explaining how these actions will help in healing 
D) Providing testimony to legislators concerning proposed legislation

Question 12

Which assumption of the Health Belief Model (HBM)is problematic?

Accepted Answer

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 influenced by health messages given over media channels 
D) People make what they perceive as rational decisions in a given situation.

Question 13

According to the critical theoretical perspective,which should be held responsible for many of the illnesses of Americans today? (Select all that apply.)

Accepted Answer

A) Advertisers who market sugar- and fat-saturated food products 
B) Alcoholic beverage manufacturers,marketers,and sellers 
C) Manufacturers of products that increase morbidity and mortality 
D) Corporations who modify their emission rates 
E) Restaurants that attempt to keep meal costs low
F)Tobacco manufacturers who sponsor sports events

Question 14

Which statement best describes "thinking upstream"?

Accepted Answer

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

Question 15

Which assumption makes Orem's theory difficult to use?

Accepted Answer

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

Question 16

A nurse is using the critical theoretical perspective in practice.Which best describes how the nurse would respond when a client suggests that the physician prescribe a widely advertised medication for tension and anxiety? (Select all that apply.)

Accepted Answer

A) Can you tell me what is going on in your life right now? 
B) Do you know anyone else who is suffering such tension and anxiety? 
C) How does your family feel about you having so much tension and anxiety? 
D) Would you consider using the generic equivalent of this medication? 
E) What led you to believe this medication would be of help to you?
F)What have you tried in the past to relieve tension and anxiety?

Question 17

A nurse is using Milio's framework to promote healthy eating choices among members of the community.Which intervention would the nurse most likely implement?

Accepted Answer

A) Provide community education about healthy food choices 
B) Promote legislation to increase taxation on unhealthy food choices 
C) Lobby for health insurance providers to pay for participation in health promotion programs 
D) Encourage community members to be responsible for making healthy choices.

Exam 3: Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice