Deck 13: Nursing and Global Health

Question 1

A nurse is volunteering in a LIC by assisting medical staff in setting up clinics throughout several communities. The nurse remembers reading about a set of goals that were developed within the international community that seek to address poverty, education, environmental sustainability, and human rights. The nurse wishes to use these goals as a framework for one of the clinics under his or her responsibility. To gather more information, the nurse should research:

A)Healthy People 2020.
B)Millennium Development Goals.
C)Health for All.
D)Euro Health.

Answer 1

Millennium Development Goals.

Question 2

A PHN is teaching a class about the global health issues that face the world's population. Many of the students express frustration at the lack of progress and ask what they can do. The nursing instructor responds that which of the following may be the most effective, long-term solution?

A)Regular volunteer work and mission trips to foreign countries
B)Financial contributions to organizations providing health services
C)Promoting health literacy and increasing health education
D)Increasing the number of nursing education programs

Answer 2

Promoting health literacy and increasing health education

Question 3

A nurse is caring for a young man in the emergency department. He presents with severe headache, a rash, joint pain, and a fever of 103.5° F. He reports having traveled to India recently. What does the nurse suspect?

A)Leishmaniasis
B)Dengue fever
C)Severe acute respiratory syndrome
D)Malaria

Answer 3

Dengue fever

Question 4

A nurse has been contacted to consult with the coordinating health organization of the U.N. This means that the nurse will be working with:

A)WHO.
B)Global Health Center.
C)World Bank.
D)CDC.

Question 5

A nurse is working with a local community group in a LIC with a serious problem from lack of adequate nursing staff. How can nurses be encouraged to stay within the community?

A)Recruit more nurses from the local, rural community.
B)Institute continuing education programs for nurses to continue their learning.
C)Provide education for nurses working in these areas about issues related to working with the limited resources they have available.
D)All of the above

Question 6

A nurse is working in a community clinic in Bangladesh treating many members of the medically-indigent population. A young man comes into the clinic with a large ulcerated lump on the back of his leg. He reports having noticed a fly bite at that spot a few days ago. What does the nurse suspect?

A)Leishmaniasis
B)Malaria
C)Dengue fever
D)Severe acute respiratory syndrome (SARS)

Question 7

A nurse is assisting a primary health clinic in a rural South American country in establishing a quality and inclusive primary care program. The nurse reviews the WHO components of primary health care for guidance. Which of the following components are included in the WHO guide? Select all that apply.

A)Diminish social disparities in health.
B)Improve maternal and child health care.
C)Better organize health care around the needs of the community.
D)Improve funding for primary-care programs.
E)Increase collaborative relationships and stakeholder participation in public policy development.

Question 8

A nurse is educating emergency department nurses about the symptoms of Avian influenza, as there is some evidence of infection overseas. The nurse wants the staff to be aware of the symptoms so they can closely monitor for the virus. Which of the following symptoms should be included? Select all that apply.

A)Eye infections
B)Pneumonia
C)Fever
D)Muscle weakness and paralysis
E)Cough

Question 9

A nurse is evaluating the global issues surrounding nutrition and accessibility of health food options. One unintended health consequence of the globalization and industrialization of food production has been a(n):

A)Increase in noncommunicable diseases such as diabetes and heart disease in LICs.
B)Decrease in maternal and child health issues in LICs.
C)Shift in the distribution of deaths from older populations to younger populations in LICs.
D)Decline in noncommunicable diseases, especially in areas where communicable disease is declining.

Question 10

A nurse is looking for international volunteer opportunities working with women to promote reproductive health. Which organization is a good place to contact?

A)Catholic Relief Service
B)USAID
C)CDC
D)WHO

Question 11

A PHN is teaching a class about international health policy. In that class, what does primary health care refer to?

A)The first point of contact within the health-care system
B)The essential care needed for health, both in individuals and within the community
C)The acute care setting
D)The coordinator of more specialized care

Question 12

A nurse is preparing to volunteer with a charity organization working in India that provides medical care to underserved communities. The nurse is performing a cultural and community assessment and determines that their per capita income is $2,97 3. This classifies the country as:

A)Low-income.
B)Low-middle-income.
C)Upper-middle-income.
D)High-income.

Question 13

A PHN is presenting a lecture to a nursing class about the Millennium Development Goals (MDGs) and progress in meeting them. Which of the following statements is correct?

A)The goal is to achieve them by 2020.
B)The selected outcomes are used to measure progress in each country.
C)Each goal and its outcome criteria is independent of the other objectives within the MDGs.
D)There was significant progress in meeting some of the goals, but there was a lack of progress for other goals.

Question 14

A nurse is presenting a lecture about global health and life expectancy and states that in America, the biggest reason for the increase in life expectancy is:

A)Better public health practices.
B)Increased education.
C)Decrease in crime.
D)Improved housing.

Question 15

A nurse is working with an organization that has established objectives to assist LICs within their purview to achieve the Millennium Development Goals (MDGs). They need additional funding, though, to help them reach their policy goals. Which organization might they contact for help?

A)WHO
B)PAHO
C)World Bank
D)CDC

Question 16

A nurse is working at a very crowded hospital in Southeast Asia. There are not enough staff members or supplies for the nurse to properly care for many of the patients. How can the nurse handle the immediate situation?

A)Post ads to recruit new health-care staff.
B)Close the hospital to further patients until the staffing situation improves.
C)Delegate routine care and hygiene tasks to family members who are staying with their loved ones.
D)Develop continuing education programs about caring for culturally diverse populations for the nurses to complete in their spare time.

Question 17

An experienced emergency department nurse is beginning a volunteer experience at a large rural hospital in sub-Saharan Africa. Before beginning work the next week, what should the nurse do first?

A)Visit the hospital to figure out the layout, supply situation, and the patient care model used.
B)Begin studying the language.
C)Review advanced cardiac life support (ACLS) and basic life support (BLS) protocols.
D)Perform a cultural assessment of the community in which he or she will be working.

Question 18

Two nurses are establishing a primary health-care clinic in a rural part of Africa. Their goal is to include as many of the essential components of primary health care, as defined during a WHO conference in Alma Alta. Which of the following functions would likely be included in their model of care? Select all that apply.

A)Patient education about health problems
B)Maternal and child health care
C)Principles of proper nutrition
D)Adequate supply of safe water and healthy foods
E)Treatment and prevention of local infectious diseases
F)None of above

Question 19

A nurse working in a clinic in South America suspects that a patient, a young woman, has Chagas. What contraindications should the nurse screen for before initiating treatment? Select all that apply.

A)Liver disease
B)Renal disease
C)Bleeding abnormalities
D)Pulmonary disease
E)Pregnancy

Question 20

A public health nurse (PHN) is teaching a class about global health issues when a student asks why the health of other countries is relevant to the United States. The nurse replies:

A)"Because of the global world we live in, the health of one country can profoundly affect the health, economy, and security of the rest of the world."
B)"It doesn't, but being aware of health issues in other countries allows nurses who are interested to volunteer their services internationally."
C)"Being aware of health issues in other countries gives us information about what not to do as public health nurses."
D)"Looking at global health issues gives us information about how to treat medical emergencies here."