, 1. To plan prevention interventions, the nurse should know that which of the following is
one of the greatest challenges to global health that leads to health disparities?
A) Access to adequate food
B) Health care
C) Shelter
D) Poverty
Ans: D
Feedback:
One of the greatest challenges to global health that leads to health disparities is poverty.
Lack of access to adequate food, water, shelter, and health care are outcomes associated
with poverty.
2. Select the best definition of global health.
A) Differences in the incidence, prevalence, mortality, and burden of diseases and other
adverse health conditions that exist among specific population groups
B) Health issues that transcend national boundaries and may best be addressed by
cooperative actions
C) Increasing economic, political, social, technological, and intellectual interconnectedness
of the world
D) International and global exchanges leading to growing recognition of common threats, as
well as opportunities, and a sense of growing solidarity and commitment to collaboration
to promote global social justice and equity
Ans: B
Feedback:
Global health is health issues that transcend national boundaries and may best be
addressed by cooperative actions. Health disparities are differences in the incidence,
prevalence, mortality, and burden of diseases and other adverse health conditions that
exist among specific population groups in the United States. Globalization is a term
used to refer to the increasing economic, political, social, technological, and intellectual
interconnectedness of the world. Global stewardship is influenced by international and
global exchanges, leading to growing recognition of common threats, as well as
opportunities, and a sense of growing solidarity and commitment to collaboration to
promote global social justice and equity.
3. Which of the following is a negative effect of globalization on health?
A) Diffusion of ideas
B) Expansion of trade
C) Global stewardship
D) Brain drain
Ans: D
Feedback:
A negative effect of globalization is the “brain drain” that results when educated society
members migrate from lower-resource countries to higher-resource countries. Thus,
many groups who could most benefit from increased access to information and
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, communication technology are unable to enjoy the benefits these technologies bring to
health care because of challenges with untrained personnel and lack of infrastructure
and resources. Diffusion of ideas, expansion of trade, and global stewardship are among
the positive effects of globalization.
4. The public health nurse in New York City wishes to prepare for potential health
outcomes of climate change. For which client should she develop plans? Select all that
apply.
A) Elderly man with cardiovascular disease on diuretic medication
B) Farmer whose crop yield is low
C) Relocated family living in temporary housing
D) Child with asthma
E) Female with a double knee replacement
Ans: A, C, D
Feedback:
The elderly will be at the greatest risk for exposure to catastrophic weather events such
as hurricanes and extreme heat. Climate change will worsen smog and cause plants to
produce more pollen pollution, increasing respiratory health threats, particularly for
people with allergies and asthma. Increased flooding will result in possible food and
water shortages and may lead to mass migration. Persons affected by disasters and
economic problems due to ecosystem and climate changes will be vulnerable to mental
health stresses. The health care needs of the farmer with a low crop yield and the female
with knee replacement should not require specific plans based on climate change.
5. Reaching which target will meet the goals of the Millennium Declaration? Select all that
apply.
A) Halt and reverse the spread of HIV/AIDS.
B) Reduce the maternal mortality ratio by three-quarters.
C) Develop and implement strategies for decent and productive work for youth.
D) Continue gender disparity in primary and secondary education.
E) Halve the population without sustainable access to safe drinking water and basic
sanitation.
Ans: A, B, C, E
Feedback:
The Millennium Development Goals (MDG) Report outlines eight broad goals and
specific targets for each goal that are to be achieved by the year 2015. These include halt
and reverse the spread of HIV/AIDS; reduce the maternal mortality ratio by three-
quarters; develop and implement strategies for decent and productive work for youth;
and halve the population without sustainable access to safe drinking water and basic
sanitation. Gender disparity in primary and secondary education should be eliminated,
not continued.
6. Which of the following is one of the eight goals of the Millennium Development Goals
Page 2
, Report?
A) Eradicate poverty and hunger
B) Achieve universal secondary education
C) Reduce child morbidity
D) Improve maternal health morbidity rates
Ans: A
Feedback:
The eight broad goals of the Millennium Development Goals Report are to eradicate
extreme poverty and hunger; achieve universal primary education; promote general
equality and empower women; reduce child mortality; improve maternal health; combat
HIV/AIDS, malaria, and other diseases; ensure environmental sustainability; and
develop a global partnership for development.
7. Which of the following is a key strategy to improving maternal health?
A) Decreasing access to skilled birth attendants
B) Preventing pregnancies in women older than 40 years
C) Preventing multiple birth pregnancies
D) Increasing access to prenatal care
Ans: D
Feedback:
Key strategies to improving maternal health include increasing access to prenatal care
and skilled birth attendants, as well as preventing teen and unplanned pregnancies.
8. Which environmental sustainability target area of the Millennium Development Goals
was reached 5 years ahead of schedule?
A) Halve the proportion of the population without sustainable access to safe drinking water
and basic sanitation.
B) Improve the lives of at least 200 million slum dwellers.
C) Address the special needs of the least developed countries, landlocked countries, and
small island developing states.
D) Develop further an open, rule-based, predictable, nondiscriminatory trading and financial
system.
Ans: A
Feedback:
The goal of halving the proportion of the population without sustainable access to safe
drinking water and basic sanitation was achieved in 2010, 5 years ahead of the 2015
goal. The other target areas have not yet been achieved.
9. Which of the following is an extreme poverty and hunger eradication target of the
Millennium Development Goals campaign?
A) Halve, between 1990 and 2015, the proportion of people whose income is less than $5 a
day.
B) Halve, between 1990 and 2015, the proportion of people who suffer from hunger.
Page 3
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