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Population and Community Health Nursing Chapter 8

Terms in this set (10)

The Institute of Medicine has made five recommendations for U.S. action within the global health enterprise. Select actions that represent those recommendations. (Select all that apply.)

a. A task force is working to decrease governmental involvement in health care issues.
b. A method of sharing knowledge about communicable disease is under development.
c. An initiative to focus the U.S. health care workforce on domestic issues is under consideration.
d. Congress is looking for sources to fund increased spending in other countries.
e. Health has become an integral part of foreign policy.
A method of sharing knowledge about communicable disease is under development.
Correct: One of the recommendations is to generate and share knowledge to solve global health problems.

Congress is looking for sources to fund increased spending in other countries.
Correct: One of the recommendations is for the U.S. to increasing commitment to funding global health initiative by increasing aid spending.

Health has become an integral part of foreign policy.
Correct: Once of the recommendations is highlighting health as an integral component of foreign policy.
A nurse has become very involved in protecting the rights of women who live in an Asian country. This nurse is working in which dimension of globalization?

a. Temporal
b. Spatial
c. Cognitive
d. Economic
Cognitive

Correct: The cognitive dimension of globalization reflects thoughts about ourselves and our world. Positive effects of globalization in this dimension include expansion of democratic principles and support for human rights.
Which changes would the nurse describe as a positive effect of globalization? (Select all that apply.)

a. Health care innovations move to other countries more quickly.
b. Global standards for some healthcare standards have been developed.
c. Decision-making incorporates input from diverse groups.
d. Trade in illicit substances has decreased.
e. Spread of communicable diseases is easier to control.
Health care innovations move to other countries more quickly.
Correct: Rapid dissemination of health innovations and information is one of the positive effects of globalization.

Global standards for some health care standards have been developed.
Correct: Development of global standards related to health is a positive effect of globalization.
Which situation is a global health concern?
a. Canada and the United States are working together to decrease water pollution in joint waterways.
b. World-wide efforts are undertaken to prevent spread of a virus causing hemorrhagic fever.
c. The United Kingdom, France, and Belgium cooperate to increase sharing of biomedical technology.
d. China and the United States work together to increase use of acupuncture as a standard treatment.
World-wide efforts are undertaken to prevent spread of a virus causing hemorrhagic fever.

Correct: Since this initiative is world-wide it is best described as a global effort.
Globalization has increased the need for development of global health policy and governance. However; there is no one body to enforce global health regulations or agreements. This is a function of which gap in current efforts?

a. Jurisdictional
b. Participation
c. Incentive
d. Balance
Jurisdictional

Correct: The jurisdictional gap exists because there is no organization of body with jurisdiction to enforce global health regulations or agreements.
A nurse is compiling information on civil society organizations (CSOs) that are active in the local area. The nurse would expect that this organizations will have which characteristic in common?

a. They receive government funds.
b. They are for-profit organizations.
c. They rely on voluntary membership.
d. They are formally established organization.
They rely on voluntary membership.

Correct: CSOs are characterized by their reliance on voluntary memberships and contributions.
Students in a community health course are researching health practices and trends over the past decade in the Americas. An organization that might provide good information would be:

a. PAHO
b. FAO
c. World Health Assembly
d. WHO
PAHO

Correct: The Pan American Health Organization (PAHO) is the multilateral agency that deals with health-related concerns in the Americas. It provides an avenue for collective efforts to promote the health status of people in all Western Hemisphere nations.
A community health nurse has been involved in efforts to make HIV medication available in countries needing them the most. The nurse would want to investigate which of the following to understand the reason these drugs are not always available to the people who need them most?

a. FAO
b. TRIPS agreement
c. WTO
d. Agreement on the Application of Sanitary and Phytosanitary Measures
TRIPS agreement

Correct: Liberalization of trade has led to efforts promulgated by major producing nations, such as the United States, to protect intellectual property and patent rights. One application of the TRIPS agreement may require in-country production of a necessary drug and would preclude those from a different country from receiving the drug.
A new graduate nurse decides to be involved in global health care, specifically looking at ways to address some of the challenges. This nurse should become a member of:

a. Sigma Theta Tau
b. NIH
c. Alma Ata
d. Gates Foundation
Sigma Theta Tau

Correct: Sigma Theta Tau's goal is to provide leadership and support scholarship related to nursing practice, education, and research to improve the health of the world's population.
A community health nurse is involved in preliminary work to eradicate a specific communicable disease. In order for this work to be feasible which conditions must exist? (Select all that apply.)

a. An effective vaccine exists
b. There is enough funding for a worldwide effort
c. There is commitment from governmental agencies
d. The single social benefit is decreased pain and suffering
e. The causative agent for the disease cannot be used in bioterrorism
An effective vaccine exists
Correct: In order for eradication to be possible it must be biologically feasible.

There is enough funding for a worldwide effort
Correct: Eradication means that the disease is eliminated globally.

There is commitment from governmental agencies
Correct: Eradication would requires cooperation among and within countries.
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