1.	A registered nurse from France has moved to the United States and is now employed at a health facility. Which characteristic will this nurse discover does not occur in the United States as it does in France?	
A)	Healthcare providers are evenly distributed between rural and urban areas.	
B)	About 40% of healthcare providers are women.	
C)	Healthcare provider visits can take 15 to 30 minutes.	
D)	Healthcare providers see about 15 clients a day.	

2.	A nurse is interested in exploring initiatives related to health, poverty, and development in Africa. Which organization should this nurse consider prioritizing to accomplish this goal?	
A)	Bill and Melinda Gates Foundation	
B)	Living Proof Project	
C)	International Committee of the Red Cross	
D)	Oxfam International	

3.	The nurse desires to become more involved with an organization that has not been created by the government. Which factor will set these types of organizations apart from other types?	
A)	Based in only one country but provides services to many other countries.	
B)	Acquires resources to help others from private rather than public sources.	
C)	Collects data related to healthcare use across a variety of professional and service parameters.	
D)	Uses endowed funds or private fundraising to address the needs of individuals, families, and populations.	

4.	A nursing student, close to graduation, is exploring the various options for employment. Which option should this individual prioritize if becoming involved with a bilateral agency is the chosen goal?	
A)	The United Nations	
B)	The World Health Organization (WHO)	
C)	The World Bank	
D)	The U.S. Agency for International Development (USAID)	

5.	A public health nurse provides care to the community while following the various rules and regulations established by the federal government. Which areas will most likely be regulated by the federal government? (Select all that apply.)	
A)	Food	
B)	Medications	
C)	School health	
D)	Devices	
E)	Environment	

6.	A nurse is coordinating an initiative in the community to make sure that the healthcare needs of local refugees and asylees are recognized and addressed. Which federal agency should this nurse prioritize contacting to assist with this effort?	
A)	United States Department of Health and Human Services	
B)	National Institutes of Health	
C)	Agency for Healthcare Research and Quality	
D)	Centers for Disease Control and Prevention	

7.	A group of public health nurses are meeting to develop some goals for their community with the main goal of improving the health of their community. Which goal should this group prioritize to achieve this outcome?	
A)	To restore the ability of an 80 year old to perform activities of daily living after a stroke	
B)	To lobby for legislation that ensures the accessibility to health insurance on the basis of one's health	
C)	To develop treatments to address symptoms related to chemotherapy	
D)	To establish a free exercise program at a community center to promote fitness in a low-income neighborhood with high obesity rates	

8.	A group of nursing students are exploring the history of healthcare in the United States. Which type of care should these students discover has always received the most support?	
A)	Individual care with a focus on cure	
B)	Community care with a focus on cure	
C)	Individual care with a focus on prevention	
D)	Community care with a focus on prevention	

9.	A nurse works predominantly with clients who are active military personnel. Which program will these individuals most likely be receiving health benefits through?	
A)	Medicare	
B)	Medicaid	
C)	TRICARE	
D)	CHIP	

10.	A public health nurse is seeking funds to help provide an "office on wheels" to take to various locations in the local rural communities. Which factor is the nurse prioritizing by seeking a philanthropic organization for the needed funds?	
A)	Agency that is based in only one country but provides services to many other countries	
B)	Agency that acquires resources to help others from private rather than public sources	
C)	A group that collects data related to healthcare use across a variety of professional and service parameters	
D)	An organization that uses endowed funds or private fundraising to address the needs of individuals, families, and populations	

11.	A nurse is preparing a poster for a health fair depicting the cost of healthcare around the world. Which country should the nurse prioritize as the one who spends the most?	
A)	Canada	
B)	England	
C)	Japan	
D)	United States	

12.	A couple nursing students are preparing a class project which will explore the statistics of the cost of healthcare in the United States. Which expenditure should these students point out is the fastest growing?	
A)	Healthcare technology	
B)	Hospital care	
C)	Outpatient treatment and surgery	
D)	Prescription medications	

13.	The public health nurse is appraising the latest estimates the community may be spending on healthcare. Which percentage will the nurse discover in the government reports for healthcare spending?	
A)	2	
B)	3	
C)	4	
D)	5	

14.	The client is a single mother of two who earns minimum wage at a part-time job and never graduated from high school. Which healthcare-related outcomes is the client at increased risk for, based on her circumstances? (Select all that apply.)	
A)	Morbidity	
B)	Mortality	
C)	Genetic disorder	
D)	Difficulty accessing care	
E)	Negative outcomes when receiving care	

15.	The nurse is preparing a poster for a health fair illustrating the various categories in which health disparities are noted. Which areas should the nurse prioritize on this poster? (Select all that apply.)	
A)	Infant mortality	
B)	Cancer screening	
C)	Cardiovascular disease	
D)	Diabetes	
E)	End-stage renal disease	

16.	A nurse in the Canadian healthcare system is concerned because a client has been denied a surgical procedure that the nurse believes is essential to the client's recovery. Which individual will be best for this nurse to contact to seek a reversal of this decision?	
A)	Nurse practitioner	
B)	Healthcare providers	
C)	Private insurance company	
D)	Health administrator	

17.	The nurse is caring for a tourist from Germany who needs emergency healthcare. Which factor might this client find challenging when comparing the healthcare at home with the healthcare in the United States?	
A)	Health insurance payments based on risk, not income	
B)	Ambulatory care provided by centralized nonprofit hospitals	
C)	An average hospital stay of 9 days	
D)	Nurse practitioners operating independently	

18.	The nursing instructor has completed a session comparing the healthcare systems of various countries to the United States. The instructor determines the session is successful when the students correctly choose which fact concerning the payment system of the Netherlands?	
A)	Universal long-term payment system	
B)	Dual-level payment system	
C)	Private health insurance linked to employment	
D)	Free health insurance paid by the government	

19.	A nurse has recently joined an organization which provides healthcare to the local community. Which factor will best indicate this nurse is now employed by a multilateral agency?	
A)	Is based in only one country but provides services to many other countries.	
B)	Is responsible for the health and welfare of citizens nationally.	
C)	Receives funding from both governmental and nongovernmental sources.	
D)	Acquires resources to help others from private rather than public sources.	

20.	A new nurse graduate is considering joining a group which is part of the International Council of Nurses (ICN). Which area will this nurse most likely become involved with through this federation?	
A)	Basic nursing practice	
B)	Secondary healthcare	
C)	Women's health	
D)	Safe immunization programs	

21.	A hurricane recently struck a nurse's hometown, and the nurse on behalf of the hospital is coordinating local relief efforts with nongovernmental organizations (NGOs). Which organization should this nurse most expect to work with in this situation?	
A)	Bill and Melinda Gates Foundation	
B)	Living Proof Project	
C)	International Committee of the Red Cross	
D)	Oxfam International	

Answer Key

1.	C	
2.	A	
3.	B	
4.	D	
5.	A, B, D, E	
6.	A	
7.	D	
8.	A	
9.	C	
10.	D	
11.	D	
12.	D	
13.	B	
14.	A, B, D, E	
15.	A, B, C, D	
16.	D	
17.	C	
18.	B	
19.	C	
20.	C	
21.	C