Community Public Health Nursing 7th Edition Nies Test Bank
COMMUNITY PUBLIC HEALTH NURSING 7TH EDITION NIES Chapter 01: Health: A Community View
TEST BANK Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
TEST BANK 1. Which best describes the primary reason that Americans are concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
a
a
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
s
s
i
i
DIF: Cognitive Level: Understand (Comprehension)
h
h
i
i
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
c
c
t
t
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
u
u
n
n
visible in American mediN
a. R I G B.C M
b. Nurses are primarily responUsibS
le foNr mT
anagingOthe various units in our health care
b
b
a
a
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
fMr
fMr
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
relations. to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
ANS: B
increase and expand the number of professionals available.
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
c. Support health legislation to improve accessibility and cost of health care.
is increasingly found in central medical centers, the same trend may be seen in an increase in
d. Volunteer to work overtime as needed to ensure maximum quality of care.
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are ANS: C
increasingly employed in community settings as opposed to hospitals. This change reflects the The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
move toward community-based care rather than hospital-based tertiary care. To help decrease to positively affect accessibility, quality, and cost of health care. The code does not directly
the continued rise in health care costs, the increased emphasis is on disease prevention rather address workplace issues, such as work schedules or need for overtime.
than high-cost treatment.
DIF: Cognitive Level: Analyze (Analysis)
DIF: Cognitive Level: Understand (Comprehension)
7. What is the community health nursing definition of health?
4. Which ethical belief would be most helpful in the current health care crisis? a. Health is a person’s goal-directed purposeful process toward well-being or
a. Emphasis should be on individual and corporation freedom in the marketplace. wholeness.
b. Emphasis should be on individual autonomy and freedom of choice. b. Health is an individual’s physical, mental, and social well-being, not merely the
a
a
c. Emphasis should be on social justice and collective responsibility. absence of disease or infirmity.
d. Emphasis should be on the effectiveness of technology in resolving problems. c. Health is the mutual adaptation between a person and his or her environment in
s
s
meeting daily existence.
i
i
ANS: C
d. Health is families and aggregates choosing actions to ensure safety and well-being.
h
h
Public health recognizes the necessity of collective action in keeping the environment safe and
i
i
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures ANS: D
c
c
within the market justice system has stifled the evolution of a health system to protect and The text stresses that health is not just the result of an individual’s choices, but choices and
t
t
preserve the health of the population. Although individual autonomy and freedom of choice actions of individuals, families, groups, and communities that lead to better health.
u
u
are important, so is the recognition of collective responsibility in ensuring social justice,
n
n
which entitles all people to basic necessities. DIF: Cognitive Level: Apply (Application)
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b
b
a
a
DIF: Cognitive Level: Apply (Application) 8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy b. A group of persons who share a common identity and environment
fMr
fMr
lifestyle behaviors, such as daily exercise or healthy food choices? c. A group of persons who work together to meet common goals
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of d. A group of persons who resolve a community concern
alcohol or drugs, is also needed.
ANS: B
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
vegetables as opposed to quick and cheap fast-food choices.
history, or goals). A particular phenomenological group may or may not have been a planned
d. Public policy emphasizes personal responsibility but ignores social and
group—that is, a group that came together to resolve a recognized common problem or to
environmental changes needed for well-being.
meet a common goal. However, of all the choices, a group of persons who share a common
ANS: D identity (phenomenological group) and environment (which implies a specific geographic
Although all responses are accurate, the primary problem is the emphasis on personal choices setting) is the broadest and most complete definition.
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to DIF: Cognitive Level: Apply (Application)
health.
9. Which variable has a major influence on a community’s health?
DIF: Cognitive Level: Apply (Application) a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of c. Quality of the public safety officers (police officers, firefighters, etc.)
the nurse beyond giving excellent care to patients? d. The number and credentials of public health officials in the community
a. Accept longer work schedules to ensure that professional care is always available
ANS: A
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, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
Individual behavior choices are responsible for about 50% of health outcomes. Individual Average increased life span over the past 100 years can be largely attributed to higher
choices are affected through interaction with other individuals, and their mutual social and standards of living, better nutrition, a healthier environment, and having fewer children.
physical environments. The number of health care providers has not played a major role in the Public health efforts such as immunization and medical care have also contributed.
health outcomes in the community in comparison to individual health behaviors. The quality
of public safety officers and number of public health officials have not been identified as DIF: Cognitive Level: Understand (Comprehension)
major contributors to the determinants of health.
13. Why would a public health nurse want to know about morbidity and mortality statistics on the
DIF: Cognitive Level: Apply (Application) local, state, and national level?
a. To be able to share current trends in health problems with the community
10. What change could most effectively lead to a longer life span in Americans? b. To be able to observe the community’s statistics over time and compare the
a. Parenting and sexual behavior classes in all public school systems community with other communities
b. Legislation restricting alcohol and drug use c. To justify local budgets and the need for increased income from citizens
c. Notably reducing speed limits on all state and federal highways, and changing the d. To publicize current health issues and suggest appropriate actions to citizens
age limit for driving to 21 years of age
ANS: B
d. The belief that smoking is shameful and disgusting, as well as expensive,
Although being informed and being able to educate the public is always preferred and nurses
becoming the social norm
often do have to justify budgets, data are needed to compare the local community with itself
a
a
ANS: D over time and with other communities so that problems may be recognized and action taken to
Smoking is responsible for almost 20% of all deaths in the United States. Although smoking confront health issues. The first step is always to recognize problems as they develop.
is an individual’s choice, all people are affected by social norms. Parenting and sexual
s
s
i
i
behavior classes and legislative changes may influence health, but may not necessarily lead to DIF: Cognitive Level: Apply (Application)
h
h
a longer lifespan. Community health nurses should recognize that health is influenced by a
i
i
web of factors, some that can be changed and some that cannot. Influencing social norms may 14. How do public health efforts differ from medical efforts in improving the health of our
c
c
citizens?
t
t
better promote change among Americans.
a. Medical care providers autonomously choose appropriate interventions, whereas
u
u
n
n
DIF: Cognitive Level: Apply (Application) public health care providers must engage in whatever actions legislation requires.
b. Medical care providers are self-employed or agency employed, whereas public
11. What is the health issue causN gR
inU eI
thS osG
mN coB
tT nc.eC
rnOinMthe United States today? health care providers are N RSyed
Uplo
em INby
GTand
B.CpaiOdM
through the government.
b
b
a
a
a. Diabetes epidemic c. Medical care providers focus only on individuals, whereas public health care
b. Increase in cardiac disease providers focus only on aggregates.
fMr
fMr
c. Increase in obesity d. Medical care providers focus on disease diagnosis and management, whereas
d. Rise in cancer rates public health care providers focus on health promotion and disease prevention.
ANS: C ANS: D
The widespread increase in incidence of overweight and obesity has led to calls for Medical care providers are restricted by insurance and government regulations. Providers may
population-based measures to address this issue. The overarching problem of obesity has led also be employed in government facilities, such as Veterans Administration facilities.
to an increase in diabetes as well as cardiac disease. If this health issue was controlled, there However, medical care providers primarily focus on diagnosis and treatment of disease,
should be in a decrease in the other health issues. whereas public health care providers try to promote health and prevent disease. Although
medical care providers primarily focus on individuals and public health care providers
DIF: Cognitive Level: Understand (Comprehension) primarily focus on aggregates, their practice is not limited to only individuals or only
aggregates.
12. What factors are most responsible for the increasing length of life of Americans over the past
100 years? DIF: Cognitive Level: Apply (Application)
a. Better nutrition and family planning options
b. Education concerning the need to reduce salt and fat in the diet 15. Which primary prevention would the school nurse choose to address the school’s number of
c. Improved medical care, including exciting new technologies unwed pregnancies?
d. More efficient cancer screenings and early intervention a. Create a class on parenting for both the moms-to-be and the dads-to-be.
b. Convince the school board to allow sex education classes to include birth control
ANS: A
measures.
c. Employ the moms-to-be as 1-hour-a-day employees in the school daycare center
for children born to school students.
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, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
d. Establish a class where all the unwed moms-to-be can learn infant care. Of the choices given, health promotion activities would make the largest difference. Increased
expenditures on acute care will not notably change the health of the population, whereas
ANS: B
funding that addresses health promotion such as education and safe environments would
Primary prevention relates to activities directed at preventing a problem before it occurs by
improve the health of the aggregate.
altering susceptibility or reducing exposure for susceptible individuals. Primary prevention
consists of two elements: general health promotion and specific protection. Health promotion DIF: Cognitive Level: Apply (Application)
efforts enhance resiliency and protective factors and target essentially well populations.
Specific protection efforts reduce or eliminate risk factors. Although all choices would be 18. Which task will be most helpful in meeting the public health agency’s goals?
appropriate actions in a school, only education regarding sexuality and birth control would a. Complete staff evaluations in preparation for individual meetings to plan their
help prevent future pregnancies. agency and individual goals for the next year.
b. Actively participate in community agencies’ collaborative action plan to meet the
DIF: Cognitive Level: Apply (Application)
community’s health goals for the year.
c. Meet with the college of nursing faculty to finalize student objectives and
16. What would be the proper term for the action of the school health nurse arranging for all the
schedules for the next semester.
students in the elementary school to receive H1N1 immunizations?
d. Teach a free course in healthful living for community residents.
a. Health education
b. Secondary prevention ANS: B
a
a
c. Specific protection Although all tasks may be necessary and important, intra-agency cooperation to meet the
d. Tertiary prevention health goals of the community as a whole is more central to the agency’s mission than other
s
s
choices that meet the needs of individuals or groups rather than the community as a whole.
i
i
ANS: C
h
h
Immunizations are a specific protection effort as part of primary prevention. Primary DIF: Cognitive Level: Analyze (Analysis)
i
i
prevention relates to activities directed at preventing a problem before it occurs by altering
c
c
susceptibility or reducing exposure for susceptible individuals. Primary prevention consists of 19. A community health nurse is overwhelmed with all that needs to be done in one day. Which
t
t
two elements: general health promotion and specific protection. Health promotion efforts task could most easily be postponed?
u
u
enhance resiliency and protective factors and target essentially well populations. Specific
n
n
a. Reviewing the most recent hospital patient data collected by the local college of
protection efforts reduce or eliminate risk factors. Secondary prevention refers to early nursing N R I G B.C M
detection and prompt interveN ioR
ntU nSduIriN
ngGtT
hB
e p.eC
rioOdMof early disease pathogenesis. Tertiary b. Deciding which of several U
possSibleNneT
w clinicOoptions would be most effective in
b
b
a
a
prevention targets populations that have experienced disease or injury and focuses on better meeting the needs of the local community
limitation of disability and rehabilitation. Health education would relate to educating the c. Evaluating the results of the most recent community-wide screening program
students about the immunization not making the arrangements for the immunization to be
fMr
fMr
before planning for the next community health program
given. d. Giving testimony to the state legislature on a new health and safety bill
DIF: Cognitive Level: Understand (Comprehension) ANS: A
All of the tasks are related to assessing needs, implementing new care options, or evaluating
17. Which action would probably result in the largest change in health care outcomes for health outcomes measures in the community except reviewing hospital patient data. Hospital
Americans? patient data may be helpful but not directly related to the agency’s ability to promote primary
a. Establish large numbers of scholarships for education of nurses, physicians, and health and prevent disease.
other health care providers.
b. Fund a one-time extremely large stimulus to allow all health care providers and DIF: Cognitive Level: Analyze (Analysis)
agencies to create and integrate computer network systems for client health care
records. 20. A nurse who works on the surgical unit at the local hospital was asked by the home health unit
c. Increase funding for hospitals and medical centers to expand their neighborhood to make a home visit to a patient who had been discharged the previous day and to give
clinics. follow-up care (for overload pay). What kind of nursing would this nurse be doing?
d. Redirect a large portion of federal funding from acute care to health promotion a. Acute care hospital nursing
activities. b. Community-based nursing
c. Community health nursing
ANS: D d. Public health nursing
ANS: B
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COMMUNITY PUBLIC HEALTH NURSING 7TH EDITION NIES Chapter 01: Health: A Community View
TEST BANK Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
TEST BANK 1. Which best describes the primary reason that Americans are concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
a
a
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
s
s
i
i
DIF: Cognitive Level: Understand (Comprehension)
h
h
i
i
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
c
c
t
t
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
u
u
n
n
visible in American mediN
a. R I G B.C M
b. Nurses are primarily responUsibS
le foNr mT
anagingOthe various units in our health care
b
b
a
a
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
fMr
fMr
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
relations. to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
ANS: B
increase and expand the number of professionals available.
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
c. Support health legislation to improve accessibility and cost of health care.
is increasingly found in central medical centers, the same trend may be seen in an increase in
d. Volunteer to work overtime as needed to ensure maximum quality of care.
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are ANS: C
increasingly employed in community settings as opposed to hospitals. This change reflects the The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
move toward community-based care rather than hospital-based tertiary care. To help decrease to positively affect accessibility, quality, and cost of health care. The code does not directly
the continued rise in health care costs, the increased emphasis is on disease prevention rather address workplace issues, such as work schedules or need for overtime.
than high-cost treatment.
DIF: Cognitive Level: Analyze (Analysis)
DIF: Cognitive Level: Understand (Comprehension)
7. What is the community health nursing definition of health?
4. Which ethical belief would be most helpful in the current health care crisis? a. Health is a person’s goal-directed purposeful process toward well-being or
a. Emphasis should be on individual and corporation freedom in the marketplace. wholeness.
b. Emphasis should be on individual autonomy and freedom of choice. b. Health is an individual’s physical, mental, and social well-being, not merely the
a
a
c. Emphasis should be on social justice and collective responsibility. absence of disease or infirmity.
d. Emphasis should be on the effectiveness of technology in resolving problems. c. Health is the mutual adaptation between a person and his or her environment in
s
s
meeting daily existence.
i
i
ANS: C
d. Health is families and aggregates choosing actions to ensure safety and well-being.
h
h
Public health recognizes the necessity of collective action in keeping the environment safe and
i
i
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures ANS: D
c
c
within the market justice system has stifled the evolution of a health system to protect and The text stresses that health is not just the result of an individual’s choices, but choices and
t
t
preserve the health of the population. Although individual autonomy and freedom of choice actions of individuals, families, groups, and communities that lead to better health.
u
u
are important, so is the recognition of collective responsibility in ensuring social justice,
n
n
which entitles all people to basic necessities. DIF: Cognitive Level: Apply (Application)
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b
b
a
a
DIF: Cognitive Level: Apply (Application) 8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy b. A group of persons who share a common identity and environment
fMr
fMr
lifestyle behaviors, such as daily exercise or healthy food choices? c. A group of persons who work together to meet common goals
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of d. A group of persons who resolve a community concern
alcohol or drugs, is also needed.
ANS: B
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
vegetables as opposed to quick and cheap fast-food choices.
history, or goals). A particular phenomenological group may or may not have been a planned
d. Public policy emphasizes personal responsibility but ignores social and
group—that is, a group that came together to resolve a recognized common problem or to
environmental changes needed for well-being.
meet a common goal. However, of all the choices, a group of persons who share a common
ANS: D identity (phenomenological group) and environment (which implies a specific geographic
Although all responses are accurate, the primary problem is the emphasis on personal choices setting) is the broadest and most complete definition.
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to DIF: Cognitive Level: Apply (Application)
health.
9. Which variable has a major influence on a community’s health?
DIF: Cognitive Level: Apply (Application) a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of c. Quality of the public safety officers (police officers, firefighters, etc.)
the nurse beyond giving excellent care to patients? d. The number and credentials of public health officials in the community
a. Accept longer work schedules to ensure that professional care is always available
ANS: A
NURSINGTB.COM NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
Individual behavior choices are responsible for about 50% of health outcomes. Individual Average increased life span over the past 100 years can be largely attributed to higher
choices are affected through interaction with other individuals, and their mutual social and standards of living, better nutrition, a healthier environment, and having fewer children.
physical environments. The number of health care providers has not played a major role in the Public health efforts such as immunization and medical care have also contributed.
health outcomes in the community in comparison to individual health behaviors. The quality
of public safety officers and number of public health officials have not been identified as DIF: Cognitive Level: Understand (Comprehension)
major contributors to the determinants of health.
13. Why would a public health nurse want to know about morbidity and mortality statistics on the
DIF: Cognitive Level: Apply (Application) local, state, and national level?
a. To be able to share current trends in health problems with the community
10. What change could most effectively lead to a longer life span in Americans? b. To be able to observe the community’s statistics over time and compare the
a. Parenting and sexual behavior classes in all public school systems community with other communities
b. Legislation restricting alcohol and drug use c. To justify local budgets and the need for increased income from citizens
c. Notably reducing speed limits on all state and federal highways, and changing the d. To publicize current health issues and suggest appropriate actions to citizens
age limit for driving to 21 years of age
ANS: B
d. The belief that smoking is shameful and disgusting, as well as expensive,
Although being informed and being able to educate the public is always preferred and nurses
becoming the social norm
often do have to justify budgets, data are needed to compare the local community with itself
a
a
ANS: D over time and with other communities so that problems may be recognized and action taken to
Smoking is responsible for almost 20% of all deaths in the United States. Although smoking confront health issues. The first step is always to recognize problems as they develop.
is an individual’s choice, all people are affected by social norms. Parenting and sexual
s
s
i
i
behavior classes and legislative changes may influence health, but may not necessarily lead to DIF: Cognitive Level: Apply (Application)
h
h
a longer lifespan. Community health nurses should recognize that health is influenced by a
i
i
web of factors, some that can be changed and some that cannot. Influencing social norms may 14. How do public health efforts differ from medical efforts in improving the health of our
c
c
citizens?
t
t
better promote change among Americans.
a. Medical care providers autonomously choose appropriate interventions, whereas
u
u
n
n
DIF: Cognitive Level: Apply (Application) public health care providers must engage in whatever actions legislation requires.
b. Medical care providers are self-employed or agency employed, whereas public
11. What is the health issue causN gR
inU eI
thS osG
mN coB
tT nc.eC
rnOinMthe United States today? health care providers are N RSyed
Uplo
em INby
GTand
B.CpaiOdM
through the government.
b
b
a
a
a. Diabetes epidemic c. Medical care providers focus only on individuals, whereas public health care
b. Increase in cardiac disease providers focus only on aggregates.
fMr
fMr
c. Increase in obesity d. Medical care providers focus on disease diagnosis and management, whereas
d. Rise in cancer rates public health care providers focus on health promotion and disease prevention.
ANS: C ANS: D
The widespread increase in incidence of overweight and obesity has led to calls for Medical care providers are restricted by insurance and government regulations. Providers may
population-based measures to address this issue. The overarching problem of obesity has led also be employed in government facilities, such as Veterans Administration facilities.
to an increase in diabetes as well as cardiac disease. If this health issue was controlled, there However, medical care providers primarily focus on diagnosis and treatment of disease,
should be in a decrease in the other health issues. whereas public health care providers try to promote health and prevent disease. Although
medical care providers primarily focus on individuals and public health care providers
DIF: Cognitive Level: Understand (Comprehension) primarily focus on aggregates, their practice is not limited to only individuals or only
aggregates.
12. What factors are most responsible for the increasing length of life of Americans over the past
100 years? DIF: Cognitive Level: Apply (Application)
a. Better nutrition and family planning options
b. Education concerning the need to reduce salt and fat in the diet 15. Which primary prevention would the school nurse choose to address the school’s number of
c. Improved medical care, including exciting new technologies unwed pregnancies?
d. More efficient cancer screenings and early intervention a. Create a class on parenting for both the moms-to-be and the dads-to-be.
b. Convince the school board to allow sex education classes to include birth control
ANS: A
measures.
c. Employ the moms-to-be as 1-hour-a-day employees in the school daycare center
for children born to school students.
NURSINGTB.COM NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank Community Public Health Nursing 7th Edition Nies Test Bank
d. Establish a class where all the unwed moms-to-be can learn infant care. Of the choices given, health promotion activities would make the largest difference. Increased
expenditures on acute care will not notably change the health of the population, whereas
ANS: B
funding that addresses health promotion such as education and safe environments would
Primary prevention relates to activities directed at preventing a problem before it occurs by
improve the health of the aggregate.
altering susceptibility or reducing exposure for susceptible individuals. Primary prevention
consists of two elements: general health promotion and specific protection. Health promotion DIF: Cognitive Level: Apply (Application)
efforts enhance resiliency and protective factors and target essentially well populations.
Specific protection efforts reduce or eliminate risk factors. Although all choices would be 18. Which task will be most helpful in meeting the public health agency’s goals?
appropriate actions in a school, only education regarding sexuality and birth control would a. Complete staff evaluations in preparation for individual meetings to plan their
help prevent future pregnancies. agency and individual goals for the next year.
b. Actively participate in community agencies’ collaborative action plan to meet the
DIF: Cognitive Level: Apply (Application)
community’s health goals for the year.
c. Meet with the college of nursing faculty to finalize student objectives and
16. What would be the proper term for the action of the school health nurse arranging for all the
schedules for the next semester.
students in the elementary school to receive H1N1 immunizations?
d. Teach a free course in healthful living for community residents.
a. Health education
b. Secondary prevention ANS: B
a
a
c. Specific protection Although all tasks may be necessary and important, intra-agency cooperation to meet the
d. Tertiary prevention health goals of the community as a whole is more central to the agency’s mission than other
s
s
choices that meet the needs of individuals or groups rather than the community as a whole.
i
i
ANS: C
h
h
Immunizations are a specific protection effort as part of primary prevention. Primary DIF: Cognitive Level: Analyze (Analysis)
i
i
prevention relates to activities directed at preventing a problem before it occurs by altering
c
c
susceptibility or reducing exposure for susceptible individuals. Primary prevention consists of 19. A community health nurse is overwhelmed with all that needs to be done in one day. Which
t
t
two elements: general health promotion and specific protection. Health promotion efforts task could most easily be postponed?
u
u
enhance resiliency and protective factors and target essentially well populations. Specific
n
n
a. Reviewing the most recent hospital patient data collected by the local college of
protection efforts reduce or eliminate risk factors. Secondary prevention refers to early nursing N R I G B.C M
detection and prompt interveN ioR
ntU nSduIriN
ngGtT
hB
e p.eC
rioOdMof early disease pathogenesis. Tertiary b. Deciding which of several U
possSibleNneT
w clinicOoptions would be most effective in
b
b
a
a
prevention targets populations that have experienced disease or injury and focuses on better meeting the needs of the local community
limitation of disability and rehabilitation. Health education would relate to educating the c. Evaluating the results of the most recent community-wide screening program
students about the immunization not making the arrangements for the immunization to be
fMr
fMr
before planning for the next community health program
given. d. Giving testimony to the state legislature on a new health and safety bill
DIF: Cognitive Level: Understand (Comprehension) ANS: A
All of the tasks are related to assessing needs, implementing new care options, or evaluating
17. Which action would probably result in the largest change in health care outcomes for health outcomes measures in the community except reviewing hospital patient data. Hospital
Americans? patient data may be helpful but not directly related to the agency’s ability to promote primary
a. Establish large numbers of scholarships for education of nurses, physicians, and health and prevent disease.
other health care providers.
b. Fund a one-time extremely large stimulus to allow all health care providers and DIF: Cognitive Level: Analyze (Analysis)
agencies to create and integrate computer network systems for client health care
records. 20. A nurse who works on the surgical unit at the local hospital was asked by the home health unit
c. Increase funding for hospitals and medical centers to expand their neighborhood to make a home visit to a patient who had been discharged the previous day and to give
clinics. follow-up care (for overload pay). What kind of nursing would this nurse be doing?
d. Redirect a large portion of federal funding from acute care to health promotion a. Acute care hospital nursing
activities. b. Community-based nursing
c. Community health nursing
ANS: D d. Public health nursing
ANS: B
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