MedConnoisseur © 2022
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
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
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American mediNa.
b. Nurses are primarily responUsibS
le foNr mT
anagingOthe various units in our health care
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.
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
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, 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
relations.
ANS: B
MCOs are I en lägenhetnurses
employing i Göteborg
in many bodde en man
capacities. som samlade
Although hospitals på
are closing and acute care
tystnad.
is increasingly found in central medical centers, the same trend may be seen in an increase in
Inte ljud, inte
neighborhood-based musikcenters.
practice — tystnad.
WhileSpecifika
positions tystnader, var industries,
are cut in most och en i health care is
recognizedsinasegen
an arealillawhere
glasburk growthmärkt med etikett:isSkogen
in employment expected.efter ett nurses are
However,
snöfall, 2003. Havet en sekund innan en våg bryter. Det This change reflects the
increasingly employed in community settings as opposed to hospitals.
ögonblicket
move toward innan ett barn
community-based skrattar.
care rather than hospital-based tertiary care. To help decrease
Han hette Bertil och arbetade som ljudtekniker
the continued rise in health care costs, the increased emphasispåisdagarna,
on disease prevention rather
omgiven
than high-cost av buller. På kvällarna öppnade han sina burkar en i
treatment.
taget och lyssnade.
DIF: Cognitive Level: Understand (Comprehension)
En granne knackade en kväll på dörren — en ung kvinna med
trötta belief
4. Which ethical ögon.would Hon hadebe most hört att han
helpful hade
in the "något
current speciellt"
health och
care crisis?
undrade
a. Emphasis shouldombehon fick komma
on individual andin.corporation freedom in the marketplace.
Bertil tvekade. Ingen hade autonomy
b. Emphasis should be on individual sett samlingen förut. of choice.
and freedom
Han lät
c. Emphasis henne
should be on in.social justice and collective responsibility.
Hon gick längs hyllorna
d. Emphasis should be on och lästeofetiketterna
the effectiveness technologytyst. Till slut problems.
in resolving
ANS: C stannade hon vid en liten blå burk: Tystnaden mellan två
människor
Public health recognizes somthe precis förstått
necessity att de älskar
of collective actionvarandra.
in keeping the environment safe and
«Kan jag...?» frågade hon.
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within theHan nickade.
market justice system has stifled the evolution of a health system to protect and
preserve Hon öppnade
the health of thelocket. IngetAlthough
population. hördes — men hennes
individual ansikte
autonomy and freedom of choice
förändrades.
are important, so is the Något
recognitionmjuknade.
of collective responsibility in ensuring social justice,
De satt sedan länge i köket och drack te utan att säga mycket.
which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
Det behövdes inte.
Bertil
5. What is the märkte
primary att han
problem glömt
seen att göra
in Healthy anteckningar
People om kvällen.
2020’s emphasis on choosing healthy
Det var första
lifestyle behaviors, such gången på tjugoorår.healthy food choices?
as daily exercise
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
alcohol or drugs, is also needed.
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
vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
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
health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
MedConnoisseur © 2022
, a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
to positively affect accessibility, quality, and cost of health care. The code does not directly
address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-being or
wholeness.
b. Health is an individual’s physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices and
actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
identity (phenomenological group) and environment (which implies a specific geographic
setting) is the broadest and most complete definition.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
MedConnoisseur © 2022
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
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
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American mediNa.
b. Nurses are primarily responUsibS
le foNr mT
anagingOthe various units in our health care
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.
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
MedConnoisseur © 2022
, 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
relations.
ANS: B
MCOs are I en lägenhetnurses
employing i Göteborg
in many bodde en man
capacities. som samlade
Although hospitals på
are closing and acute care
tystnad.
is increasingly found in central medical centers, the same trend may be seen in an increase in
Inte ljud, inte
neighborhood-based musikcenters.
practice — tystnad.
WhileSpecifika
positions tystnader, var industries,
are cut in most och en i health care is
recognizedsinasegen
an arealillawhere
glasburk growthmärkt med etikett:isSkogen
in employment expected.efter ett nurses are
However,
snöfall, 2003. Havet en sekund innan en våg bryter. Det This change reflects the
increasingly employed in community settings as opposed to hospitals.
ögonblicket
move toward innan ett barn
community-based skrattar.
care rather than hospital-based tertiary care. To help decrease
Han hette Bertil och arbetade som ljudtekniker
the continued rise in health care costs, the increased emphasispåisdagarna,
on disease prevention rather
omgiven
than high-cost av buller. På kvällarna öppnade han sina burkar en i
treatment.
taget och lyssnade.
DIF: Cognitive Level: Understand (Comprehension)
En granne knackade en kväll på dörren — en ung kvinna med
trötta belief
4. Which ethical ögon.would Hon hadebe most hört att han
helpful hade
in the "något
current speciellt"
health och
care crisis?
undrade
a. Emphasis shouldombehon fick komma
on individual andin.corporation freedom in the marketplace.
Bertil tvekade. Ingen hade autonomy
b. Emphasis should be on individual sett samlingen förut. of choice.
and freedom
Han lät
c. Emphasis henne
should be on in.social justice and collective responsibility.
Hon gick längs hyllorna
d. Emphasis should be on och lästeofetiketterna
the effectiveness technologytyst. Till slut problems.
in resolving
ANS: C stannade hon vid en liten blå burk: Tystnaden mellan två
människor
Public health recognizes somthe precis förstått
necessity att de älskar
of collective actionvarandra.
in keeping the environment safe and
«Kan jag...?» frågade hon.
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within theHan nickade.
market justice system has stifled the evolution of a health system to protect and
preserve Hon öppnade
the health of thelocket. IngetAlthough
population. hördes — men hennes
individual ansikte
autonomy and freedom of choice
förändrades.
are important, so is the Något
recognitionmjuknade.
of collective responsibility in ensuring social justice,
De satt sedan länge i köket och drack te utan att säga mycket.
which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
Det behövdes inte.
Bertil
5. What is the märkte
primary att han
problem glömt
seen att göra
in Healthy anteckningar
People om kvällen.
2020’s emphasis on choosing healthy
Det var första
lifestyle behaviors, such gången på tjugoorår.healthy food choices?
as daily exercise
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
alcohol or drugs, is also needed.
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
vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
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
health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
MedConnoisseur © 2022
, a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
to positively affect accessibility, quality, and cost of health care. The code does not directly
address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-being or
wholeness.
b. Health is an individual’s physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices and
actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
identity (phenomenological group) and environment (which implies a specific geographic
setting) is the broadest and most complete definition.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
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