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 employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
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
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: CognitiveНикто в городе не
Level: Understand мог точно сказать, когда появилась эта
(Comprehension)
библиотека. Она просто была — всегда, между булочной и
4. Which ethical belief would be most helpful in the current health care crisis?
аптекой,
a. Emphasis should be onс individual
деревянной and вывеской, которуюinникто
corporation freedom не читал.
the marketplace.
Антонbeзашёл
b. Emphasis should туда однажды
on individual autonomyот andдождя.
freedom Библиотекарь
of choice. —
пожилая
c. Emphasis should be onженщина с серебряными
social justice волосами — подняла
and collective responsibility.
глазаbe
d. Emphasis should и сказала: «Ваша книга
on the effectiveness уже ждёт
of technology in вас».
resolving problems.
«Я ничего не заказывал», — ответил он.
ANS: C
«Здесь никто ничего не заказывает», — сказала она и
Public health recognizes the necessity of collective action in keeping the environment safe and
положила на стойку потрёпанный том без названия.
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the marketАнтон открыл
justice systemего.
has На первой
stifled странице
the evolution of aбыло
healthнаписано его and
system to protect
имя. На второй — дата его рождения. На третьей
preserve the health of the population. Although individual autonomy and freedom of choice
are important, soначиналась история
is the recognition его жизни
of collective — точная,inсо
responsibility всеми social justice,
ensuring
деталями,
which entitles all которые
people to basic помнил только он.
necessities.
DIF: CognitiveОн листал в оцепенении, пока не добрался до страницы с
Level: Apply (Application)
сегодняшним днём. Текст обрывался на середине
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
предложения.
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on Дальше страницы
other lifestyle были
choices, suchчистыми.
as not smoking and minimal use of
«Что это значит?»
alcohol or drugs, is also needed. — прошептал он.
«Это значит, что конец ещё не написан»,
b. All of us must work together to make unhealthy behaviors socially — ответила
unacceptable.
c. It costs more библиотекарь. — «Большинство людей боятся пустых
to make healthy choices, such as buying and eating fresh fruits and
vegetables asстраниц.
opposedНо только
to quick andв cheap
них есть настоящая
fast-food choices. свобода».
d. Public policy Антон вышел из библиотеки. Дождьignores
emphasizes personal responsibility but прекратился.
social andОн
environmentalпосмотрел на улицу
changes needed иначе — как будто видел её впервые,
for well-being.
ANS: D как будто она ждала, что он сделает с ней что-то новое.
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 theНикто в городе
community healthне мог точно
nursing сказать,
definition когда появилась эта
of health?
библиотека.
a. Health is Она просто
a person’s goal-directed была —process
purposeful всегда,toward
между булочной
well-being or и
аптекой, с деревянной вывеской, которую никто не читал.
wholeness.
Антон
b. Health is зашёл туда
an individual’s однажды
physical, отand
mental, дождя.
socialБиблиотекарь —
well-being, not merely the
absenceпожилая
of diseaseженщина с серебряными волосами — подняла
or infirmity.
глаза
c. Health is и сказала:
the mutual «Ваша
adaptation книгаa person
between уже ждёт
and вас».
his or her environment in
meeting«Я ничего
daily не заказывал», — ответил он.
existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
«Здесь никто ничего не заказывает», — сказала она и
ANS: D положила на стойку потрёпанный том без названия.
Антонthat
The text stresses открыл
health его.
is notНа
justпервой странице
the result было написано
of an individual’s егоchoices and
choices, but
имя. На второй — дата его рождения. На третьей
actions of individuals, families, groups, and communities that lead to better health.
начиналась история его жизни — точная, со всеми
DIF: Cognitive Level: Apply (Application)
деталями, которые помнил только он.
Он листалhealth
8. How does community в оцепенении, пока
nursing define не добрался до страницы с
community?
a. A groupсегодняшним днём. Текст обрывался наboundaries
of persons living within specific geographic середине
b. A groupпредложения.
of persons who share a common identity and environment
c. A groupДальше страницы
of persons who workбыли чистыми.
together to meet common goals
d. A group«Что это значит?»
of persons who resolve— aпрошептал он.
community concern
ANS: B «Это значит, что конец ещё не написан», — ответила
Communityбиблиотекарь.
health nurses work— «Большинство людей
with both geopolitical боятся
groups пустых
(within specific geographic
boundaries)страниц. Но только в groups
and phenomenological них есть(who настоящая свобода».
have a common identity based on culture,
Антон вышел из библиотеки. Дождь прекратился.not
history, or goals). A particular phenomenological group may or may Онhave been a planned
group—thatпосмотрел на улицу
is, a group that иначе —
came together как будто
to resolve видел её
a recognized впервые,
common problem or to
meet a commonкак будто она ждала, что он сделает с ней что-то новое.
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 employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
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
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: CognitiveНикто в городе не
Level: Understand мог точно сказать, когда появилась эта
(Comprehension)
библиотека. Она просто была — всегда, между булочной и
4. Which ethical belief would be most helpful in the current health care crisis?
аптекой,
a. Emphasis should be onс individual
деревянной and вывеской, которуюinникто
corporation freedom не читал.
the marketplace.
Антонbeзашёл
b. Emphasis should туда однажды
on individual autonomyот andдождя.
freedom Библиотекарь
of choice. —
пожилая
c. Emphasis should be onженщина с серебряными
social justice волосами — подняла
and collective responsibility.
глазаbe
d. Emphasis should и сказала: «Ваша книга
on the effectiveness уже ждёт
of technology in вас».
resolving problems.
«Я ничего не заказывал», — ответил он.
ANS: C
«Здесь никто ничего не заказывает», — сказала она и
Public health recognizes the necessity of collective action in keeping the environment safe and
положила на стойку потрёпанный том без названия.
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the marketАнтон открыл
justice systemего.
has На первой
stifled странице
the evolution of aбыло
healthнаписано его and
system to protect
имя. На второй — дата его рождения. На третьей
preserve the health of the population. Although individual autonomy and freedom of choice
are important, soначиналась история
is the recognition его жизни
of collective — точная,inсо
responsibility всеми social justice,
ensuring
деталями,
which entitles all которые
people to basic помнил только он.
necessities.
DIF: CognitiveОн листал в оцепенении, пока не добрался до страницы с
Level: Apply (Application)
сегодняшним днём. Текст обрывался на середине
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
предложения.
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on Дальше страницы
other lifestyle были
choices, suchчистыми.
as not smoking and minimal use of
«Что это значит?»
alcohol or drugs, is also needed. — прошептал он.
«Это значит, что конец ещё не написан»,
b. All of us must work together to make unhealthy behaviors socially — ответила
unacceptable.
c. It costs more библиотекарь. — «Большинство людей боятся пустых
to make healthy choices, such as buying and eating fresh fruits and
vegetables asстраниц.
opposedНо только
to quick andв cheap
них есть настоящая
fast-food choices. свобода».
d. Public policy Антон вышел из библиотеки. Дождьignores
emphasizes personal responsibility but прекратился.
social andОн
environmentalпосмотрел на улицу
changes needed иначе — как будто видел её впервые,
for well-being.
ANS: D как будто она ждала, что он сделает с ней что-то новое.
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 theНикто в городе
community healthне мог точно
nursing сказать,
definition когда появилась эта
of health?
библиотека.
a. Health is Она просто
a person’s goal-directed была —process
purposeful всегда,toward
между булочной
well-being or и
аптекой, с деревянной вывеской, которую никто не читал.
wholeness.
Антон
b. Health is зашёл туда
an individual’s однажды
physical, отand
mental, дождя.
socialБиблиотекарь —
well-being, not merely the
absenceпожилая
of diseaseженщина с серебряными волосами — подняла
or infirmity.
глаза
c. Health is и сказала:
the mutual «Ваша
adaptation книгаa person
between уже ждёт
and вас».
his or her environment in
meeting«Я ничего
daily не заказывал», — ответил он.
existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
«Здесь никто ничего не заказывает», — сказала она и
ANS: D положила на стойку потрёпанный том без названия.
Антонthat
The text stresses открыл
health его.
is notНа
justпервой странице
the result было написано
of an individual’s егоchoices and
choices, but
имя. На второй — дата его рождения. На третьей
actions of individuals, families, groups, and communities that lead to better health.
начиналась история его жизни — точная, со всеми
DIF: Cognitive Level: Apply (Application)
деталями, которые помнил только он.
Он листалhealth
8. How does community в оцепенении, пока
nursing define не добрался до страницы с
community?
a. A groupсегодняшним днём. Текст обрывался наboundaries
of persons living within specific geographic середине
b. A groupпредложения.
of persons who share a common identity and environment
c. A groupДальше страницы
of persons who workбыли чистыми.
together to meet common goals
d. A group«Что это значит?»
of persons who resolve— aпрошептал он.
community concern
ANS: B «Это значит, что конец ещё не написан», — ответила
Communityбиблиотекарь.
health nurses work— «Большинство людей
with both geopolitical боятся
groups пустых
(within specific geographic
boundaries)страниц. Но только в groups
and phenomenological них есть(who настоящая свобода».
have a common identity based on culture,
Антон вышел из библиотеки. Дождь прекратился.not
history, or goals). A particular phenomenological group may or may Онhave been a planned
group—thatпосмотрел на улицу
is, a group that иначе —
came together как будто
to resolve видел её
a recognized впервые,
common problem or to
meet a commonкак будто она ждала, что он сделает с ней что-то новое.
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
