Health: A Community View Test Bank
Question & answer with latest upload
2026/2027
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 media.
b. Nurses are primarily responsible for managing the various units in our health care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. ANS:
C
As the largest group 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) REF: p. 2
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 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: Cognitive Level: Understand (Comprehension) REF: p.
Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems. ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
are important, so is the recognition of collective responsibility in ensuring social justice, which
entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application) REF: p. 2
What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
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) REF: p. 2
What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
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) REF: p. 2
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) REF: p. 3
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. Persons who form a group to resolve a common 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) REF: p. 3
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
Individual behavior choices and environmental factors are responsible for about 70% of
health outcomes. Individual choices are affected through interaction with other individuals,
and their mutual social and physical environments. Health care providers are responsible for
Question & answer with latest upload
2026/2027
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 media.
b. Nurses are primarily responsible for managing the various units in our health care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. ANS:
C
As the largest group 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) REF: p. 2
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 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: Cognitive Level: Understand (Comprehension) REF: p.
Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems. ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
are important, so is the recognition of collective responsibility in ensuring social justice, which
entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application) REF: p. 2
What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
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) REF: p. 2
What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
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) REF: p. 2
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) REF: p. 3
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. Persons who form a group to resolve a common 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) REF: p. 3
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
Individual behavior choices and environmental factors are responsible for about 70% of
health outcomes. Individual choices are affected through interaction with other individuals,
and their mutual social and physical environments. Health care providers are responsible for
