TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING:
m m m m m m
Promoting the Health of Populations; 8TH EDITION BY MARY & ME
m m m m m m m m m m
LANIE
,CHm01:mHealth:mAmCommunitymView
Nies:mCommunity/PublicmHealthmNursing,m8THmEdition
MULTIPLEmCHOICE
1. WhichmbestmdescribesmthemprimarymreasonmthatmAmericansmaremconcernedmaboutmhealthmcare?
a. Politiciansmaremdiscussingmhowmtomimprovemhealthmcare.
b. Themmediamhasmprovidedmmixedmmessagesmaboutmthemprimarymcaremsystem.
c. Ourmnationalmprimarymcaremcostsmkeepmincreasing.
d. ThemnewmprimarymcaremsystemmoffersmfreemservicesmtomAmericans.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Themprimarymreasonmformthemfocusmonmprimarymcaremismthemconstantlymi
ncreasingmcosts,mwhichmcannotmbemsustained.mThemcostsmofmcaringmformthemsickmaccountedmfo
rmthemmajoritymofmescalatingmprimarymcaremdollars,mwhichmincreasedmfromm5.7%mofmthemgross
mdomesticmproduct minm1965mtom17.8%minm2015.mPoliticiansmandmthemmediambothminfluencemA
mericans’mperceptionsmaboutmhealthcare;mhowever,mtheymaremnotmthemprimarymreasonmwhymA
mericansmaremconcerned.mThemnewmhealthcaremsystemmwillmchangemthemprimarymcaremaccessm
andmavailability,mbutmwillmnotmnecessarilymbemofferingmanymfreemservicesmtomAmericans.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
2. Amnursingmattendantmhasmbegunmtomlobbymwithmpoliticiansmformchangesmtomthemprimarymcarem
system.mWhymismthisinvolvementmimportant?
a. Nursingmattendants,masmcentralmcharactersminmseveralmpopularmTVmseries,ma
remcurrentlymveryvisiblemNinmmRAmericanmmedmima.m I
b. NursingmattendantsmaremprimarilymrespomnUsmi bS
l e m foNrmmTa na g in gOt mhem variousmunitsminmourmhealthmcare
system.
c. Nursingmattendantsmaremthemlargestmsegmentmofmprimarymcaremproviders.
d. Nursingmattendantsmaremthemonlymgroupmthatmismemployedmbothminsidemandmoutsidemofmhealthmcenter
s.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Asmthemlargestmsegmentmofmprimarymcaremproviders,mnursingmattendants
mareminformedmaboutmthemcurrentmprimarymcaremsystemmandmallmthemproblemsmthatmresult mfro
mmpeoplemnotmseekingmcaremuntilmtheymaremdesperatelymill.mNursingmattendants,masmthemAme
ricanmNursingmattendantsmAssociationm(ANA)memphasize,musuallymbelievemthatmprimarymcar
emismamright,mnotmamprivilege.mTherefore,mnursingmattendants,mwhosemworkmismcentralmtoourmc
urrentmprimarymcaremdeliverymsystem,mcanmalsombeminstrumentalminmworkingmpoliticallymtomc
reatemamprimarymcaremdeliverymsystemmthatmwillmmeetmhealthmneeds.mWhilemnursingmattenda
ntsmareminmseveralmcurrentmTVmseriesmandmarememployedmbothminsidemandmoutsidemofmhealthm
centers,mphysiciansmandmotherprimarymcaremprovidersmaremasmwell.
Nursingmattendantsmaremoftenmmanagers,mbutmmanagersmoftenmhavemothermbackgrounds,msuchmasmbusin
essmadministration.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
3. Whatmconclusionmcanmbemdrawnmfrommexaminingmwheremnursingmattendantsmarememployed?
a. Theremismamtrendmtowardmconsolidationmofmprimarymcaremintomlargemcentralmm
edicalmcenters.
b. Theremismanmincreasedmemphasismonmcommunity-basedmhealthmcare.
c. Theremismanmobviousmneedmtomdecreasemprimarymcaremcostsmbymcuttingmpositions.
d. Managedmcaremorganizationsm(MCOs)marememployingmnursingmattendantsmtomimprovemcustomer
, relations.
ACCURATEmCHOICE:-B
HYPOTHESIS:>>>MCOsmarememployingmnursingmattendantsminmmanymcapacities.mAlthoug
hmhealthmcentersmaremclosingmandmacutemcareismincreasinglymfoundminmcentralmmedicalmcenter
s,mthemsamemtrendmmaymbemseenminmanmincreaseminmneighborhood-
basedmpracticemcenters.mWhilempositionsmaremcutminmmostmindustries,mprimarymcaremisrecogniz
edmasmanmareamwheremgrowthminmemploymentmismexpected.mHowever,mnursingmattendantsmare
mincreasinglymemployedminmcommunitymsettingsmasmopposedmtomhealthmcenters.mThismchangem
reflectsmthemovemtowardmcommunity-basedmcaremrathermthanmhealthmcenter-
basedmtertiarymcare.mTomhelpmdecreasethemcontinuedmriseminmprimarymcaremcosts,mthemincrease
dmemphasismismonmdiseasempreventionmrathermthanmhigh-costmtreatment.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
4. Whichmethicalmbeliefmwouldmbemmostmhelpfulminmthemcurrentmprimarymcaremcrisis?
a. Emphasismshouldmbemonmindividualmandmcorporationmfreedomminmthemmarketplace.
b. Emphasismshouldmbemonmindividualmautonomymandmfreedommofmchoice.
c. Emphasismshouldmbemonmsocialmjusticemandmcollectivemresponsibility.
d. Emphasismshouldmbemonmthemeffectivenessmofmtechnologyminmresolvingmproblems.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Publicmhealthmrecognizesmthemnecessitymofmcollectivemactionminmkeepingm
themenvironmentmsafemandinmegalitarianmtraditionmandmvision.mAnmoverinvestmentminmtechnol
ogymandmseekingmofmcuresmwithinmthemmarketmjusticemsystemmhasmstifledmthemevolutionmofmam
healthmsystemmtomprotectmandmpreservemthemhealthmofmthempopulation.mAlthoughmindividualma
utonomymandmfreedommofmchoicemaremimportant,msomismthemrecognitionmofmcollectivemrespons
ibilityminmensuringmsocialmjustice,mwhichmentitlesmallmpeoplemtombasicmnecessities.
DIFFICULT: CognitivemLevel:mApplym(Application)
5. WhatmismthemprimarymproblemmseenminmHealthymPeoplem2020’smemphasismonmchoosingmhea
lthymlifestylembehaviors,msuchmasmdailymexercisemormhealthymfoodmchoices?
a. Emphasismonmothermlifestylemchoices,msuchmasmnotmsmokingmandmminimalmus
emofmalcoholmormdrugs,mismalsomneeded.
b. Allmofmusmmustmworkmtogethermtommakemunhealthymbehaviorsmsociallymunacceptable.
c. Itmcostsmmoremtommakemhealthymchoices,msuchmasmbuyingmandmeatingmfreshmfruits
mandmvegetables masmopposedmtomquickmandmcheapmfast-foodmchoices.
d. Publicmpolicymemphasizesmpersonalmresponsibilitymbutmignoresmsocialma
ndmenvironmentalmchangesmneededmformwell-being.
ACCURATEmCHOICE:-D
HYPOTHESIS:>>>Althoughmallmresponsesmaremaccurate,mthemprimarymproblemmismthememph
asismonmpersonalmchoicesinmthemHealthymPeoplem2020mobjectives.mEmphasismonmpersonalmcho
icesmignoresmthemneedmformcommunitymresponsibilitymandmactionmthatmaddressesmenvironment
almormculturalmrestraintsmtomhealth.
DIFFICULT: CognitivemLevel:mApplym(Application)
6. WhatmresponsibilitymdoesmthemAmericanmNursingmattendantsmAssociationm(ANA)mCo
demofmEthicsmrequiremofthemnursingmattendantmbeyondmgivingmexcellentmcaremtomvicti
ms?
a. Acceptmlongermworkmschedulesmtomensuremthatmprofessionalmcaremismalwaysmavailable
, tomhospitalmclients.
b. Recognizemthemneedmformexperiencedmnursingmattendantsmtommentormnewm
graduatesmtomhelpincreasemandmexpandmthemnumbermofmprofessionalsmavai
lable.
c. Supportmhealthmlegislationmtomimprovemaccessibilitymandmcostmofmhealthmcare.
d. Volunteermtomworkmovertimemasmneededmtomensuremmaximummqualitymofmcare.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>ThemANAmCodemofmEthicsmpromotesmsocialmreformmbymfocusingmonmhea
lthmpolicymandmlegislationtompositivelymaffectmaccessibility,mquality,mandmcostmofmhealthmcare
.mThemcodemdoesmnotmdirectlymaddressmworkplacemissues,msuchmasmworkmschedulesmormneedm
formovertime.
DIFFICULT: CognitivemLevel:mAnalyzem(Analysis)
7. Whatmismthemcommunitymhealthmnursingmdefinitionmofmhealth?
a. Healthmismamperson’smgoal-directedmpurposefulmprocessmtowardmwell-
beingmormwholeness.
b. Healthmismanmindividual’smphysical,mmental,mandmsocialmwell-
being,mnotmmerelymthemabsencemofmdiseasemorminfirmity.
c. Healthmismthemmutualmadaptationmbetweenmampersonmandmhismormhermenvironme
ntminmmeetingmdailymexistence.
d. Healthmismfamiliesmandmaggregatesmchoosingmactionsmtomensuremsafetymandmwell-being.
ACCURATEmCHOICE:-D
HYPOTHESIS:>>>Themtextmstressesmthatmhealthmismnotmjustmthemresultmofmanmindividual’smchoi
ces,mbutmchoicesmandactionsmofmindividuals,mfamilies,mgroups,mandmcommunitiesmthatmleadmtomb
ettermhealth.
DIFFICULT: CognitivemLevel:mApplym(Application)
8. Howmdoesmcommunitymhealthmnity?
a. Amgroupmofmpersonsmlivingmwithinmspecificmgeographicmboundaries
b. Amgroupmofmpersonsmwhomsharemamcommonmidentitymandmenvironment
c. Amgroupmofmpersonsmwhom workmtogethermtommeetm commonmgoals
d. Amgroupmofmpersonsmwhomresolvemamcommunitymconcern
ACCURATEmCHOICE:-B
HYPOTHESIS:>>>Communitymhealthmnursingmattendantsmworkmwithmbothmgeopoliticalmgro
upsm (withinmspecificmgeographicmboundaries)mandmphenomenologicalmgroupsm(whomhavemamc
ommonmidentitymbasedmonmculture,mhistory,mormgoals).mAmparticularmphenomenologicalmgroup
mmaymormmaymnotmhavembeenmamplannedgroup—
thatmis,mamgroupmthatmcamemtogethermtomresolvemamrecognizedmcommonmproblemmormtommeetm
amcommonmgoal.mHowever,mofmallmthemchoices,mamgroupmofmpersonsmwhomsharemamcommonmi
dentitym(phenomenologicalmgroup)mandmenvironmentm(whichmimpliesmamspecificmgeographicm
setting)mismthembroadestmandmmostmcompletemdefinition.
DIFFICULT: CognitivemLevel:mApplym(Application)
9. Whichmvariablemhasmammajorminfluencemonmamcommunity’smhealth?
a. Behaviormchoicesmmadembympersonsminmthemcommunity
b. Numbermofmprimarymcaremprovidersmandmhealthmcentersminmthemcommunity
c. Qualitymofmthempublicmsafetymofficersm(policemofficers,mfirefighters,metc.)
d. Themnumbermandmcredentialsmofmpublicmhealthmofficialsminmthemcommunity
ACCURATEmCHOICE:-A
m m m m m m
Promoting the Health of Populations; 8TH EDITION BY MARY & ME
m m m m m m m m m m
LANIE
,CHm01:mHealth:mAmCommunitymView
Nies:mCommunity/PublicmHealthmNursing,m8THmEdition
MULTIPLEmCHOICE
1. WhichmbestmdescribesmthemprimarymreasonmthatmAmericansmaremconcernedmaboutmhealthmcare?
a. Politiciansmaremdiscussingmhowmtomimprovemhealthmcare.
b. Themmediamhasmprovidedmmixedmmessagesmaboutmthemprimarymcaremsystem.
c. Ourmnationalmprimarymcaremcostsmkeepmincreasing.
d. ThemnewmprimarymcaremsystemmoffersmfreemservicesmtomAmericans.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Themprimarymreasonmformthemfocusmonmprimarymcaremismthemconstantlymi
ncreasingmcosts,mwhichmcannotmbemsustained.mThemcostsmofmcaringmformthemsickmaccountedmfo
rmthemmajoritymofmescalatingmprimarymcaremdollars,mwhichmincreasedmfromm5.7%mofmthemgross
mdomesticmproduct minm1965mtom17.8%minm2015.mPoliticiansmandmthemmediambothminfluencemA
mericans’mperceptionsmaboutmhealthcare;mhowever,mtheymaremnotmthemprimarymreasonmwhymA
mericansmaremconcerned.mThemnewmhealthcaremsystemmwillmchangemthemprimarymcaremaccessm
andmavailability,mbutmwillmnotmnecessarilymbemofferingmanymfreemservicesmtomAmericans.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
2. Amnursingmattendantmhasmbegunmtomlobbymwithmpoliticiansmformchangesmtomthemprimarymcarem
system.mWhymismthisinvolvementmimportant?
a. Nursingmattendants,masmcentralmcharactersminmseveralmpopularmTVmseries,ma
remcurrentlymveryvisiblemNinmmRAmericanmmedmima.m I
b. NursingmattendantsmaremprimarilymrespomnUsmi bS
l e m foNrmmTa na g in gOt mhem variousmunitsminmourmhealthmcare
system.
c. Nursingmattendantsmaremthemlargestmsegmentmofmprimarymcaremproviders.
d. Nursingmattendantsmaremthemonlymgroupmthatmismemployedmbothminsidemandmoutsidemofmhealthmcenter
s.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Asmthemlargestmsegmentmofmprimarymcaremproviders,mnursingmattendants
mareminformedmaboutmthemcurrentmprimarymcaremsystemmandmallmthemproblemsmthatmresult mfro
mmpeoplemnotmseekingmcaremuntilmtheymaremdesperatelymill.mNursingmattendants,masmthemAme
ricanmNursingmattendantsmAssociationm(ANA)memphasize,musuallymbelievemthatmprimarymcar
emismamright,mnotmamprivilege.mTherefore,mnursingmattendants,mwhosemworkmismcentralmtoourmc
urrentmprimarymcaremdeliverymsystem,mcanmalsombeminstrumentalminmworkingmpoliticallymtomc
reatemamprimarymcaremdeliverymsystemmthatmwillmmeetmhealthmneeds.mWhilemnursingmattenda
ntsmareminmseveralmcurrentmTVmseriesmandmarememployedmbothminsidemandmoutsidemofmhealthm
centers,mphysiciansmandmotherprimarymcaremprovidersmaremasmwell.
Nursingmattendantsmaremoftenmmanagers,mbutmmanagersmoftenmhavemothermbackgrounds,msuchmasmbusin
essmadministration.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
3. Whatmconclusionmcanmbemdrawnmfrommexaminingmwheremnursingmattendantsmarememployed?
a. Theremismamtrendmtowardmconsolidationmofmprimarymcaremintomlargemcentralmm
edicalmcenters.
b. Theremismanmincreasedmemphasismonmcommunity-basedmhealthmcare.
c. Theremismanmobviousmneedmtomdecreasemprimarymcaremcostsmbymcuttingmpositions.
d. Managedmcaremorganizationsm(MCOs)marememployingmnursingmattendantsmtomimprovemcustomer
, relations.
ACCURATEmCHOICE:-B
HYPOTHESIS:>>>MCOsmarememployingmnursingmattendantsminmmanymcapacities.mAlthoug
hmhealthmcentersmaremclosingmandmacutemcareismincreasinglymfoundminmcentralmmedicalmcenter
s,mthemsamemtrendmmaymbemseenminmanmincreaseminmneighborhood-
basedmpracticemcenters.mWhilempositionsmaremcutminmmostmindustries,mprimarymcaremisrecogniz
edmasmanmareamwheremgrowthminmemploymentmismexpected.mHowever,mnursingmattendantsmare
mincreasinglymemployedminmcommunitymsettingsmasmopposedmtomhealthmcenters.mThismchangem
reflectsmthemovemtowardmcommunity-basedmcaremrathermthanmhealthmcenter-
basedmtertiarymcare.mTomhelpmdecreasethemcontinuedmriseminmprimarymcaremcosts,mthemincrease
dmemphasismismonmdiseasempreventionmrathermthanmhigh-costmtreatment.
DIFFICULT: CognitivemLevel:mUnderstandm(Comprehension)
4. Whichmethicalmbeliefmwouldmbemmostmhelpfulminmthemcurrentmprimarymcaremcrisis?
a. Emphasismshouldmbemonmindividualmandmcorporationmfreedomminmthemmarketplace.
b. Emphasismshouldmbemonmindividualmautonomymandmfreedommofmchoice.
c. Emphasismshouldmbemonmsocialmjusticemandmcollectivemresponsibility.
d. Emphasismshouldmbemonmthemeffectivenessmofmtechnologyminmresolvingmproblems.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>Publicmhealthmrecognizesmthemnecessitymofmcollectivemactionminmkeepingm
themenvironmentmsafemandinmegalitarianmtraditionmandmvision.mAnmoverinvestmentminmtechnol
ogymandmseekingmofmcuresmwithinmthemmarketmjusticemsystemmhasmstifledmthemevolutionmofmam
healthmsystemmtomprotectmandmpreservemthemhealthmofmthempopulation.mAlthoughmindividualma
utonomymandmfreedommofmchoicemaremimportant,msomismthemrecognitionmofmcollectivemrespons
ibilityminmensuringmsocialmjustice,mwhichmentitlesmallmpeoplemtombasicmnecessities.
DIFFICULT: CognitivemLevel:mApplym(Application)
5. WhatmismthemprimarymproblemmseenminmHealthymPeoplem2020’smemphasismonmchoosingmhea
lthymlifestylembehaviors,msuchmasmdailymexercisemormhealthymfoodmchoices?
a. Emphasismonmothermlifestylemchoices,msuchmasmnotmsmokingmandmminimalmus
emofmalcoholmormdrugs,mismalsomneeded.
b. Allmofmusmmustmworkmtogethermtommakemunhealthymbehaviorsmsociallymunacceptable.
c. Itmcostsmmoremtommakemhealthymchoices,msuchmasmbuyingmandmeatingmfreshmfruits
mandmvegetables masmopposedmtomquickmandmcheapmfast-foodmchoices.
d. Publicmpolicymemphasizesmpersonalmresponsibilitymbutmignoresmsocialma
ndmenvironmentalmchangesmneededmformwell-being.
ACCURATEmCHOICE:-D
HYPOTHESIS:>>>Althoughmallmresponsesmaremaccurate,mthemprimarymproblemmismthememph
asismonmpersonalmchoicesinmthemHealthymPeoplem2020mobjectives.mEmphasismonmpersonalmcho
icesmignoresmthemneedmformcommunitymresponsibilitymandmactionmthatmaddressesmenvironment
almormculturalmrestraintsmtomhealth.
DIFFICULT: CognitivemLevel:mApplym(Application)
6. WhatmresponsibilitymdoesmthemAmericanmNursingmattendantsmAssociationm(ANA)mCo
demofmEthicsmrequiremofthemnursingmattendantmbeyondmgivingmexcellentmcaremtomvicti
ms?
a. Acceptmlongermworkmschedulesmtomensuremthatmprofessionalmcaremismalwaysmavailable
, tomhospitalmclients.
b. Recognizemthemneedmformexperiencedmnursingmattendantsmtommentormnewm
graduatesmtomhelpincreasemandmexpandmthemnumbermofmprofessionalsmavai
lable.
c. Supportmhealthmlegislationmtomimprovemaccessibilitymandmcostmofmhealthmcare.
d. Volunteermtomworkmovertimemasmneededmtomensuremmaximummqualitymofmcare.
ACCURATEmCHOICE:-C
HYPOTHESIS:>>>ThemANAmCodemofmEthicsmpromotesmsocialmreformmbymfocusingmonmhea
lthmpolicymandmlegislationtompositivelymaffectmaccessibility,mquality,mandmcostmofmhealthmcare
.mThemcodemdoesmnotmdirectlymaddressmworkplacemissues,msuchmasmworkmschedulesmormneedm
formovertime.
DIFFICULT: CognitivemLevel:mAnalyzem(Analysis)
7. Whatmismthemcommunitymhealthmnursingmdefinitionmofmhealth?
a. Healthmismamperson’smgoal-directedmpurposefulmprocessmtowardmwell-
beingmormwholeness.
b. Healthmismanmindividual’smphysical,mmental,mandmsocialmwell-
being,mnotmmerelymthemabsencemofmdiseasemorminfirmity.
c. Healthmismthemmutualmadaptationmbetweenmampersonmandmhismormhermenvironme
ntminmmeetingmdailymexistence.
d. Healthmismfamiliesmandmaggregatesmchoosingmactionsmtomensuremsafetymandmwell-being.
ACCURATEmCHOICE:-D
HYPOTHESIS:>>>Themtextmstressesmthatmhealthmismnotmjustmthemresultmofmanmindividual’smchoi
ces,mbutmchoicesmandactionsmofmindividuals,mfamilies,mgroups,mandmcommunitiesmthatmleadmtomb
ettermhealth.
DIFFICULT: CognitivemLevel:mApplym(Application)
8. Howmdoesmcommunitymhealthmnity?
a. Amgroupmofmpersonsmlivingmwithinmspecificmgeographicmboundaries
b. Amgroupmofmpersonsmwhomsharemamcommonmidentitymandmenvironment
c. Amgroupmofmpersonsmwhom workmtogethermtommeetm commonmgoals
d. Amgroupmofmpersonsmwhomresolvemamcommunitymconcern
ACCURATEmCHOICE:-B
HYPOTHESIS:>>>Communitymhealthmnursingmattendantsmworkmwithmbothmgeopoliticalmgro
upsm (withinmspecificmgeographicmboundaries)mandmphenomenologicalmgroupsm(whomhavemamc
ommonmidentitymbasedmonmculture,mhistory,mormgoals).mAmparticularmphenomenologicalmgroup
mmaymormmaymnotmhavembeenmamplannedgroup—
thatmis,mamgroupmthatmcamemtogethermtomresolvemamrecognizedmcommonmproblemmormtommeetm
amcommonmgoal.mHowever,mofmallmthemchoices,mamgroupmofmpersonsmwhomsharemamcommonmi
dentitym(phenomenologicalmgroup)mandmenvironmentm(whichmimpliesmamspecificmgeographicm
setting)mismthembroadestmandmmostmcompletemdefinition.
DIFFICULT: CognitivemLevel:mApplym(Application)
9. Whichmvariablemhasmammajorminfluencemonmamcommunity’smhealth?
a. Behaviormchoicesmmadembympersonsminmthemcommunity
b. Numbermofmprimarymcaremprovidersmandmhealthmcentersminmthemcommunity
c. Qualitymofmthempublicmsafetymofficersm(policemofficers,mfirefighters,metc.)
d. Themnumbermandmcredentialsmofmpublicmhealthmofficialsminmthemcommunity
ACCURATEmCHOICE:-A
