, Community Public Health Nursing 7th Edition Nies Test Bank
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE nCHOICE
1. Which nbest ndescribes nthe nprimary nreason nthat nAmericans nare nconcerned nabout nhealth ncare?
a. Politicians nare ndiscussing nhow nto nimprove nhealth ncare.
b. The nmedia nhas nprovided nmixed nmessages nabout nthe nhealth ncare nsystem.
c. Our nnational nhealth ncare ncosts nkeep nincreasing.
d. The nnew nhealth ncare nsystem noffers nfree nservices nto nAmericans.
ANS: n C
The nprimary nreason nfor nthe nfocus non nhealth ncare nis nthe nconstantly nincreasing ncosts, nwhich
ncannot nbe nsustained. nThe ncosts nof ncaring nfor nthe nsick naccounted nfor nthe nmajority nof
nescalating nhealth ncare ndollars, nwhich nincreased nfrom n5.7% nof nthe ngross ndomestic nproduct
nin n1965 nto n17.8% nin n2015. nPoliticians nand nthe nmedia nboth ninfluence nAmericans’
nperceptions nabout nhealth ncare; nhowever, nthey nare nnot nthe nprimary nreason nwhy nAmericans
nare nconcerned. nThe nnew nhealth ncare nsystem nwill nchange nthe nhealth ncare naccess nand
navailability, nbut nwill nnot nnecessarily nbe noffering nany nfree nservices nto nAmericans.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
2. A nnurse nhas nbegun nto nlobby nwith npoliticians nfor nchanges nto nthe nhealth ncare nsystem. nWhy nis
this ninvolvement nimportant?
n
a. Nurses, nas ncentral ncharacters nin nseveral npopular nTV nseries, nare ncurrently
n
R I G B.C M
very nvisible nin nAmerican nm e d iNa . n
n
n n n
b. Nurses are primarily responUsibS
n n n le foNr mTanagingOthe various units in our health care
n n n n n n n n
system.
c. Nurses nare nthe nlargest nsegment nof nhealth ncare nproviders.
d. Nurses nare nthe nonly ngroup nthat nis nemployed nboth ninside nand noutside nof nhospitals.
ANS: n C
As nthe nlargest nsegment nof nhealth ncare nproviders, nnurses nare ninformed nabout nthe ncurrent
nhealth ncare nsystem nand nall nthe nproblems nthat nresult nfrom npeople nnot nseeking ncare nuntil
nthey nare ndesperately nill. nNurses, nas nthe nAmerican nNurses nAssociation n(ANA) nemphasize,
nusually nbelieve nthat nhealth ncare nis na nright, nnot na nprivilege. nTherefore, nnurses, nwhose nwork
nis ncentral nto nour ncurrent nhealth ncare ndelivery nsystem, ncan nalso nbe ninstrumental nin nworking
npolitically nto ncreate na nhealth ncare ndelivery nsystem nthat nwill nmeet nhealth nneeds. nWhile
nnurses nare nin nseveral ncurrent nTV nseries nand nare nemployed nboth ninside nand noutside nof
nhospitals, nphysicians nand nother nhealth ncare nproviders nare nas nwell. nNurses nare noften
nmanagers, nbut nmanagers noften nhave nother nbackgrounds, nsuch nas nbusiness nadministration.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
3. What nconclusion ncan nbe ndrawn nfrom nexamining nwhere nnurses nare nemployed?
a. There nis na ntrend ntoward nconsolidation nof nhealth ncare ninto nlarge ncentral
n medical ncenters.
b. There nis nan nincreased nemphasis non ncommunity-based nhealth ncare.
c. There nis nan nobvious nneed nto ndecrease nhealth ncare ncosts nby ncutting npositions.
d. Managed ncare norganizations n(MCOs) nare nemploying nnurses nto nimprove ncustomer
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, Community Public Health Nursing 7th Edition Nies Test Bank
relations.
ANS: n B
MCOs nare nemploying nnurses nin nmany ncapacities. nAlthough nhospitals nare nclosing nand nacute
ncare nis nincreasingly nfound nin ncentral nmedical ncenters, nthe nsame ntrend nmay nbe nseen nin nan
nincrease nin nneighborhood-based npractice ncenters. nWhile npositions nare ncut nin nmost
nindustries, nhealth ncare nis nrecognized nas nan narea nwhere ngrowth nin nemployment nis nexpected.
nHowever, nnurses nare nincreasingly nemployed nin ncommunity nsettings nas nopposed nto
nhospitals. nThis nchange nreflects nthe nmove ntoward ncommunity-based ncare nrather nthan
nhospital-based ntertiary ncare. nTo nhelp ndecrease nthe ncontinued nrise nin nhealth ncare ncosts, nthe
nincreased nemphasis nis non ndisease nprevention nrather nthan nhigh-cost ntreatment.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
4. Which nethical nbelief nwould nbe nmost nhelpful nin nthe ncurrent nhealth ncare ncrisis?
a. Emphasis nshould nbe non nindividual nand ncorporation nfreedom nin nthe nmarketplace.
b. Emphasis nshould nbe non nindividual nautonomy nand nfreedom nof nchoice.
c. Emphasis nshould nbe non nsocial njustice nand ncollective nresponsibility.
d. Emphasis nshould nbe non nthe neffectiveness nof ntechnology nin nresolving nproblems.
ANS: n C
Public nhealth nrecognizes nthe nnecessity nof ncollective naction nin nkeeping nthe nenvironment nsafe
nand nin negalitarian ntradition nand nvision. nAn noverinvestment nin ntechnology nand nseeking nof
ncures nwithin nthe nmarket njustice nsystem nhas nstifled nthe nevolution nof na nhealth nsystem nto
nprotect nand npreserve nthe nhealth nof nthe npopulation. nAlthough nindividual nautonomy nand
nfreedom nof nchoice nare nimportant, nso nis nthe nrecognition nof ncollective nresponsibility nin
nensuring nsocial njustice, n which nentitles nall npeople nto nbasic nnecessities.
NURSINGTB.COM
DIF: Cognitive nLevel: nApply n(Application)
5. What nis nthe nprimary nproblem nseen nin nHealthy nPeople n2020’s nemphasis non nchoosing
nhealthy nlifestyle nbehaviors, nsuch nas ndaily nexercise nor nhealthy nfood nchoices?
a. Emphasis non nother nlifestyle nchoices, nsuch nas nnot nsmoking nand nminimal nuse
n of nalcohol nor ndrugs, nis nalso nneeded.
b. All nof nus nmust nwork ntogether nto nmake nunhealthy nbehaviors nsocially nunacceptable.
c. It ncosts nmore nto nmake nhealthy nchoices, nsuch nas nbuying nand neating nfresh nfruits
n and nvegetables nas nopposed nto nquick nand ncheap nfast-food nchoices.
d. Public npolicy nemphasizes npersonal nresponsibility nbut nignores nsocial
n and nenvironmental nchanges nneeded nfor nwell-being.
ANS: n D
Although nall nresponses nare naccurate, nthe nprimary nproblem nis nthe nemphasis non npersonal
nchoices nin nthe nHealthy nPeople n2020 nobjectives. nEmphasis non npersonal nchoices nignores nthe
nneed nfor ncommunity nresponsibility nand naction nthat naddresses nenvironmental nor ncultural
nrestraints nto nhealth.
DIF: Cognitive nLevel: nApply n(Application)
6. What nresponsibility ndoes nthe nAmerican nNurses nAssociation n(ANA) nCode nof nEthics nrequire
nof nthe nnurse nbeyond ngiving nexcellent ncare nto npatients?
a. Accept nlonger nwork nschedules nto nensure nthat nprofessional ncare nis nalways navailable
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
to nclients.
b. Recognize nthe nneed nfor nexperienced nnurses nto nmentor nnew ngraduates nto
n help nincrease nand nexpand nthe nnumber nof nprofessionals navailable.
c. Support nhealth nlegislation nto nimprove naccessibility nand ncost nof nhealth ncare.
d. Volunteer nto nwork novertime nas nneeded nto nensure nmaximum nquality nof ncare.
ANS: n C
The nANA nCode nof nEthics npromotes nsocial nreform nby nfocusing non nhealth npolicy nand
nlegislation nto npositively naffect naccessibility, nquality, nand ncost nof nhealth ncare. nThe ncode
ndoes nnot ndirectly naddress nworkplace nissues, nsuch nas nwork nschedules nor nneed nfor novertime.
DIF: Cognitive nLevel: nAnalyze n(Analysis)
7. What nis nthe ncommunity nhealth nnursing ndefinition nof nhealth?
a. Health nis na nperson’s ngoal-directed npurposeful nprocess ntoward nwell-being
n or nwholeness.
b. Health nis nan nindividual’s nphysical, nmental, nand nsocial nwell-being, nnot nmerely
n the nabsence nof ndisease nor ninfirmity.
c. Health nis nthe nmutual nadaptation nbetween na nperson nand nhis nor nher
n environment nin nmeeting ndaily nexistence.
d. Health nis nfamilies nand naggregates nchoosing nactions nto nensure nsafety nand nwell-being.
ANS: n D
The ntext nstresses nthat nhealth nis nnot njust nthe nresult nof nan nindividual’s nchoices, nbut nchoices
nand nactions nof nindividuals, nfamilies, ngroups, nand ncommunities nthat nlead nto nbetter nhealth.
DIF: Cognitive nLevel: nApply n(Application)
N RS ING TB.C M
U n
O n n n n
8. How does community health nursing define community?
n n n n n n
a. A ngroup nof npersons nliving nwithin nspecific ngeographic nboundaries
b. A ngroup nof npersons nwho nshare na ncommon nidentity nand nenvironment
c. A ngroup nof npersons nwho nwork ntogether nto nmeet ncommon ngoals
d. A ngroup nof npersons nwho nresolve na ncommunity nconcern
ANS: n B
Community nhealth nnurses nwork nwith nboth ngeopolitical ngroups n(within nspecific ngeographic
nboundaries) nand nphenomenological ngroups n(who nhave na ncommon nidentity nbased non
nculture, nhistory, nor ngoals). nA nparticular nphenomenological ngroup nmay nor nmay nnot nhave
nbeen na nplanned ngroup—that nis, na ngroup nthat ncame ntogether nto nresolve na nrecognized
ncommon nproblem nor nto nmeet na ncommon ngoal. nHowever, nof nall nthe nchoices, na ngroup nof
npersons nwho nshare na ncommon nidentity n(phenomenological ngroup) nand nenvironment n(which
nimplies na nspecific ngeographic nsetting) nis nthe nbroadest nand nmost ncomplete ndefinition.
DIF: Cognitive nLevel: nApply n(Application)
9. Which nvariable nhas na nmajor ninfluence non na ncommunity’s nhealth?
a. Behavior nchoices nmade nby npersons nin nthe ncommunity
b. Number nof nhealth ncare nproviders nand nhospitals nin nthe ncommunity
c. Quality nof nthe npublic nsafety nofficers n(police nofficers, nfirefighters, netc.)
d. The nnumber nand ncredentials nof npublic nhealth nofficials nin nthe ncommunity
ANS: n A
NURSINGTB.COM
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE nCHOICE
1. Which nbest ndescribes nthe nprimary nreason nthat nAmericans nare nconcerned nabout nhealth ncare?
a. Politicians nare ndiscussing nhow nto nimprove nhealth ncare.
b. The nmedia nhas nprovided nmixed nmessages nabout nthe nhealth ncare nsystem.
c. Our nnational nhealth ncare ncosts nkeep nincreasing.
d. The nnew nhealth ncare nsystem noffers nfree nservices nto nAmericans.
ANS: n C
The nprimary nreason nfor nthe nfocus non nhealth ncare nis nthe nconstantly nincreasing ncosts, nwhich
ncannot nbe nsustained. nThe ncosts nof ncaring nfor nthe nsick naccounted nfor nthe nmajority nof
nescalating nhealth ncare ndollars, nwhich nincreased nfrom n5.7% nof nthe ngross ndomestic nproduct
nin n1965 nto n17.8% nin n2015. nPoliticians nand nthe nmedia nboth ninfluence nAmericans’
nperceptions nabout nhealth ncare; nhowever, nthey nare nnot nthe nprimary nreason nwhy nAmericans
nare nconcerned. nThe nnew nhealth ncare nsystem nwill nchange nthe nhealth ncare naccess nand
navailability, nbut nwill nnot nnecessarily nbe noffering nany nfree nservices nto nAmericans.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
2. A nnurse nhas nbegun nto nlobby nwith npoliticians nfor nchanges nto nthe nhealth ncare nsystem. nWhy nis
this ninvolvement nimportant?
n
a. Nurses, nas ncentral ncharacters nin nseveral npopular nTV nseries, nare ncurrently
n
R I G B.C M
very nvisible nin nAmerican nm e d iNa . n
n
n n n
b. Nurses are primarily responUsibS
n n n le foNr mTanagingOthe various units in our health care
n n n n n n n n
system.
c. Nurses nare nthe nlargest nsegment nof nhealth ncare nproviders.
d. Nurses nare nthe nonly ngroup nthat nis nemployed nboth ninside nand noutside nof nhospitals.
ANS: n C
As nthe nlargest nsegment nof nhealth ncare nproviders, nnurses nare ninformed nabout nthe ncurrent
nhealth ncare nsystem nand nall nthe nproblems nthat nresult nfrom npeople nnot nseeking ncare nuntil
nthey nare ndesperately nill. nNurses, nas nthe nAmerican nNurses nAssociation n(ANA) nemphasize,
nusually nbelieve nthat nhealth ncare nis na nright, nnot na nprivilege. nTherefore, nnurses, nwhose nwork
nis ncentral nto nour ncurrent nhealth ncare ndelivery nsystem, ncan nalso nbe ninstrumental nin nworking
npolitically nto ncreate na nhealth ncare ndelivery nsystem nthat nwill nmeet nhealth nneeds. nWhile
nnurses nare nin nseveral ncurrent nTV nseries nand nare nemployed nboth ninside nand noutside nof
nhospitals, nphysicians nand nother nhealth ncare nproviders nare nas nwell. nNurses nare noften
nmanagers, nbut nmanagers noften nhave nother nbackgrounds, nsuch nas nbusiness nadministration.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
3. What nconclusion ncan nbe ndrawn nfrom nexamining nwhere nnurses nare nemployed?
a. There nis na ntrend ntoward nconsolidation nof nhealth ncare ninto nlarge ncentral
n medical ncenters.
b. There nis nan nincreased nemphasis non ncommunity-based nhealth ncare.
c. There nis nan nobvious nneed nto ndecrease nhealth ncare ncosts nby ncutting npositions.
d. Managed ncare norganizations n(MCOs) nare nemploying nnurses nto nimprove ncustomer
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
relations.
ANS: n B
MCOs nare nemploying nnurses nin nmany ncapacities. nAlthough nhospitals nare nclosing nand nacute
ncare nis nincreasingly nfound nin ncentral nmedical ncenters, nthe nsame ntrend nmay nbe nseen nin nan
nincrease nin nneighborhood-based npractice ncenters. nWhile npositions nare ncut nin nmost
nindustries, nhealth ncare nis nrecognized nas nan narea nwhere ngrowth nin nemployment nis nexpected.
nHowever, nnurses nare nincreasingly nemployed nin ncommunity nsettings nas nopposed nto
nhospitals. nThis nchange nreflects nthe nmove ntoward ncommunity-based ncare nrather nthan
nhospital-based ntertiary ncare. nTo nhelp ndecrease nthe ncontinued nrise nin nhealth ncare ncosts, nthe
nincreased nemphasis nis non ndisease nprevention nrather nthan nhigh-cost ntreatment.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
4. Which nethical nbelief nwould nbe nmost nhelpful nin nthe ncurrent nhealth ncare ncrisis?
a. Emphasis nshould nbe non nindividual nand ncorporation nfreedom nin nthe nmarketplace.
b. Emphasis nshould nbe non nindividual nautonomy nand nfreedom nof nchoice.
c. Emphasis nshould nbe non nsocial njustice nand ncollective nresponsibility.
d. Emphasis nshould nbe non nthe neffectiveness nof ntechnology nin nresolving nproblems.
ANS: n C
Public nhealth nrecognizes nthe nnecessity nof ncollective naction nin nkeeping nthe nenvironment nsafe
nand nin negalitarian ntradition nand nvision. nAn noverinvestment nin ntechnology nand nseeking nof
ncures nwithin nthe nmarket njustice nsystem nhas nstifled nthe nevolution nof na nhealth nsystem nto
nprotect nand npreserve nthe nhealth nof nthe npopulation. nAlthough nindividual nautonomy nand
nfreedom nof nchoice nare nimportant, nso nis nthe nrecognition nof ncollective nresponsibility nin
nensuring nsocial njustice, n which nentitles nall npeople nto nbasic nnecessities.
NURSINGTB.COM
DIF: Cognitive nLevel: nApply n(Application)
5. What nis nthe nprimary nproblem nseen nin nHealthy nPeople n2020’s nemphasis non nchoosing
nhealthy nlifestyle nbehaviors, nsuch nas ndaily nexercise nor nhealthy nfood nchoices?
a. Emphasis non nother nlifestyle nchoices, nsuch nas nnot nsmoking nand nminimal nuse
n of nalcohol nor ndrugs, nis nalso nneeded.
b. All nof nus nmust nwork ntogether nto nmake nunhealthy nbehaviors nsocially nunacceptable.
c. It ncosts nmore nto nmake nhealthy nchoices, nsuch nas nbuying nand neating nfresh nfruits
n and nvegetables nas nopposed nto nquick nand ncheap nfast-food nchoices.
d. Public npolicy nemphasizes npersonal nresponsibility nbut nignores nsocial
n and nenvironmental nchanges nneeded nfor nwell-being.
ANS: n D
Although nall nresponses nare naccurate, nthe nprimary nproblem nis nthe nemphasis non npersonal
nchoices nin nthe nHealthy nPeople n2020 nobjectives. nEmphasis non npersonal nchoices nignores nthe
nneed nfor ncommunity nresponsibility nand naction nthat naddresses nenvironmental nor ncultural
nrestraints nto nhealth.
DIF: Cognitive nLevel: nApply n(Application)
6. What nresponsibility ndoes nthe nAmerican nNurses nAssociation n(ANA) nCode nof nEthics nrequire
nof nthe nnurse nbeyond ngiving nexcellent ncare nto npatients?
a. Accept nlonger nwork nschedules nto nensure nthat nprofessional ncare nis nalways navailable
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
to nclients.
b. Recognize nthe nneed nfor nexperienced nnurses nto nmentor nnew ngraduates nto
n help nincrease nand nexpand nthe nnumber nof nprofessionals navailable.
c. Support nhealth nlegislation nto nimprove naccessibility nand ncost nof nhealth ncare.
d. Volunteer nto nwork novertime nas nneeded nto nensure nmaximum nquality nof ncare.
ANS: n C
The nANA nCode nof nEthics npromotes nsocial nreform nby nfocusing non nhealth npolicy nand
nlegislation nto npositively naffect naccessibility, nquality, nand ncost nof nhealth ncare. nThe ncode
ndoes nnot ndirectly naddress nworkplace nissues, nsuch nas nwork nschedules nor nneed nfor novertime.
DIF: Cognitive nLevel: nAnalyze n(Analysis)
7. What nis nthe ncommunity nhealth nnursing ndefinition nof nhealth?
a. Health nis na nperson’s ngoal-directed npurposeful nprocess ntoward nwell-being
n or nwholeness.
b. Health nis nan nindividual’s nphysical, nmental, nand nsocial nwell-being, nnot nmerely
n the nabsence nof ndisease nor ninfirmity.
c. Health nis nthe nmutual nadaptation nbetween na nperson nand nhis nor nher
n environment nin nmeeting ndaily nexistence.
d. Health nis nfamilies nand naggregates nchoosing nactions nto nensure nsafety nand nwell-being.
ANS: n D
The ntext nstresses nthat nhealth nis nnot njust nthe nresult nof nan nindividual’s nchoices, nbut nchoices
nand nactions nof nindividuals, nfamilies, ngroups, nand ncommunities nthat nlead nto nbetter nhealth.
DIF: Cognitive nLevel: nApply n(Application)
N RS ING TB.C M
U n
O n n n n
8. How does community health nursing define community?
n n n n n n
a. A ngroup nof npersons nliving nwithin nspecific ngeographic nboundaries
b. A ngroup nof npersons nwho nshare na ncommon nidentity nand nenvironment
c. A ngroup nof npersons nwho nwork ntogether nto nmeet ncommon ngoals
d. A ngroup nof npersons nwho nresolve na ncommunity nconcern
ANS: n B
Community nhealth nnurses nwork nwith nboth ngeopolitical ngroups n(within nspecific ngeographic
nboundaries) nand nphenomenological ngroups n(who nhave na ncommon nidentity nbased non
nculture, nhistory, nor ngoals). nA nparticular nphenomenological ngroup nmay nor nmay nnot nhave
nbeen na nplanned ngroup—that nis, na ngroup nthat ncame ntogether nto nresolve na nrecognized
ncommon nproblem nor nto nmeet na ncommon ngoal. nHowever, nof nall nthe nchoices, na ngroup nof
npersons nwho nshare na ncommon nidentity n(phenomenological ngroup) nand nenvironment n(which
nimplies na nspecific ngeographic nsetting) nis nthe nbroadest nand nmost ncomplete ndefinition.
DIF: Cognitive nLevel: nApply n(Application)
9. Which nvariable nhas na nmajor ninfluence non na ncommunity’s nhealth?
a. Behavior nchoices nmade nby npersons nin nthe ncommunity
b. Number nof nhealth ncare nproviders nand nhospitals nin nthe ncommunity
c. Quality nof nthe npublic nsafety nofficers n(police nofficers, nfirefighters, netc.)
d. The nnumber nand ncredentials nof npublic nhealth nofficials nin nthe ncommunity
ANS: n A
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