Test Bank For Community/Public Health Nursing: Promoting the Health of Populations 8th Edition by Nies | 9780323795319 | | Chapter 1-34 | All Chapters with Answers and Rationals

Test Bank for Community Public
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HealthNursing 7th Edition by Nies-
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guaranteed pass
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,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLE CHOICE gh




1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. gh gh gh gh gh gh gh


b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
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d. The new health care system offers free services to Americans.
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ANS: C gh


The primary reason for the focus on health care is the constantly increasing costs,
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which cannot be sustained. The costs of caring for the sick accounted for the majority
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of escalating health care dollars, which increased from 5.7% of the gross domestic
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product in 1965 to 17.8% in 2015. Politicians and the media both influence Americans’
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perceptions about health care; however, they are not the primary reason why Americans
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are concerned. The new health care system will change the health care access and
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availability, but will not necessarily be offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) gh gh gh




2. A nurse has begun to lobby with politicians for changes to the health care system. Why
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gh is this involvement important?
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a. Nurses, as central characters in several popular TV series, are currently
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very visible in American m e d iN
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b. Nurses are primarily responUs ibS
le foNr mTanagingOthe various units in our health care
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system.
c. Nurses are the largest segment of health care providers.
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d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C gh


As the largest segment of health care providers, nurses are informed about the current
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health care system and all the problems that result from people not seeking care until
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they are desperately ill. Nurses, as the American Nurses Association (ANA) emphasize,
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usually believe that health care is a right, not a privilege. Therefore, nurses, whose
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work is central to our current health care delivery system, can also be instrumental in
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working politically to create a health care delivery system that will meet health needs.
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While nurses are in several current TV series and are employed both inside and outside
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of hospitals, physicians and other health care providers are as well. Nurses are often
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managers, but managers often have other backgrounds, such as business administration.
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DIF: Cognitive Level: Understand (Comprehension) gh gh gh

,3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central
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medical centers.
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b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer
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, relations.
ANS: B gh


MCOs are employing nurses in many capacities. Although hospitals are closing and acute
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care is increasingly found in central medical centers, the same trend may be seen in an
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increase in neighborhood-based practice centers. While positions are cut in most
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industries, health care is recognized as an area where growth in employment is
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expected. However, nurses are increasingly employed in community settings as opposed
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to hospitals. This change reflects the move toward community-based care rather than
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hospital-based tertiary care. To help decrease the continued rise in health care costs, the
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increased emphasis is on disease prevention rather than high-cost treatment.
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DIF: Cognitive Level: Understand (Comprehension) gh gh gh




4. Which ethical belief gh gh gh would be most helpful in the current health care crisis?
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a. Emphasis should gh gh be on individual and corporation freedom in the marketplace.
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b. Emphasis should gh gh be on individual autonomy and freedom of choice.
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c. Emphasis should gh gh be on social justice and collective responsibility.
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d. Emphasis should gh gh be on the effectiveness of technology in resolving problems.
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ANS: C gh


Public health recognizes the necessity of collective action in keeping the environment safe
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and in egalitarian tradition and vision. An overinvestment in technology and seeking of
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cures within the market justice system has stifled the evolution of a health system to
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protect and preserve the health of the population. Although individual autonomy and
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freedom of choice are important, so is the recognition of collective responsibility in
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ensuring social justice, which entitles all people to basic necessities.
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DIF: Cognitive Level: Apply (Application) gh gh gh




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
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gh healthy lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal
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gh use of alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits
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and vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but ignores social
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and environmental changes needed for well-being.
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ANS: D gh


Although all responses are accurate, the primary problem is the emphasis on personal
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choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores
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the need for community responsibility and action that addresses environmental or
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cultural restraints to health.
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DIF: Cognitive Level: Apply (Application) gh gh gh




6. What responsibility does the American Nurses Association (ANA) Code of Ethics
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require of the nurse beyond giving excellent care to patients?
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a. Accept longer work schedules to ensure that professional care is always available
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