Test Bank For Community Public Health Nursing 7th
Edition By Mary A. Nies, Melanie Mcewen -Latest
Edition-2026
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Chapter 01: Health: A Community View Nies: Community/Public Health Nursing, 7th
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?
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e. Nurses, As Central Characters In Several Popular TV Series, Are Currently Very Visible In
American Med Ina. R I
f. Nurses Are Primarily Responusibsle Fonr Mtanagingothe Various Units In Our Health
Care System.
g. Nurses Are The Largest Segment Of Health Care Providers.
h. 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?
i. There Is A Trend Toward Consolidation Of Health Care Into Large Central Medical Centers.
j. There Is An Increased Emphasis On Community-Based Health Care.
k. There Is An Obvious Need To Decrease Health Care Costs By Cutting Positions.
Managed Care Organizations (Mcos) Are Employing Nurses To Improve Customer
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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)
4. 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.
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