Community Public Health Nursing 7th Edition Nies Test Bank
Chapter 10: Policy, Politics, Legislation, and Community Health Nursing
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which nurse fought to have American nursing controlled by nurses rather than physicians?
a. Clara Barton
b. Florence Nightingale
c. Lavinia Dock
d. Lillian Wald
ANS: C
Lavinia Dock was a political activist who waged a campaign for legislation to allow nurses to
control the nursing profession. Florence Nightingale was the first nurse to exert political
pressure on a government. Clara Barton was responsible for organizing relief efforts during
the U.S. Civil War. Lillian Wald was the driving force behind the federal government’s
development of the Children’s Bureau in 1912.
DIF: Cognitive Level: Remember (Knowledge)
2. Which nurse used political expertise to influence the federal government to develop a
Children’s Bureau?
a. Clara Barton
b. Florence Nightingale
c. Lavinia Dock
d. Lillian Wald
ANS: D
Lillian Wald recognized the connection between social conditions and health. She was a
driving force behind the federal government’s development of the Children’s Bureau in 1912.
Lavinia Dock was a political activist who waged a campaign for legislation to allow nurses to
control the nursing profession. Florence Nightingale was the first nurse to exert political
pressure on a government. Clara Barton was responsible for organizing relief efforts during
the U.S. Civil War.
DIF: Cognitive Level: Remember (Knowledge)
3. Which best describes the most important factor in legislation?
a.The amount of financing and lobbying behind each choice
b.The beliefs, attitudes, and values of the policy
c.The preferences of the majority of American voters
d.The president’s ongoing encouragement for one particular choice
ANS: B
Public policy encompasses the choices made regarding goals, priorities, and how resources
are allocated. Policy choices reflect the values, beliefs, and attitudes of those designing the
policy. The influence of the president, preferences of Americans, and amount of financing
related to the legislation are not as important as the beliefs, attitudes, and values of the policy.
DIF: Cognitive Level: Understand (Comprehension)
, Community Public Health Nursing 7th Edition Nies Test Bank
4. Which is accomplished through the use of public policy?
a. Solutions to problems of public concern are developed.
b. A rational, logical problem-solving decision-making process is implemented.
c. Public safety nets for vulnerable populations are created.
d. Economic and business management principles are applied.
ANS: A
The field of public policy involves the study of specific policy problems and governmental
responses to them. Political scientists involved in the study of public policy attempt to devise
solutions for problems of public concern. The use of public policy may not involve the
implementation of a logical problem-solving, decision-making process. Public policy
addresses more than safety nets for vulnerable populations. Additional principles besides
economics and business management are applied through the use of public policy.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best describes why it is so difficult to change the paradigm of health care from disease
orientation to promoting health orientation?
a. The belief exists that those without insurance could obtain insurance if they
worked hard enough.
b. People find it difficult to agree on what the ideal paradigm should be.
c. People realize the media have exaggerated the problems that result from lack of
insurance.
d. Serious reallocation of resources would have to occur.
ANS: D
A shift in the paradigm woulN dUneR
ceSsI atG
sitN eTaB
su.
bsCtaOnM
tial reallocation of resources because the
vast majority of health spending is currently directed to medical care and biomedical research
and reflects a viewpoint of health care as a commodity. The allocation of resources has the
most influence on creating a paradigm shift. Individual opinions and the use of media do not
play as great of role as where resources are spent.
DIF: Cognitive Level: Understand (Comprehension)
6. Which best describes how the government controls conditions that individuals cannot?
a. Appeals to the common sense and good nature of the citizens
b. Establishes social mores that enable groups to control individuals’ behaviors
c. Passes and enforces law
d. Uses fear reinforced by police power
ANS: C
Government regulates conditions that individuals cannot control and provides individual
protection through a population-wide focus. These tasks are accomplished through passage
and enforcement of laws. These laws control individuals’ behaviors, which may lead to the
establishment of social mores and common sense related to the laws that have been
established.
DIF: Cognitive Level: Understand (Comprehension)
Chapter 10: Policy, Politics, Legislation, and Community Health Nursing
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which nurse fought to have American nursing controlled by nurses rather than physicians?
a. Clara Barton
b. Florence Nightingale
c. Lavinia Dock
d. Lillian Wald
ANS: C
Lavinia Dock was a political activist who waged a campaign for legislation to allow nurses to
control the nursing profession. Florence Nightingale was the first nurse to exert political
pressure on a government. Clara Barton was responsible for organizing relief efforts during
the U.S. Civil War. Lillian Wald was the driving force behind the federal government’s
development of the Children’s Bureau in 1912.
DIF: Cognitive Level: Remember (Knowledge)
2. Which nurse used political expertise to influence the federal government to develop a
Children’s Bureau?
a. Clara Barton
b. Florence Nightingale
c. Lavinia Dock
d. Lillian Wald
ANS: D
Lillian Wald recognized the connection between social conditions and health. She was a
driving force behind the federal government’s development of the Children’s Bureau in 1912.
Lavinia Dock was a political activist who waged a campaign for legislation to allow nurses to
control the nursing profession. Florence Nightingale was the first nurse to exert political
pressure on a government. Clara Barton was responsible for organizing relief efforts during
the U.S. Civil War.
DIF: Cognitive Level: Remember (Knowledge)
3. Which best describes the most important factor in legislation?
a.The amount of financing and lobbying behind each choice
b.The beliefs, attitudes, and values of the policy
c.The preferences of the majority of American voters
d.The president’s ongoing encouragement for one particular choice
ANS: B
Public policy encompasses the choices made regarding goals, priorities, and how resources
are allocated. Policy choices reflect the values, beliefs, and attitudes of those designing the
policy. The influence of the president, preferences of Americans, and amount of financing
related to the legislation are not as important as the beliefs, attitudes, and values of the policy.
DIF: Cognitive Level: Understand (Comprehension)
, Community Public Health Nursing 7th Edition Nies Test Bank
4. Which is accomplished through the use of public policy?
a. Solutions to problems of public concern are developed.
b. A rational, logical problem-solving decision-making process is implemented.
c. Public safety nets for vulnerable populations are created.
d. Economic and business management principles are applied.
ANS: A
The field of public policy involves the study of specific policy problems and governmental
responses to them. Political scientists involved in the study of public policy attempt to devise
solutions for problems of public concern. The use of public policy may not involve the
implementation of a logical problem-solving, decision-making process. Public policy
addresses more than safety nets for vulnerable populations. Additional principles besides
economics and business management are applied through the use of public policy.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best describes why it is so difficult to change the paradigm of health care from disease
orientation to promoting health orientation?
a. The belief exists that those without insurance could obtain insurance if they
worked hard enough.
b. People find it difficult to agree on what the ideal paradigm should be.
c. People realize the media have exaggerated the problems that result from lack of
insurance.
d. Serious reallocation of resources would have to occur.
ANS: D
A shift in the paradigm woulN dUneR
ceSsI atG
sitN eTaB
su.
bsCtaOnM
tial reallocation of resources because the
vast majority of health spending is currently directed to medical care and biomedical research
and reflects a viewpoint of health care as a commodity. The allocation of resources has the
most influence on creating a paradigm shift. Individual opinions and the use of media do not
play as great of role as where resources are spent.
DIF: Cognitive Level: Understand (Comprehension)
6. Which best describes how the government controls conditions that individuals cannot?
a. Appeals to the common sense and good nature of the citizens
b. Establishes social mores that enable groups to control individuals’ behaviors
c. Passes and enforces law
d. Uses fear reinforced by police power
ANS: C
Government regulates conditions that individuals cannot control and provides individual
protection through a population-wide focus. These tasks are accomplished through passage
and enforcement of laws. These laws control individuals’ behaviors, which may lead to the
establishment of social mores and common sense related to the laws that have been
established.
DIF: Cognitive Level: Understand (Comprehension)
