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BIOL 1010c1

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Exam of 16 pages for the course BIOL 1010c1 at BIOL 1010c1 (BIOL 1010c1)

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IChapter 01: Health: A Community
View Test Bank

MULTIPLE CHOICE

1. Which of the following 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 17.6% in
2009. 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 availablity, but will not necessarily be offering
any free services to Americans.

DIF: Cognitive Level: Understand (Comprehension) REF: p. 2

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

, As the largest group 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) REF: p. 2

3. What conclusion can be drawn from examining where nurses
are employed?
a. There is a trend toward
consolidation of health care into
large central medical centers.
b. There is an increased emphasis
on community-based health care.
c. There is an obvious need to
decrease health care costs
by
cutting positions.
d. Managed care organizations
(MCOs) are employing nurses
to
improve customer 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) REF: p. 2

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.

DIF: Cognitive Level: Apply (Application) REF: p. 2

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

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