NR 442 Week 3 Community Health Nursing
Exam 1 (Practice Questions With correct
answer)2023/2024
CHAPTER 1
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
Exam 1 (Practice Questions With correct
answer)2023/2024
CHAPTER 1
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
