Community Nursing Test Banks
Which of the following best describes the primary reason that Americans are
concerned about healthcare?
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
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
,Community Nursing Test Banks QUESTIONS AND ANSWERS A GRADE
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
,Community Nursing Test Banks QUESTIONS AND ANSWERS A GRADE
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
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
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.
, Community Nursing Test Banks QUESTIONS AND ANSWERS A GRADE
ANS: C