Community Health Exam 1 CH
1,2,3,4,5 TB
QUESTIONS AND CORRECT
ANSWERS
GRADE A+
1. Which statement 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 18% in 2018.
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.
2. Why is it important for nurses to lobby with politicians for changes to the health care system?
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 segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. ANS: C
Nurses constitute the largest segment of healthcare workers; therefore, they are instrumental in
creating a healthcare delivery system that will meet the health-oriented needs of the people. 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.
3. What conclusion can be drawn from examining where nurses are currently being employed?
,a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on health promotion and preventive 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
The decline in the percentage of nurses employed in hospitals and the subsequent increase in
nurses employed in community settings suggests a shift in focus from illness and institution-
based care to health promotion and preventive care. This shift will likely continue into the future
as alternative delivery systems, such as ambulatory, home care, and hospice employ more nurses.
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.
4. Which ethical belief is the basis of public health nursing?
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
The mission of public health is social justice, which entitles all people to basic necessities such
as adequate income and health protection and accepts collective burdens to make it possible. 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.
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
______________________________________________________________________________
________________
2| P a ge
DownloadedDobwy:nAlolmadaeSdtubdyy:Gkuirdeeibs ||
kaulmreaibg@ Want to earn $1.236 Distribution of this
document is illegal extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material
, Test Bank - Community/Public Health Nursing, 8th Edition (Nies, 2024)
______________________________________________________________________________
________________
Although all responses are accurate, the primary problem is the emphasis on personal choices in
the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to health.
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care. ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to
positively affect accessibility, quality, and cost of health care. The code does not directly address
workplace issues, such as work schedules or need for overtime.
7. What is the community health nursing definition of health?
a. Health is a person's goal-directed purposeful process toward well-being or
wholeness.
b. Health is an individual's physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and groups choosing actions to ensure safety and well-being. ANS: D
The text stresses that health is not just the result of an individual's choices, but choices and
actions of individuals, families, groups, and communities that lead to better health
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to meet a
common goal. However, of all the choices, a group of persons who share a common identity
(phenomenological group) and environment (which implies a specific geographic setting) is the
broadest and most complete definition.
9. Which variable has a major influence on a community's health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community ANS: A
Individual behavior choices are responsible for about 50% of health outcomes responsible for
premature deaths. Individual choices are affected through interaction with other individuals, and
1,2,3,4,5 TB
QUESTIONS AND CORRECT
ANSWERS
GRADE A+
1. Which statement 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 18% in 2018.
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.
2. Why is it important for nurses to lobby with politicians for changes to the health care system?
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 segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. ANS: C
Nurses constitute the largest segment of healthcare workers; therefore, they are instrumental in
creating a healthcare delivery system that will meet the health-oriented needs of the people. 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.
3. What conclusion can be drawn from examining where nurses are currently being employed?
,a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on health promotion and preventive 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
The decline in the percentage of nurses employed in hospitals and the subsequent increase in
nurses employed in community settings suggests a shift in focus from illness and institution-
based care to health promotion and preventive care. This shift will likely continue into the future
as alternative delivery systems, such as ambulatory, home care, and hospice employ more nurses.
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.
4. Which ethical belief is the basis of public health nursing?
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
The mission of public health is social justice, which entitles all people to basic necessities such
as adequate income and health protection and accepts collective burdens to make it possible. 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.
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
______________________________________________________________________________
________________
2| P a ge
DownloadedDobwy:nAlolmadaeSdtubdyy:Gkuirdeeibs ||
kaulmreaibg@ Want to earn $1.236 Distribution of this
document is illegal extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material
, Test Bank - Community/Public Health Nursing, 8th Edition (Nies, 2024)
______________________________________________________________________________
________________
Although all responses are accurate, the primary problem is the emphasis on personal choices in
the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to health.
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care. ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to
positively affect accessibility, quality, and cost of health care. The code does not directly address
workplace issues, such as work schedules or need for overtime.
7. What is the community health nursing definition of health?
a. Health is a person's goal-directed purposeful process toward well-being or
wholeness.
b. Health is an individual's physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and groups choosing actions to ensure safety and well-being. ANS: D
The text stresses that health is not just the result of an individual's choices, but choices and
actions of individuals, families, groups, and communities that lead to better health
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to meet a
common goal. However, of all the choices, a group of persons who share a common identity
(phenomenological group) and environment (which implies a specific geographic setting) is the
broadest and most complete definition.
9. Which variable has a major influence on a community's health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community ANS: A
Individual behavior choices are responsible for about 50% of health outcomes responsible for
premature deaths. Individual choices are affected through interaction with other individuals, and
