k
Chapter 01: Health: A Community View
B B B B B
Nies: Community/Public Health Nursing, 7th Edition
B B B B B
MULTIPLEBCHOICE
1. WhichBbestBdescribesBtheBprimaryBreasonBthatBAmericansBareBconcernedBaboutBhealthBcare?
a. PoliticiansBareBdiscussingBhowBtoBimproveBhealthBcare.
b. TheBmediaBhasBprovidedBmixedBmessagesBaboutBtheBhealthBcareBsystem.
c. OurBnationalBhealthBcareBcostsBkeepBincreasing.
d. TheBnewBhealthBcareBsystemBoffersBfreeBservicesBtoBAmericans.
ANS:B C
TheBprimaryBreasonBforBtheBfocusBonBhealthBcareBisBtheBconstantlyBincreasingBcosts,BwhichBcan
notBbeBsustained.BTheBcostsBofBcaringBforBtheBsickBaccountedBforBtheBmajorityBofBescalatingBhea
lthBcareBdollars,BwhichBincreasedBfromB5.7%BofBtheBgrossBdomesticBproductBinB1965BtoB17.8%B
inB2015.BPoliticiansBandBtheBmediaBbothBinfluenceBAmericans’BperceptionsBaboutBhealthBcare;Bh
owever,BtheyBareBnotBtheBprimaryBreasonBwhyBAmericansBareBconcerned.BTheBnewBhealthBcareBs
ystemBwillBchangeBtheBhealthBcareBaccessBandBavailability,BbutBwillBnotBnecessarilyBbeBoffering
BanyBfreeBservicesB toBAmericans.
DIF: CognitiveBLevel:BUnderstandB(Comprehension)
2. ABnurseBhasBbegunBtoBlobbyBwithBpoliticiansBforBchangesBtoBtheBhealthBcareBsystem.BWhyBisBth
isBinvolvementBimportant?
a. Nurses,BasBcentralBcharactersBinBseveralBpopularBTVBseries,BareBcurrentlyBver
a.BB RBIBGBB.CBM
yBvisibleBinBAmericanBmediN
b. NursesBareBprimarilyBresponUsibS
leBfoNrBmT
anagingOtheBvariousBunitsBinBourBhealthBcare
system.
c. NursesBareBtheBlargestBsegmentBofBhealthBcareBproviders.
d. NursesBareBtheBonlyBgroupBthatBisBemployedBbothBinsideBandBoutsideBofBhospitals.
ANS:B C
AsBtheBlargestBsegmentBofBhealthBcareBproviders,BnursesBareBinformedBaboutBtheBcurrentBhealth
BcareBsystemBandBallBtheBproblemsBthatBresult Bfrom BpeopleBnotBseekingBcareBuntilBtheyBareBdes
peratelyBill.BNurses,BasBtheBAmericanBNursesBAssociationB(ANA)Bemphasize,BusuallyBbelieveB
thatBhealthBcareBisBaBright,BnotBaBprivilege.BTherefore,Bnurses,BwhoseBworkBisBcentralBtoBourBcu
rrentBhealthBcareBdeliveryBsystem,BcanBalsoBbeBinstrumentalBinBworkingBpoliticallyBtoBcreateBaB
healthBcareBdeliveryBsystemBthatBwillBmeetBhealthBneeds.BWhileBnursesBareBinBseveralBcurrentB
TVBseriesBandBareBemployedBbothBinsideBandBoutsideBofBhospitals,BphysiciansBandBotherBhealthB
careBprovidersBareBasBwell.BNursesBareBoftenBmanagers,BbutBmanagersBoftenBhaveBotherBbackgr
ounds,BsuchBasBbusinessBadministration.
DIF: CognitiveBLevel:BUnderstandB(Comprehension)
3. WhatBconclusionBcanBbeBdrawnBfromBexaminingBwhereBnursesBareBemployed?
a. ThereBisBaBtrendBtowardBconsolidationBofBhealthBcareBintoBlargeBcentralBmedica
lBcenters.
b. ThereBisBanBincreasedBemphasisBonBcommunity-basedBhealthBcare.
c. ThereBisBanBobviousBneedBtoBdecreaseBhealthBcareBcostsBbyBcuttingBpositions.
d. ManagedBcareBorganizationsB(MCOs)BareBemployingBnursesBtoBimproveBcustomer
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, CommunityBPublicBHealthBNursingB7thBEditionBNiesBTestBBan
k
relations.
ANS:B B
MCOsBareBemployingBnursesBinBmanyBcapacities.BAlthoughBhospitalsBareBclosingBandBacuteBcar
eBisBincreasinglyBfoundBinBcentralBmedicalBcenters,BtheBsameBtrendBmayBbeBseenBinBanBincreaseBi
nBneighborhood-
basedBpracticeBcenters.BWhileBpositionsBareBcutBinBmostBindustries,BhealthBcareBisBrecognizedBas
BanBareaBwhereBgrowthBinBemploymentBisBexpected.BHowever,BnursesBareBincreasinglyBemploye
dBinBcommunityBsettingsBasBopposedBtoBhospitals.BThisBchangeBreflectsBtheBmoveBtowardBcomm
unity-basedBcareBratherBthanBhospital-
basedBtertiaryBcare.BToBhelpBdecreaseBtheBcontinuedBriseBinBhealthBcareBcosts,BtheBincreasedBem
phasisBisBonBdiseaseBpreventionBratherBthanBhigh-costBtreatment.
DIF: CognitiveBLevel:BUnderstandB(Comprehension)
4. WhichBethicalBbeliefBwouldBbeBmostBhelpfulBinBtheBcurrentBhealthBcareBcrisis?
a. EmphasisBshouldBbeBonBindividualBandBcorporationBfreedomBinBtheBmarketplace.
b. EmphasisBshouldBbeBonBindividualBautonomyBandBfreedomBofBchoice.
c. EmphasisBshouldBbeBonBsocialBjusticeBandBcollectiveBresponsibility.
d. EmphasisBshouldBbeBonBtheBeffectivenessBofBtechnologyBinBresolvingBproblems.
ANS:B C
PublicBhealthBrecognizesBtheBnecessityBofBcollectiveBactionBinBkeepingBtheBenvironmentBsafeBan
dBinBegalitarianBtraditionBandBvision.BAnBoverinvestmentBinBtechnologyBandBseekingBofBcuresBwi
thinBtheBmarketBjusticeBsystemBhasBstifledBtheBevolutionBofBaBhealthBsystemBtoBprotectBandBprese
rveBtheBhealthBofBtheBpopulation.BAlthoughBindividualBautonomyBandBfreedomBofBchoiceBareBim
portant,BsoBisBtheBrecognitionBofBcollectiveBresponsibilityBinBensuringBsocialBjustice,BwhichBenti
tlesBallBpeopleBtoBbasicBnecessities.
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DIF: CognitiveBLevel:BApplyB(Application)
5. WhatBisBtheBprimaryBproblemBseenBinBHealthyBPeopleB2020’sBemphasisBonBchoosingBhealth
yBlifestyleBbehaviors,BsuchBasBdailyBexerciseBorBhealthyBfoodBchoices?
a. EmphasisBonBotherBlifestyleBchoices,BsuchBasBnotBsmokingBandBminimalBuseBo
fBalcoholBorBdrugs,BisBalsoBneeded.
b. AllBofBusBmustBworkBtogetherBtoBmakeBunhealthyBbehaviorsBsociallyBunacceptable.
c. ItBcostsBmoreBtoBmakeBhealthyBchoices,BsuchBasBbuyingBandBeatingBfreshBfruitsBan
dBvegetablesBasBopposedBtoBquickBandBcheapBfast-foodBchoices.
d. PublicBpolicyBemphasizesBpersonalBresponsibilityBbutBignoresBsocialBan
dBenvironmentalBchangesBneededBforBwell-being.
ANS:B D
AlthoughBallBresponsesBareBaccurate,BtheBprimaryBproblemBisBtheBemphasisBonBpersonalBchoice
sBinBtheBHealthyBPeopleB2020Bobjectives.BEmphasisBonBpersonalBchoicesBignoresBtheBneedBforB
communityBresponsibilityBandBactionBthatBaddressesBenvironmentalBorBculturalBrestraintsBtoBhe
alth.
DIF: CognitiveBLevel:BApplyB(Application)
6. WhatBresponsibilityBdoesBtheBAmericanBNursesBAssociationB(ANA)BCodeBofBEthicsBrequireBo
fBtheBnurseBbeyondBgivingBexcellentBcareBtoBpatients?
a. AcceptBlongerBworkBschedulesBtoBensureBthatBprofessionalBcareBisBalwaysBavailable
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, CommunityBPublicBHealthBNursingB7thBEditionBNiesBTestBBan
k
toBclients.
b. RecognizeBtheBneedBforBexperiencedBnursesBtoBmentorBnewBgraduatesBtoBhel
pBincreaseBandBexpandBtheBnumberBofBprofessionalsBavailable.
c. SupportBhealthBlegislationBtoBimproveBaccessibilityBandBcostBofBhealthBcare.
d. VolunteerBtoBworkBovertimeBasBneededBtoBensureBmaximumBqualityBofBcare.
ANS:B C
TheBANABCodeBofBEthicsBpromotesBsocialBreformBbyBfocusingBonBhealthBpolicyBandBlegislatio
nBtoBpositivelyBaffectBaccessibility,Bquality,BandBcostBofBhealthBcare.BTheBcodeBdoesBnotBdirectly
BaddressBworkplaceBissues,BsuchBasBworkBschedulesBorBneedBforBovertime.
DIF: CognitiveBLevel:BAnalyzeB(Analysis)
7. WhatBisBtheBcommunityBhealthBnursingBdefinitionBofBhealth?
a. HealthBisBaBperson’sBgoal-directedBpurposefulBprocessBtowardBwell-
beingBorBwholeness.
b. HealthBisBanBindividual’sBphysical,Bmental,BandBsocialBwell-
being,BnotBmerelyBtheBabsenceBofBdiseaseBorBinfirmity.
c. HealthBisBtheBmutualBadaptationBbetweenBaBpersonBandBhisBorBherBenvironmentBi
nBmeetingBdailyBexistence.
d. HealthBisBfamiliesBandBaggregatesBchoosingBactionsBtoBensureBsafetyBandBwell-being.
ANS:B D
TheBtextBstressesBthatBhealthBisBnotBjustBtheBresultBofBanBindividual’sBchoices,BbutBchoicesBan
dBactionsBofBindividuals,Bfamilies,Bgroups,BandBcommunitiesBthatBleadBtoBbetterBhealth.
DIF: CognitiveBLevel:BApplyB(Application)
UNSRNITG B.C MO
B
B
B
B
B
B B B
8. How does community health nursing define community?
B B B B B B
a. ABgroupBofBpersonsBlivingBwithinBspecificBgeographicBboundaries
b. ABgroupBofBpersonsBwhoBshareBaBcommonBidentityBandBenvironment
c. ABgroupBofBpersonsBwhoBworkBtogetherBtoBmeetBcommonBgoals
d. ABgroupBofBpersonsBwhoBresolveBaBcommunityBconcern
ANS:B B
CommunityBhealthBnursesBworkBwithBbothBgeopoliticalBgroupsB(withinBspecificBgeographicBb
oundaries)BandBphenomenologicalBgroupsB(whoBhaveBaBcommonBidentityBbasedBonBculture,Bhi
story,BorBgoals).BABparticularBphenomenologicalBgroupBmayBorBmayBnotBhaveBbeenBaBplannedB
group—
thatBis,BaBgroupBthatBcameBtogetherBtoBresolveBaBrecognizedBcommonBproblemBorBtoBmeetBaBco
mmonBgoal.BHowever,BofBallBtheBchoices,BaBgroupBofBpersonsBwhoBshareBaBcommonBidentityB(
phenomenologicalBgroup)BandBenvironmentB(whichBimpliesBaBspecificBgeographicBsetting)BisB
theBbroadestBandBmostBcompleteBdefinition.
DIF: CognitiveBLevel:BApplyB(Application)
9. WhichBvariableBhasBaBmajorBinfluenceBonBaBcommunity’sBhealth?
a. BehaviorBchoicesBmadeBbyBpersonsBinBtheBcommunity
b. NumberBofBhealthBcareBprovidersBandBhospitalsBinBtheBcommunity
c. QualityBofBtheBpublicBsafetyBofficersB(policeBofficers,Bfirefighters,Betc.)
d. TheBnumberBandBcredentialsBofBpublicBhealthBofficialsBinBtheBcommunity
ANS:B A
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