TestnBanknfornCommunitynPublicnHealthnNursingn7thnEditionn
MarynA.nNiesn&nMelanienMcEwen
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
Chapter 01: Health: A Community View
n n n n n
Nies: Community/Public Health Nursing, 7th Edition
n n n n n
MULTIPLEnCHOICE
1. WhichnbestndescribesnthenprimarynreasonnthatnAmericansnarenconcernednaboutnhealthncare?
a. Politiciansnarendiscussingnhowntonimprovenhealthncare.
b. Thenmedianhasnprovidednmixednmessagesnaboutnthenhealthncarensystem.
c. Ournnationalnhealthncarencostsnkeepnincreasing.
d. ThennewnhealthncarensystemnoffersnfreenservicesntonAmericans.
ANS:n C
Thenprimarynreasonnfornthenfocusnonnhealthncarenisnthenconstantlynincreasingncosts,nwhichncannot
nbensustained.nThencostsnofncaringnfornthensicknaccountednfornthenmajoritynofnescalatingnhealthncar
endollars,nwhichnincreasednfromn5.7%nofnthengrossndomesticnproductninn1965nton17.8%ninn2015.n
PoliticiansnandnthenmedianbothninfluencenAmericans’nperceptionsnaboutnhealthncare;nhowever,nth
eynarennotnthenprimarynreasonnwhynAmericansnarenconcerned.nThennewnhealthncarensystemnwillnc
hangenthenhealthncarenaccessnandnavailability,nbutnwillnnotnnecessarilynbenofferingnanynfreenservi
cesntonAmericans.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
2. Annursenhasnbegunntonlobbynwithnpoliticiansnfornchangesntonthenhealthncarensystem.nWhynisnthisni
nvolvementnimportant?
a. Nurses,nasncentralncharactersninnseveralnpopularnTVnseries,narencurrentlynvery
visibleninnAmericannmediN a.nnnR InGnB.CnM
b. NursesnarenprimarilynresponUsibSlenfoNrnmT
anagingOthenvariousnunitsninnournhealthncaren
system.
c. Nursesnarenthenlargestnsegmentnofnhealthncarenproviders.
d. Nursesnarenthenonlyngroupnthatnisnemployednbothninsidenandnoutsidenofnhospitals.
ANS:n C
Asnthenlargestnsegmentnofnhealthncarenproviders,nnursesnareninformednaboutnthencurrentnhealthnc
arensystemnandnallnthenproblemsnthatnresultnfromnpeoplennotnseekingncarenuntilntheynarendesperat
elynill.nNurses,nasnthenAmericannNursesnAssociationn(ANA)nemphasize,nusuallynbelieventhatnhe
althncarenisnanright,nnotnanprivilege.nTherefore,nnurses,nwhosenworknisncentralntonourncurrentnhealt
hncarendeliverynsystem,ncannalsonbeninstrumentalninnworkingnpoliticallyntoncreatenanhealthncarend
eliverynsystemnthatnwillnmeetnhealthnneeds.nWhilennursesnareninnseveralncurrentnTVnseriesnandnar
enemployednbothninsidenandnoutsidenofnhospitals,nphysiciansnandnothernhealthncarenprovidersnaren
asnwell.nNursesnarenoftennmanagers,nbutnmanagersnoftennhavenothernbackgrounds,nsuchnasnbusin
essnadministration.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
3. Whatnconclusionncannbendrawnnfromnexaminingnwherennursesnarenemployed?
a. Therenisnantrendntowardnconsolidationnofnhealthncarenintonlargencentralnmedicalnc
enters.
b. Therenisnannincreasednemphasisnonncommunity-basednhealthncare.
c. Therenisnannobviousnneedntondecreasenhealthncarencostsnbyncuttingnpositions.
d. Managedncarenorganizationsn(MCOs)narenemployingnnursesntonimprovencustomer
NURSINGTB.COM
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
relations.
ANS:n B
MCOsnarenemployingnnursesninnmanyncapacities.nAlthoughnhospitalsnarenclosingnandnacutencareni
snincreasinglynfoundninncentralnmedicalncenters,nthensamentrendnmaynbenseenninnannincreaseninnnei
ghborhood-
basednpracticencenters.nWhilenpositionsnarencutninnmostnindustries,nhealthncarenisnrecognizednasna
nnareanwherengrowthninnemploymentnisnexpected.nHowever,nnursesnarenincreasinglynemployednin
ncommunitynsettingsnasnopposedntonhospitals.nThisnchangenreflectsnthenmoventowardncommunity-
basedncarenrathernthannhospital-
basedntertiaryncare.nTonhelpndecreasenthencontinuednriseninnhealthncarencosts,nthenincreasednemph
asisnisnonndiseasenpreventionnrathernthannhigh-costntreatment.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
4. Whichnethicalnbeliefnwouldnbenmostnhelpfulninnthencurrentnhealthncarencrisis?
a. Emphasisnshouldnbenonnindividualnandncorporationnfreedomninnthenmarketplace.
b. Emphasisnshouldnbenonnindividualnautonomynandnfreedomnofnchoice.
c. Emphasisnshouldnbenonnsocialnjusticenandncollectivenresponsibility.
d. Emphasisnshouldnbenonntheneffectivenessnofntechnologyninnresolvingnproblems.
ANS:n C
Publicnhealthnrecognizesnthennecessitynofncollectivenactionninnkeepingnthenenvironmentnsafenandni
nnegalitarianntraditionnandnvision.nAnnoverinvestmentninntechnologynandnseekingnofncuresnwithinn
thenmarketnjusticensystemnhasnstiflednthenevolutionnofnanhealthnsystemntonprotectnandnpreserventhe
nhealthnofnthenpopulation.nAlthoughnindividualnautonomynandnfreedomnofnchoicenarenimportant,n s
onisnthenrecognitionnofncollectivenresponsibilityninnensuringnsocialnjustice,nwhichnentitlesnallnpeop
lentonbasicnnecessities.
UNSRNITG B.C MO
n
n
n
n
n
n n n
DIF: CognitivenLevel:nApplyn(Application)
5. WhatnisnthenprimarynproblemnseenninnHealthynPeoplen2020’snemphasisnonnchoosingnhealthynli
festylenbehaviors,nsuchnasndailynexercisenornhealthynfoodnchoices?
a. Emphasisnonnothernlifestylenchoices,nsuchnasnnotnsmokingnandnminimalnusenofna
lcoholnorndrugs,nisnalsonneeded.
b. Allnofnusnmustnworkntogetherntonmakenunhealthynbehaviorsnsociallynunacceptable.
c. Itncostsnmorentonmakenhealthynchoices,nsuchnasnbuyingnandneatingnfreshnfruitsnandnv
egetablesnasnopposedntonquicknandncheapnfast-foodnchoices.
d. Publicnpolicynemphasizesnpersonalnresponsibilitynbutnignoresnsocialnandn
environmentalnchangesnneedednfornwell-being.
ANS:n D
Althoughnallnresponsesnarenaccurate,nthenprimarynproblemnisnthenemphasisnonnpersonalnchoicesni
nnthenHealthynPeoplen2020nobjectives.nEmphasisnonnpersonalnchoicesnignoresnthenneednforncom
munitynresponsibilitynandnactionnthatnaddressesnenvironmentalnornculturalnrestraintsntonhealth.
DIF: CognitivenLevel:nApplyn(Application)
6. WhatnresponsibilityndoesnthenAmericannNursesnAssociationn(ANA)nCodenofnEthicsnrequirenofnt
hennursenbeyondngivingnexcellentncarentonpatients?
a. Acceptnlongernworknschedulesntonensurenthatnprofessionalncarenisnalwaysnavailable
NURSINGTB.COM
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
tonclients.
b. Recognizenthenneednfornexperiencednnursesntonmentornnewngraduatesntonhelpni
ncreasenandnexpandnthennumbernofnprofessionalsnavailable.
c. Supportnhealthnlegislationntonimprovenaccessibilitynandncostnofnhealthncare.
d. Volunteerntonworknovertimenasnneededntonensurenmaximumnqualitynofncare.
ANS:n C
ThenANAnCodenofnEthicsnpromotesnsocialnreformnbynfocusingnonnhealthnpolicynandnlegislationnt
onpositivelynaffectnaccessibility,nquality,nandncostnofnhealthncare.nThencodendoesnnotndirectlynadd
ressnworkplacenissues,nsuchnasnworknschedulesnornneednfornovertime.
DIF: CognitivenLevel:nAnalyzen(Analysis)
7. Whatnisnthencommunitynhealthnnursingndefinitionnofnhealth?
a. Healthnisnanperson’sngoal-directednpurposefulnprocessntowardnwell-
beingnornwholeness.
b. Healthnisnannindividual’snphysical,nmental,nandnsocialnwell-
being,nnotnmerelynthenabsencenofndiseasenorninfirmity.
c. Healthnisnthenmutualnadaptationnbetweennanpersonnandnhisnornhernenvironmentninn
meetingndailynexistence.
d. Healthnisnfamiliesnandnaggregatesnchoosingnactionsntonensurensafetynandnwell-being.
ANS:n D
Thentextnstressesnthatnhealthnisnnotnjustnthenresultnofnannindividual’snchoices,nbutnchoicesnandna
ctionsnofnindividuals,nfamilies,ngroups,nandncommunitiesnthatnleadntonbetternhealth.
DIF: CognitivenLevel:nApplyn(Application)
UNSRNITG B.C MO
n
n
n
n
8. Howndoesncommunitynhealthnnursingndefinencommunity?
n
n n n
a. Angroupnofnpersonsnlivingnwithinnspecificngeographicnboundaries
b. Angroupnofnpersonsnwhonsharenancommonnidentitynandnenvironment
c. Angroupnofnpersonsnwhonworkntogetherntonmeetncommonngoals
d. Angroupnofnpersonsnwhonresolvenancommunitynconcern
ANS:n B
Communitynhealthnnursesnworknwithnbothngeopoliticalngroupsn(withinnspecificngeographicnbou
ndaries)nandnphenomenologicalngroupsn(whonhavenancommonnidentitynbasednonnculture,nhistor
y,norngoals).nAnparticularnphenomenologicalngroupnmaynornmaynnotnhavenbeennanplannedngroup
—
thatnis,nangroupnthatncamentogetherntonresolvenanrecognizedncommonnproblemnorntonmeetnancom
monngoal.nHowever,nofnallnthenchoices,nangroupnofnpersonsnwhonsharenancommonnidentityn(phen
omenologicalngroup)nandnenvironmentn(whichnimpliesnanspecificngeographicnsetting)nisnthenbro
adestnandnmostncompletendefinition.
DIF: CognitivenLevel:nApplyn(Application)
9. Whichnvariablenhasnanmajorninfluencenonnancommunity’snhealth?
a. Behaviornchoicesnmadenbynpersonsninnthencommunity
b. Numbernofnhealthncarenprovidersnandnhospitalsninnthencommunity
c. Qualitynofnthenpublicnsafetynofficersn(policenofficers,nfirefighters,netc.)
d. Thennumbernandncredentialsnofnpublicnhealthnofficialsninnthencommunity
ANS:n A
NURSINGTB.COM
MarynA.nNiesn&nMelanienMcEwen
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
Chapter 01: Health: A Community View
n n n n n
Nies: Community/Public Health Nursing, 7th Edition
n n n n n
MULTIPLEnCHOICE
1. WhichnbestndescribesnthenprimarynreasonnthatnAmericansnarenconcernednaboutnhealthncare?
a. Politiciansnarendiscussingnhowntonimprovenhealthncare.
b. Thenmedianhasnprovidednmixednmessagesnaboutnthenhealthncarensystem.
c. Ournnationalnhealthncarencostsnkeepnincreasing.
d. ThennewnhealthncarensystemnoffersnfreenservicesntonAmericans.
ANS:n C
Thenprimarynreasonnfornthenfocusnonnhealthncarenisnthenconstantlynincreasingncosts,nwhichncannot
nbensustained.nThencostsnofncaringnfornthensicknaccountednfornthenmajoritynofnescalatingnhealthncar
endollars,nwhichnincreasednfromn5.7%nofnthengrossndomesticnproductninn1965nton17.8%ninn2015.n
PoliticiansnandnthenmedianbothninfluencenAmericans’nperceptionsnaboutnhealthncare;nhowever,nth
eynarennotnthenprimarynreasonnwhynAmericansnarenconcerned.nThennewnhealthncarensystemnwillnc
hangenthenhealthncarenaccessnandnavailability,nbutnwillnnotnnecessarilynbenofferingnanynfreenservi
cesntonAmericans.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
2. Annursenhasnbegunntonlobbynwithnpoliticiansnfornchangesntonthenhealthncarensystem.nWhynisnthisni
nvolvementnimportant?
a. Nurses,nasncentralncharactersninnseveralnpopularnTVnseries,narencurrentlynvery
visibleninnAmericannmediN a.nnnR InGnB.CnM
b. NursesnarenprimarilynresponUsibSlenfoNrnmT
anagingOthenvariousnunitsninnournhealthncaren
system.
c. Nursesnarenthenlargestnsegmentnofnhealthncarenproviders.
d. Nursesnarenthenonlyngroupnthatnisnemployednbothninsidenandnoutsidenofnhospitals.
ANS:n C
Asnthenlargestnsegmentnofnhealthncarenproviders,nnursesnareninformednaboutnthencurrentnhealthnc
arensystemnandnallnthenproblemsnthatnresultnfromnpeoplennotnseekingncarenuntilntheynarendesperat
elynill.nNurses,nasnthenAmericannNursesnAssociationn(ANA)nemphasize,nusuallynbelieventhatnhe
althncarenisnanright,nnotnanprivilege.nTherefore,nnurses,nwhosenworknisncentralntonourncurrentnhealt
hncarendeliverynsystem,ncannalsonbeninstrumentalninnworkingnpoliticallyntoncreatenanhealthncarend
eliverynsystemnthatnwillnmeetnhealthnneeds.nWhilennursesnareninnseveralncurrentnTVnseriesnandnar
enemployednbothninsidenandnoutsidenofnhospitals,nphysiciansnandnothernhealthncarenprovidersnaren
asnwell.nNursesnarenoftennmanagers,nbutnmanagersnoftennhavenothernbackgrounds,nsuchnasnbusin
essnadministration.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
3. Whatnconclusionncannbendrawnnfromnexaminingnwherennursesnarenemployed?
a. Therenisnantrendntowardnconsolidationnofnhealthncarenintonlargencentralnmedicalnc
enters.
b. Therenisnannincreasednemphasisnonncommunity-basednhealthncare.
c. Therenisnannobviousnneedntondecreasenhealthncarencostsnbyncuttingnpositions.
d. Managedncarenorganizationsn(MCOs)narenemployingnnursesntonimprovencustomer
NURSINGTB.COM
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
relations.
ANS:n B
MCOsnarenemployingnnursesninnmanyncapacities.nAlthoughnhospitalsnarenclosingnandnacutencareni
snincreasinglynfoundninncentralnmedicalncenters,nthensamentrendnmaynbenseenninnannincreaseninnnei
ghborhood-
basednpracticencenters.nWhilenpositionsnarencutninnmostnindustries,nhealthncarenisnrecognizednasna
nnareanwherengrowthninnemploymentnisnexpected.nHowever,nnursesnarenincreasinglynemployednin
ncommunitynsettingsnasnopposedntonhospitals.nThisnchangenreflectsnthenmoventowardncommunity-
basedncarenrathernthannhospital-
basedntertiaryncare.nTonhelpndecreasenthencontinuednriseninnhealthncarencosts,nthenincreasednemph
asisnisnonndiseasenpreventionnrathernthannhigh-costntreatment.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
4. Whichnethicalnbeliefnwouldnbenmostnhelpfulninnthencurrentnhealthncarencrisis?
a. Emphasisnshouldnbenonnindividualnandncorporationnfreedomninnthenmarketplace.
b. Emphasisnshouldnbenonnindividualnautonomynandnfreedomnofnchoice.
c. Emphasisnshouldnbenonnsocialnjusticenandncollectivenresponsibility.
d. Emphasisnshouldnbenonntheneffectivenessnofntechnologyninnresolvingnproblems.
ANS:n C
Publicnhealthnrecognizesnthennecessitynofncollectivenactionninnkeepingnthenenvironmentnsafenandni
nnegalitarianntraditionnandnvision.nAnnoverinvestmentninntechnologynandnseekingnofncuresnwithinn
thenmarketnjusticensystemnhasnstiflednthenevolutionnofnanhealthnsystemntonprotectnandnpreserventhe
nhealthnofnthenpopulation.nAlthoughnindividualnautonomynandnfreedomnofnchoicenarenimportant,n s
onisnthenrecognitionnofncollectivenresponsibilityninnensuringnsocialnjustice,nwhichnentitlesnallnpeop
lentonbasicnnecessities.
UNSRNITG B.C MO
n
n
n
n
n
n n n
DIF: CognitivenLevel:nApplyn(Application)
5. WhatnisnthenprimarynproblemnseenninnHealthynPeoplen2020’snemphasisnonnchoosingnhealthynli
festylenbehaviors,nsuchnasndailynexercisenornhealthynfoodnchoices?
a. Emphasisnonnothernlifestylenchoices,nsuchnasnnotnsmokingnandnminimalnusenofna
lcoholnorndrugs,nisnalsonneeded.
b. Allnofnusnmustnworkntogetherntonmakenunhealthynbehaviorsnsociallynunacceptable.
c. Itncostsnmorentonmakenhealthynchoices,nsuchnasnbuyingnandneatingnfreshnfruitsnandnv
egetablesnasnopposedntonquicknandncheapnfast-foodnchoices.
d. Publicnpolicynemphasizesnpersonalnresponsibilitynbutnignoresnsocialnandn
environmentalnchangesnneedednfornwell-being.
ANS:n D
Althoughnallnresponsesnarenaccurate,nthenprimarynproblemnisnthenemphasisnonnpersonalnchoicesni
nnthenHealthynPeoplen2020nobjectives.nEmphasisnonnpersonalnchoicesnignoresnthenneednforncom
munitynresponsibilitynandnactionnthatnaddressesnenvironmentalnornculturalnrestraintsntonhealth.
DIF: CognitivenLevel:nApplyn(Application)
6. WhatnresponsibilityndoesnthenAmericannNursesnAssociationn(ANA)nCodenofnEthicsnrequirenofnt
hennursenbeyondngivingnexcellentncarentonpatients?
a. Acceptnlongernworknschedulesntonensurenthatnprofessionalncarenisnalwaysnavailable
NURSINGTB.COM
, CommunitynPublicnHealthnNursingn7thnEditionnNiesnTestnBank
tonclients.
b. Recognizenthenneednfornexperiencednnursesntonmentornnewngraduatesntonhelpni
ncreasenandnexpandnthennumbernofnprofessionalsnavailable.
c. Supportnhealthnlegislationntonimprovenaccessibilitynandncostnofnhealthncare.
d. Volunteerntonworknovertimenasnneededntonensurenmaximumnqualitynofncare.
ANS:n C
ThenANAnCodenofnEthicsnpromotesnsocialnreformnbynfocusingnonnhealthnpolicynandnlegislationnt
onpositivelynaffectnaccessibility,nquality,nandncostnofnhealthncare.nThencodendoesnnotndirectlynadd
ressnworkplacenissues,nsuchnasnworknschedulesnornneednfornovertime.
DIF: CognitivenLevel:nAnalyzen(Analysis)
7. Whatnisnthencommunitynhealthnnursingndefinitionnofnhealth?
a. Healthnisnanperson’sngoal-directednpurposefulnprocessntowardnwell-
beingnornwholeness.
b. Healthnisnannindividual’snphysical,nmental,nandnsocialnwell-
being,nnotnmerelynthenabsencenofndiseasenorninfirmity.
c. Healthnisnthenmutualnadaptationnbetweennanpersonnandnhisnornhernenvironmentninn
meetingndailynexistence.
d. Healthnisnfamiliesnandnaggregatesnchoosingnactionsntonensurensafetynandnwell-being.
ANS:n D
Thentextnstressesnthatnhealthnisnnotnjustnthenresultnofnannindividual’snchoices,nbutnchoicesnandna
ctionsnofnindividuals,nfamilies,ngroups,nandncommunitiesnthatnleadntonbetternhealth.
DIF: CognitivenLevel:nApplyn(Application)
UNSRNITG B.C MO
n
n
n
n
8. Howndoesncommunitynhealthnnursingndefinencommunity?
n
n n n
a. Angroupnofnpersonsnlivingnwithinnspecificngeographicnboundaries
b. Angroupnofnpersonsnwhonsharenancommonnidentitynandnenvironment
c. Angroupnofnpersonsnwhonworkntogetherntonmeetncommonngoals
d. Angroupnofnpersonsnwhonresolvenancommunitynconcern
ANS:n B
Communitynhealthnnursesnworknwithnbothngeopoliticalngroupsn(withinnspecificngeographicnbou
ndaries)nandnphenomenologicalngroupsn(whonhavenancommonnidentitynbasednonnculture,nhistor
y,norngoals).nAnparticularnphenomenologicalngroupnmaynornmaynnotnhavenbeennanplannedngroup
—
thatnis,nangroupnthatncamentogetherntonresolvenanrecognizedncommonnproblemnorntonmeetnancom
monngoal.nHowever,nofnallnthenchoices,nangroupnofnpersonsnwhonsharenancommonnidentityn(phen
omenologicalngroup)nandnenvironmentn(whichnimpliesnanspecificngeographicnsetting)nisnthenbro
adestnandnmostncompletendefinition.
DIF: CognitivenLevel:nApplyn(Application)
9. Whichnvariablenhasnanmajorninfluencenonnancommunity’snhealth?
a. Behaviornchoicesnmadenbynpersonsninnthencommunity
b. Numbernofnhealthncarenprovidersnandnhospitalsninnthencommunity
c. Qualitynofnthenpublicnsafetynofficersn(policenofficers,nfirefighters,netc.)
d. Thennumbernandncredentialsnofnpublicnhealthnofficialsninnthencommunity
ANS:n A
NURSINGTB.COM
