TEST BANK For Community PublicHea
n n n n n
th Nursing 7th Edition by Mary
n n n n n
A. Nies, Melanie McEwen | CompleteGuid
n n n n n n
e 2023
n
,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:nC
Thenprimarynreasonnfornthenfocusnonnhealthncarenisn then constantlyn increasingn costs,n whichncannotn
bensustained.nThencostsnofncaringnfornthensicknaccountednfornthenmajoritynofnescalatingnhealthncarend
ollars,nwhichnincreasednfromn5.7%nofnthen grossn domesticn productn inn 1965n ton17.8%ninn2015.nPol
iticiansnandnthenmedianbothninfluencenAmericans’nperceptionsnaboutnhealthncare;nhowever,ntheynaren
notnthenprimarynreasonnwhynAmericansnarenconcerned.nThennewnhealthncaren systemn willn changen t
hen healthn caren accessn andn availability,n butn willnnotn necessarilyn benofferingnanynfreenservicesnton
Americans.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
2. Annursenhasnbegunntonlobbynwithnpoliticiansnfornchangesntonthenhealthncarensystem.nWhynisn
thisninvolvementnimportant?
a. Nurses,nasncentralncharactersninnseveralnpopularnTVnseries,narencurrentlynvery
visibleninnAmericannmediN
a.
b. Nursesnarenprimarilynresponsiblenfornm
thenvariousnunitsninnournhealthncarensystem.
c. Nursesnarenthenlargestnsegmentnofnhealthncarenproviders.
d. Nursesnarenthenonlyngroupnthatnisnemployednbothninsidenandnoutsidenofnhospitals.
ANS:nC
Asnthenlargestnsegmentnofnhealthncarenproviders,nnursesnareninformednaboutnthencurrentnhealthncare
n systemn andn alln then problemsn thatn resultn fromn peoplen notn seekingn caren untiln theyn arendespe
ratelynill.nNurses,nasnthenAmericannNursesnAssociationn (ANA)n emphasize,n usuallynbelieventhatn
healthncarenisnanright,nnotnanprivilege.nTherefore,nnurses,nwhosenworknisncentralnto
ourn currentn healthn caren deliveryn system,n cann alson ben instrumentaln inn workingn politicallyn tonc
reatenanhealthncarendeliverynsystemnthatnwillnmeetnhealthnneeds.nWhilennursesnareninnseveralncurrentn
TVnseriesnandnarenemployednbothninsidenandnoutsidenofnhospitals,nphysiciansnandnothernhealthncaren
providersnarenasnwell.nNursesnarenoftennmanagers,nbutnmanagersnoftennhavenothernbackgrounds,nsuc
hnasnbusinessnadministration.
, DIF: CognitivenLevel:nUnderstandn(Comprehension)
3. Whatnconclusionncannbendrawnnfromnexaminingnwherennursesnarenemployed?
a. Therenisnantrendntowardnconsolidationnofnhealthncarenintonlargencentraln
medicalncenters.
b. Therenisnannincreasednemphasisnonncommunity-basednhealthncare.
c. Therenisnannobviousnneedntondecreasenhealthncarencostsnbyncuttingnpositions.
d. Managedncarenorganizationsn(MCOs)narenemployingnnursesntonimprovencustomer
, relations.
ANS:nB
MCOsnarenemployingnnursesninnmanyncapacities.nAlthoughnhospitalsnarenclosingnandnacutencareni
snincreasinglynfoundninncentralnmedicalncenters,nthensamentrendnmaynbenseenninnannincreaseninnnei
ghborhood-
basednpracticencenters.nWhilenpositionsnarencutninnmostnindustries,nhealthncarenisnrecognizedn asn a
nn arean where
growthninnemploymentnisnexpected.nHowever,nnursesnarenincre
asinglynemployedninncommunitynsettingsnasnopposedntonhospitals.nThisnchangenreflectsnthenmoven
towardncommunity-basedncarenrathernthannhospital-
basedntertiaryncare.nTonhelpndecreasenthencontinuednriseninnhealthncarencosts,nthenincreasednempha
sisnisnonndiseasenpreventionnrathernthannhigh-costntreatment.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
4. Whichnethicalnbeliefnwouldnbenmostnhelpfulninnthencurrentnhealthncarencrisis?
a. Emphasisnshouldnbenonnindividualnandncorporationnfreedomninnthenmarketplace.
b. Emphasisnshouldnbenonnindividualnautonomynandnfreedomnofnchoice.
c. Emphasisnshouldnbenonnsocialnjusticenandncollectivenresponsibility.
d. Emphasisnshouldnbenonntheneffectivenessnofntechnologyninnresolvingnproblems.
ANS:nC
Publicnhealthnrecognizesnthennecessitynofncollectivenactionninnkeepingnthenenvironmentnsafenandnin
n egalitariann traditionn andn vision.n Ann overinvestmentn inn technologyn andn seekingn ofn curesnwit
hinnthenmarketnjusticensystemnhasnstiflednthenevolutionnofnanhealthnsystemntonprotectnandnpreservent
henhealthnofnthenpopulation.nAlthoughnindividualnautonomynandnfreedomnofnchoice
aren important,n son isn then recognitionn ofn collectiven responsibilityn inn ensuringn socialn justice,nwh
ichnentitlesnallnpeoplentonbasicnnecessities.
DIF: CognitivenLevel:nApplyn(Application)
5. WhatnisnthenprimarynproblemnseenninnHealthynPeoplen2020’snemphasisnonnchoosingn
healthynlifestylenbehaviors,nsuchnasndailynexercisenornhealthynfoodnchoices?
a. Emphasisnonnothernlifestylenchoices,nsuchnasnnotnsmokingnandnminimalnusen
ofnalcoholnorndrugs,nisnalsonneeded.
b. Allnofnusnmustnworkntogetherntonmakenunhealthynbehaviorsnsociallynunacceptable.
c. Itncostsnmorentonmakenhealthynchoices,nsuchnasnbuyingnandneatingnfreshnfruitsn
andnvegetablesnasnopposedntonquicknandncheapnfast-foodnchoices.
d. Publicnpolicynemphasizesnpersonalnresponsibilitynbutnignoresnsocialnandn
environmentalnchangesnneedednfornwell-being.
ANS:nD
Althoughnallnresponsesnarenaccurate,nthenprimarynproblemnisnthenemphasisnonnpersonalnchoicesninn
thenHealthynPeoplen2020nobjectives.nEmphasisnonnpersonalnchoicesnignoresnthenneednforncommun
ityn responsibilityn andn actionn thatn addressesn environmentaln orn culturaln restraintsn tonhealth.
n n n n n
th Nursing 7th Edition by Mary
n n n n n
A. Nies, Melanie McEwen | CompleteGuid
n n n n n n
e 2023
n
,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:nC
Thenprimarynreasonnfornthenfocusnonnhealthncarenisn then constantlyn increasingn costs,n whichncannotn
bensustained.nThencostsnofncaringnfornthensicknaccountednfornthenmajoritynofnescalatingnhealthncarend
ollars,nwhichnincreasednfromn5.7%nofnthen grossn domesticn productn inn 1965n ton17.8%ninn2015.nPol
iticiansnandnthenmedianbothninfluencenAmericans’nperceptionsnaboutnhealthncare;nhowever,ntheynaren
notnthenprimarynreasonnwhynAmericansnarenconcerned.nThennewnhealthncaren systemn willn changen t
hen healthn caren accessn andn availability,n butn willnnotn necessarilyn benofferingnanynfreenservicesnton
Americans.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
2. Annursenhasnbegunntonlobbynwithnpoliticiansnfornchangesntonthenhealthncarensystem.nWhynisn
thisninvolvementnimportant?
a. Nurses,nasncentralncharactersninnseveralnpopularnTVnseries,narencurrentlynvery
visibleninnAmericannmediN
a.
b. Nursesnarenprimarilynresponsiblenfornm
thenvariousnunitsninnournhealthncarensystem.
c. Nursesnarenthenlargestnsegmentnofnhealthncarenproviders.
d. Nursesnarenthenonlyngroupnthatnisnemployednbothninsidenandnoutsidenofnhospitals.
ANS:nC
Asnthenlargestnsegmentnofnhealthncarenproviders,nnursesnareninformednaboutnthencurrentnhealthncare
n systemn andn alln then problemsn thatn resultn fromn peoplen notn seekingn caren untiln theyn arendespe
ratelynill.nNurses,nasnthenAmericannNursesnAssociationn (ANA)n emphasize,n usuallynbelieventhatn
healthncarenisnanright,nnotnanprivilege.nTherefore,nnurses,nwhosenworknisncentralnto
ourn currentn healthn caren deliveryn system,n cann alson ben instrumentaln inn workingn politicallyn tonc
reatenanhealthncarendeliverynsystemnthatnwillnmeetnhealthnneeds.nWhilennursesnareninnseveralncurrentn
TVnseriesnandnarenemployednbothninsidenandnoutsidenofnhospitals,nphysiciansnandnothernhealthncaren
providersnarenasnwell.nNursesnarenoftennmanagers,nbutnmanagersnoftennhavenothernbackgrounds,nsuc
hnasnbusinessnadministration.
, DIF: CognitivenLevel:nUnderstandn(Comprehension)
3. Whatnconclusionncannbendrawnnfromnexaminingnwherennursesnarenemployed?
a. Therenisnantrendntowardnconsolidationnofnhealthncarenintonlargencentraln
medicalncenters.
b. Therenisnannincreasednemphasisnonncommunity-basednhealthncare.
c. Therenisnannobviousnneedntondecreasenhealthncarencostsnbyncuttingnpositions.
d. Managedncarenorganizationsn(MCOs)narenemployingnnursesntonimprovencustomer
, relations.
ANS:nB
MCOsnarenemployingnnursesninnmanyncapacities.nAlthoughnhospitalsnarenclosingnandnacutencareni
snincreasinglynfoundninncentralnmedicalncenters,nthensamentrendnmaynbenseenninnannincreaseninnnei
ghborhood-
basednpracticencenters.nWhilenpositionsnarencutninnmostnindustries,nhealthncarenisnrecognizedn asn a
nn arean where
growthninnemploymentnisnexpected.nHowever,nnursesnarenincre
asinglynemployedninncommunitynsettingsnasnopposedntonhospitals.nThisnchangenreflectsnthenmoven
towardncommunity-basedncarenrathernthannhospital-
basedntertiaryncare.nTonhelpndecreasenthencontinuednriseninnhealthncarencosts,nthenincreasednempha
sisnisnonndiseasenpreventionnrathernthannhigh-costntreatment.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
4. Whichnethicalnbeliefnwouldnbenmostnhelpfulninnthencurrentnhealthncarencrisis?
a. Emphasisnshouldnbenonnindividualnandncorporationnfreedomninnthenmarketplace.
b. Emphasisnshouldnbenonnindividualnautonomynandnfreedomnofnchoice.
c. Emphasisnshouldnbenonnsocialnjusticenandncollectivenresponsibility.
d. Emphasisnshouldnbenonntheneffectivenessnofntechnologyninnresolvingnproblems.
ANS:nC
Publicnhealthnrecognizesnthennecessitynofncollectivenactionninnkeepingnthenenvironmentnsafenandnin
n egalitariann traditionn andn vision.n Ann overinvestmentn inn technologyn andn seekingn ofn curesnwit
hinnthenmarketnjusticensystemnhasnstiflednthenevolutionnofnanhealthnsystemntonprotectnandnpreservent
henhealthnofnthenpopulation.nAlthoughnindividualnautonomynandnfreedomnofnchoice
aren important,n son isn then recognitionn ofn collectiven responsibilityn inn ensuringn socialn justice,nwh
ichnentitlesnallnpeoplentonbasicnnecessities.
DIF: CognitivenLevel:nApplyn(Application)
5. WhatnisnthenprimarynproblemnseenninnHealthynPeoplen2020’snemphasisnonnchoosingn
healthynlifestylenbehaviors,nsuchnasndailynexercisenornhealthynfoodnchoices?
a. Emphasisnonnothernlifestylenchoices,nsuchnasnnotnsmokingnandnminimalnusen
ofnalcoholnorndrugs,nisnalsonneeded.
b. Allnofnusnmustnworkntogetherntonmakenunhealthynbehaviorsnsociallynunacceptable.
c. Itncostsnmorentonmakenhealthynchoices,nsuchnasnbuyingnandneatingnfreshnfruitsn
andnvegetablesnasnopposedntonquicknandncheapnfast-foodnchoices.
d. Publicnpolicynemphasizesnpersonalnresponsibilitynbutnignoresnsocialnandn
environmentalnchangesnneedednfornwell-being.
ANS:nD
Althoughnallnresponsesnarenaccurate,nthenprimarynproblemnisnthenemphasisnonnpersonalnchoicesninn
thenHealthynPeoplen2020nobjectives.nEmphasisnonnpersonalnchoicesnignoresnthenneednforncommun
ityn responsibilityn andn actionn thatn addressesn environmentaln orn culturaln restraintsn tonhealth.
