TestgBankgforgCommunitygPublicgHealthgNursingg7thgEditiong
MarygA.gNiesg&gMelaniegMcEwen
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
Chapterg01:gHealth:gAgCommunitygView
Nies:gCommunity/PublicgHealthgNursing,g7thgEdition
MULTIPLEgCHOICE
1. WhichgbestgdescribesgthegprimarygreasongthatgAmericansgaregconcernedgaboutghealthgcare?
a. Politiciansgaregdiscussingghowgtogimproveghealthgcare.
b. Thegmediaghasgprovidedgmixedgmessagesgaboutgtheghealthgcaregsystem.
c. Ourgnationalghealthgcaregcostsgkeepgincreasing.
d. ThegnewghealthgcaregsystemgoffersgfreegservicesgtogAmericans.
ANS:g C
Thegprimarygreasongforgthegfocusgonghealthgcaregisgthegconstantlygincreasinggcosts,gwhichgcan
notgbegsustained.gThegcostsgofgcaringgforgthegsickgaccountedgforgthegmajoritygofgescalatingghe
althgcaregdollars,gwhichgincreasedgfromg5.7%gofgtheggrossgdomesticgproductging1965gtog17.8
%ging2015.gPoliticiansgandgthegmediagbothginfluencegAmericans’gperceptionsgaboutghealthgcar
e;ghowever,gtheygaregnotgthegprimarygreasongwhygAmericansgaregconcerned.gThegnewghealthgc
aregsystemgwillgchangegtheghealthgcaregaccessgandgavailability,gbutgwillgnotgnecessarilygbegoff
eringganygfreegservicesgtogAmericans.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
2. Agnurseghasgbegungtoglobbygwithgpoliticiansgforgchangesgtogtheghealthgcaregsystem.gWhygisgth
isginvolvementgimportant?
a. Nurses,gasgcentralgcharactersgingseveralgpopulargTVgseries,garegcurrentlygvery
a.ggg IgGgB.CgM
visiblegingAmericangmediN
R
b. NursesgaregprimarilygresponUsibS
legfoNrgmT
anagingOthegvariousgunitsgingourghealthgcar
egsystem.
c. Nursesgaregtheglargestgsegmentgofghealthgcaregproviders.
d. Nursesgaregthegonlyggroupgthatgisgemployedgbothginsidegandgoutsidegofghospitals.
ANS:g C
Asgtheglargestgsegmentgofghealthgcaregproviders,gnursesgareginformedgaboutgthegcurrentghealt
hgcaregsystemgandgallgthegproblemsgthatgresultgfromgpeoplegnotgseekinggcareguntilgtheygaregde
speratelygill.gNurses,gasgthegAmericangNursesgAssociationg(ANA)gemphasize,gusuallygbeliev
egthatghealthgcaregisgagright,gnotgagprivilege.gTherefore,gnurses,gwhosegworkgisgcentralgtogourg
currentghealthgcaregdeliverygsystem,gcangalsogbeginstrumentalgingworkinggpoliticallygtogcreate
gaghealthgcaregdeliverygsystemgthatgwillgmeetghealthgneeds.gWhilegnursesgaregingseveralgcurre
ntgTVgseriesgandgaregemployedgbothginsidegandgoutsidegofghospitals,gphysiciansgandgotherghea
lthgcaregprovidersgaregasgwell.gNursesgaregoftengmanagers,gbutgmanagersgoftenghavegothergba
ckgrounds,gsuchgasgbusinessgadministration.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
3. Whatgconclusiongcangbegdrawngfromgexamininggwheregnursesgaregemployed?
a. Theregisgagtrendgtowardgconsolidationgofghealthgcaregintoglargegcentralgmedic
algcenters.
b. Theregisgangincreasedgemphasisgongcommunity-basedghealthgcare.
c. Theregisgangobviousgneedgtogdecreaseghealthgcaregcostsgbygcuttinggpositions.
d. Managedgcaregorganizationsg(MCOs)garegemployinggnursesgtogimprovegcustomer
NURSINGTB.COM
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
relations.
ANS:g B
MCOsgaregemployinggnursesgingmanygcapacities.gAlthoughghospitalsgaregclosinggandgacutegca
regisgincreasinglygfoundgingcentralgmedicalgcenters,gthegsamegtrendgmaygbegseengingangincrease
gingneighborhood-
basedgpracticegcenters.gWhilegpositionsgaregcutgingmostgindustries,ghealthgcaregisgrecognizedga
sgangareagwhereggrowthgingemploymentgisgexpected.gHowever,gnursesgaregincreasinglygemplo
yedgingcommunitygsettingsgasgopposedgtoghospitals.gThisgchangegreflectsgthegmovegtowardgco
mmunity-basedgcaregrathergthanghospital-
basedgtertiarygcare.gToghelpgdecreasegthegcontinuedgriseginghealthgcaregcosts,gthegincreasedgem
phasisgisgongdiseasegpreventiongrathergthanghigh-costgtreatment.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
4. Whichgethicalgbeliefgwouldgbegmostghelpfulgingthegcurrentghealthgcaregcrisis?
a. Emphasisgshouldgbegongindividualgandgcorporationgfreedomgingthegmarketplace.
b. Emphasisgshouldgbegongindividualgautonomygandgfreedomgofgchoice.
c. Emphasisgshouldgbegongsocialgjusticegandgcollectivegresponsibility.
d. Emphasisgshouldgbegongthegeffectivenessgofgtechnologygingresolvinggproblems.
ANS:g C
Publicghealthgrecognizesgthegnecessitygofgcollectivegactiongingkeepinggthegenvironmentgsafega
ndgingegalitariangtraditiongandgvision.gAngoverinvestmentgingtechnologygandgseekinggofgcuresg
withingthegmarketgjusticegsystemghasgstifledgthegevolutiongofgaghealthgsystemgtogprotectgandgpr
eservegtheghealthgofgthegpopulation.gAlthoughgindividualgautonomygandgfreedomgofgchoicegar
egimportant,gsogisgthegrecognitiongofgcollectivegresponsibilitygingensuringgsocialgjustice,gwhic
hgentitlesgallgpeoplegtogbasicgnecessities.
UNgSgRgN
gIgGgB.CgM
gT O
DIF: CognitivegLevel:gApplyg(Application)
5. WhatgisgthegprimarygproblemgseengingHealthygPeopleg2020’sgemphasisgongchoosingghealt
hyglifestylegbehaviors,gsuchgasgdailygexercisegorghealthygfoodgchoices?
a. Emphasisgongotherglifestylegchoices,gsuchgasgnotgsmokinggandgminimalguseg
ofgalcoholgorgdrugs,gisgalsogneeded.
b. Allgofgusgmustgworkgtogethergtogmakegunhealthygbehaviorsgsociallygunacceptable.
c. Itgcostsgmoregtogmakeghealthygchoices,gsuchgasgbuyinggandgeatinggfreshgfruitsga
ndgvegetablesgasgopposedgtogquickgandgcheapgfast-foodgchoices.
d. Publicgpolicygemphasizesgpersonalgresponsibilitygbutgignoresgsocialgan
dgenvironmentalgchangesgneededgforgwell-being.
ANS:g D
Althoughgallgresponsesgaregaccurate,gthegprimarygproblemgisgthegemphasisgongpersonalgchoic
esgingthegHealthygPeopleg2020gobjectives.gEmphasisgongpersonalgchoicesgignoresgthegneedgfor
gcommunitygresponsibilitygandgactiongthatgaddressesgenvironmentalgorgculturalgrestraintsgtogh
ealth.
DIF: CognitivegLevel:gApplyg(Application)
6. WhatgresponsibilitygdoesgthegAmericangNursesgAssociationg(ANA)gCodegofgEthicsgrequireg
ofgthegnursegbeyondggivinggexcellentgcaregtogpatients?
a. Acceptglongergworkgschedulesgtogensuregthatgprofessionalgcaregisgalwaysgavailable
NURSINGTB.COM
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
togclients.
b. Recognizegthegneedgforgexperiencedgnursesgtogmentorgnewggraduatesgtoghel
pgincreasegandgexpandgthegnumbergofgprofessionalsgavailable.
c. Supportghealthglegislationgtogimprovegaccessibilitygandgcostgofghealthgcare.
d. Volunteergtogworkgovertimegasgneededgtogensuregmaximumgqualitygofgcare.
ANS:g C
ThegANAgCodegofgEthicsgpromotesgsocialgreformgbygfocusinggonghealthgpolicygandglegislatio
ngtogpositivelygaffectgaccessibility,gquality,gandgcostgofghealthgcare.gThegcodegdoesgnotgdirectl
ygaddressgworkplacegissues,gsuchgasgworkgschedulesgorgneedgforgovertime.
DIF: CognitivegLevel:gAnalyzeg(Analysis)
7. Whatgisgthegcommunityghealthgnursinggdefinitiongofghealth?
a. Healthgisgagperson’sggoal-directedgpurposefulgprocessgtowardgwell-
beinggorgwholeness.
b. Healthgisgangindividual’sgphysical,gmental,gandgsocialgwell-
being,gnotgmerelygthegabsencegofgdiseasegorginfirmity.
c. Healthgisgthegmutualgadaptationgbetweengagpersongandghisgorghergenvironmentgi
ngmeetinggdailygexistence.
d. Healthgisgfamiliesgandgaggregatesgchoosinggactionsgtogensuregsafetygandgwell-being.
ANS:g D
Thegtextgstressesgthatghealthgisgnotgjustgthegresultgofgangindividual’sgchoices,gbutgchoicesga
ndgactionsgofgindividuals,gfamilies,ggroups,gandgcommunitiesgthatgleadgtogbetterghealth.
DIF: CognitivegLevel:gApplyg(Application)
UNgSgRgN
gIgGgB.CgM
gT O
8. Howgdoesgcommunityghealthgnursinggdefinegcommunity?
a. Aggroupgofgpersonsglivinggwithingspecificggeographicgboundaries
b. Aggroupgofgpersonsgwhogsharegagcommongidentitygandgenvironment
c. Aggroupgofgpersonsgwhogworkgtogethergtogmeetgcommonggoals
d. Aggroupgofgpersonsgwhogresolvegagcommunitygconcern
ANS:g B
Communityghealthgnursesgworkgwithgbothggeopoliticalggroupsg(withingspecificggeographicgb
oundaries)gandgphenomenologicalggroupsg(whoghavegagcommongidentitygbasedgongculture,gh
istory,gorggoals).gAgparticulargphenomenologicalggroupgmaygorgmaygnotghavegbeengagplanned
ggroup—
thatgis,gaggroupgthatgcamegtogethergtogresolvegagrecognizedgcommongproblemgorgtogmeetgagc
ommonggoal.gHowever,gofgallgthegchoices,gaggroupgofgpersonsgwhogsharegagcommongidentity
g(phenomenologicalggroup)gandgenvironmentg(whichgimpliesgagspecificggeographicgsetting)gi
sgthegbroadestgandgmostgcompletegdefinition.
DIF: CognitivegLevel:gApplyg(Application)
9. Whichgvariableghasgagmajorginfluencegongagcommunity’sghealth?
a. Behaviorgchoicesgmadegbygpersonsgingthegcommunity
b. Numbergofghealthgcaregprovidersgandghospitalsgingthegcommunity
c. Qualitygofgthegpublicgsafetygofficersg(policegofficers,gfirefighters,getc.)
d. Thegnumbergandgcredentialsgofgpublicghealthgofficialsgingthegcommunity
ANS:g A
NURSINGTB.COM
MarygA.gNiesg&gMelaniegMcEwen
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
Chapterg01:gHealth:gAgCommunitygView
Nies:gCommunity/PublicgHealthgNursing,g7thgEdition
MULTIPLEgCHOICE
1. WhichgbestgdescribesgthegprimarygreasongthatgAmericansgaregconcernedgaboutghealthgcare?
a. Politiciansgaregdiscussingghowgtogimproveghealthgcare.
b. Thegmediaghasgprovidedgmixedgmessagesgaboutgtheghealthgcaregsystem.
c. Ourgnationalghealthgcaregcostsgkeepgincreasing.
d. ThegnewghealthgcaregsystemgoffersgfreegservicesgtogAmericans.
ANS:g C
Thegprimarygreasongforgthegfocusgonghealthgcaregisgthegconstantlygincreasinggcosts,gwhichgcan
notgbegsustained.gThegcostsgofgcaringgforgthegsickgaccountedgforgthegmajoritygofgescalatingghe
althgcaregdollars,gwhichgincreasedgfromg5.7%gofgtheggrossgdomesticgproductging1965gtog17.8
%ging2015.gPoliticiansgandgthegmediagbothginfluencegAmericans’gperceptionsgaboutghealthgcar
e;ghowever,gtheygaregnotgthegprimarygreasongwhygAmericansgaregconcerned.gThegnewghealthgc
aregsystemgwillgchangegtheghealthgcaregaccessgandgavailability,gbutgwillgnotgnecessarilygbegoff
eringganygfreegservicesgtogAmericans.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
2. Agnurseghasgbegungtoglobbygwithgpoliticiansgforgchangesgtogtheghealthgcaregsystem.gWhygisgth
isginvolvementgimportant?
a. Nurses,gasgcentralgcharactersgingseveralgpopulargTVgseries,garegcurrentlygvery
a.ggg IgGgB.CgM
visiblegingAmericangmediN
R
b. NursesgaregprimarilygresponUsibS
legfoNrgmT
anagingOthegvariousgunitsgingourghealthgcar
egsystem.
c. Nursesgaregtheglargestgsegmentgofghealthgcaregproviders.
d. Nursesgaregthegonlyggroupgthatgisgemployedgbothginsidegandgoutsidegofghospitals.
ANS:g C
Asgtheglargestgsegmentgofghealthgcaregproviders,gnursesgareginformedgaboutgthegcurrentghealt
hgcaregsystemgandgallgthegproblemsgthatgresultgfromgpeoplegnotgseekinggcareguntilgtheygaregde
speratelygill.gNurses,gasgthegAmericangNursesgAssociationg(ANA)gemphasize,gusuallygbeliev
egthatghealthgcaregisgagright,gnotgagprivilege.gTherefore,gnurses,gwhosegworkgisgcentralgtogourg
currentghealthgcaregdeliverygsystem,gcangalsogbeginstrumentalgingworkinggpoliticallygtogcreate
gaghealthgcaregdeliverygsystemgthatgwillgmeetghealthgneeds.gWhilegnursesgaregingseveralgcurre
ntgTVgseriesgandgaregemployedgbothginsidegandgoutsidegofghospitals,gphysiciansgandgotherghea
lthgcaregprovidersgaregasgwell.gNursesgaregoftengmanagers,gbutgmanagersgoftenghavegothergba
ckgrounds,gsuchgasgbusinessgadministration.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
3. Whatgconclusiongcangbegdrawngfromgexamininggwheregnursesgaregemployed?
a. Theregisgagtrendgtowardgconsolidationgofghealthgcaregintoglargegcentralgmedic
algcenters.
b. Theregisgangincreasedgemphasisgongcommunity-basedghealthgcare.
c. Theregisgangobviousgneedgtogdecreaseghealthgcaregcostsgbygcuttinggpositions.
d. Managedgcaregorganizationsg(MCOs)garegemployinggnursesgtogimprovegcustomer
NURSINGTB.COM
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
relations.
ANS:g B
MCOsgaregemployinggnursesgingmanygcapacities.gAlthoughghospitalsgaregclosinggandgacutegca
regisgincreasinglygfoundgingcentralgmedicalgcenters,gthegsamegtrendgmaygbegseengingangincrease
gingneighborhood-
basedgpracticegcenters.gWhilegpositionsgaregcutgingmostgindustries,ghealthgcaregisgrecognizedga
sgangareagwhereggrowthgingemploymentgisgexpected.gHowever,gnursesgaregincreasinglygemplo
yedgingcommunitygsettingsgasgopposedgtoghospitals.gThisgchangegreflectsgthegmovegtowardgco
mmunity-basedgcaregrathergthanghospital-
basedgtertiarygcare.gToghelpgdecreasegthegcontinuedgriseginghealthgcaregcosts,gthegincreasedgem
phasisgisgongdiseasegpreventiongrathergthanghigh-costgtreatment.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
4. Whichgethicalgbeliefgwouldgbegmostghelpfulgingthegcurrentghealthgcaregcrisis?
a. Emphasisgshouldgbegongindividualgandgcorporationgfreedomgingthegmarketplace.
b. Emphasisgshouldgbegongindividualgautonomygandgfreedomgofgchoice.
c. Emphasisgshouldgbegongsocialgjusticegandgcollectivegresponsibility.
d. Emphasisgshouldgbegongthegeffectivenessgofgtechnologygingresolvinggproblems.
ANS:g C
Publicghealthgrecognizesgthegnecessitygofgcollectivegactiongingkeepinggthegenvironmentgsafega
ndgingegalitariangtraditiongandgvision.gAngoverinvestmentgingtechnologygandgseekinggofgcuresg
withingthegmarketgjusticegsystemghasgstifledgthegevolutiongofgaghealthgsystemgtogprotectgandgpr
eservegtheghealthgofgthegpopulation.gAlthoughgindividualgautonomygandgfreedomgofgchoicegar
egimportant,gsogisgthegrecognitiongofgcollectivegresponsibilitygingensuringgsocialgjustice,gwhic
hgentitlesgallgpeoplegtogbasicgnecessities.
UNgSgRgN
gIgGgB.CgM
gT O
DIF: CognitivegLevel:gApplyg(Application)
5. WhatgisgthegprimarygproblemgseengingHealthygPeopleg2020’sgemphasisgongchoosingghealt
hyglifestylegbehaviors,gsuchgasgdailygexercisegorghealthygfoodgchoices?
a. Emphasisgongotherglifestylegchoices,gsuchgasgnotgsmokinggandgminimalguseg
ofgalcoholgorgdrugs,gisgalsogneeded.
b. Allgofgusgmustgworkgtogethergtogmakegunhealthygbehaviorsgsociallygunacceptable.
c. Itgcostsgmoregtogmakeghealthygchoices,gsuchgasgbuyinggandgeatinggfreshgfruitsga
ndgvegetablesgasgopposedgtogquickgandgcheapgfast-foodgchoices.
d. Publicgpolicygemphasizesgpersonalgresponsibilitygbutgignoresgsocialgan
dgenvironmentalgchangesgneededgforgwell-being.
ANS:g D
Althoughgallgresponsesgaregaccurate,gthegprimarygproblemgisgthegemphasisgongpersonalgchoic
esgingthegHealthygPeopleg2020gobjectives.gEmphasisgongpersonalgchoicesgignoresgthegneedgfor
gcommunitygresponsibilitygandgactiongthatgaddressesgenvironmentalgorgculturalgrestraintsgtogh
ealth.
DIF: CognitivegLevel:gApplyg(Application)
6. WhatgresponsibilitygdoesgthegAmericangNursesgAssociationg(ANA)gCodegofgEthicsgrequireg
ofgthegnursegbeyondggivinggexcellentgcaregtogpatients?
a. Acceptglongergworkgschedulesgtogensuregthatgprofessionalgcaregisgalwaysgavailable
NURSINGTB.COM
, CommunitygPublicgHealthgNursingg7thgEditiongNiesgTestgBan
k
togclients.
b. Recognizegthegneedgforgexperiencedgnursesgtogmentorgnewggraduatesgtoghel
pgincreasegandgexpandgthegnumbergofgprofessionalsgavailable.
c. Supportghealthglegislationgtogimprovegaccessibilitygandgcostgofghealthgcare.
d. Volunteergtogworkgovertimegasgneededgtogensuregmaximumgqualitygofgcare.
ANS:g C
ThegANAgCodegofgEthicsgpromotesgsocialgreformgbygfocusinggonghealthgpolicygandglegislatio
ngtogpositivelygaffectgaccessibility,gquality,gandgcostgofghealthgcare.gThegcodegdoesgnotgdirectl
ygaddressgworkplacegissues,gsuchgasgworkgschedulesgorgneedgforgovertime.
DIF: CognitivegLevel:gAnalyzeg(Analysis)
7. Whatgisgthegcommunityghealthgnursinggdefinitiongofghealth?
a. Healthgisgagperson’sggoal-directedgpurposefulgprocessgtowardgwell-
beinggorgwholeness.
b. Healthgisgangindividual’sgphysical,gmental,gandgsocialgwell-
being,gnotgmerelygthegabsencegofgdiseasegorginfirmity.
c. Healthgisgthegmutualgadaptationgbetweengagpersongandghisgorghergenvironmentgi
ngmeetinggdailygexistence.
d. Healthgisgfamiliesgandgaggregatesgchoosinggactionsgtogensuregsafetygandgwell-being.
ANS:g D
Thegtextgstressesgthatghealthgisgnotgjustgthegresultgofgangindividual’sgchoices,gbutgchoicesga
ndgactionsgofgindividuals,gfamilies,ggroups,gandgcommunitiesgthatgleadgtogbetterghealth.
DIF: CognitivegLevel:gApplyg(Application)
UNgSgRgN
gIgGgB.CgM
gT O
8. Howgdoesgcommunityghealthgnursinggdefinegcommunity?
a. Aggroupgofgpersonsglivinggwithingspecificggeographicgboundaries
b. Aggroupgofgpersonsgwhogsharegagcommongidentitygandgenvironment
c. Aggroupgofgpersonsgwhogworkgtogethergtogmeetgcommonggoals
d. Aggroupgofgpersonsgwhogresolvegagcommunitygconcern
ANS:g B
Communityghealthgnursesgworkgwithgbothggeopoliticalggroupsg(withingspecificggeographicgb
oundaries)gandgphenomenologicalggroupsg(whoghavegagcommongidentitygbasedgongculture,gh
istory,gorggoals).gAgparticulargphenomenologicalggroupgmaygorgmaygnotghavegbeengagplanned
ggroup—
thatgis,gaggroupgthatgcamegtogethergtogresolvegagrecognizedgcommongproblemgorgtogmeetgagc
ommonggoal.gHowever,gofgallgthegchoices,gaggroupgofgpersonsgwhogsharegagcommongidentity
g(phenomenologicalggroup)gandgenvironmentg(whichgimpliesgagspecificggeographicgsetting)gi
sgthegbroadestgandgmostgcompletegdefinition.
DIF: CognitivegLevel:gApplyg(Application)
9. Whichgvariableghasgagmajorginfluencegongagcommunity’sghealth?
a. Behaviorgchoicesgmadegbygpersonsgingthegcommunity
b. Numbergofghealthgcaregprovidersgandghospitalsgingthegcommunity
c. Qualitygofgthegpublicgsafetygofficersg(policegofficers,gfirefighters,getc.)
d. Thegnumbergandgcredentialsgofgpublicghealthgofficialsgingthegcommunity
ANS:g A
NURSINGTB.COM
