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Nies: Community/Public Health Nursing, 5th Edition
Chapter 01: Health: A Community View
Test Bank
MULTIPLE CHOICE
1. What is the primary reason that Americans are so concerned about health care?
a. Current politicians keep discussing how to improve our system.
b. The media keep discussing our health care system and insurance programs.
c. Our national health care costs keep increasing.
d. People are concerned about some persons not being insured yet.
ANS: C
Although politicians and media do continue to discuss our health care system and people
worry about the uninsured, the primary reason for the focus on health care is the
constantly increasing costs, which cannot be sustained. Families worry they cannot afford
care; politicians and media discuss the problem, as easy answers seem elusive.
DIF: Comprehension REF: 2
2. What is the reason nurses are encouraged to get involved in discussions about our
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 group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest group 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) emphasizes, 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.
DIF: Comprehension REF: 2
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
buy this full document at http://test-bank.us
, Test Bank 1-2
centers.
b. There is an increased emphasis on community-based health 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
MCOs are employing nurses in many capacities. While hospitals are closing and acute
care is increasingly found in central medical centers, an equal 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.
DIF: Comprehension REF: 2
4. Which ethical belief would be most helpful in the current health care crisis?
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
Public health recognizes the necessity of collective action in keeping the environment
safe and in egalitarian tradition and vision. 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.
DIF: Application REF: 2
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
Copyright © 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
Nies: Community/Public Health Nursing, 5th Edition
Chapter 01: Health: A Community View
Test Bank
MULTIPLE CHOICE
1. What is the primary reason that Americans are so concerned about health care?
a. Current politicians keep discussing how to improve our system.
b. The media keep discussing our health care system and insurance programs.
c. Our national health care costs keep increasing.
d. People are concerned about some persons not being insured yet.
ANS: C
Although politicians and media do continue to discuss our health care system and people
worry about the uninsured, the primary reason for the focus on health care is the
constantly increasing costs, which cannot be sustained. Families worry they cannot afford
care; politicians and media discuss the problem, as easy answers seem elusive.
DIF: Comprehension REF: 2
2. What is the reason nurses are encouraged to get involved in discussions about our
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 group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest group 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) emphasizes, 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.
DIF: Comprehension REF: 2
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
buy this full document at http://test-bank.us
, Test Bank 1-2
centers.
b. There is an increased emphasis on community-based health 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
MCOs are employing nurses in many capacities. While hospitals are closing and acute
care is increasingly found in central medical centers, an equal 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.
DIF: Comprehension REF: 2
4. Which ethical belief would be most helpful in the current health care crisis?
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
Public health recognizes the necessity of collective action in keeping the environment
safe and in egalitarian tradition and vision. 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.
DIF: Application REF: 2
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
Copyright © 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
