,
,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8th Edition
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MULTIPLE CHOICE wl
1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. wl wl wl wl wl wl wl
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
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d. The new health care system offers free services to Americans.
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ANS: C w l
The primary reason for the focus on health care is the constantly increasing costs, which c
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annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
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g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
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17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about heal
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th care; however, they are not the primary reason why Americans are concerned. The new h
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ealth care system will change the health care access and availability, but will not necessaril
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y be offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) wl wl wl
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
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his involvement important?
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a. Nurses, as central characters in several popular TV series, are currently ve
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ry visible in American m e d iNa . R I G B.CM
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b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
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system.
c. Nurses are the largest segment of health care providers.
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d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C wl
As the largest segment of health care providers, nurses are informed about the current healt
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h care system and all the problems that result from people not seeking care until they are d
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
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ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ur current health care delivery system, can also be instrumental in working politically to cr
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
eate a health care delivery system that will meet health needs. While nurses are in several
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
current TV series and are employed both inside and outside of hospitals, physicians and oth
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
er health care providers are as well. Nurses are often managers, but managers often have o
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ther backgrounds, such as business administration.
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DIF: Cognitive Level: Understand (Comprehension) wl wl wl
3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central medic
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al centers. wl
b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer
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,
,Chapter 01: Health: A Community View
wl wl wl wl wl
Nies: Community/Public Health Nursing, 8th Edition
wl wl wl wl wl
MULTIPLE CHOICE wl
1. Which best describes the primary reason that Americans are concerned about health care?
wl wl wl wl wl wl wl wl wl wl wl wl
a. Politicians are discussing how to improve health care. wl wl wl wl wl wl wl
b. The media has provided mixed messages about the health care system.
wl wl wl wl wl wl wl wl wl wl
c. Our national health care costs keep increasing.
wl wl wl wl wl wl
d. The new health care system offers free services to Americans.
wl wl wl wl wl wl wl wl wl
ANS: C w l
The primary reason for the focus on health care is the constantly increasing costs, which c
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about heal
wl wl wl wl wl wl wl wl wl wl wl wl
th care; however, they are not the primary reason why Americans are concerned. The new h
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ealth care system will change the health care access and availability, but will not necessaril
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
y be offering any free services to Americans.
wl wl wl wl wl wl wl
DIF: Cognitive Level: Understand (Comprehension) wl wl wl
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
his involvement important?
wl wl
a. Nurses, as central characters in several popular TV series, are currently ve
wl wl wl wl wl wl wl wl wl wl wl
ry visible in American m e d iNa . R I G B.CM
wl wl wl wl w l wl wl l
w
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
wl
wl wl wl wl wl wl wl wl wl wl wl
system.
c. Nurses are the largest segment of health care providers.
wl wl wl wl wl wl wl wl
d. Nurses are the only group that is employed both inside and outside of hospitals.
wl wl wl wl wl wl wl wl wl wl wl wl wl
ANS: C wl
As the largest segment of health care providers, nurses are informed about the current healt
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
h care system and all the problems that result from people not seeking care until they are d
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
wl wl wl wl wl wl wl wl wl wl wl
ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ur current health care delivery system, can also be instrumental in working politically to cr
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
eate a health care delivery system that will meet health needs. While nurses are in several
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
current TV series and are employed both inside and outside of hospitals, physicians and oth
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
er health care providers are as well. Nurses are often managers, but managers often have o
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ther backgrounds, such as business administration.
wl wl wl wl wl
DIF: Cognitive Level: Understand (Comprehension) wl wl wl
3. What conclusion can be drawn from examining where nurses are employed?
wl wl wl wl wl wl wl wl wl wl
a. There is a trend toward consolidation of health care into large central medic
wl wl wl wl wl wl wl wl wl wl wl wl
al centers. wl
b. There is an increased emphasis on community-based health care.
wl wl wl wl wl wl wl wl
c. There is an obvious need to decrease health care costs by cutting positions.
wl wl wl wl wl wl wl wl wl wl wl wl
d. Managed care organizations (MCOs) are employing nurses to improve customer
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,
