Community/Public Health Nursing 8th Edition Nies TEST BANK
TEST BANK for Community/Public
Health Nursing: Promoting the Health
of Populations 8th Edition
by Mary A. Nies, Melanie McEwen
, Community/Public Health Nursing 8th Edition Nies TEST BANK
Table of Contents
Unit 1: Introduction to Community Health Nursing
1. Health: A Community View
2. Historical Factors: Public Health Nursing in Context
3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
4. Health Promotion and Risk Reduction
Unit 2: The Art and Science of Community Health Nursing
5. Epidemiology
6. Community Assessment
7. Community Health Planning, Implementation, and Evaluation
8. Community Health Education and Engagement
9. Case Management
Unit 3: Factors that Influence the Health of the Community
10. Policy, Politics, Legislation, and Community Health Nursing
11. The Healthcare System
12. Economics of Health Care
13. Cultural Diversity and Community Health Nursing
14. Environmental Health
15. Health in the Global Community
Unit 4: Aggregates in the Community
16. Child and Adolescent Health
17. Women’s Health
18. Men’s Health
19. Senior Health
20. Family Health
Unit 5: Vulnerable Populations
21. Populations Affected by Disabilities
22. Veterans’ Health
23. Homeless Populations
24. Rural and Migrant Health
25. Populations Affected by Mental Illness
Unit 6: Population Health Problems
26. Communicable Disease
27. Substance Abuse
28. Violence
29. Natural and Man-Made Disasters
Unit 7: Community Health Settings
30. School Health
31. Occupational Health
32. Forensic and Correctional Nursing
33. Faith Community Nursing
34. Home Health and Hospice
, Community/Public Health Nursing 8th Edition Nies TEST BANK
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which statement best describes the primary reason that Americans are
concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of
escalating health care dollars, which increased from 5.7% of the gross domestic product in
1965 to 18% in 2018. Politicians and the media both influence Americans’ perceptions
about health care; however, they are not the primary reason why Americans are concerned.
The new health care system will change the health care access and availability but will not
necessarily be offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. Why is it important for nurses to lobby with politicians for changes to the 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 segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
Nurses constitute the largest segment of healthcare workers; therefore, they are
instrumental in creating a healthcare delivery system that will meet the health-oriented
needs of the people. As the largest segment 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) emphasize, 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: Cognitive Level: Understand (Comprehension)
, Community/Public Health Nursing 8th Edition Nies TEST BANK
3. What conclusion can be drawn from examining where nurses are currently being
employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on health promotion and preventive 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
The decline in the percentage of nurses employed in hospitals and the subsequent increase
in nurses employed in community settings suggests a shift in focus from illness and
institution-based care to health promotion and preventive care. This shift will likely
continue into the future as alternative delivery systems, such as ambulatory, home care,
and hospice employ more nurses. MCOs are employing nurses in many capacities.
Although hospitals are closing and acute care is increasingly found in central medical
centers, the same 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: Cognitive Level: Understand (Comprehension)
4. Which ethical belief is the basis of public health nursing?
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
The mission of public health is social justice, which entitles all people to basic necessities
such as adequate income and health protection and accepts collective burdens to make it
possible. 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: Cognitive Level: Understand (Comprehension)
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
TEST BANK for Community/Public
Health Nursing: Promoting the Health
of Populations 8th Edition
by Mary A. Nies, Melanie McEwen
, Community/Public Health Nursing 8th Edition Nies TEST BANK
Table of Contents
Unit 1: Introduction to Community Health Nursing
1. Health: A Community View
2. Historical Factors: Public Health Nursing in Context
3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
4. Health Promotion and Risk Reduction
Unit 2: The Art and Science of Community Health Nursing
5. Epidemiology
6. Community Assessment
7. Community Health Planning, Implementation, and Evaluation
8. Community Health Education and Engagement
9. Case Management
Unit 3: Factors that Influence the Health of the Community
10. Policy, Politics, Legislation, and Community Health Nursing
11. The Healthcare System
12. Economics of Health Care
13. Cultural Diversity and Community Health Nursing
14. Environmental Health
15. Health in the Global Community
Unit 4: Aggregates in the Community
16. Child and Adolescent Health
17. Women’s Health
18. Men’s Health
19. Senior Health
20. Family Health
Unit 5: Vulnerable Populations
21. Populations Affected by Disabilities
22. Veterans’ Health
23. Homeless Populations
24. Rural and Migrant Health
25. Populations Affected by Mental Illness
Unit 6: Population Health Problems
26. Communicable Disease
27. Substance Abuse
28. Violence
29. Natural and Man-Made Disasters
Unit 7: Community Health Settings
30. School Health
31. Occupational Health
32. Forensic and Correctional Nursing
33. Faith Community Nursing
34. Home Health and Hospice
, Community/Public Health Nursing 8th Edition Nies TEST BANK
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which statement best describes the primary reason that Americans are
concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of
escalating health care dollars, which increased from 5.7% of the gross domestic product in
1965 to 18% in 2018. Politicians and the media both influence Americans’ perceptions
about health care; however, they are not the primary reason why Americans are concerned.
The new health care system will change the health care access and availability but will not
necessarily be offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. Why is it important for nurses to lobby with politicians for changes to the 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 segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
Nurses constitute the largest segment of healthcare workers; therefore, they are
instrumental in creating a healthcare delivery system that will meet the health-oriented
needs of the people. As the largest segment 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) emphasize, 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: Cognitive Level: Understand (Comprehension)
, Community/Public Health Nursing 8th Edition Nies TEST BANK
3. What conclusion can be drawn from examining where nurses are currently being
employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on health promotion and preventive 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
The decline in the percentage of nurses employed in hospitals and the subsequent increase
in nurses employed in community settings suggests a shift in focus from illness and
institution-based care to health promotion and preventive care. This shift will likely
continue into the future as alternative delivery systems, such as ambulatory, home care,
and hospice employ more nurses. MCOs are employing nurses in many capacities.
Although hospitals are closing and acute care is increasingly found in central medical
centers, the same 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: Cognitive Level: Understand (Comprehension)
4. Which ethical belief is the basis of public health nursing?
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
The mission of public health is social justice, which entitles all people to basic necessities
such as adequate income and health protection and accepts collective burdens to make it
possible. 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: Cognitive Level: Understand (Comprehension)
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
