Test Bank For Community/Public Health
Nursing: Promoting the Health of Populations
8th Edition
by Mary A. Nies, Melanie McEwen
Chapter 1 - 34
,
,Chapter6s01:6sHealth:6sA6sCommunity6sView
Nies:6sCommunity/Public6sHealth6sNursing,6s8th6sEdition
MULTIPLE6sCHOICE
1. Which6sbest6sdescribes6sthe6sprimary6sreason6sthat6sAmericans6sare6sconcerned6sabout6shealth6scare?
a. Politicians6sare6sdiscussing6show6sto6simprove6shealth6scare.
b. The6smedia6shas6sprovided6smixed6smessages6sabout6sthe6shealth6scare6ssystem.
c. Our6snational6shealth6scare6scosts6skeep6sincreasing.
d. The6snew6shealth6scare6ssystem6soffers6sfree6sservices6sto6sAmericans.
ANS:6s C
The6sprimary6sreason6sfor6sthe6sfocus6son6shealth6scare6sis6sthe6sconstantly6sincreasing6scosts,6swhic
h6scannot6sbe6ssustained.6sThe6scosts6sof6scaring6sfor6sthe6ssick6saccounted6sfor6sthe6smajority6sof6se
scalating6shealth6scare6sdollars,6swhich6sincreased6sfrom6s5.7%6sof6sthe6sgross6sdomestic6sproduct6s
in6s19656sto6s17.8%6sin6s2015.6sPoliticians6sand6sthe6smedia6sboth6sinfluence6sAmericans’6spercepti
ons6sabout6shealth6scare;6showever,6sthey6sare6snot6sthe6sprimary6sreason6swhy6sAmericans6sare6sconc
erned.6sThe6snew6shealth6scare6ssystem6swill6schange6sthe6shealth6scare6saccess6sand6savailability,6sb
ut6swill6snot6snecessarily6sbe6soffering6sany6sfree6sservices6sto6sAmericans.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
2. A6snurse6shas6sbegun6sto6slobby6swith6spoliticians6sfor6schanges6sto6sthe6shealth6scare6ssystem.6sWhy
is6sthis6sinvolvement6simportant?
6s
e. Nurses,6sas6scentral6scharacters6sin6sseveral6spopular6sTV6sseries,6sare6scurrently6svery
a.6s6 s R6sI
visible6sin6sAmerican6smed6siN
f. Nurses6sare6sprimarily6sre sponUsi6sbS
le6 s foNr6smTanagingOthe6 s various6sunits6sin6sour6shealth6
scare6ssystem.
g. Nurses6sare6sthe6slargest6ssegment6sof6shealth6scare6sproviders.
h. Nurses6sare6sthe6sonly6sgroup6sthat6sis6semployed6sboth6sinside6sand6soutside6sof6shospitals.
ANS:6s C
As6sthe6slargest6ssegment6sof6shealth6scare6sproviders,6snurses6sare6sinformed6sabout6sthe6scurrent6s
health6scare6ssystem6sand6sall6sthe6sproblems6sthat6sresult6sfrom6speople6snot6sseeking6scare6suntil6sth
ey6sare6sdesperately6sill.6sNurses,6sas6sthe6sAmerican6sNurses6sAssociation6s(ANA)6semphasize,6su
sually6sbelieve6sthat6shealth6scare6sis6sa6sright,6snot6sa6sprivilege.6sTherefore,6snurses,6swhose6swork
6sis6scentral6sto6sour6scurrent6shealth6scare6sdelivery6ssystem,6scan6salso6sbe6sinstrumental6sin6sworkin
g6spolitically6sto6screate6sa6shealth6scare6sdelivery6ssystem6sthat6swill6smeet6shealth6sneeds.6sWhile6s
nurses6sare6sin6sseveral6scurrent6sTV6sseries6sand6sare6semployed6sboth6sinside6sand6soutside6sof6shos
pitals,6sphysicians6sand6sother6shealth6scare6sproviders6sare6sas6swell.6sNurses6sare6soften6smanagers,
6sbut6smanagers6soften6shave6sother6sbackgrounds,6ssuch6sas6sbusiness6sadministration.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
3. What6sconclusion6scan6sbe6sdrawn6sfrom6sexamining6swhere6snurses6sare6semployed?
i. There6sis6sa6strend6stoward6sconsolidation6sof6shealth6scare6sinto6slarge6scentral6sme
dical6scenters.
j. There6sis6san6sincreased6semphasis6son6scommunity-based6shealth6scare.
k. There6sis6san6sobvious6sneed6sto6sdecrease6shealth6scare6scosts6sby6scutting6spositions.
Managed6scare6sorganizations6s(MCOs)6sare6semploying6snurses6sto6simprove6scustom
er
, relations.
ANS:6 s B
MCOs6sare6semploying6snurses6sin6smany6scapacities.6sAlthough6shospitals6sare6sclosing6sand6sacute
6scare6sis6sincreasingly6sfound6sin6scentral6smedical6scenters,6sthe6ssame6strend6smay6sbe6sseen6sin6san
6sincrease6sin6sneighborhood-
based6spractice6scenters.6sWhile6spositions6sare6scut6sin6smost6sindustries,6shealth6scare6sis6srecogniz
ed6sas6san6sarea6swhere6sgrowth6sin6semployment6sis6sexpected.6sHowever,6snurses6sare6sincreasing
ly6semployed6sin6scommunity6ssettings6sas6sopposed6sto6shospitals.6sThis6schange6sreflects6sthe6smov
e6stoward6scommunity-based6scare6srather6sthan6shospital-
based6stertiary6scare.6sTo6shelp6sdecrease6ts he6scontinued6srise6sin6shealth6scare6scosts,6sthe6sincrease
d6semphasis6sis6son6sdisease6sprevention6srather6sthan6shigh-cost6streatment.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
4. Which6sethical6sbelief6swould6sbe6smost6shelpful6sin6sthe6scurrent6shealth6scare6scrisis?
a. Emphasis6sshould6sbe6son6sindividual6sand6scorporation6sfreedom6sin6sthe6smarketplace.
b. Emphasis6sshould6sbe6son6sindividual6sautonomy6sand6sfreedom6sof6schoice.
c. Emphasis6sshould6sbe6son6ssocial6sjustice6sand6scollective6sresponsibility.
d. Emphasis6sshould6sbe6son6sthe6seffectiveness6sof6stechnology6sin6sresolving6sproblems.
ANS:6s C
Public6shealth6srecognizes6sthe6snecessity6sof6scollective6saction6sin6skeeping6sthe6senvironment6ssaf
e6sand6sin6segalitarian6stradition6sand6svision.6sAn6soverinvestment6sin6stechnology6sand6sseeking6so
f6scures6swithin6sthe6smarket6sjustice6ssystem6shas6sstifled6sthe6sevolution6sof6sa6shealth6ssystem6sto6
sprotect6sand6spreserve6sthe6shealth6sof6sthe6spopulation.6sAlthough6sindividual6sautonomy6sand6sfr
eedom6sof6schoice6sare6simportant,6sso6sis6sthe6srecognition6sof6scollective6sresponsibility6sin6sensu
ring6ssocial6sjustice,6swhich6sentitles6sall6speople6sto6s basic6snecessities.
,
DIF: Cognitive6sLevel:6sApply6s(Application)
5. What6sis6sthe6sprimary6sproblem6sseen6sin6sHealthy6sPeople6s2020’s6semphasis6son6schoosing6sh
ealthy6slifestyle6sbehaviors,6ssuch6sas6sdaily6sexercise6sor6shealthy6sfood6schoices?
a. Emphasis6son6sother6slifestyle6schoices,6ssuch6sas6snot6ssmoking6sand6sminimal6su
se6sof6salcohol6sor6sdrugs,6sis6salso6sneeded.
b. All6sof6sus6smust6swork6stogether6sto6smake6sunhealthy6sbehaviors6ssocially6sunacceptable.
c. It6scosts6smore6sto6smake6shealthy6schoices,6ssuch6sas6sbuying6sand6seating6sfresh6sfrui
ts6sand6svegetables6sas6sopposed6sto6squick6sand6scheap6sfast-food6schoices.
d. Public6spolicy6semphasizes6spersonal6sresponsibility6sbut6signores6ssocial6s
and6senvironmental6schanges6sneeded6sfor6swell-being.
ANS:6s D
Although6sall6sresponses6sare6saccurate,6sthe6sprimary6sproblem6sis6sthe6semphasis6son6spersonal6sch
oices6sin6sthe6sHealthy6sPeople6s20206sobjectives.6sEmphasis6son6spersonal6schoices6signores6sthe6s
need6sfor6scommunity6sresponsibility6sand6saction6sthat6saddresses6senvironmental6sor6scultural6sr
estraints6sto6shealth.
DIF: Cognitive6sLevel:6sApply6s(Application)
6. What6sresponsibility6sdoes6sthe6sAmerican6sNurses6sAssociation6s(ANA)6sCode6sof6sEthics6srequi
re6sof6sthe6snurse6sbeyond6sgiving6sexcellent6scare6sto6s patients?
a. Accept6slonger6swork6sschedules6sto6sensure6sthat6sprofessional6scare6sis6salways6savailable
Nursing: Promoting the Health of Populations
8th Edition
by Mary A. Nies, Melanie McEwen
Chapter 1 - 34
,
,Chapter6s01:6sHealth:6sA6sCommunity6sView
Nies:6sCommunity/Public6sHealth6sNursing,6s8th6sEdition
MULTIPLE6sCHOICE
1. Which6sbest6sdescribes6sthe6sprimary6sreason6sthat6sAmericans6sare6sconcerned6sabout6shealth6scare?
a. Politicians6sare6sdiscussing6show6sto6simprove6shealth6scare.
b. The6smedia6shas6sprovided6smixed6smessages6sabout6sthe6shealth6scare6ssystem.
c. Our6snational6shealth6scare6scosts6skeep6sincreasing.
d. The6snew6shealth6scare6ssystem6soffers6sfree6sservices6sto6sAmericans.
ANS:6s C
The6sprimary6sreason6sfor6sthe6sfocus6son6shealth6scare6sis6sthe6sconstantly6sincreasing6scosts,6swhic
h6scannot6sbe6ssustained.6sThe6scosts6sof6scaring6sfor6sthe6ssick6saccounted6sfor6sthe6smajority6sof6se
scalating6shealth6scare6sdollars,6swhich6sincreased6sfrom6s5.7%6sof6sthe6sgross6sdomestic6sproduct6s
in6s19656sto6s17.8%6sin6s2015.6sPoliticians6sand6sthe6smedia6sboth6sinfluence6sAmericans’6spercepti
ons6sabout6shealth6scare;6showever,6sthey6sare6snot6sthe6sprimary6sreason6swhy6sAmericans6sare6sconc
erned.6sThe6snew6shealth6scare6ssystem6swill6schange6sthe6shealth6scare6saccess6sand6savailability,6sb
ut6swill6snot6snecessarily6sbe6soffering6sany6sfree6sservices6sto6sAmericans.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
2. A6snurse6shas6sbegun6sto6slobby6swith6spoliticians6sfor6schanges6sto6sthe6shealth6scare6ssystem.6sWhy
is6sthis6sinvolvement6simportant?
6s
e. Nurses,6sas6scentral6scharacters6sin6sseveral6spopular6sTV6sseries,6sare6scurrently6svery
a.6s6 s R6sI
visible6sin6sAmerican6smed6siN
f. Nurses6sare6sprimarily6sre sponUsi6sbS
le6 s foNr6smTanagingOthe6 s various6sunits6sin6sour6shealth6
scare6ssystem.
g. Nurses6sare6sthe6slargest6ssegment6sof6shealth6scare6sproviders.
h. Nurses6sare6sthe6sonly6sgroup6sthat6sis6semployed6sboth6sinside6sand6soutside6sof6shospitals.
ANS:6s C
As6sthe6slargest6ssegment6sof6shealth6scare6sproviders,6snurses6sare6sinformed6sabout6sthe6scurrent6s
health6scare6ssystem6sand6sall6sthe6sproblems6sthat6sresult6sfrom6speople6snot6sseeking6scare6suntil6sth
ey6sare6sdesperately6sill.6sNurses,6sas6sthe6sAmerican6sNurses6sAssociation6s(ANA)6semphasize,6su
sually6sbelieve6sthat6shealth6scare6sis6sa6sright,6snot6sa6sprivilege.6sTherefore,6snurses,6swhose6swork
6sis6scentral6sto6sour6scurrent6shealth6scare6sdelivery6ssystem,6scan6salso6sbe6sinstrumental6sin6sworkin
g6spolitically6sto6screate6sa6shealth6scare6sdelivery6ssystem6sthat6swill6smeet6shealth6sneeds.6sWhile6s
nurses6sare6sin6sseveral6scurrent6sTV6sseries6sand6sare6semployed6sboth6sinside6sand6soutside6sof6shos
pitals,6sphysicians6sand6sother6shealth6scare6sproviders6sare6sas6swell.6sNurses6sare6soften6smanagers,
6sbut6smanagers6soften6shave6sother6sbackgrounds,6ssuch6sas6sbusiness6sadministration.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
3. What6sconclusion6scan6sbe6sdrawn6sfrom6sexamining6swhere6snurses6sare6semployed?
i. There6sis6sa6strend6stoward6sconsolidation6sof6shealth6scare6sinto6slarge6scentral6sme
dical6scenters.
j. There6sis6san6sincreased6semphasis6son6scommunity-based6shealth6scare.
k. There6sis6san6sobvious6sneed6sto6sdecrease6shealth6scare6scosts6sby6scutting6spositions.
Managed6scare6sorganizations6s(MCOs)6sare6semploying6snurses6sto6simprove6scustom
er
, relations.
ANS:6 s B
MCOs6sare6semploying6snurses6sin6smany6scapacities.6sAlthough6shospitals6sare6sclosing6sand6sacute
6scare6sis6sincreasingly6sfound6sin6scentral6smedical6scenters,6sthe6ssame6strend6smay6sbe6sseen6sin6san
6sincrease6sin6sneighborhood-
based6spractice6scenters.6sWhile6spositions6sare6scut6sin6smost6sindustries,6shealth6scare6sis6srecogniz
ed6sas6san6sarea6swhere6sgrowth6sin6semployment6sis6sexpected.6sHowever,6snurses6sare6sincreasing
ly6semployed6sin6scommunity6ssettings6sas6sopposed6sto6shospitals.6sThis6schange6sreflects6sthe6smov
e6stoward6scommunity-based6scare6srather6sthan6shospital-
based6stertiary6scare.6sTo6shelp6sdecrease6ts he6scontinued6srise6sin6shealth6scare6scosts,6sthe6sincrease
d6semphasis6sis6son6sdisease6sprevention6srather6sthan6shigh-cost6streatment.
DIF: Cognitive6sLevel:6sUnderstand6s(Comprehension)
4. Which6sethical6sbelief6swould6sbe6smost6shelpful6sin6sthe6scurrent6shealth6scare6scrisis?
a. Emphasis6sshould6sbe6son6sindividual6sand6scorporation6sfreedom6sin6sthe6smarketplace.
b. Emphasis6sshould6sbe6son6sindividual6sautonomy6sand6sfreedom6sof6schoice.
c. Emphasis6sshould6sbe6son6ssocial6sjustice6sand6scollective6sresponsibility.
d. Emphasis6sshould6sbe6son6sthe6seffectiveness6sof6stechnology6sin6sresolving6sproblems.
ANS:6s C
Public6shealth6srecognizes6sthe6snecessity6sof6scollective6saction6sin6skeeping6sthe6senvironment6ssaf
e6sand6sin6segalitarian6stradition6sand6svision.6sAn6soverinvestment6sin6stechnology6sand6sseeking6so
f6scures6swithin6sthe6smarket6sjustice6ssystem6shas6sstifled6sthe6sevolution6sof6sa6shealth6ssystem6sto6
sprotect6sand6spreserve6sthe6shealth6sof6sthe6spopulation.6sAlthough6sindividual6sautonomy6sand6sfr
eedom6sof6schoice6sare6simportant,6sso6sis6sthe6srecognition6sof6scollective6sresponsibility6sin6sensu
ring6ssocial6sjustice,6swhich6sentitles6sall6speople6sto6s basic6snecessities.
,
DIF: Cognitive6sLevel:6sApply6s(Application)
5. What6sis6sthe6sprimary6sproblem6sseen6sin6sHealthy6sPeople6s2020’s6semphasis6son6schoosing6sh
ealthy6slifestyle6sbehaviors,6ssuch6sas6sdaily6sexercise6sor6shealthy6sfood6schoices?
a. Emphasis6son6sother6slifestyle6schoices,6ssuch6sas6snot6ssmoking6sand6sminimal6su
se6sof6salcohol6sor6sdrugs,6sis6salso6sneeded.
b. All6sof6sus6smust6swork6stogether6sto6smake6sunhealthy6sbehaviors6ssocially6sunacceptable.
c. It6scosts6smore6sto6smake6shealthy6schoices,6ssuch6sas6sbuying6sand6seating6sfresh6sfrui
ts6sand6svegetables6sas6sopposed6sto6squick6sand6scheap6sfast-food6schoices.
d. Public6spolicy6semphasizes6spersonal6sresponsibility6sbut6signores6ssocial6s
and6senvironmental6schanges6sneeded6sfor6swell-being.
ANS:6s D
Although6sall6sresponses6sare6saccurate,6sthe6sprimary6sproblem6sis6sthe6semphasis6son6spersonal6sch
oices6sin6sthe6sHealthy6sPeople6s20206sobjectives.6sEmphasis6son6spersonal6schoices6signores6sthe6s
need6sfor6scommunity6sresponsibility6sand6saction6sthat6saddresses6senvironmental6sor6scultural6sr
estraints6sto6shealth.
DIF: Cognitive6sLevel:6sApply6s(Application)
6. What6sresponsibility6sdoes6sthe6sAmerican6sNurses6sAssociation6s(ANA)6sCode6sof6sEthics6srequi
re6sof6sthe6snurse6sbeyond6sgiving6sexcellent6scare6sto6s patients?
a. Accept6slonger6swork6sschedules6sto6sensure6sthat6sprofessional6scare6sis6salways6savailable
