,Chapter 01: Health: A Community View
Y Y Y Y Y
Nies: Community/Public Health Nursing, 8th Edition
Y Y Y Y Y
MULTIPLEY CHOICE
1. WhichY bestY describesY theY primaryYreasonY thatY AmericansY areY concernedY aboutY healthY care?
a. PoliticiansY areY discussingY howY toY improveY healthY care.
b. TheYmediaY hasY providedY mixedY messagesY aboutY theY healthY careY system.
c. OurYnationalY healthY careY costsY keepY increasing.
d. TheYnewY healthY careY systemY offersY freeY servicesY toY Americans.
ANS:Y C
TheY primaryY reasonY forY theY focusY onY healthY careY isY theY constantlyY increasingY costs,Y whichY
cYannotY beY sustained.Y TheY costsY ofY caringY forY theY sickY accountedY forY theY majorityY ofY escala
tinYgY healthY careY dollars,Y whichY increasedY fromY 5.7%Y ofY theY grossY domesticY productY inY 196
5Y toY17.8%Y inY 2015.Y PoliticiansY andY theY mediaY bothY influenceY Americans‘Y perceptionsY abo
utY healYthY care;Y however,Y theyYareY notY theY primaryYreasonY whyYAmericansY areY concerned.Y T
heY newY hYealthY careY systemY willY changeY theY healthY careY accessY andY availability,Y butY willY no
tY necessarilYyY beY offeringY anyY freeY servicesY toY Americans.
DIF: CognitiveYLevel:YUnderstandY(Comprehension)
2. AY nurseY hasY begunY toY lobbyYwithY politiciansY forY changesY toY theY healthY careY system.Y WhyYi
sY tYhisY involvementY important?
a. Nurses,Y asY centralY charactersY inY severalY popularY TVY series,Y areY currentlyY
veYryY visibleYinY AmericanY medi
NYYRYaY. IGB.CM
Y Y
b. NursesY areY primarilyY resp onUsibS
leYYfoNrY mTanagingOtheYYvariousY unitsY inY ourY healthY care
wl
system.
c. NursesY areY theY largestY segmentY ofY healthY careYproviders.
d. NursesY areY theY onlyY groupY thatY isY employedY bothY insideY andY outsideY ofY hospitals.
ANS:Y C
AsY theY largestY segmentY ofY healthY careY providers,Y nursesY areY informedY aboutY theY currentY hea
ltYhY careY systemY andY allY theY problemsY thatY resultY fromY peopleY notY seekingY careY untilY theyY ar
eY dYesperatelyY ill.Y Nurses,Y asY theY AmericanY NursesY AssociationY (ANA)Y emphasize,Y usuallyY b
elieYveY thatY healthY careY isY aY right,Y notY aY privilege.Y Therefore,Y nurses,Y whoseY workY isY central
Y toY oYurY currentY healthY careY deliveryY system, Y canY alsoY beY instrumentalY inY workingY politicall
yY toY crYeateY aY healthY careY deliveryY systemY thatY willY meetY healthY needs.Y WhileY nursesY areY in
Y severalYcurrentY TVY seriesY andY areY employedY bothY insideY andY outsideY ofY hospitals,Y physician
sY andY othYerY healthY careY providersY areY asY well.Y NursesY areY oftenY managers,Y butY managersY of
tenY haveY oYtherY backgrounds,Y suchY asY businessY administration.
DIF: CognitiveYLevel:YUnderstandY(Comprehension)
3. WhatY conclusionY canY beY drawnY fromY examiningY whereY nursesY areY employed?
a. ThereYisY aY trendY towardY consolidationY ofY healthY careY intoY largeY centralY med
icYalY centers.
b. ThereYisY anY increasedY emphasisY onY community-basedY healthY care.
c. ThereY isY anY obviousY needY toY decreaseY healthY careY costsY byYcuttingY positions.
d. ManagedY careY organizationsY (MCOs)Y areY employingYnursesY toY improveY customer
,