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Community/Public Health Nursing – 8th Edition (Nies & McEwen) | Comprehensive Practice Questions and Chapter Summaries

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This document is based on Community/Public Health Nursing, 8th Edition by Nies and McEwen. It contains detailed multiple-choice and multiple-response practice questions with answers and explanations covering key chapters such as Health: A Community View, Historical Factors in Community Health Nursing, Nursing Theories and Population-Focused Practice, and Health Promotion and Risk Reduction. Each question includes rationales aligned with cognitive levels (understand, apply, analyze), making it ideal for exam preparation and concept review in community and public health nursing. The material closely follows major themes from Healthy People 2020, public health ethics, epidemiological concepts, and nursing interventions.

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MedConnoisseur©2022

,Chapter01:Health:ACommunityViewNies:
Community/PublicHealthNursing,8thEdition



MULTIPLECHOICE

1. Whichbestdescribestheprimaryreasonthat
@yAmericans @yareconcerned @yabout
@yhealthcare?

a. Politiciansarediscussinghowtoimprovehealth
@ycare.

b. Themediahasprovidedmixedmessagesaboutthe
@yhealth @ycare @ysystem.

c. Ournationalhealthcarecosts @ykeepincreasing.
d. Thenewhealthcaresystemoffersfreeservicesto
@yAmericans.



ANS:C
The @yprimary @yreason @yfor @ythe @yfocus @yon @yhealth @ycare @yis @ythe @yconstantly @yincreasing
@ycosts, @ywhich @ycannot @ybe @ysustained. @yThe @ycosts @yof @ycaring @yfor @ythe @ysick @yaccounted

@yfor @ythe @ymajority @yof @yescalating @yhealth @ycare @ydollars, @ywhich @yincreased @yfrom @y5.7%

@yof @ythe @ygross @ydomestic @yproduct @yin @y1965 @yto

@y17.8%in2015.PoliticiansandthemediabothinfluenceAmericans’perceptionsabouthealth

@ycare;however,theyarenottheprimaryreasonwhyAmericansareconcerned.Thenewhealth @ycare

@ysystem @y will @ychange @ythe @yhealth @ycare @yaccess @yand @yavailability, @ybut @ywill @ynot

@ynecessarily @ybe @yoffering @yany @y free @yservices @yto @yAmericans.




DIF: CognitiveLevel:Understand(Comprehension)

2. Anursehasbeguntolobbywithpoliticiansforchangestothehealthcaresystem.Whyisthis
@yinvolvement @yimportant?
a. Nurses,ascentralcharactersinseveralpopularTVseries,arecurrentlyvery
N
@yvisibleinAmericanm ed i a .


b. Nursesareprimarilyresp onUsibS
lefoNrmTanagingOthevariousunitsinourhealthcare
system.
c. Nursesarethelargestsegment @yofhealthcareproviders.
d. Nursesarethe @yonlygroup @ythatis @yemployed @yboth @yinsideand @youtsideofhospitals.
ANS:C
As @ythe @ylargest @ysegment @yof @yhealth @ycare @yproviders, @ynurses @yare @yinformed @yabout @ythe
@ycurrent @yhealth @ycare @y system @yand @yall @ythe @yproblems @ythat @yresult @yfrom @ypeople @ynot

@yseeking @ycare @yuntil @ythey @yare @ydesperately @yill. @yNurses, @yas @ythe @y American @yNurses

@yAssociation @y(ANA) @yemphasize, @yusually @ybelieve @ythat @yhealth @ycare @yis @ya @yright, @ynot @ya

@yprivilege. @yTherefore, @ynurses, @ywhose @y work @yis @ycentral @yto @your @ycurrent @yhealth @ycare

@ydelivery @ysystem, @ycan @yalso @ybe @yinstrumental @yin @yworking @ypolitically @yto @ycreate @ya

@yhealth @ycare @ydelivery @ysystem @ythat @ywill @ymeet @yhealth @yneeds. @yWhile @ynurses @yare @yin

@yseveral

@ycurrentTVseriesandareemployedbothinsideandoutsideofhospitals,physiciansandother

@yhealth @ycare @yproviders @yare @yas @ywell. @yNurses @yare @yoften @ymanagers, @ybut @ymanagers

@yoften @yhave @yother @ybackgrounds, @ysuch @yas @ybusiness @yadministration.




DIF: CognitiveLevel:Understand(Comprehension)
MedConnoisseur©2022

,3. Whatconclusioncanbedrawnfromexaminingwherenursesareemployed?
a. Thereisatrendtowardconsolidation @yofhealthcareintolargecentralmedical




MedConnoisseur©2022

, centers.
b. Thereisanincreasedemphasisoncommunity-basedhealthcare.
c. Thereisanobviousneedtodecreasehealthcarecosts @ybycuttingpositions.
d. Managedcareorganizations @y(MCOs)areemployingnursestoimprovecustomer


relations.
ANS:B
MCOsareemployingnursesinmanycapacities.Althoughhospitalsareclosingandacutecare @yis
@yincreasingly @yfound @yin @ycentral @ymedical @ycenters, @ythe @ysame @ytrend @y may @ybe @yseen @yin

@yan @yincrease @yin @yneighborhood-based @ypractice @ycenters. @yWhile @ypositions @yare @ycut @yin

@ymost @yindustries, @yhealth @ycare @yis @yrecognized @yas @yan @yarea @ywhere @ygrowth @yin

@yemployment @yis @yexpected. @yHowever, @ynurses @yare @yincreasinglyemployedin

@ycommunitysettings @yasopposedtohospitals.Thischangereflectsthe @ymove @ytoward

@ycommunity-based @ycare @yrather @ythan @yhospital-based @ytertiary @ycare. @yTo @yhelp @ydecrease

@ythe @ycontinued @yrise @yin @yhealth @ycare @ycosts, @ythe @yincreased @yemphasis @yis @yon @ydisease

@yprevention @yrather @ythan @yhigh-cost @ytreatment.




DIF: CognitiveLevel:Understand(Comprehension)

4. Whichethical @ybeliefwouldbemost @yhelpfulinthecurrenthealth @ycarecrisis?
a. Emphasisshouldbeonindividualandcorporationfreedominthemarketplace.
b. Emphasisshould @ybeonindividualautonomyandfreedomofchoice.
c. Emphasisshouldbeonsocialjusticeandcollectiveresponsibility.
d. Emphasis @yshould @ybeontheeffectivenessoftechnologyinresolving @yproblems.

ANS:C
Publichealthrecognizesthenecessityofcollectiveactioninkeepingtheenvironmentsafeand @yin
@yegalitarian @ytradition @yand @yvision. @yAn @yoverinvestment @yin @ytechnology @yand @yseeking @yof

@ycures @ywithin @ythe @ymarket @yjustice @ysystem @yhas @ystifled @ythe @yevolution @yof @ya @yhealth

@ysystem @yto @yprotect @yand @ypreserve @ythe @yhealth @yof @ythe @ypopulation. @yAlthough @yindividual

@yautonomy @yand @y freedom @yof @ychoice @yare @yimportant, @yso @yis @ythe @yrecognition @yof

@ycollective @yresponsibility @yin @yensuring @ysocial @yjustice, @ywhich @yentitles @yall @ypeople @yto

@ybasic @ynecessities.

DIF: CognitiveLevel:Apply(Application)

5. Whatistheprimaryproblemseenin @yHealthyPeople2020’semphasisonchoosinghealthy
lifestyle @ybehaviors, @ysuch @yas @ydaily @yexercise @yor @yhealthy @yfood @ychoices?
@y

a. Emphasisonotherlifestylechoices,suchasnotsmokingandminimaluseof
@yalcohol @yor @ydrugs, @yis @yalso @yneeded.
b. Allofus @ymust @ywork @ytogetherto @ymakeunhealthybehaviors @y sociallyunacceptable.
c. Itcostsmoretomakehealthychoices,suchasbuyingandeatingfreshfruitsand
@yvegetables @yas @yopposed @yto @yquick @yand @ycheap @y fast-food @ychoices.
d. Publicpolicyemphasizespersonalresponsibilitybutignoressocialand
@yenvironmental @ychanges @yneeded @y for @y well-being.
ANS:D
Althoughallresponsesareaccurate,theprimaryproblemistheemphasisonpersonalchoices @yin
@ythe @yHealthy @yPeople @y2020 @yobjectives. @yEmphasis @yon @ypersonal @ychoices @yignores @ythe

@yneed @yfor @ycommunity @yresponsibility @yand @yaction @ythat @yaddresses @yenvironmental @yor

@ycultural @yrestraints @yto @yhealth.




DIF: CognitiveLevel:Apply(Application)

6. WhatresponsibilitydoestheAmericanNursesAssociation(ANA)CodeofEthicsrequireof @ythe
MedConnoisseur©2022

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