,Community Public Health Nursing 7th Edition Nies Test Bank v v v v v v v vv
Chapter 01: Health: A Community View
v v v v v
Nies:Community/Public Health Nursing, 7th Edition
v v v v v
MULTIPLE CHOICE v
1. Which best describes the primary reason that Americans are concerned about health care?
v v v v v v v v v v v v
a. Politicians are discussing how to improve health care. v v v v v v v
b. The media has provided mixed messages about the health care system.
v v v v v v v v v v
c. Our national health care costs keep increasing. v v v v v v
d. The new health care system offers free services to Americans.
v v v v v v v v v
ANS: C v
The primary reason for the focus on health care is the constantly increasing costs, which cannot be
v v v v v v v v v v v v v v v v
sustained. The costs of caring for the sick accounted for the majority of escalating health care
v v v v v v v v v v v v v v v v
dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 2015.
v v v v v v v v v v v v v v v v
Politicians and the media both influence Americans’ perceptions about health care; however,
v v v v v v v v v v v v
they are not the primary reason why Americans are concerned. The new health care system will
v v v v v v v v v v v v v v v v
change the health care access and availability, but will not necessarily be offering any free
v v v v v v v v v v v v v v v
services to Americans.
v v v
DIF: Cognitive Level: Understand (Comprehension) v v v
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
v v v v v v v v v v v v v v v v v
involvement important?
v v
a. Nurses, as central characters in several popular TV series, are currently very v v v v v v v v v v v
visible in American media
v v v v
b. Nurses are primarilyresponsible for managing various units in our health carev v v v v v v v v v v
system. v
c. Nurses are the largest segment of health care providers. v v v v v v v v
d. Nurses are the only group that is employed both inside and outside of hospitals.
v v v v v v v v v v v v v
ANS: C v
As the largest segment of health care providers, nurses are informed about the current health care
v v v v v v v v v v v v v v v
system and all the problems that result from people not seeking care until they are desperately ill.
v v v v v v v v v v v v v v v v v
Nurses, as the American Nurses Association (ANA) emphasize, usually believe that health care is
v v v v v v v v v v v v v v
a right, not a privilege. Therefore, nurses, whose work is central to our current health care delivery
v v v v v v v v v v v v v v v v v
system, can also be instrumental in working politically to create a health care delivery system that
v v v v v v v v v v v v v v v v
will meet health needs. While nurses are in several current TV series and are employed both inside
v v v v v v v v v v v v v v v v v
and outside of hospitals, physicians and other health care providers are as well. Nurses are often
v v v v v v v v v v v v v v v v
managers, but managers often have other backgrounds, such as business administration.
v v v v v v v v v v v
DIF: Cognitive Level: Understand (Comprehension) v v v
3. What conclusion can be drawn from examining where nurses are employed?
v v v v v v v v v v
a. There is a trend toward consolidation of health care into large central medical
v v v v v v v v v v v v
centers. v
b. There is an increased emphasis on community-based health care. v v v v v v v v
c. There is an obvious need to decrease health care costs by cutting positions.
v v v v v v v v v v v v
d. Managed care organizations (MCOs) are employing nurses to improve customer v v v v v v v v v
, relations.
ANS: B v
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care is
v v v v v v v v v v v v v v
increasingly found in central medical centers, the same trend may be seen in an increase in
v v v v v v v v v v v v v v v v
neighborhood-based practice centers. While positions are cut in most industries, health care is
v v v v v v v v v v v v v
recognized as an area where growth in employment is expected. However, nurses are increasingly
v v v v v v v v v v v v v v
employed in community settings as opposed to hospitals. This change reflects the move toward
v v v v v v v v v v v v v v
community-based care rather than hospital-based tertiary care. To help decrease the continued
v v v v v v v v v v v v
rise in health care costs, the increased emphasis is on disease prevention rather than high-cost
v v v v v v v v v v v v v v v
treatment.
v
DIF: Cognitive Level: Understand (Comprehension) v v v
4. Which ethical belief would be most helpful in the current health care crisis?
v v v v v v v v v v v v
a. Emphasis should be on individual and corporation freedom in the marketplace. v v v v v v v v v v
b. Emphasis should be on individual autonomy and freedom of choice. v v v v v v v v v
c. Emphasis should be on social justice and collective responsibility. v v v v v v v v
d. Emphasis should be on the effectiveness of technology in resolving problems. v v v v v v v v v v
ANS: C v
Public health recognizes the necessity of collective action in keeping the environment safe and in
v v v v v v v v v v v v v v
egalitarian tradition and vision. An overinvestment in technology and seeking of cures within the
v v v v v v v v v v v v v v
market justice system has stifled the evolution of a health system to protect and preserve the health
v v v v v v v v v v v v v v v v v
of the population. Although individual autonomy and freedom of choice are important, so is the
v v v v v v v v v v v v v v v
recognition of collective responsibility in ensuring social justice, which entitles all people to
v v v v v v v v v v v v v
basic necessities.
v v
DIF: Cognitive Level: Apply(Application) v v v
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
v v v v v v v v v v v v v
lifestyle behaviors, such as daily exercise or healthy food choices?
v v v v v v v v v v
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of v v v v v v v v v v v v
alcohol or drugs, is also needed.
v v v v v v
b. All of us must work together to make unhealthy behaviors socially unacceptable.
v v v v v v v v v v v
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
v v v v v v v v v v v v v v
vegetables as opposed to quick and cheap fast-food choices.
v v v v v v v v v
d. Public policyemphasizes personal responsibilitybut ignores social and
v v v v v v v v
environmental changes needed for well-being.
v v v v v
ANS: D v
Although all responses are accurate, the primary problem is the emphasis on personal choices in the
v v v v v v v v v v v v v v v
Healthy People 2020 objectives. Emphasis on personal choices ignores the need for community
v v v v v v v v v v v v v
responsibility and action that addresses environmental or cultural restraints to health.
v v v v v v v v v v v
DIF: Cognitive Level: Apply(Application) v v v
6. What responsibilitydoes the American Nurses Association (ANA) Code of Ethics require of the
v v v v v v v v v v v v v
nurse beyond giving excellent care to patients?
v v v v v v v
a. Accept longer work schedules to ensure that professional care is always available
v v v v v v v v v v v
, to clients. v
b. Recognize the need for experienced nurses to mentor new graduates to help v v v v v v v v v v v
increase and expand the number of professionals available.
v v v v v v v v
c. Support health legislation to improve accessibility and cost of health care.
v v v v v v v v v v
d. Volunteer to work overtime as needed to ensure maximum quality of care. v v v v v v v v v v v
ANS: C v
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to
v v v v v v v v v v v v v v v
positively affect accessibility, quality, and cost of health care. The code does not directly address
v v v v v v v v v v v v v v v
workplace issues, such as work schedules or need for overtime.
v v v v v v v v v v
DIF: Cognitive Level: Analyze (Analysis) v v v
7. What is the community health nursing definition of health?
v v v v v v v v
a. Health is a person’s goal-directed purposeful process toward well-being or
v v v v v v v v v
wholeness.
v
b. Health is an individual’s physical, mental, and social well-being, not merely the
v v v v v v v v v v v
absence of disease or infirmity.
v v v v v
c. Health is the mutual adaptation between a person and his or her environment in
v v v v v v v v v v v v v
meeting daily existence.
v v v
d. Health is families and aggregates choosing actions to ensure safety and well-being.
v v v v v v v v v v v
ANS: D v
The text stresses that health is not just the result of an individual’s choices, but choices and actions
v v v v v v v v v v v v v v v v v
of individuals, families, groups, and communities that lead to better health.
v v v v v v v v v v v
DIF: Cognitive Level: Apply(Application) v v v
8. How does community health nursing define community?
v v v v v v
a. A group of persons living within specific geographic boundaries
v v v v v v v v
b. A group of persons who share a common identity and environment
v v v v v v v v v v
c. A group of persons who work together to meet common goals
v v v v v v v v v v
d. A group of persons who resolve a community concern
v v v v v v v v
ANS: B v
Community health nurses work with both geopolitical groups (within specific geographic
v v v v v v v v v v
boundaries) and phenomenological groups (who have a common identity based on culture,
v v v v v v v v v v v v
history, or goals). A particular phenomenological group may or may not have been a planned
v v v v v v v v v v v v v v v
group—that is, a group that came together to resolve a recognized common problem or to meet a
v v v v v v v v v v v v v v v v v
common goal. However, of all the choices, a group of persons who share a common identity
v v v v v v v v v v v v v v v v
(phenomenological group) and environment (which implies a specific geographic setting) is the
v v v v v v v v v v v v
broadest and most complete definition.
v v v v v
DIF: Cognitive Level: Apply(Application) v v v
9. Which variable has a major influence on a community’s health?
v v v v v v v v v
a. Behavior choices made by persons in the community v v v v v v v
b. Number of health care providers and hospitals in the community v v v v v v v v v
c. Qualityof the public safety officers (police officers, firefighters, etc.)
v v v v v v v v v
d. The number and credentials of public health officials in the community
v v v v v v v v v v
ANS: A v
Chapter 01: Health: A Community View
v v v v v
Nies:Community/Public Health Nursing, 7th Edition
v v v v v
MULTIPLE CHOICE v
1. Which best describes the primary reason that Americans are concerned about health care?
v v v v v v v v v v v v
a. Politicians are discussing how to improve health care. v v v v v v v
b. The media has provided mixed messages about the health care system.
v v v v v v v v v v
c. Our national health care costs keep increasing. v v v v v v
d. The new health care system offers free services to Americans.
v v v v v v v v v
ANS: C v
The primary reason for the focus on health care is the constantly increasing costs, which cannot be
v v v v v v v v v v v v v v v v
sustained. The costs of caring for the sick accounted for the majority of escalating health care
v v v v v v v v v v v v v v v v
dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 2015.
v v v v v v v v v v v v v v v v
Politicians and the media both influence Americans’ perceptions about health care; however,
v v v v v v v v v v v v
they are not the primary reason why Americans are concerned. The new health care system will
v v v v v v v v v v v v v v v v
change the health care access and availability, but will not necessarily be offering any free
v v v v v v v v v v v v v v v
services to Americans.
v v v
DIF: Cognitive Level: Understand (Comprehension) v v v
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
v v v v v v v v v v v v v v v v v
involvement important?
v v
a. Nurses, as central characters in several popular TV series, are currently very v v v v v v v v v v v
visible in American media
v v v v
b. Nurses are primarilyresponsible for managing various units in our health carev v v v v v v v v v v
system. v
c. Nurses are the largest segment of health care providers. v v v v v v v v
d. Nurses are the only group that is employed both inside and outside of hospitals.
v v v v v v v v v v v v v
ANS: C v
As the largest segment of health care providers, nurses are informed about the current health care
v v v v v v v v v v v v v v v
system and all the problems that result from people not seeking care until they are desperately ill.
v v v v v v v v v v v v v v v v v
Nurses, as the American Nurses Association (ANA) emphasize, usually believe that health care is
v v v v v v v v v v v v v v
a right, not a privilege. Therefore, nurses, whose work is central to our current health care delivery
v v v v v v v v v v v v v v v v v
system, can also be instrumental in working politically to create a health care delivery system that
v v v v v v v v v v v v v v v v
will meet health needs. While nurses are in several current TV series and are employed both inside
v v v v v v v v v v v v v v v v v
and outside of hospitals, physicians and other health care providers are as well. Nurses are often
v v v v v v v v v v v v v v v v
managers, but managers often have other backgrounds, such as business administration.
v v v v v v v v v v v
DIF: Cognitive Level: Understand (Comprehension) v v v
3. What conclusion can be drawn from examining where nurses are employed?
v v v v v v v v v v
a. There is a trend toward consolidation of health care into large central medical
v v v v v v v v v v v v
centers. v
b. There is an increased emphasis on community-based health care. v v v v v v v v
c. There is an obvious need to decrease health care costs by cutting positions.
v v v v v v v v v v v v
d. Managed care organizations (MCOs) are employing nurses to improve customer v v v v v v v v v
, relations.
ANS: B v
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care is
v v v v v v v v v v v v v v
increasingly found in central medical centers, the same trend may be seen in an increase in
v v v v v v v v v v v v v v v v
neighborhood-based practice centers. While positions are cut in most industries, health care is
v v v v v v v v v v v v v
recognized as an area where growth in employment is expected. However, nurses are increasingly
v v v v v v v v v v v v v v
employed in community settings as opposed to hospitals. This change reflects the move toward
v v v v v v v v v v v v v v
community-based care rather than hospital-based tertiary care. To help decrease the continued
v v v v v v v v v v v v
rise in health care costs, the increased emphasis is on disease prevention rather than high-cost
v v v v v v v v v v v v v v v
treatment.
v
DIF: Cognitive Level: Understand (Comprehension) v v v
4. Which ethical belief would be most helpful in the current health care crisis?
v v v v v v v v v v v v
a. Emphasis should be on individual and corporation freedom in the marketplace. v v v v v v v v v v
b. Emphasis should be on individual autonomy and freedom of choice. v v v v v v v v v
c. Emphasis should be on social justice and collective responsibility. v v v v v v v v
d. Emphasis should be on the effectiveness of technology in resolving problems. v v v v v v v v v v
ANS: C v
Public health recognizes the necessity of collective action in keeping the environment safe and in
v v v v v v v v v v v v v v
egalitarian tradition and vision. An overinvestment in technology and seeking of cures within the
v v v v v v v v v v v v v v
market justice system has stifled the evolution of a health system to protect and preserve the health
v v v v v v v v v v v v v v v v v
of the population. Although individual autonomy and freedom of choice are important, so is the
v v v v v v v v v v v v v v v
recognition of collective responsibility in ensuring social justice, which entitles all people to
v v v v v v v v v v v v v
basic necessities.
v v
DIF: Cognitive Level: Apply(Application) v v v
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
v v v v v v v v v v v v v
lifestyle behaviors, such as daily exercise or healthy food choices?
v v v v v v v v v v
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of v v v v v v v v v v v v
alcohol or drugs, is also needed.
v v v v v v
b. All of us must work together to make unhealthy behaviors socially unacceptable.
v v v v v v v v v v v
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
v v v v v v v v v v v v v v
vegetables as opposed to quick and cheap fast-food choices.
v v v v v v v v v
d. Public policyemphasizes personal responsibilitybut ignores social and
v v v v v v v v
environmental changes needed for well-being.
v v v v v
ANS: D v
Although all responses are accurate, the primary problem is the emphasis on personal choices in the
v v v v v v v v v v v v v v v
Healthy People 2020 objectives. Emphasis on personal choices ignores the need for community
v v v v v v v v v v v v v
responsibility and action that addresses environmental or cultural restraints to health.
v v v v v v v v v v v
DIF: Cognitive Level: Apply(Application) v v v
6. What responsibilitydoes the American Nurses Association (ANA) Code of Ethics require of the
v v v v v v v v v v v v v
nurse beyond giving excellent care to patients?
v v v v v v v
a. Accept longer work schedules to ensure that professional care is always available
v v v v v v v v v v v
, to clients. v
b. Recognize the need for experienced nurses to mentor new graduates to help v v v v v v v v v v v
increase and expand the number of professionals available.
v v v v v v v v
c. Support health legislation to improve accessibility and cost of health care.
v v v v v v v v v v
d. Volunteer to work overtime as needed to ensure maximum quality of care. v v v v v v v v v v v
ANS: C v
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to
v v v v v v v v v v v v v v v
positively affect accessibility, quality, and cost of health care. The code does not directly address
v v v v v v v v v v v v v v v
workplace issues, such as work schedules or need for overtime.
v v v v v v v v v v
DIF: Cognitive Level: Analyze (Analysis) v v v
7. What is the community health nursing definition of health?
v v v v v v v v
a. Health is a person’s goal-directed purposeful process toward well-being or
v v v v v v v v v
wholeness.
v
b. Health is an individual’s physical, mental, and social well-being, not merely the
v v v v v v v v v v v
absence of disease or infirmity.
v v v v v
c. Health is the mutual adaptation between a person and his or her environment in
v v v v v v v v v v v v v
meeting daily existence.
v v v
d. Health is families and aggregates choosing actions to ensure safety and well-being.
v v v v v v v v v v v
ANS: D v
The text stresses that health is not just the result of an individual’s choices, but choices and actions
v v v v v v v v v v v v v v v v v
of individuals, families, groups, and communities that lead to better health.
v v v v v v v v v v v
DIF: Cognitive Level: Apply(Application) v v v
8. How does community health nursing define community?
v v v v v v
a. A group of persons living within specific geographic boundaries
v v v v v v v v
b. A group of persons who share a common identity and environment
v v v v v v v v v v
c. A group of persons who work together to meet common goals
v v v v v v v v v v
d. A group of persons who resolve a community concern
v v v v v v v v
ANS: B v
Community health nurses work with both geopolitical groups (within specific geographic
v v v v v v v v v v
boundaries) and phenomenological groups (who have a common identity based on culture,
v v v v v v v v v v v v
history, or goals). A particular phenomenological group may or may not have been a planned
v v v v v v v v v v v v v v v
group—that is, a group that came together to resolve a recognized common problem or to meet a
v v v v v v v v v v v v v v v v v
common goal. However, of all the choices, a group of persons who share a common identity
v v v v v v v v v v v v v v v v
(phenomenological group) and environment (which implies a specific geographic setting) is the
v v v v v v v v v v v v
broadest and most complete definition.
v v v v v
DIF: Cognitive Level: Apply(Application) v v v
9. Which variable has a major influence on a community’s health?
v v v v v v v v v
a. Behavior choices made by persons in the community v v v v v v v
b. Number of health care providers and hospitals in the community v v v v v v v v v
c. Qualityof the public safety officers (police officers, firefighters, etc.)
v v v v v v v v v
d. The number and credentials of public health officials in the community
v v v v v v v v v v
ANS: A v
