MedConnoisseurV©V202
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,ChapterV01:VHealth:VAVCommunityVViewVNies:
Community/PublicVHealthVNursing,V8thVEdition
MULTIPLEVCHOICE
1. WhichVbestVdescribesVtheVprimaryVreasonVt
hatVAmericansVareVconcernedVaboutVhealt
hVcare?
a. PoliticiansVareVdiscussingVhowVtoVimproveVhe
althVcare.
b. TheVmediaVhasVprovidedVmixedVmessagesVabout
VtheVhealthVcareVsystem.
c. OurVnationalVhealthVcareVcostsVkeepVincreasing.
d. TheVnewVhealthVcareVsystemVoffersVfreeVservic
esVtoVAmericans.
ANS:V C
TheVprimaryVreasonVforVtheVfocusVonVhealthVcareVisVtheVconstantlyVincreasingVcosts,Vwh
ichVcannotVbeVsustained.VTheVcostsVofVcaringVforVtheVsickVaccountedVforVtheVmajorityVo
fVescalatingVhealthVcareVdollars,VwhichVincreasedVfromV5.7%VofVtheVgrossVdomesticVprod
uctVinV1965VtoV17.8%VinV2015.VPoliticiansVandVtheVmediaVbothVinfluenceVAmericans’Vpe
rceptionsVaboutVhealthVcare;Vhowever,VtheyVareVnotVtheVprimaryVreasonVwhyVAmericansV
areVconcerned.VTheVnewVhealthVcareVsystemVwillVchangeVtheVhealthVcareVaccessVandVava
ilability,VbutVwillVnotVnecessarilyVbeVofferingVanyVfreeVservicesVtoVAmericans.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
2. AVnurseVhasVbegunVtoVlobbyVwithVpoliticiansVforVchangesVtoVtheVhealthVcareVsystem.VW
hyVisVthisVinvolvementVimportant?
a. Nurses,VasVcentralVcharactersVinVseveralVpopularVTVVseries,VareVcurrentl
yVveryVvisibleVinVAmericanVm ed iNa.
b. NursesVareVprimarilyVresp onUsibS
le VfoNrVmTanagingOthe VvariousVunitsVinVourVhealthVcare
system.
c. NursesVareVtheVlargestVsegmentVofVhealthVcareVproviders.
d. NursesVareVtheVonlyVgroupVthatVisVemployedVbothVinsideVandVoutsideVofVhospitals.
ANS:V C
AsVtheVlargestVsegmentVofVhealthVcareVproviders,VnursesVareVinformedVaboutVtheVcurrent
VhealthVcareVsystemVandVallVtheVproblemsVthatVresultVfromVpeopleVnotVseekingVcareVunti
lVtheyVareVdesperatelyVill.VNurses,VasVtheVAmericanVNursesVAssociationV(ANA)Vemphasi
ze,VusuallyVbelieveVthatVhealthVcareVisVaVright,VnotVaVprivilege.VTherefore,Vnurses,Vwhos
eVworkVisVcentralVtoVourVcurrentVhealthVcareVdeliveryVsystem,VcanValsoVbeVinstrumentalV
inVworkingVpoliticallyVtoVcreateVaVhealthVcareVdeliveryVsystemVthatVwillVmeetVhealthVnee
ds.VWhileVnursesVareVinVseveralVcurrentVTVVseriesVandVareVemployedVbothVinsideVandVo
utsideVofVhospitals,VphysiciansVandVotherVhealthVcareVprovidersVareVasVwell.VNursesVareV
oftenVmanagers,VbutVmanagersVoftenVhaveVotherVbackgrounds,VsuchVasVbusinessVadminist
ration.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
3. WhatVconclusionVcanVbeVdrawnVfromVexaminingVwhereVnursesVareVemployed?
MedConnoisseurV©V202
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,a. ThereVisVaVtrendVtowardVconsolidationVofVhealthVcareVintoVlargeVcentralVmedical
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, centers.
b. ThereVisVanVincreasedVemphasisVonVcommunity-basedVhealthVcare.
c. ThereVisVanVobviousVneedVtoVdecreaseVhealthVcareVcostsVbyVcuttingVpositions.
d. ManagedVcareVorganizationsV(MCOs)VareVemployingVnursesVtoVimproveVcustomer
relations.
ANS:V B
MCOsVareVemployingVnursesVinVmanyVcapacities.VAlthoughVhospitalsVareVclosingVandVacu
teVcareVisVincreasinglyVfoundVinVcentralVmedicalVcenters,VtheVsameVtrendVmayVbeVseenVin
VanVincreaseVinVneighborhood-
basedVpracticeVcenters.VWhileVpositionsVareVcutVinVmostVindustries,VhealthVcareVisVrecogn
izedVasVanVareaVwhereVgrowthVinVemploymentVisVexpected.VHowever,VnursesVareVincreasi
nglyVemployedVinVcommunityVsettingsVasVopposedVtoVhospitals.VThisVchangeVreflectsVtheV
moveVtowardVcommunity-basedVcareVratherVthanVhospital-
basedVtertiaryVcare.VToVhelpVdecreaseVtheVcontinuedVriseVinVhealthVcareVcosts,VtheVincrea
sedVemphasisVisVonVdiseaseVpreventionVratherVthanVhigh-costVtreatment.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
4. WhichVethicalVbeliefVwouldVbeVmostVhelpfulVinVtheVcurrentVhealthVcareVcrisis?
a. EmphasisVshouldVbeVonVindividualVandVcorporationVfreedomVinVtheVmarketplace.
b. EmphasisVshouldVbeVonVindividualVautonomyVandVfreedomVofVchoice.
c. EmphasisVshouldVbeVonVsocialVjusticeVandVcollectiveVresponsibility.
d. EmphasisVshouldVbeVonVtheVeffectivenessVofVtechnologyVinVresolvingVproblems.
ANS:V C
PublicVhealthVrecognizesVtheVnecessityVofVcollectiveVactionVinVkeepingVtheVenvironmentVs
afeVandVinVegalitarianVtraditionVandVvision.VAnVoverinvestmentVinVtechnologyVandVseekin
gVofVcuresVwithinVtheVmarketVjusticeVsystemVhasVstifledVtheVevolutionVofVaVhealthVsyste
mVtoVprotectVandVpreserveVtheVhealthVofVtheVpopulation.VAlthoughVindividualVautonomyV
andVfreedomVofVchoiceVareVimportant,VsoVisVtheVrecognitionVofVcollectiveVresponsibilityVi
nVensuringVsocialVjustice,VwhichVentitlesVallVpeopleVtoVbasicVnecessities.
DIF: CognitiveVLevel:VApplyV(Application)
5. WhatVisVtheVprimaryVproblemVseenVinVHealthyVPeopleV2020’sVemphasisVonVchoosingV
healthyVlifestyleVbehaviors,VsuchVasVdailyVexerciseVorVhealthyVfoodVchoices?
a. EmphasisVonVotherVlifestyleVchoices,VsuchVasVnotVsmokingVandVminimalV
useVofValcoholVorVdrugs,VisValsoVneeded.
b. AllVofVusVmustVworkVtogetherVtoVmakeVunhealthyVbehaviorsVsociallyVunacceptable.
c. ItVcostsVmoreVtoVmakeVhealthyVchoices,VsuchVasVbuyingVandVeatingVfreshVfr
uitsVandVvegetablesVasVopposedVtoVquickVandVcheapVfast-foodVchoices.
d. PublicVpolicyVemphasizesVpersonalVresponsibilityVbutVignoresVsocial
VandVenvironmentalVchangesVneededVforVwell-being.
ANS:V D
AlthoughVallVresponsesVareVaccurate,VtheVprimaryVproblemVisVtheVemphasisVonVpersonalV
choicesVinVtheVHealthyVPeopleV2020Vobjectives.VEmphasisVonVpersonalVchoicesVignoresVt
heVneedVforVcommunityVresponsibilityVandVactionVthatVaddressesVenvironmentalVorVcultur
alVrestraintsVtoVhealth.
DIF: CognitiveVLevel:VApplyV(Application)
6. WhatVresponsibilityVdoesVtheVAmericanVNursesVAssociationV(ANA)VCodeVofVEthicsVreq
uireVofVtheVnurseVbeyondVgivingVexcellentVcareVtoVpatients?
MedConnoisseurV©V202
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2
,ChapterV01:VHealth:VAVCommunityVViewVNies:
Community/PublicVHealthVNursing,V8thVEdition
MULTIPLEVCHOICE
1. WhichVbestVdescribesVtheVprimaryVreasonVt
hatVAmericansVareVconcernedVaboutVhealt
hVcare?
a. PoliticiansVareVdiscussingVhowVtoVimproveVhe
althVcare.
b. TheVmediaVhasVprovidedVmixedVmessagesVabout
VtheVhealthVcareVsystem.
c. OurVnationalVhealthVcareVcostsVkeepVincreasing.
d. TheVnewVhealthVcareVsystemVoffersVfreeVservic
esVtoVAmericans.
ANS:V C
TheVprimaryVreasonVforVtheVfocusVonVhealthVcareVisVtheVconstantlyVincreasingVcosts,Vwh
ichVcannotVbeVsustained.VTheVcostsVofVcaringVforVtheVsickVaccountedVforVtheVmajorityVo
fVescalatingVhealthVcareVdollars,VwhichVincreasedVfromV5.7%VofVtheVgrossVdomesticVprod
uctVinV1965VtoV17.8%VinV2015.VPoliticiansVandVtheVmediaVbothVinfluenceVAmericans’Vpe
rceptionsVaboutVhealthVcare;Vhowever,VtheyVareVnotVtheVprimaryVreasonVwhyVAmericansV
areVconcerned.VTheVnewVhealthVcareVsystemVwillVchangeVtheVhealthVcareVaccessVandVava
ilability,VbutVwillVnotVnecessarilyVbeVofferingVanyVfreeVservicesVtoVAmericans.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
2. AVnurseVhasVbegunVtoVlobbyVwithVpoliticiansVforVchangesVtoVtheVhealthVcareVsystem.VW
hyVisVthisVinvolvementVimportant?
a. Nurses,VasVcentralVcharactersVinVseveralVpopularVTVVseries,VareVcurrentl
yVveryVvisibleVinVAmericanVm ed iNa.
b. NursesVareVprimarilyVresp onUsibS
le VfoNrVmTanagingOthe VvariousVunitsVinVourVhealthVcare
system.
c. NursesVareVtheVlargestVsegmentVofVhealthVcareVproviders.
d. NursesVareVtheVonlyVgroupVthatVisVemployedVbothVinsideVandVoutsideVofVhospitals.
ANS:V C
AsVtheVlargestVsegmentVofVhealthVcareVproviders,VnursesVareVinformedVaboutVtheVcurrent
VhealthVcareVsystemVandVallVtheVproblemsVthatVresultVfromVpeopleVnotVseekingVcareVunti
lVtheyVareVdesperatelyVill.VNurses,VasVtheVAmericanVNursesVAssociationV(ANA)Vemphasi
ze,VusuallyVbelieveVthatVhealthVcareVisVaVright,VnotVaVprivilege.VTherefore,Vnurses,Vwhos
eVworkVisVcentralVtoVourVcurrentVhealthVcareVdeliveryVsystem,VcanValsoVbeVinstrumentalV
inVworkingVpoliticallyVtoVcreateVaVhealthVcareVdeliveryVsystemVthatVwillVmeetVhealthVnee
ds.VWhileVnursesVareVinVseveralVcurrentVTVVseriesVandVareVemployedVbothVinsideVandVo
utsideVofVhospitals,VphysiciansVandVotherVhealthVcareVprovidersVareVasVwell.VNursesVareV
oftenVmanagers,VbutVmanagersVoftenVhaveVotherVbackgrounds,VsuchVasVbusinessVadminist
ration.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
3. WhatVconclusionVcanVbeVdrawnVfromVexaminingVwhereVnursesVareVemployed?
MedConnoisseurV©V202
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,a. ThereVisVaVtrendVtowardVconsolidationVofVhealthVcareVintoVlargeVcentralVmedical
MedConnoisseurV©V202
2
, centers.
b. ThereVisVanVincreasedVemphasisVonVcommunity-basedVhealthVcare.
c. ThereVisVanVobviousVneedVtoVdecreaseVhealthVcareVcostsVbyVcuttingVpositions.
d. ManagedVcareVorganizationsV(MCOs)VareVemployingVnursesVtoVimproveVcustomer
relations.
ANS:V B
MCOsVareVemployingVnursesVinVmanyVcapacities.VAlthoughVhospitalsVareVclosingVandVacu
teVcareVisVincreasinglyVfoundVinVcentralVmedicalVcenters,VtheVsameVtrendVmayVbeVseenVin
VanVincreaseVinVneighborhood-
basedVpracticeVcenters.VWhileVpositionsVareVcutVinVmostVindustries,VhealthVcareVisVrecogn
izedVasVanVareaVwhereVgrowthVinVemploymentVisVexpected.VHowever,VnursesVareVincreasi
nglyVemployedVinVcommunityVsettingsVasVopposedVtoVhospitals.VThisVchangeVreflectsVtheV
moveVtowardVcommunity-basedVcareVratherVthanVhospital-
basedVtertiaryVcare.VToVhelpVdecreaseVtheVcontinuedVriseVinVhealthVcareVcosts,VtheVincrea
sedVemphasisVisVonVdiseaseVpreventionVratherVthanVhigh-costVtreatment.
DIF: CognitiveVLevel:VUnderstandV(Comprehension)
4. WhichVethicalVbeliefVwouldVbeVmostVhelpfulVinVtheVcurrentVhealthVcareVcrisis?
a. EmphasisVshouldVbeVonVindividualVandVcorporationVfreedomVinVtheVmarketplace.
b. EmphasisVshouldVbeVonVindividualVautonomyVandVfreedomVofVchoice.
c. EmphasisVshouldVbeVonVsocialVjusticeVandVcollectiveVresponsibility.
d. EmphasisVshouldVbeVonVtheVeffectivenessVofVtechnologyVinVresolvingVproblems.
ANS:V C
PublicVhealthVrecognizesVtheVnecessityVofVcollectiveVactionVinVkeepingVtheVenvironmentVs
afeVandVinVegalitarianVtraditionVandVvision.VAnVoverinvestmentVinVtechnologyVandVseekin
gVofVcuresVwithinVtheVmarketVjusticeVsystemVhasVstifledVtheVevolutionVofVaVhealthVsyste
mVtoVprotectVandVpreserveVtheVhealthVofVtheVpopulation.VAlthoughVindividualVautonomyV
andVfreedomVofVchoiceVareVimportant,VsoVisVtheVrecognitionVofVcollectiveVresponsibilityVi
nVensuringVsocialVjustice,VwhichVentitlesVallVpeopleVtoVbasicVnecessities.
DIF: CognitiveVLevel:VApplyV(Application)
5. WhatVisVtheVprimaryVproblemVseenVinVHealthyVPeopleV2020’sVemphasisVonVchoosingV
healthyVlifestyleVbehaviors,VsuchVasVdailyVexerciseVorVhealthyVfoodVchoices?
a. EmphasisVonVotherVlifestyleVchoices,VsuchVasVnotVsmokingVandVminimalV
useVofValcoholVorVdrugs,VisValsoVneeded.
b. AllVofVusVmustVworkVtogetherVtoVmakeVunhealthyVbehaviorsVsociallyVunacceptable.
c. ItVcostsVmoreVtoVmakeVhealthyVchoices,VsuchVasVbuyingVandVeatingVfreshVfr
uitsVandVvegetablesVasVopposedVtoVquickVandVcheapVfast-foodVchoices.
d. PublicVpolicyVemphasizesVpersonalVresponsibilityVbutVignoresVsocial
VandVenvironmentalVchangesVneededVforVwell-being.
ANS:V D
AlthoughVallVresponsesVareVaccurate,VtheVprimaryVproblemVisVtheVemphasisVonVpersonalV
choicesVinVtheVHealthyVPeopleV2020Vobjectives.VEmphasisVonVpersonalVchoicesVignoresVt
heVneedVforVcommunityVresponsibilityVandVactionVthatVaddressesVenvironmentalVorVcultur
alVrestraintsVtoVhealth.
DIF: CognitiveVLevel:VApplyV(Application)
6. WhatVresponsibilityVdoesVtheVAmericanVNursesVAssociationV(ANA)VCodeVofVEthicsVreq
uireVofVtheVnurseVbeyondVgivingVexcellentVcareVtoVpatients?
MedConnoisseurV©V202
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