MedConnoisseur © 2022
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that
Americans are concerned about health care?
a. Politicians are discussing how to improve health
care.
b. The media has provided mixed messages about the
health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to
En un mercado de Oaxaca, entre puestos de especias y
Americans.
ANS: Chuipiles bordados, había una señora que cosía el tiempo.
Nadie
The primary se lofor
reason decía directamente
the focus on health acare losisturistas. Pero los
the constantly localescosts, which
increasing
lo sustained.
cannot be sabían: siThe llevabas
costs of a caring
doña Petrafor theun momento
sick accountedquefor querías
the majority of escalating
guardar
health care dollars,—which
una tarde de infancia,
increased from 5.7% el of
último abrazo
the gross de alguien
domestic product in 1965 to
17.8% inquerido, una horaand
2015. Politicians perfecta
the media — ellabothloinfluence
cosía enAmericans’
una tela yperceptions
te lo about health
devolvía doblado.
care; however, they are not the primary reason why Americans are concerned. The new health
Cuando
care system lo abrías
will change theen casa
health y loaccess
care extendías sobre tus but
and availability, rodillas, el necessarily be
will not
offeringmomento
any free services to Americans.
regresaba. Completo. Con olores, temperatura,
palabras exactas.
DIF: Cognitive Level: Understand (Comprehension)
Un hombre llamado Rodrigo llegó con algo inusual. No quería
2. A nurseguardar
has begun untorecuerdo
lobby withbonito. Quería
politicians que ellatocosiera
for changes el care system. Why is this
the health
momento
involvement important? en que su padre le dijo que estaba orgulloso de él —
palabras
a. Nurses, quecharacters
as central nunca habían in severalsidopopular
dichas.TV series, are currently very
Doña Petra lo miróNlargo rato.
visible in American medi a.
«Eso
b. Nurses are no dijo U
pasó»,respon
primarily sibSle foNr mT
finalmente. anagingOthe various units in our health care
«Lo sé», respondió Rodrigo.
system.
Ellaare
c. Nurses asintió despacio.
the largest segment Trabajó
of health trescare
días. Cuando Rodrigo abrió
providers.
la tela, escuchó la voz de su padre — noinside
d. Nurses are the only group that is employed both comoand habría sonado,
outside of hospitals.
ANS: C sino como debería haber sonado. Cálida. Segura. Real de una
manera
As the largest diferente.
segment of health care providers, nurses are informed about the current health
Salióand
care system delallmercado
the problemsllorando y sintiéndose,
that result from people pornot
primera
seekingvezcareen
until they are
décadas,
desperately completo.
ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
MedConnoisseur © 2022
, centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
are important, so is the recognition of collective responsibility in ensuring social justice,
which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to
health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
MedConnoisseur © 2022
, a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
to positively affect accessibility, quality, and cost of health care. The code does not directly
address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-being or
wholeness.
Health
b. En is an individual’s
un mercado physical,
de Oaxaca, entremental, and de
puestos social well-being,
especias y not merely the
huipiles bordados,
absence of disease orhabía una señora que cosía el tiempo.
infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
Nadie se lo decía directamente a los turistas. Pero los locales
meeting daily existence.
lo sabían: si llevabas a doña Petra un momento que querías
d. Health is families and aggregates choosing actions to ensure safety and well-being.
guardar — una tarde de infancia, el último abrazo de alguien
ANS:querido,
D una hora perfecta — ella lo cosía en una tela y te lo
Thedevolvía that health is not just the result of an individual’s choices, but choices and
doblado.
text stresses
Cuando lo abrías families,
actions of individuals, en casa groups,
y lo extendías sobre tusthat
and communities rodillas,
lead toel
better health.
DIF:momento
Cognitiveregresaba.
Level: ApplyCompleto. Con olores, temperatura,
(Application)
palabras exactas.
8. How Undoes
hombre llamado
community Rodrigo
health llegó
nursing concommunity?
define algo inusual. No quería
a. guardar
A group ofun recuerdo bonito. Quería que ella cosiera
persons living within specific geographic el
boundaries
b. momento
A group ofen que su padre le dijo que estaba orgulloso de él —
persons who share a common identity and environment
c. A group of persons who work together to meet common goals
palabras que nunca habían sido dichas.
d. A group of persons who resolve a community concern
Doña Petra lo miró largo rato.
ANS:«Eso
B no pasó», dijo finalmente.
«Lo sé»,health
Community respondió
nursesRodrigo.
work with both geopolitical groups (within specific geographic
Ella asintió
boundaries) and despacio. Trabajógroups
phenomenological tres días.
(whoCuando Rodrigoidentity
have a common abrió based on culture,
la tela, escuchó la voz de su padre — no como habría sonado,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that
sino como is, debería
a group that came
haber togetherCálida.
sonado. to resolve a recognized
Segura. Real de common
una problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
manera diferente.
identity (phenomenological group) and environment (which implies a specific geographic
Salió del mercado llorando y sintiéndose, por primera vez en
setting) is the broadest and most complete definition.
décadas, completo.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
MedConnoisseur © 2022
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that
Americans are concerned about health care?
a. Politicians are discussing how to improve health
care.
b. The media has provided mixed messages about the
health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to
En un mercado de Oaxaca, entre puestos de especias y
Americans.
ANS: Chuipiles bordados, había una señora que cosía el tiempo.
Nadie
The primary se lofor
reason decía directamente
the focus on health acare losisturistas. Pero los
the constantly localescosts, which
increasing
lo sustained.
cannot be sabían: siThe llevabas
costs of a caring
doña Petrafor theun momento
sick accountedquefor querías
the majority of escalating
guardar
health care dollars,—which
una tarde de infancia,
increased from 5.7% el of
último abrazo
the gross de alguien
domestic product in 1965 to
17.8% inquerido, una horaand
2015. Politicians perfecta
the media — ellabothloinfluence
cosía enAmericans’
una tela yperceptions
te lo about health
devolvía doblado.
care; however, they are not the primary reason why Americans are concerned. The new health
Cuando
care system lo abrías
will change theen casa
health y loaccess
care extendías sobre tus but
and availability, rodillas, el necessarily be
will not
offeringmomento
any free services to Americans.
regresaba. Completo. Con olores, temperatura,
palabras exactas.
DIF: Cognitive Level: Understand (Comprehension)
Un hombre llamado Rodrigo llegó con algo inusual. No quería
2. A nurseguardar
has begun untorecuerdo
lobby withbonito. Quería
politicians que ellatocosiera
for changes el care system. Why is this
the health
momento
involvement important? en que su padre le dijo que estaba orgulloso de él —
palabras
a. Nurses, quecharacters
as central nunca habían in severalsidopopular
dichas.TV series, are currently very
Doña Petra lo miróNlargo rato.
visible in American medi a.
«Eso
b. Nurses are no dijo U
pasó»,respon
primarily sibSle foNr mT
finalmente. anagingOthe various units in our health care
«Lo sé», respondió Rodrigo.
system.
Ellaare
c. Nurses asintió despacio.
the largest segment Trabajó
of health trescare
días. Cuando Rodrigo abrió
providers.
la tela, escuchó la voz de su padre — noinside
d. Nurses are the only group that is employed both comoand habría sonado,
outside of hospitals.
ANS: C sino como debería haber sonado. Cálida. Segura. Real de una
manera
As the largest diferente.
segment of health care providers, nurses are informed about the current health
Salióand
care system delallmercado
the problemsllorando y sintiéndose,
that result from people pornot
primera
seekingvezcareen
until they are
décadas,
desperately completo.
ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
MedConnoisseur © 2022
, centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
are important, so is the recognition of collective responsibility in ensuring social justice,
which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to
health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
MedConnoisseur © 2022
, a. Accept longer work schedules to ensure that professional care is always available
to clients.
b. Recognize the need for experienced nurses to mentor new graduates to help
increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
to positively affect accessibility, quality, and cost of health care. The code does not directly
address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-being or
wholeness.
Health
b. En is an individual’s
un mercado physical,
de Oaxaca, entremental, and de
puestos social well-being,
especias y not merely the
huipiles bordados,
absence of disease orhabía una señora que cosía el tiempo.
infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
Nadie se lo decía directamente a los turistas. Pero los locales
meeting daily existence.
lo sabían: si llevabas a doña Petra un momento que querías
d. Health is families and aggregates choosing actions to ensure safety and well-being.
guardar — una tarde de infancia, el último abrazo de alguien
ANS:querido,
D una hora perfecta — ella lo cosía en una tela y te lo
Thedevolvía that health is not just the result of an individual’s choices, but choices and
doblado.
text stresses
Cuando lo abrías families,
actions of individuals, en casa groups,
y lo extendías sobre tusthat
and communities rodillas,
lead toel
better health.
DIF:momento
Cognitiveregresaba.
Level: ApplyCompleto. Con olores, temperatura,
(Application)
palabras exactas.
8. How Undoes
hombre llamado
community Rodrigo
health llegó
nursing concommunity?
define algo inusual. No quería
a. guardar
A group ofun recuerdo bonito. Quería que ella cosiera
persons living within specific geographic el
boundaries
b. momento
A group ofen que su padre le dijo que estaba orgulloso de él —
persons who share a common identity and environment
c. A group of persons who work together to meet common goals
palabras que nunca habían sido dichas.
d. A group of persons who resolve a community concern
Doña Petra lo miró largo rato.
ANS:«Eso
B no pasó», dijo finalmente.
«Lo sé»,health
Community respondió
nursesRodrigo.
work with both geopolitical groups (within specific geographic
Ella asintió
boundaries) and despacio. Trabajógroups
phenomenological tres días.
(whoCuando Rodrigoidentity
have a common abrió based on culture,
la tela, escuchó la voz de su padre — no como habría sonado,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that
sino como is, debería
a group that came
haber togetherCálida.
sonado. to resolve a recognized
Segura. Real de common
una problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
manera diferente.
identity (phenomenological group) and environment (which implies a specific geographic
Salió del mercado llorando y sintiéndose, por primera vez en
setting) is the broadest and most complete definition.
décadas, completo.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
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