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.
Le quai
c. Our étaithealth
national désert à trois
care costsheures du matin. Élise attendait le
keep increasing.
dernier
d. The newtrain
healthavec
care une
system valise trop
offers lourde
free et un
services to cœur encore plus
lourd. Elle
Americans. quittait Paris après quinze ans — sans regarder en
arrière, s'était-elle promis.
ANS: C
Le train arriva dans un nuage de vapeur anachronique. Élise
The primary reason for the focus on health care is the constantly increasing costs, which
fronça
cannot les sourcils
be sustained. The: costs
les trains modernes
of caring ne produisaient
for the sick accounted for pas de
the majority of escalating
vapeur. Elle monta quand même.
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
Lesincompartiments
17.8% 2015. Politiciansétaient
and theremplis
media bothde voyageurs habillés à perceptions
influence Americans’ la about health
care;mode des they
however, années 1920.
are not Personne
the primary ne semblait
reason la remarquer.
why Americans are concerned. The new health
careElle s'assit
system willface
changeà un
thehomme élégant
health care accessqui
andlisait un journal
availability, butdaté
will not necessarily be
du 14
offering novembre
any 1924.
free services to Americans.
« Où allez-vous ? » demanda-t-il sans lever les yeux.
DIF:« ÀCognitive
Lyon »,Level: Understand
répondit-elle (Comprehension)
prudemment.
« Tout le monde ici va quelque part qu'il a fui », dit-il. « Ce train
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
ne mèneimportant?
involvement pas aux villes. Il mène aux moments où l'on aurait dû
prendreasune
a. Nurses, décision
central différente.
characters in several» popular TV series, are currently very
Élise regarda
visible in Americanpar la
medifenêtre.
Na. Le paysage défilait à rebours —
les immeubles
b. Nurses are primarily responUsibplus
devenaient Sle foNrpetits,
mT lesOrues
anaging moinsunits
the various larges.
in our health care
Elle reconnut
system. soudain le café où, dix ans plus tôt, elle avait
raccroché
c. Nurses le téléphone
are the largest segmentsansofrépondre.
health care providers.
La portière
d. Nurses s'ouvrit
are the d'elle-même.
only group that is employed both inside and outside of hospitals.
Elle avait une seconde chance.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately 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
Le quai
increasingly était désert
employed à trois settings
in community heures as duopposed
matin. Élise attendait
to hospitals. lechange reflects the
This
dernier train avec une valise trop lourde et un
move toward community-based care rather than hospital-based tertiary care.cœur encore plusTo help decrease
lourd.rise
the continued Elleinquittait Paris
health care après
costs, thequinze
increasedans — sansisregarder
emphasis on diseaseenprevention rather
arrière,
than high-cost s'était-elle promis.
treatment.
Le train arriva dans un nuage de vapeur anachronique. Élise
DIF: Cognitive Level:
fronça les Understand
sourcils : les(Comprehension)
trains modernes ne produisaient pas de
vapeur.
4. Which ethical Ellewould
belief monta bequand même.
most helpful in the current health care crisis?
Les compartiments étaient remplis
a. Emphasis should be on individual and corporation de voyageurs
freedom habillés à la
in the marketplace.
modeshould
b. Emphasis des années 1920. Personne
be on individual autonomyne andsemblait
freedomlaofremarquer.
choice.
c. Emphasis should be on social justice and collective responsibility. daté
Elle s'assit face à un homme élégant qui lisait un journal
du 14should
d. Emphasis novembrebe on 1924.
the effectiveness of technology in resolving problems.
« Où allez-vous ? » demanda-t-il sans lever les yeux.
ANS: C
« À Lyon
Public health », répondit-elle
recognizes the necessity prudemment.
of collective action in keeping the environment safe and
« Tout le monde ici va quelque
in egalitarian tradition and vision. An overinvestment part qu'il ainfui », dit-il. «and
technology Ceseeking
train of cures
within thenemarket
mènejustice
pas aux villes.
system hasIl stifled
mène the auxevolution
moments of où l'on aurait
a health systemdû to protect and
preserveprendre
the healthune décision
of the différente.
population. Although» individual autonomy and freedom of choice
Élise regarda
are important, par la fenêtre.
so is the recognition Le paysage
of collective défilait àinrebours
responsibility ensuring—social justice,
les immeubles
which entitles all people todevenaient plus petits, les rues moins larges.
basic necessities.
Elle reconnut
DIF: Cognitive soudain
Level: Apply le café où, dix ans plus tôt, elle avait
(Application)
raccroché
5. What is the primary le téléphone
problem seen sans répondre.
in Healthy People 2020’s emphasis on choosing healthy
La portière s'ouvrit d'elle-même.
lifestyle behaviors, such as daily exercise or healthy food choices?
Elle avait
a. Emphasis unelifestyle
on other seconde chance.
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.
b. Health is an individual’s physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices and
actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
identity (phenomenological group) and environment (which implies a specific geographic
setting) is the broadest and most complete definition.
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.
Le quai
c. Our étaithealth
national désert à trois
care costsheures du matin. Élise attendait le
keep increasing.
dernier
d. The newtrain
healthavec
care une
system valise trop
offers lourde
free et un
services to cœur encore plus
lourd. Elle
Americans. quittait Paris après quinze ans — sans regarder en
arrière, s'était-elle promis.
ANS: C
Le train arriva dans un nuage de vapeur anachronique. Élise
The primary reason for the focus on health care is the constantly increasing costs, which
fronça
cannot les sourcils
be sustained. The: costs
les trains modernes
of caring ne produisaient
for the sick accounted for pas de
the majority of escalating
vapeur. Elle monta quand même.
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
Lesincompartiments
17.8% 2015. Politiciansétaient
and theremplis
media bothde voyageurs habillés à perceptions
influence Americans’ la about health
care;mode des they
however, années 1920.
are not Personne
the primary ne semblait
reason la remarquer.
why Americans are concerned. The new health
careElle s'assit
system willface
changeà un
thehomme élégant
health care accessqui
andlisait un journal
availability, butdaté
will not necessarily be
du 14
offering novembre
any 1924.
free services to Americans.
« Où allez-vous ? » demanda-t-il sans lever les yeux.
DIF:« ÀCognitive
Lyon »,Level: Understand
répondit-elle (Comprehension)
prudemment.
« Tout le monde ici va quelque part qu'il a fui », dit-il. « Ce train
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
ne mèneimportant?
involvement pas aux villes. Il mène aux moments où l'on aurait dû
prendreasune
a. Nurses, décision
central différente.
characters in several» popular TV series, are currently very
Élise regarda
visible in Americanpar la
medifenêtre.
Na. Le paysage défilait à rebours —
les immeubles
b. Nurses are primarily responUsibplus
devenaient Sle foNrpetits,
mT lesOrues
anaging moinsunits
the various larges.
in our health care
Elle reconnut
system. soudain le café où, dix ans plus tôt, elle avait
raccroché
c. Nurses le téléphone
are the largest segmentsansofrépondre.
health care providers.
La portière
d. Nurses s'ouvrit
are the d'elle-même.
only group that is employed both inside and outside of hospitals.
Elle avait une seconde chance.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately 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
Le quai
increasingly était désert
employed à trois settings
in community heures as duopposed
matin. Élise attendait
to hospitals. lechange reflects the
This
dernier train avec une valise trop lourde et un
move toward community-based care rather than hospital-based tertiary care.cœur encore plusTo help decrease
lourd.rise
the continued Elleinquittait Paris
health care après
costs, thequinze
increasedans — sansisregarder
emphasis on diseaseenprevention rather
arrière,
than high-cost s'était-elle promis.
treatment.
Le train arriva dans un nuage de vapeur anachronique. Élise
DIF: Cognitive Level:
fronça les Understand
sourcils : les(Comprehension)
trains modernes ne produisaient pas de
vapeur.
4. Which ethical Ellewould
belief monta bequand même.
most helpful in the current health care crisis?
Les compartiments étaient remplis
a. Emphasis should be on individual and corporation de voyageurs
freedom habillés à la
in the marketplace.
modeshould
b. Emphasis des années 1920. Personne
be on individual autonomyne andsemblait
freedomlaofremarquer.
choice.
c. Emphasis should be on social justice and collective responsibility. daté
Elle s'assit face à un homme élégant qui lisait un journal
du 14should
d. Emphasis novembrebe on 1924.
the effectiveness of technology in resolving problems.
« Où allez-vous ? » demanda-t-il sans lever les yeux.
ANS: C
« À Lyon
Public health », répondit-elle
recognizes the necessity prudemment.
of collective action in keeping the environment safe and
« Tout le monde ici va quelque
in egalitarian tradition and vision. An overinvestment part qu'il ainfui », dit-il. «and
technology Ceseeking
train of cures
within thenemarket
mènejustice
pas aux villes.
system hasIl stifled
mène the auxevolution
moments of où l'on aurait
a health systemdû to protect and
preserveprendre
the healthune décision
of the différente.
population. Although» individual autonomy and freedom of choice
Élise regarda
are important, par la fenêtre.
so is the recognition Le paysage
of collective défilait àinrebours
responsibility ensuring—social justice,
les immeubles
which entitles all people todevenaient plus petits, les rues moins larges.
basic necessities.
Elle reconnut
DIF: Cognitive soudain
Level: Apply le café où, dix ans plus tôt, elle avait
(Application)
raccroché
5. What is the primary le téléphone
problem seen sans répondre.
in Healthy People 2020’s emphasis on choosing healthy
La portière s'ouvrit d'elle-même.
lifestyle behaviors, such as daily exercise or healthy food choices?
Elle avait
a. Emphasis unelifestyle
on other seconde chance.
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.
b. Health is an individual’s physical, mental, and social well-being, not merely the
absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her environment in
meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices and
actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on culture,
history, or goals). A particular phenomenological group may or may not have been a planned
group—that is, a group that came together to resolve a recognized common problem or to
meet a common goal. However, of all the choices, a group of persons who share a common
identity (phenomenological group) and environment (which implies a specific geographic
setting) is the broadest and most complete definition.
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
