,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8th Edition
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MULTIPLE CHOICE jt
1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. jt jt jt jt jt jt jt
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing. jt jt jt jt jt jt
d. The new health care system offers free services to Americans. jt jt jt jt jt jt jt jt jt
ANS: C j t
The primary reason for the focus on health care is the constantly increasing costs, which cannot be
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sustained. The costs of caring for the sick accounted for the majority of escalating health care doll
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ars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 2015. Politicia
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ns and the media both influence Americans’ perceptions about health care; however, they are not t
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he primary reason why Americans are concerned. The new health care system will change the heal
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th care access and availability, but will not necessarily be offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) jt jt jt
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this invol
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vement important? jt
a. Nurses, as central characters in several popular TV series, are currently very vis jt jt jt jt jt jt jt jt jt jt jt jt
ible in American m e d iNa . R I G B.CM jt jt jt j t jt jt t
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b. Nurses are primarily responUsibSle foNr mTanagingOthe various units in our health care
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system.
c. Nurses are the largest segment of health care providers. jt jt jt jt jt jt jt jt
d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C jt
As the largest segment of health care providers, nurses are informed about the current health care
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system and all the problems that result from people not seeking care until they are desperately ill.
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Nurses, as the American Nurses Association (ANA) emphasize, usually believe that health care i
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s a right, not a privilege. Therefore, nurses, whose work is central to our current health care delive
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ry system, can also be instrumental in working politically to create a health care delivery system t
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hat will meet health needs. While nurses are in several current TV series and are employed both in
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side and outside of hospitals, physicians and other health care providers are as well. Nurses are oft
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en managers, but managers often have other backgrounds, such as business administration.
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DIF: Cognitive Level: Understand (Comprehension) jt jt jt
3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central medical cen
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ters.
b. There is an increased emphasis on community-based health care. jt jt jt jt jt jt jt jt
c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer jt jt jt jt jt jt jt jt jt
,