,
,Chapter 01: Health: A Community View
d$ d$ d$ d$ d$
Nies: Community/Public Health Nursing, 8th Edition
d$ d$ d$ d$ d$
MULTIPLE CHOICE d$
1. Which best describes the primary reason that Americans are concerned about health care?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. Politicians are discussing how to improve health care. d$ d$ d$ d$ d$ d$ d$
b. The media has provided mixed messages about the health care system.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. Our national health care costs keep increasing.
d$ d$ d$ d$ d$ d$
d. The new health care system offers free services to Americans.
d$ d$ d$ d$ d$ d$ d$ d$ d$
ANS: C d $
The primary reason for the focus on health care is the constantly increasing costs, which c
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about heal
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
th care; however, they are not the primary reason why Americans are concerned. The new h
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ealth care system will change the health care access and availability, but will not necessaril
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
y be offering any free services to Americans.
d$ d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Understand (Comprehension) d$ d$ d$
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
his involvement important?
d$ d$
a. Nurses, as central characters in several popular TV series, are currently ve
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ry visible in American m e d iNa . R I G B.CM
d$ d$ d$ d$ d $ d$ d$ $
d
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
d$
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
system.
c. Nurses are the largest segment of health care providers.
d$ d$ d$ d$ d$ d$ d$ d$
d. Nurses are the only group that is employed both inside and outside of hospitals.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ANS: C d$
As the largest segment of health care providers, nurses are informed about the current healt
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
h care system and all the problems that result from people not seeking care until they are d
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ur current health care delivery system, can also be instrumental in working politically to cr
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
eate a health care delivery system that will meet health needs. While nurses are in several
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
current TV series and are employed both inside and outside of hospitals, physicians and oth
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
er health care providers are as well. Nurses are often managers, but managers often have o
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ther backgrounds, such as business administration.
d$ d$ d$ d$ d$
DIF: Cognitive Level: Understand (Comprehension) d$ d$ d$
3. What conclusion can be drawn from examining where nurses are employed?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. There is a trend toward consolidation of health care into large central medic
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
al centers. d$
b. There is an increased emphasis on community-based health care.
d$ d$ d$ d$ d$ d$ d$ d$
c. There is an obvious need to decrease health care costs by cutting positions.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. Managed care organizations (MCOs) are employing nurses to improve customer
d$ d$ d$ d$ d$ d$ d$ d$ d$
,
,Chapter 01: Health: A Community View
d$ d$ d$ d$ d$
Nies: Community/Public Health Nursing, 8th Edition
d$ d$ d$ d$ d$
MULTIPLE CHOICE d$
1. Which best describes the primary reason that Americans are concerned about health care?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. Politicians are discussing how to improve health care. d$ d$ d$ d$ d$ d$ d$
b. The media has provided mixed messages about the health care system.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. Our national health care costs keep increasing.
d$ d$ d$ d$ d$ d$
d. The new health care system offers free services to Americans.
d$ d$ d$ d$ d$ d$ d$ d$ d$
ANS: C d $
The primary reason for the focus on health care is the constantly increasing costs, which c
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about heal
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
th care; however, they are not the primary reason why Americans are concerned. The new h
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ealth care system will change the health care access and availability, but will not necessaril
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
y be offering any free services to Americans.
d$ d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Understand (Comprehension) d$ d$ d$
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
his involvement important?
d$ d$
a. Nurses, as central characters in several popular TV series, are currently ve
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ry visible in American m e d iNa . R I G B.CM
d$ d$ d$ d$ d $ d$ d$ $
d
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
d$
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
system.
c. Nurses are the largest segment of health care providers.
d$ d$ d$ d$ d$ d$ d$ d$
d. Nurses are the only group that is employed both inside and outside of hospitals.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ANS: C d$
As the largest segment of health care providers, nurses are informed about the current healt
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
h care system and all the problems that result from people not seeking care until they are d
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ur current health care delivery system, can also be instrumental in working politically to cr
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
eate a health care delivery system that will meet health needs. While nurses are in several
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
current TV series and are employed both inside and outside of hospitals, physicians and oth
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
er health care providers are as well. Nurses are often managers, but managers often have o
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ther backgrounds, such as business administration.
d$ d$ d$ d$ d$
DIF: Cognitive Level: Understand (Comprehension) d$ d$ d$
3. What conclusion can be drawn from examining where nurses are employed?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. There is a trend toward consolidation of health care into large central medic
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
al centers. d$
b. There is an increased emphasis on community-based health care.
d$ d$ d$ d$ d$ d$ d$ d$
c. There is an obvious need to decrease health care costs by cutting positions.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. Managed care organizations (MCOs) are employing nurses to improve customer
d$ d$ d$ d$ d$ d$ d$ d$ d$
,
