TEST BANK FOR COMMUNITY/PUBLIC
HEALTH NURSING-8TH EDITION BY MARY
A. NIES -ISBN-13; 978- 0323795319
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,TEST BANK FOR COMMUNITY|PUBLIC HEALTH NURSING 8TH EDITION
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing
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 Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing
costs, which cannot be sustained. The costs of caring for the sick accounted
for the majority of escalating health care dollars, which increased from 5.7%
of the gross domestic product in 1965 to 17.8% in 2015. Politicians and the
media both influence Americans’ perceptions about health care; however,
they are not the primary reason why Americans are concerned. The new
health care system will change the health care access and availability, but
will not necessarily be offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care
system. Why is this involvement important?
a. Nurses, as central characters in several popular TV series, are
currently very visible in American media.
b. Nurses are primarily responsible for managing the various units in
our health care system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
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?
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,TEST BANK FOR COMMUNITY|PUBLIC HEALTH NURSING 8TH EDITION
a. There is a trend toward consolidation of health care into large
central medical 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
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, TEST BANK FOR COMMUNITY|PUBLIC HEALTH NURSING 8TH EDITION
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.
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