TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING:
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Promoting the Health of Populations; 8TH EDITION BY MARY &
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MELANIE n1l7
,CH 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8TH Edition
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MULTIPLE CHOICE n1l7
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. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
b. The media has provided mixed messages about the primary care system.
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c. Our national primary care costs keep increasing.n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
d. The new primary care system offers free services to Americans.
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ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>The primary reason for the focus on primary care is the n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
constantly increasing costs, which cannot be sustained. The costs of caring for the
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sick accounted for the majority of escalating primary care dollars, which increased
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from 5.7% of the gross domestic product in 1965 to 17.8% in 2015. Politicians and
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the media both influence Americans‘ perceptions about healthcare; however, they are
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not the primary reason why Americans are concerned. The new healthcare system
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will change the primary care access and availability, but will not necessarily be
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offering any free services to Americans.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
2. A nursing attendant has begun to lobby with politicians for changes to the primary care
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n1l7 system. Why is thisinvolvement important? n1l7 n1l7 n1l7 n1l7
a. Nursing attendants, as central characters in several popular TV series,
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are currently veryvisible N inR American med i a. I n1l7 n1l7 n1l7 n1l7 n1l7 n 1 l 7
b. Nursing attendants are primarilyresponUsi bS
l e foNr mTa na g in gOt he various units in our health care
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system.
c. Nursing attendants are the largest segment of primary care providers.n1l7 n1l7 n1l7 n1l7 n 1l7 n1l7 n1l7 n1l7 n1l7
d. Nursing attendants are the only group that is employed both inside and outside of health
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centers. n1l7
ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>As the largest segment of primary care providers, nursing n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
attendants are informed about the current primary care system and all the problems
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that result from people not seeking care until they are desperately ill. Nursing
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attendants, as the American Nursing attendants Association (ANA) emphasize,
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usually believe that primary care is a right, not a privilege. Therefore, nursing
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attendants, whose work is central toour current primary care delivery system, can
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also be instrumental in working politically to create a primary care delivery system
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that will meet health needs. While nursing attendants are in several current TV
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series and are employed both inside and outside of health centers, physicians and
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otherprimary care providers are as well.
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Nursing attendants are often managers, but managers often have other backgrounds, such as
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business administration.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
3. What conclusion can be drawn from examining where nursing attendants are employed?
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a. There is a trend toward consolidation of primary care into large central
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medical centers.
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b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease primary care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nursing attendants to improve customer
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, relations.
ACCURATE CHOICE:-B n1l7
HYPOTHESIS:>>>MCOs are employing nursing attendants in many capacities. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
Although health centers are closing and acute careis increasingly found in central
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medical centers, the same trend may be seen in an increase in neighborhood-based
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practice centers. While positions are cut in most industries, primary care isrecognized
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as an area where growth in employment is expected. However, nursing attendants
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are increasingly employed in community settings as opposed to health centers. This
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change reflects themove toward community-based care rather than health center-based
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tertiary care. To help decreasethe continued rise in primary care costs, the increased
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emphasis is on disease prevention rather than high-cost treatment.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
4. Which ethical belief would be most helpful in the current primary care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace.
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b. Emphasis should be on individual autonomy and freedom of choice. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n 1 l7 n1l7 n1l7
c. Emphasis should be on social justice and collective responsibility. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
d. Emphasis should be on the effectiveness of technology in resolving problems.
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ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>Public health recognizes the necessity of collective action in keeping n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
the environment safe andin egalitarian tradition and vision. An overinvestment in
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technology and seeking of cures within the market justice system has stifled the
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evolution of a health system to protect and preserve the health of the population.
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Although individual autonomy and freedom of choice are important, so is the
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recognition of collective responsibility in ensuring social justice, which entitles all
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people to basic necessities.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
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healthy lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal use
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of alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits
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and vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but ignores social and
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environmental changes needed for well-being.
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ACCURATE CHOICE:-D n1l7
HYPOTHESIS:>>>Although all responses are accurate, the primary problem is the n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
emphasis on personal choicesin the Healthy People 2020 objectives. Emphasis on
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personal choices ignores the need for community responsibility and action that
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addresses environmental or cultural restraints to health.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
6. What responsibility does the American Nursing attendants Association (ANA)
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Code of Ethics require ofthe nursing attendant beyond giving excellent care to
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victims?
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a. Accept longer work schedules to ensure that professional care is always available
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, to hospital clients.
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b. Recognize the need for experienced nursing attendants to mentor new n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
graduates to helpincrease and expand the number of professionals
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available.
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c. Support health legislation to improve accessibility and cost of health care.
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d. Volunteer to work overtime as needed to ensure maximum quality of care. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n 1l7 n 1l7 n1l7 n1l7 n1l7
ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>The ANA Code of Ethics promotes social reform by focusing on n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
health policy and legislationto positively affect accessibility, quality, and cost of
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health care. The code does not directly address workplace issues, such as work
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schedules or need for overtime.
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DIFFICULT: Cognitive Level: Analyze (Analysis) n1l7 n1l7 n1l7
7. What is the community health nursing definition of health?
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a. Health is a person‘s goal-directed purposeful process toward well-being
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n1l7 or wholeness. n1l7
b. Health is an individual‘s physical, mental, and social well-being, not merely
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the absence of disease or infirmity.
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c. Health is the mutual adaptation between a person and his or her environment
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in meeting daily existence.
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d. Health is families and aggregates choosing actions to ensure safetyand well-being.
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ACCURATE CHOICE:-D n1l7
HYPOTHESIS:>>>The text stresses that health is not just the result of an individual‘s n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
choices, but choices andactions of individuals, families, groups, and communities that
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lead to better health.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
8. How does community health nity?
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a. A group of persons living within specific geographic boundaries
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b. A group of persons who share a common identity and environment
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c. A group of persons who work together to meet common goals
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d. A group of persons who resolve a community concern
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ACCURATE CHOICE:-B n1l7
HYPOTHESIS:>>>Community health nursing attendants work with both geopolitical n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
groups (within specific geographic boundaries) and phenomenological groups (who
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have a common identity based on culture, history, or goals). A particular
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phenomenological group may or may not have been a plannedgroup—that is, a group
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that came together to resolve a recognized common problem or to meet a common
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goal. However, of all the choices, a group of persons who share a common identity
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(phenomenological group) and environment (which implies a specific geographic
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setting) is the broadest and most complete definition.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
9. Which variable has a major influence on a community‘s health?
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a. Behavior choices made by persons in the community n1l7 n 1l7 n1l7 n1l7 n1l7 n1l7 n1l7
b. Number of primary care providers and health centers in the community
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c. Quality of the public safety officers (police officers, firefighters, etc.)
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d. The number and credentials of public health officials in the community
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ACCURATE CHOICE:-A n1l7
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Promoting the Health of Populations; 8TH EDITION BY MARY &
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MELANIE n1l7
,CH 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8TH Edition
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MULTIPLE CHOICE n1l7
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. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
b. The media has provided mixed messages about the primary care system.
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c. Our national primary care costs keep increasing.n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
d. The new primary care system offers free services to Americans.
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ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>The primary reason for the focus on primary care is the n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
constantly increasing costs, which cannot be sustained. The costs of caring for the
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sick accounted for the majority of escalating primary care dollars, which increased
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from 5.7% of the gross domestic product in 1965 to 17.8% in 2015. Politicians and
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the media both influence Americans‘ perceptions about healthcare; however, they are
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not the primary reason why Americans are concerned. The new healthcare system
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will change the primary care access and availability, but will not necessarily be
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offering any free services to Americans.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
2. A nursing attendant has begun to lobby with politicians for changes to the primary care
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n1l7 system. Why is thisinvolvement important? n1l7 n1l7 n1l7 n1l7
a. Nursing attendants, as central characters in several popular TV series,
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are currently veryvisible N inR American med i a. I n1l7 n1l7 n1l7 n1l7 n1l7 n 1 l 7
b. Nursing attendants are primarilyresponUsi bS
l e foNr mTa na g in gOt he various units in our health care
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system.
c. Nursing attendants are the largest segment of primary care providers.n1l7 n1l7 n1l7 n1l7 n 1l7 n1l7 n1l7 n1l7 n1l7
d. Nursing attendants are the only group that is employed both inside and outside of health
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centers. n1l7
ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>As the largest segment of primary care providers, nursing n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
attendants are informed about the current primary care system and all the problems
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that result from people not seeking care until they are desperately ill. Nursing
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attendants, as the American Nursing attendants Association (ANA) emphasize,
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usually believe that primary care is a right, not a privilege. Therefore, nursing
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attendants, whose work is central toour current primary care delivery system, can
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also be instrumental in working politically to create a primary care delivery system
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that will meet health needs. While nursing attendants are in several current TV
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series and are employed both inside and outside of health centers, physicians and
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otherprimary care providers are as well.
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Nursing attendants are often managers, but managers often have other backgrounds, such as
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business administration.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
3. What conclusion can be drawn from examining where nursing attendants are employed?
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a. There is a trend toward consolidation of primary care into large central
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medical centers.
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b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease primary care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nursing attendants to improve customer
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, relations.
ACCURATE CHOICE:-B n1l7
HYPOTHESIS:>>>MCOs are employing nursing attendants in many capacities. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
Although health centers are closing and acute careis increasingly found in central
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medical centers, the same trend may be seen in an increase in neighborhood-based
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practice centers. While positions are cut in most industries, primary care isrecognized
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as an area where growth in employment is expected. However, nursing attendants
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are increasingly employed in community settings as opposed to health centers. This
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change reflects themove toward community-based care rather than health center-based
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tertiary care. To help decreasethe continued rise in primary care costs, the increased
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emphasis is on disease prevention rather than high-cost treatment.
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DIFFICULT: Cognitive Level: Understand (Comprehension) n1l7 n1l7 n1l7
4. Which ethical belief would be most helpful in the current primary care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace.
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b. Emphasis should be on individual autonomy and freedom of choice. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n 1 l7 n1l7 n1l7
c. Emphasis should be on social justice and collective responsibility. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
d. Emphasis should be on the effectiveness of technology in resolving problems.
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ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>Public health recognizes the necessity of collective action in keeping n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
the environment safe andin egalitarian tradition and vision. An overinvestment in
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technology and seeking of cures within the market justice system has stifled the
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evolution of a health system to protect and preserve the health of the population.
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Although individual autonomy and freedom of choice are important, so is the
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recognition of collective responsibility in ensuring social justice, which entitles all
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people to basic necessities.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
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healthy lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal use
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of alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits
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and vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but ignores social and
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environmental changes needed for well-being.
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ACCURATE CHOICE:-D n1l7
HYPOTHESIS:>>>Although all responses are accurate, the primary problem is the n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
emphasis on personal choicesin the Healthy People 2020 objectives. Emphasis on
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personal choices ignores the need for community responsibility and action that
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addresses environmental or cultural restraints to health.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
6. What responsibility does the American Nursing attendants Association (ANA)
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Code of Ethics require ofthe nursing attendant beyond giving excellent care to
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victims?
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a. Accept longer work schedules to ensure that professional care is always available
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, to hospital clients.
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b. Recognize the need for experienced nursing attendants to mentor new n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
graduates to helpincrease and expand the number of professionals
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available.
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c. Support health legislation to improve accessibility and cost of health care.
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d. Volunteer to work overtime as needed to ensure maximum quality of care. n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n 1l7 n 1l7 n1l7 n1l7 n1l7
ACCURATE CHOICE:-C n1l7
HYPOTHESIS:>>>The ANA Code of Ethics promotes social reform by focusing on n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
health policy and legislationto positively affect accessibility, quality, and cost of
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health care. The code does not directly address workplace issues, such as work
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schedules or need for overtime.
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DIFFICULT: Cognitive Level: Analyze (Analysis) n1l7 n1l7 n1l7
7. What is the community health nursing definition of health?
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a. Health is a person‘s goal-directed purposeful process toward well-being
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n1l7 or wholeness. n1l7
b. Health is an individual‘s physical, mental, and social well-being, not merely
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the absence of disease or infirmity.
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c. Health is the mutual adaptation between a person and his or her environment
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in meeting daily existence.
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d. Health is families and aggregates choosing actions to ensure safetyand well-being.
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ACCURATE CHOICE:-D n1l7
HYPOTHESIS:>>>The text stresses that health is not just the result of an individual‘s n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
choices, but choices andactions of individuals, families, groups, and communities that
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lead to better health.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
8. How does community health nity?
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a. A group of persons living within specific geographic boundaries
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b. A group of persons who share a common identity and environment
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c. A group of persons who work together to meet common goals
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d. A group of persons who resolve a community concern
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ACCURATE CHOICE:-B n1l7
HYPOTHESIS:>>>Community health nursing attendants work with both geopolitical n1l7 n1l7 n1l7 n1l7 n1l7 n1l7 n1l7
groups (within specific geographic boundaries) and phenomenological groups (who
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have a common identity based on culture, history, or goals). A particular
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phenomenological group may or may not have been a plannedgroup—that is, a group
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that came together to resolve a recognized common problem or to meet a common
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goal. However, of all the choices, a group of persons who share a common identity
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(phenomenological group) and environment (which implies a specific geographic
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setting) is the broadest and most complete definition.
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DIFFICULT: Cognitive Level: Apply (Application) n1l7 n 1l7 n1l7
9. Which variable has a major influence on a community‘s health?
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a. Behavior choices made by persons in the community n1l7 n 1l7 n1l7 n1l7 n1l7 n1l7 n1l7
b. Number of primary care providers and health centers in the community
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c. Quality of the public safety officers (police officers, firefighters, etc.)
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d. The number and credentials of public health officials in the community
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ACCURATE CHOICE:-A n1l7
