Test Bank - Community/Public Health Nursing: Promoting the Health of Populations , 8th Edition Mary A. Nies, Melanie McEwen Chapter 1-34 All Chaptersh||All Chapters with Answers and Rationals

TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING:
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7




Promoting the Health of Populations; 8TH EDITION BY MARY &
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7




MELANIE n7l7

,CH 01: Health: A Community View
n7l7 n7l7 n7l7 n7l7 n7l7


Nies: Community/Public Health Nursing, 8TH Edition
n7l7 n7l7 n7l7 n7 l7 n7l7




MULTIPLE CHOICE n7l7




1. Which best describes the primary reason that Americans are concerned about health care?
n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7


a. Politicians are discussing how to improve health care. n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7


b. The media has provided mixed messages about the primary care system.
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7


c. Our national primary care costs keep increasing.
n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7


d. The new primary care system offers free services to Americans.
n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7




ACCURATE CHOICE:-C n7 l7


HYPOTHESIS:>>>The primary reason for the focus on primary care is the n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7


constantly increasing costs, which cannot be sustained. The costs of caring for the
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7


sick accounted for the majority of escalating primary care dollars, which increased
n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7


from 5.7% of the gross domestic product in 1965 to 17.8% in 2015. Politicians
n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7


and the media both influence Americans‘ perceptions about healthcare; however,
n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7


they are not the primary reason why Americans are concerned. The new
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7


healthcare system will change the primary care access and availability, but will not
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


necessarily be offering any free services to Americans.
n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7




DIFFICULT: Cognitive Level: Understand (Comprehension) n7l7 n7l7 n7l7




2. A nursing attendant has begun to lobby with politicians for changes to the primary
n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


n7l7 care system. Why is thisinvolvement important?
n7 l7 n7 l7 n7l7 n7l7 n7l7


a. Nursing attendants, as central characters in several popular TV series,
n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


n7l7
N R
are currently veryvisible in American med i a. I
n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n 7 l 7



b. Nursing attendants are primarily responUsi bS
l e foNr mTa na g in gOt he various units in our health
n7l7

n7l7 n7l7 n7l7 n7l7 n7l n7l n 7 l 7 n7 l7 n7l n7 l7 n7l7 n7 l7 n7l7 n7 l7


care n7l7


system.
c. Nursing attendants are the largest segment of primary care providers.
n7 l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7


d. Nursing attendants are the only group that is employed both inside and outside of health
n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7


centers. n7l7




ACCURATE CHOICE:-C n7 l7


HYPOTHESIS:>>>As the largest segment of primary care providers, nursing n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7l7


attendants are informed about the current primary care system and all the
n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7l7 n7l7


problems that result from people not seeking care until they are desperately ill.
n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7


Nursing attendants, as the American Nursing attendants Association (ANA)
n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7


emphasize, usually believe that primary care is a right, not a privilege.
n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7


Therefore, nursing attendants, whose work is central toour current primary care
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7


delivery system, can also be instrumental in working politically to create a
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7


primary care delivery system that will meet health needs. While nursing
n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


attendants are in several current TV series and are employed both inside and
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7


outside of health centers, physicians and otherprimary care providers are as well.
n7l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7


Nursing attendants are often managers, but managers often have other backgrounds, such as
n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


business administration.
n7l7 n7l7




DIFFICULT: Cognitive Level: Understand (Comprehension) n7l7 n7l7 n7l7




3. What conclusion can be drawn from examining where nursing attendants are employed?
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


a. There is a trend toward consolidation of primary care into large central
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


medical centers.
n7l7 n7 l7


b. There is an increased emphasis on community-based health care.
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


c. There is an obvious need to decrease primary care costs by cutting positions.
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7


d. Managed care organizations (MCOs) are employing nursing attendants to improve customer
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7

, relations.
ACCURATE CHOICE:-B n7 l7


HYPOTHESIS:>>>MCOs are employing nursing attendants in many capacities. n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7


Although health centers are closing and acute careis increasingly found in central
n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7


medical centers, the same trend may be seen in an increase in neighborhood-based
n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7


practice centers. While positions are cut in most industries, primary care
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7


isrecognized as an area where growth in employment is expected. However,
n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7


nursing attendants are increasingly employed in community settings as opposed to
n7l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7l7 n7 l7


health centers. This change reflects themove toward community-based care rather
n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7


than health center-based tertiary care. To help decreasethe continued rise in
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7


primary care costs, the increased emphasis is on disease prevention rather than
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7


high-cost treatment.
n7l7 n7 l7




DIFFICULT: Cognitive Level: Understand (Comprehension) n7l7 n7 l7 n7l7




4. Which ethical belief would be most helpful in the current primary care crisis?
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


a. Emphasis should be on individual and corporation freedom in the marketplace.
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


b. Emphasis should be on individual autonomy and freedom of choice. n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l 7 n7l7 n7l7


c. Emphasis should be on social justice and collective responsibility.n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


d. Emphasis should be on the effectiveness of technology in resolving problems.
n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7




ACCURATE CHOICE:-C n7 l7


HYPOTHESIS:>>>Public health recognizes the necessity of collective action in n7 l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7


keeping the environment safe andin egalitarian tradition and vision. An
n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


overinvestment in technology and seeking of cures within the market justice system
n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7


has stifled the evolution of a health system to protect and preserve the health of
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7


the population. Although individual autonomy and freedom of choice are
n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7


important, so is the recognition of collective responsibility in ensuring social
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


justice, which entitles all people to basic necessities.
n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7 l7


DIFFICULT: Cognitive Level: Apply (Application) n7l7 n7 l7 n7l7




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


n7l7 healthy lifestyle behaviors, such as daily exercise or healthy food choices?
n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7


a. Emphasis on other lifestyle choices, such as not smoking and minimal
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7


use of alcohol or drugs, is also needed.
n7l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7


b. All of us must work together to make unhealthy behaviors socially unacceptable.
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


c. It costs more to make healthy choices, such as buying and eating fresh
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


fruits and vegetables as opposed to quick and cheap fast-food
n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7


choices.
n7l7


d. Public policy emphasizes personal responsibility but ignores social
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


and environmental changes needed for well-being.
n7l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7




ACCURATE CHOICE:-D n7 l7


HYPOTHESIS:>>>Although all responses are accurate, the primary problem is the n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


emphasis on personal choicesin the Healthy People 2020 objectives. Emphasis on
n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7


personal choices ignores the need for community responsibility and action that
n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7


addresses environmental or cultural restraints to health.
n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7l7




DIFFICULT: Cognitive Level: Apply (Application) n7l7 n7 l7 n7l7




6. What responsibility does the American Nursing attendants Association (ANA)
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7


Code of Ethics require ofthe nursing attendant beyond giving excellent care
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7


to victims?
n7l7 n7l7


a. Accept longer work schedules to ensure that professional care is always available
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7

, to hospital clients.
n7l7 n7l7


b. Recognize the need for experienced nursing attendants to mentor new n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


graduates to helpincrease and expand the number of professionals
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


available.
n7l7


c. Support health legislation to improve accessibility and cost of health care.
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


d. Volunteer to work overtime as needed to ensure maximum quality of care.
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7l7 n7l7 n7l7




ACCURATE CHOICE:-C n7 l7


HYPOTHESIS:>>>The ANA Code of Ethics promotes social reform by focusing on n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7


health policy and legislationto positively affect accessibility, quality, and cost of
n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7


health care. The code does not directly address workplace issues, such as work
n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7l7


schedules or need for overtime.
n7l7 n7l7 n7 l7 n7 l7 n7l7




DIFFICULT: Cognitive Level: Analyze (Analysis) n7l7 n7 l 7 n7l7




7. What is the community health nursing definition of health?
n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


a. Health is a person‘s goal-directed purposeful process toward well-
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


being or wholeness. n7l7 n7 l7


b. Health is an individual‘s physical, mental, and social well-being, not
n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7


merely the absence of disease or infirmity.
n7l7 n7l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7


c. Health is the mutual adaptation between a person and his or her
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


environment in meeting daily existence.
n7l7 n7 l7 n7 l7 n7 l7 n7 l7


d. Health is families and aggregates choosing actions to ensure safety and well-being.
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7




ACCURATE CHOICE:-D n7 l7


HYPOTHESIS:>>>The text stresses that health is not just the result of an individual‘s n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


choices, but choices andactions of individuals, families, groups, and communities
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7 l7 n7l7 n7 l7


that lead to better health.
n7l7 n7l7 n7 l7 n7 l7 n7 l7




DIFFICULT: Cognitive Level: Apply (Application) n7l7 n7 l7 n7l7




8. How does community health nity?
n7l7 n7l7 n7l7 n7l7


a. A group of persons living within specific geographic boundaries
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7


b. A group of persons who share a common identity and environment
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


c. A group of persons who work together to meet common goals
n7l7 n7l7 n7l7 n7l7 n 7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7


d. A group of persons who resolve a community concern
n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7




ACCURATE CHOICE:-B n7 l7


HYPOTHESIS:>>>Community health nursing attendants work with both geopolitical n7 l7 n7l7 n7 l7 n7l7 n7 l7 n7 l7 n7 l7


groups (within specific geographic boundaries) and phenomenological groups
n7l7 n 7 l 7 n7 l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7


(who have a common identity based on culture, history, or goals). A particular
n7l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7


phenomenological group may or may not have been a plannedgroup—that is, a
n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7 l7 n7l7


group that came together to resolve a recognized common problem or to meet a
n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7


common goal. However, of all the choices, a group of persons who share a
n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7l7 n7l7 n7l7 n7 l7 n7 l7


common identity (phenomenological group) and environment (which implies a
n7l7 n7l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7 l7 n7l7


specific geographic setting) is the broadest and most complete definition.
n7l7 n7l7 n7 l7 n7l7 n7 l7 n7l7 n7l7 n7 l7 n7 l7 n7l7




DIFFICULT: Cognitive Level: Apply (Application) n7l7 n7 l7 n7l7




9. Which variable has a major influence on a community‘s health?
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7


a. Behavior choices made by persons in the community n7l7 n7 l7 n7l7 n7l7 n7 l7 n7l7 n7l7


b. Number of primary care providers and health centers in the community
n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7


c. Quality of the public safety officers (police officers, firefighters, etc.)
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7 l7


d. The number and credentials of public health officials in the community
n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7l7 n7 l7 n7l7 n7l7




ACCURATE CHOICE:-A n7 l7