Community Nursing Test Banks
WhichkjofkjthekjfollowingkjbestkjdescribeskjthekjprimarykjreasonkjthatkjAmericanskjarekjconcernedkjaboutkjh
ealthkjcare?
a. Politicianskjarekjdiscussingkjhowkjtokjimprov
e
healthkjcare.
b. Thekjmediakjhaskjprovidedkjmixedkjmessage
s
aboutkjthekjhealthkjcarekjsystem.
c. Ourkjnationalkjhealthkjcarekjcostskjkeep
increasing.
d. Thekjnewkjhealthkjcarekjsystemkjofferskjfree
serviceskjtokjAmericans.
ANS:k j C
Thekjprimarykjreasonkjforkjthekjfocuskjonkjhealthkjcarekjiskjthekjconstantlykjincreasingkjcosts,kjwhic
hkjcannotkjbekjsustained.kjThekjcostskjofkjcaringkjforkjthekjsickkjaccountedkjforkjthekjmajoritykjofkjes
calatingkjhealthkjcarekjdollars,kjwhichkjincreasedkjfromkj5.7%kjofkjthekjgrosskjdomestickjproductkjinkj
1965kjtokj17.6%kjinkj2009.
PoliticianskjandkjthekjmediakjbothkjinfluencekjAmericans’kjperceptionskjaboutkjhealthkjcare;kjhowe
ver,kjtheykjarekjnotkjthekjprimarykjreasonkjwhykjAmericanskjarekjconcerned.kjThekjnewkjhealthkjcare
kjsystemkjwillkjchangekjthekjhealthkjcarekjaccesskjandkjavailablity,kjbutkjwillkjnotkjnecessarilykjbekjof
feringkjanykjfreekjserviceskjtokjAmericans.
DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2
2. Akjnursekjhaskjbegunkjtokjlobbykjwithkjpoliticianskjforkjchangeskjtokjthekjhealthkjcarekjsystem.kj
Whykjiskjthiskij nvolvementkjimportant?
a. Nurses,kjaskjcentralkjcharacterskjinkjseveral
popularkjTVkjseries,kjarekjcurrentlykjv
erykjvisiblekjinkjAmericankjmedia.
b. Nurseskjarekjprimarilykjresponsiblekjforkj
managingkjthekjvariouskjunitskjinkjourkjhe
alth
carekjsystem.
c. Nurseskjarekjthekjlargestkjgroupkjofkjhealthkj
care
providers.
d. Nurseskjarekjthekjonlykjgroupkjthatkji
skjemployedkjbothkjinsidekjandkjoutsi
dekjof
hospitals.
ANS:k j C
Askjthekjlargestkjgroupkjofkjhealthkjcarekjproviders,kjnurseskjarekjinformedkjaboutkjthekjcurrentkjhea
,lthkjcarekjsystemkjandkjallkjthekjproblemskjthatkjresultkjfromkjpeoplekjnotkjseekingkjcarekjuntilkjtheykj
arekjdesperatelykjill.kjNurses,kjaskjthekjAmericankjNurseskjAssociationkj(ANA)kjemphasize,kjusually
kjbelievekjthatkjhealthkjcarekjiskjakjright,kjnotkjakjprivilege.kjTherefore,kjnurses,kjwhosekjworkkjiskjce
ntralkjtokjourkjcurrentkjhealthkjcarekjdeliverykjsystem,kjcankjalsokjbekjinstrumentalkjinkjworkingkjpoli
ticallykjtokjcreatekjakjhealthkjcarekjdelivery
, systemkj thatkjwillkjmeetkjhealthkjneeds.kjWhilekjnurseskjarekjinkjseveralkjcurrentkjTVkjserieskjandkja
rekjemployedkjbothkjinsidekjandkjoutsidekjofkjhospitals,kjphysicianskjandkjotherkjhealthkjcarekjprovi
derskjarekjaskw
j ell.kjNurseskjarekjoftenkjmanagers,kjbutkjmanagerskjoftenkjhavekjotherkjbackgrounds,
kjsuchkjaskjbusinesskjadministration.
DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2
3. Whatkjconclusionkjcankjbekjdrawnkjfromkjexaminingkjwherekjnurseskjarekjemployed?
a. Therekjiskjakjtrendkjtowardkjconsolidationkjo
f
healthkjcarekjintokjlargekjcentralkjmed
icalkjcenters.
b. Therekjiskjankjincreasedkjemphasiskjon
community-basedkjhealthkjcare.
c. Therekjiskjankjobviouskjneedkjtokjdecrease
healthkjcarekjcostskjbykjcuttingkjpositions.
d. Managedkjcarekjorganizationskj(MCOs)kj
arekjemployingkjnurseskjtokjimprovekjcusto
mer
relations.
ANS:k j B
MCOskjarekjemployingkjnurseskjinkjmanykjcapacities.kjAlthoughkjhospitalskjarekjclosingkjandkjacut
ekjcarekjiskjincreasinglykjfoundkjinkjcentralkjmedicalkjcenters,kjthekjsamekjtrendkjmaykjbekjseenkjinkja
nkjincreasekjinkjneighborhood-
basedkjpracticekjcenters.kjWhilekjpositionskjarekjcutkjinkjmostkjindustries,kjhealthkjcarekjiskjrecogniz
edkjaskjankjareakjwherekjgrowthkjinkjemploymentkjiskjexpected.kjHowever,kjnurseskjarekjincreasingl
ykjemployedkjinkjcommunitykjsettingskjaskjopposedkjtokjhospitals.kjThiskjchangekjreflectskjthekjmov
ekjtowardkjcommunity-basedkjcarekjratherkjthankjhospital-
basedkjtertiarykjcare.kjTokjhelpkjdecreasekjthekjcontinuedkjrisekjinkjhealthkjcarekjcosts,kjthekjincreased
kjemphasiskjiskjonkjdiseasekjpreventionkjratherkjthankjhigh-costkjtreatment.
DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2
4. Whichkjethicalkjbeliefkjwouldkjbekjmostkjhelpfulkjinkjthekjcurrentkjhealthkjcarekjcrisis?
a. Emphasiskjshouldkjbekjonkjindividualkjand
corporationkjfreedomkjinkjthekjmarketplace.
b. Emphasiskjshouldkjbekjonkjindividual
autonomykjandkjfreedomkjofkjchoice.
c. Emphasiskjshouldkjbekjonkjsocialkjjusticekjan
d
collectivekjresponsibility.
d. Emphasiskjshouldkjbekjonkjthekjeffectiveness
ofkjtechnologykjinkjresolvingkjproblems.
ANS:k j C
Publickjhealthkjrecognizeskjthekjnecessitykjofkjcollectivekjactionkjinkjkeepingkjthekjenvironmentkjsaf
ekjandkjinkjegalitariankjtraditionkjandkjvision.kjAnkjoverinvestmentkjinkjtechnologykjandkjseekingkjof
kjcureskjwithinkjthekmj arketkjjusticekjsystemkjhaskjstifledkjthekjevolutionkjofkjakjhealthkjsystemkjtokjpr
otectkjandkjpreservekjthekjhealthkjofkjthekjpopulation.kjAlthoughkjindividualkjautonomykjandkjfreedo
mkjofkjchoicekjarekjimportant,kjso
, iskjthekjrecognitionkjofkjcollectivekjresponsibilitykjinkjensuringkjsocialkjjustice,kjwhichkjentitleskjall
kjpeoplekjtokjbasickjnecessities.
DIF: CognitivekjLevel:kjApplykj(Application) REF:k j p.kj2
5. WhatkjiskjthekjprimarykjproblemkjseenkjinkjHealthykjPeoplekj2020’skjemphasiskjonkjchoosing
kjhealthyklj ifestylekjbehaviors,kjsuchkjaskjdailykjexercisekjorkjhealthykjfoodkjchoices?
a. Emphasiskjonkjotherkjlifestylekjchoices,kjs
uchkjaskjnotkjsmokingkjandkjminimalkjusekj
of
alcoholkjorkjdrugs,kjiskjalsokjneeded.
b. Allkjofkjuskjmustkjworkkjtogetherkjtokj
makekjunhealthykjbehaviorskjsocially
unacceptable.
c. Itkjcostskjmorekjtokjmakekjhealthykjchoices
,kjsuchkjaskjbuyingkjandkjeatingkjfreshkjfrui
tskjand
vegetableskjaskjopposedkjtokjquickkjandkjc
heapkjfast-foodkjchoices.
d. Publickjpolicykjemphasizeskjpersonalkjre
sponsibilitykjbutkjignoreskjsocialkjandkje
nvironmentalkjchangeskjneededkjforkjwel
l-
being.
ANS:k j D
Althoughkjallkjresponseskjarekjaccurate,kjthekjprimarykjproblemkjiskjthekjemphasiskjonkjpersonalkjc
hoiceskjinkjthekjHealthykjPeoplekj2020kjobjectives.kjEmphasiskjonkjpersonalkjchoiceskjignoreskjthek
jneedkjforkjcommunitykjresponsibilitykjandkjactionkjthatkjaddresseskjenvironmentalkjorkjculturalkjres
traintskjtokjhealth.
DIF: CognitivekjLevel:kjApplykj(Application) REF:k j p.kj2
6. WhatkjresponsibilitykjdoeskjthekjAmericankjNurseskjAssociationkj(ANA)kjCodekjofkjEthicskjrequir
ekjofkjthekjnursekjbeyondkjgivingkjexcellentkjcarekjtokjpatients?
a. Acceptkjlongerkjworkkjscheduleskjtokjensure
thatkjprofessionalkjcarekjiskjalwayskjavaila
blekjtokjclients
b. Recognizekjthekjneedkjforkjexperiencedk
jnurseskjtokjmentorkjnewkjgraduateskjtokj
helpkjincreasekjandkjexpandkjthekjnumber
kjof
professionalskjavailable
c. Supportkjhealthkjlegislationkjtokjimprove
accessibilitykjandkjcostkjofkjhealthkjcare
d. Volunteerkjtokjworkkjovertimekjaskjneededkjt
o
ensurekjmaximumkjqualitykjofkjcare
ANS:k j C
ThekjANAkjCodekjofkjEthicskjpromoteskjsocialkjreformkjbykjfocusingkjonkjhealthkjpolicykjandkjlegi
slationkjtokjpositivelykjaffectkjaccessibility,kjquality,kjandkjcostkjofkjhealthkjcare.kjThekjcodekjdoeskj