Community Public Health Nursing 7th Edition Nies Test Bank

, CommunitycPubliccHealthcNursingc7thcEditioncNiescTestcBank

Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLEcCHOICE

1. WhichcbestcdescribescthecprimarycreasoncthatcAmericanscarecconcernedcaboutchealthccare?
a. Politicianscarecdiscussingchowctocimprovechealthccare.
b. Thecmediachascprovidedcmixedcmessagescaboutcthechealthccarecsystem.
c. Ourcnationalchealthccareccostsckeepcincreasing.
d. ThecnewchealthccarecsystemcofferscfreecservicesctocAmericans.

ANS:c C
Thecprimarycreasoncforcthecfocusconchealthccareciscthecconstantlycincreasingccosts,cwhichccannotc
becsustained.cTheccostscofccaringcforcthecsickcaccountedcforcthecmajoritycofcescalatingchealthccare
cdollars,cwhichcincreasedcfromc5.7%cofcthecgrosscdomesticcproductcinc1965ctoc17.8%cinc2015.cPo

liticianscandcthecmediacbothcinfluencecAmericans’cperceptionscaboutchealthccare;chowever,ctheyc
arecnotcthecprimarycreasoncwhycAmericanscarecconcerned.cThecnewchealthccarecsystemcwillcchan
gecthechealthccarecaccesscandcavailability,cbutcwillcnotcnecessarilycbecofferingcanycfreecservicesct
ocAmericans.

DIF: CognitivecLevel:cUnderstandc(Comprehension)

2. Acnursechascbegunctoclobbycwithcpoliticianscforcchangesctocthechealthccarecsystem.cWhyciscthiscin
volvementcimportant?
a. Nurses,casccentralccharacterscincseveralcpopularcTVcseries,careccurrentlycverycvi
siblecincAmericancmediN a.cc RcIcGcB.CcM
b. NursescarecprimarilycresponUsibS
lecfoNrcmT
anagingOthecvariouscunitscincourchealthccare
system.
c. Nursescarectheclargestcsegmentcofchealthccarecproviders.
d. Nursescarectheconlycgroupcthatciscemployedcbothcinsidecandcoutsidecofchospitals.
ANS:c C
Asctheclargestcsegmentcofchealthccarecproviders,cnursescarecinformedcaboutctheccurrentchealthcca
recsystemcandcallcthecproblemscthatcresultcfromcpeoplecnotcseekingccarecuntilctheycarecdesperatel
ycill.cNurses,cascthecAmericancNursescAssociationc(ANA)cemphasize,cusuallycbelievecthatchealt
hccareciscacright,cnotcacprivilege.cTherefore,cnurses,cwhosecworkcisccentralctocourccurrentchealthcc
arecdeliverycsystem,ccancalsocbecinstrumentalcincworkingcpoliticallyctoccreatecachealthccarecdeliv
erycsystemcthatcwillcmeetchealthcneeds.cWhilecnursescarecincseveralccurrentcTVcseriescandcarecem
ployedcbothcinsidecandcoutsidecofchospitals,cphysicianscandcotherchealthccarecproviderscarecascwe
ll.cNursescarecoftencmanagers,cbutcmanagerscoftenchavecothercbackgrounds,csuchcascbusinesscad
ministration.

DIF: CognitivecLevel:cUnderstandc(Comprehension)

3. Whatcconclusionccancbecdrawncfromcexaminingcwherecnursescarecemployed?
a. Thereciscactrendctowardcconsolidationcofchealthccarecintoclargeccentralcmedicalcc
enters.
b. Thereciscancincreasedcemphasisconccommunity-basedchealthccare.
c. Thereciscancobviouscneedctocdecreasechealthccareccostscbyccuttingcpositions.
d. Managedccarecorganizationsc(MCOs)carecemployingcnursesctocimproveccustomer




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relations.
ANS:c B
MCOscarecemployingcnursescincmanyccapacities.cAlthoughchospitalscarecclosingcandcacuteccarecisc
increasinglycfoundcinccentralcmedicalccenters,cthecsamectrendcmaycbecseencincancincreasecincneigh
borhood-
basedcpracticeccenters.cWhilecpositionscareccutcincmostcindustries,chealthccareciscrecognizedcascanc
areacwherecgrowthcincemploymentciscexpected.cHowever,cnursescarecincreasinglycemployedcincc
ommunitycsettingscascopposedctochospitals.cThiscchangecreflectscthecmovectowardccommunity-
basedccarecrathercthanchospital-
basedctertiaryccare.cTochelpcdecreasectheccontinuedcrisecinchealthccareccosts,cthecincreasedcempha
siscisconcdiseasecpreventioncrathercthanchigh-costctreatment.

DIF: CognitivecLevel:cUnderstandc(Comprehension)

4. Whichcethicalcbeliefcwouldcbecmostchelpfulcinctheccurrentchealthccareccrisis?
a. Emphasiscshouldcbeconcindividualcandccorporationcfreedomcincthecmarketplace.
b. Emphasiscshouldcbeconcindividualcautonomycandcfreedomcofcchoice.
c. Emphasiscshouldcbeconcsocialcjusticecandccollectivecresponsibility.
d. Emphasiscshouldcbeconctheceffectivenesscofctechnologycincresolvingcproblems.

ANS:c C
Publicchealthcrecognizescthecnecessitycofccollectivecactioncinckeepingcthecenvironmentcsafecandcin
cegalitarianctraditioncandcvision.cAncoverinvestmentcinctechnologycandcseekingcofccurescwithincth

ecmarketcjusticecsystemchascstifledcthecevolutioncofcachealthcsystemctocprotectcandcpreservectheche
althcofcthecpopulation.cAlthoughcindividualcautonomycandcfreedomcofcchoicecarecimportant,csocis
c thecrecognitionc ofccollectivecresponsibilityc incensuringc socialcjustice,cwhichcentitlescallcpeoplecto

cbasiccnecessities.

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DIF: CognitivecLevel:cApplyc(Application)

5. WhatciscthecprimarycproblemcseencincHealthycPeoplec2020’scemphasisconcchoosingchealthycli
festylecbehaviors,csuchcascdailycexercisecorchealthycfoodcchoices?
a. Emphasisconcotherclifestylecchoices,csuchcascnotcsmokingcandcminimalcusecofcal
coholcorcdrugs,ciscalsocneeded.
b. Allcofcuscmustcworkctogetherctocmakecunhealthycbehaviorscsociallycunacceptable.
c. Itccostscmorectocmakechealthycchoices,csuchcascbuyingcandceatingcfreshcfruitscandcve
getablescascopposedctocquickcandccheapcfast-foodcchoices.
d. Publiccpolicycemphasizescpersonalcresponsibilitycbutcignorescsocialcandce
nvironmentalcchangescneededcforcwell-being.
ANS:c D
Althoughcallcresponsescarecaccurate,cthecprimarycproblemciscthecemphasisconcpersonalcchoicescin
cthecHealthycPeoplec2020cobjectives.cEmphasisconcpersonalcchoicescignorescthecneedcforccomm

unitycresponsibilitycandcactioncthatcaddressescenvironmentalcorcculturalcrestraintsctochealth.

DIF: CognitivecLevel:cApplyc(Application)

6. WhatcresponsibilitycdoescthecAmericancNursescAssociationc(ANA)cCodecofcEthicscrequirecofcth
ecnursecbeyondcgivingcexcellentccarectocpatients?
a. Acceptclongercworkcschedulesctocensurecthatcprofessionalccareciscalwayscavailable




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tocclients.
b. Recognizecthecneedcforcexperiencedcnursesctocmentorcnewcgraduatesctochelpci
ncreasecandcexpandcthecnumbercofcprofessionalscavailable.
c. Supportchealthclegislationctocimprovecaccessibilitycandccostcofchealthccare.
d. Volunteerctocworkcovertimecascneededctocensurecmaximumcqualitycofccare.
ANS:c C
ThecANAcCodecofcEthicscpromotescsocialcreformcbycfocusingconchealthcpolicycandclegislationctoc
positivelycaffectcaccessibility,cquality,candccostcofchealthccare.cTheccodecdoescnotcdirectlycaddres
scworkplacecissues,csuchcascworkcschedulescorcneedcforcovertime.

DIF: CognitivecLevel:cAnalyzec(Analysis)

7. Whatcisctheccommunitychealthcnursingcdefinitioncofchealth?
a. Healthciscacperson’scgoal-directedcpurposefulcprocessctowardcwell-
beingcorcwholeness.
b. Healthciscancindividual’scphysical,cmental,candcsocialcwell-
being,cnotcmerelycthecabsencecofcdiseasecorcinfirmity.
c. Healthciscthecmutualcadaptationcbetweencacpersoncandchiscorchercenvironmentcincm
eetingcdailycexistence.
d. Healthciscfamiliescandcaggregatescchoosingcactionsctocensurecsafetycandcwell-being.
ANS:c D
Thectextcstressescthatchealthciscnotcjustcthecresultcofcancindividual’scchoices,cbutcchoicescandcac
tionscofcindividuals,cfamilies,cgroups,candccommunitiescthatcleadctocbetterchealth.

DIF: CognitivecLevel:cApplyc(Application)
U NSRNITG B.C MO
c
c
c
c
c
c c c

8. How does community health nursing define community?
c c c c c c

a. Acgroupcofcpersonsclivingcwithincspecificcgeographiccboundaries
b. Acgroupcofcpersonscwhocsharecaccommoncidentitycandcenvironment
c. Acgroupcofcpersonscwhocworkctogetherctocmeetccommoncgoals
d. Acgroupcofcpersonscwhocresolvecaccommunitycconcern
ANS:c B
Communitychealthcnursescworkcwithcbothcgeopoliticalcgroupsc(withincspecificcgeographiccbou
ndaries)candcphenomenologicalcgroupsc(whochavecaccommoncidentitycbasedconcculture,chistory
,corcgoals).cAcparticularcphenomenologicalcgroupcmaycorcmaycnotchavecbeencacplannedcgroup—
thatcis,cacgroupcthatccamectogetherctocresolvecacrecognizedccommoncproblemcorctocmeetcaccomm
oncgoal.cHowever,cofcallcthecchoices,cacgroupcofcpersonscwhocsharecaccommoncidentityc(phenom
enologicalcgroup)candcenvironmentc(whichcimpliescacspecificcgeographiccsetting)ciscthecbroades
tcandcmostccompletecdefinition.

DIF: CognitivecLevel:cApplyc(Application)

9. Whichcvariablechascacmajorcinfluenceconcaccommunity’schealth?
a. Behaviorcchoicescmadecbycpersonscinctheccommunity
b. Numbercofchealthccarecproviderscandchospitalscinctheccommunity
c. Qualitycofcthecpubliccsafetycofficersc(policecofficers,cfirefighters,cetc.)
d. Thecnumbercandccredentialscofcpublicchealthcofficialscinctheccommunity
ANS:c A




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