Editioni byi Maryi A.i Nies,i Melaniei McEweni -latesti
edition-2023
Chapteri 01:i Health:i Ai Communityi View
Nies:i Community/Publici Healthi Nursing,i 7thi Edition
MULTIPLEi CHOICE
1. Whichi besti describesi thei primaryi reasoni thati Americansi arei concernedi abouti healthi care?
a. Politiciansi arei discussingi howi toi improvei healthi care.
b. Thei mediai hasi providedi mixedi messagesi abouti thei healthi carei system.
c. Ouri nationali healthi carei costsi keepi increasing.
d. Thei newi healthi carei systemi offersi freei servicesi toi Americans.
ANS:i C
Thei primaryi reasoni fori thei focusi oni healthi carei isi thei constantlyi increasingi costs,i
whichi cannoti bei sustained.i Thei costsi ofi caringi fori thei sicki accountedi fori thei majorityi
ofi escalatingi healthi carei dollars,i whichi increasedi fromi 5.7%i ofi thei grossi domestici
producti ini 1965i toi 17.8%i ini 2015.i Politiciansi andi thei mediai bothi influencei Americans’i
perceptionsi abouti healthi care;i however,i theyi arei noti thei primaryi reasoni whyi Americansi
arei concerned.i Thei newi healthi carei systemi willi changei thei healthi carei accessi andi
availability,i buti willi noti necessarilyi bei offeringi anyi freei servicesi toi Americans.
DIF: Cognitivei Level:i Understandi (Comprehension)
2. Ai nursei hasi beguni toi lobbyi withi politiciansi fori changesi toi thei healthi carei system.i Whyi
isi thisi involvementi important?
e. Nurses,i asi centrali charactersi ini severali populari TVi series,i arei currentlyi
Niimed iii a.
veryi visiblei ini American I
f. Nursesi arei primarilyi responUsibSlei fo ri m anagingOthei variousi unitsi ini ouri healthi care
N T
system. R
g. Nursesi arei thei largesti segmenti ofi healthi carei providers.
h. Nursesi arei thei onlyi groupi thati isi employedi bothi insidei andi outsidei ofi hospitals.
ANS:i C
Asi thei largesti segmenti ofi healthi carei providers,i nursesi arei informedi abouti thei currenti
healthi carei systemi andi alli thei problemsi thati resulti fromi peoplei noti seekingi carei untili
theyi arei desperatelyi ill.i Nurses,i asi thei Americani Nursesi Associationi (ANA)i emphasize,i
usuallyi believei thati healthi carei isi ai right,i noti ai privilege.i Therefore,i nurses,i whosei
worki isi centrali toi ouri currenti healthi carei deliveryi system,i cani alsoi bei instrumentali ini
workingi politicallyi toi createi ai healthi carei deliveryi systemi thati willi meeti healthi needs.i
Whilei nursesi arei ini severali currenti TVi seriesi andi arei employedi bothi insidei andi outsidei
ofi hospitals,i physiciansi andi otheri healthi carei providersi arei asi well.i Nursesi arei ofteni
managers,i buti managersi ofteni havei otheri backgrounds,i suchi asi businessi administration.
DIF: Cognitivei Level:i Understandi (Comprehension)
3. Whati conclusioni cani bei drawni fromi examiningi wherei nursesi arei employed?
i. Therei isi ai trendi towardi consolidationi ofi healthi carei intoi largei centrali
medicali centers.
j. Therei isi ani increasedi emphasisi oni community-basedi healthi care.
k. Therei isi ani obviousi needi toi decreasei healthi carei costsi byi cuttingi positions.
Managedi carei organizationsi (MCOs)i arei employingi nursesi toi improvei
customer
, relations.
ANS:i B
MCOsi arei employingi nursesi ini manyi capacities.i Althoughi hospitalsi arei closingi andi acutei
carei isi increasinglyi foundi ini centrali medicali centers,i thei samei trendi mayi bei seeni ini
ani increasei ini neighborhood-basedi practicei centers.i Whilei positionsi arei cuti ini mosti
industries,i healthi carei isi recognizedi asi ani areai wherei growthi ini employmenti isi
expected.i However,i nursesi arei increasinglyi employedi ini communityi settingsi asi opposedi
toi hospitals.i Thisi changei reflectsi thei movei towardi community-basedi carei ratheri thani
hospital-basedi tertiaryi care.i Toi helpi decreasei thei continuedi risei ini healthi carei costs,i
thei increasedi emphasisi isi oni diseasei preventioni ratheri thani high-costi treatment.
DIF: Cognitivei Level:i Understandi (Comprehension)
4. Whichi ethicali beliefi wouldi bei mosti helpfuli ini thei currenti healthi carei crisis?
a. Emphasisi shouldi bei oni individuali andi corporationi freedomi ini thei marketplace.
b. Emphasisi shouldi bei oni individuali autonomyi andi freedomi ofi choice.
c. Emphasisi shouldi bei oni sociali justicei andi collectivei responsibility.
d. Emphasisi shouldi bei oni thei effectivenessi ofi technologyi ini resolvingi problems.
ANS:i C
Publici healthi recognizesi thei necessityi ofi collectivei actioni ini keepingi thei environmenti
safei andi ini egalitariani traditioni andi vision.i Ani overinvestmenti ini technologyi andi
seekingi ofi curesi withini thei marketi justicei systemi hasi stifledi thei evolutioni ofi ai healthi
systemi toi protecti andi preservei thei healthi ofi thei population.i Althoughi individuali
autonomyi andi freedomi ofi choicei arei important,i soi isi thei recognitioni ofi collectivei
responsibilityi ini ensuringi sociali justice,i whichi entitlesi alli peoplei toi basici necessities.
Ui Si Ni T O
DIF: Cognitivei Level:i Applyi (Application)
5. Whati isi thei primaryi problemi seeni ini Healthyi Peoplei 2020’si emphasisi oni choosingi
healthyi lifestylei behaviors,i suchi asi dailyi exercisei ori healthyi foodi choices?
a. Emphasisi oni otheri lifestylei choices,i suchi asi noti smokingi andi minimali
usei ofi alcoholi ori drugs,i isi alsoi needed.
b. Alli ofi usi musti worki togetheri toi makei unhealthyi behaviorsi sociallyi unacceptable.
c. Iti costsi morei toi makei healthyi choices,i suchi asi buyingi andi eatingi freshi
fruitsi andi vegetablesi asi opposedi toi quicki andi cheapi fast-foodi choices.
d. Publici policyi emphasizesi personali responsibilityi buti ignoresi sociali
andi environmentali changesi neededi fori well-being.
ANS:i D
Althoughi alli responsesi arei accurate,i thei primaryi problemi isi thei emphasisi oni personali
choicesi ini thei Healthyi Peoplei 2020i objectives.i Emphasisi oni personali choicesi ignoresi
thei needi fori communityi responsibilityi andi actioni thati addressesi environmentali ori
culturali restraintsi toi health.
DIF: Cognitivei Level:i Applyi (Application)
6. Whati responsibilityi doesi thei Americani Nursesi Associationi (ANA)i Codei ofi Ethicsi
requirei ofi thei nursei beyondi givingi excellenti carei toi patients?
a. Accepti longeri worki schedulesi toi ensurei thati professionali carei isi alwaysi available
,
, toi clients.
b. Recognizei thei needi fori experiencedi nursesi toi mentori newi graduatesi toi
helpi increasei andi expandi thei numberi ofi professionalsi available.
c. Supporti healthi legislationi toi improvei accessibilityi andi costi ofi healthi care.
d. Volunteeri toi worki overtimei asi neededi toi ensurei maximumi qualityi ofi care.
ANS:i C
Thei ANAi Codei ofi Ethicsi promotesi sociali reformi byi focusingi oni healthi policyi andi
legislationi toi positivelyi affecti accessibility,i quality,i andi costi ofi healthi care.i Thei codei
doesi noti directlyi addressi workplacei issues,i suchi asi worki schedulesi ori needi fori
overtime.
DIF: Cognitivei Level:i Analyzei (Analysis)
7. Whati isi thei communityi healthi nursingi definitioni ofi health?
a. Healthi isi ai person’si goal-directedi purposefuli processi towardi well-
beingi ori wholeness.
b. Healthi isi ani individual’si physical,i mental,i andi sociali well-being,i noti
merelyi thei absencei ofi diseasei ori infirmity.
c. Healthi isi thei mutuali adaptationi betweeni ai personi andi hisi ori heri
environmenti ini meetingi dailyi existence.
d. Healthi isi familiesi andi aggregatesi choosingi actionsi toi ensurei safetyi andi well-being.
ANS:i D
Thei texti stressesi thati healthi isi noti justi thei resulti ofi ani individual’si choices,i buti choicesi
andi actionsi ofi individuals,i families,i groups,i andi communitiesi thati leadi toi betteri health.
DIF: Cognitivei Level:i Applyi (Application)
U S N T O
8. Howi doesi communityi healthi n ursi ng i d e f i n e i community?
a. Ai groupi ofi personsi livingi withini specifici geographici boundaries
b. Ai groupi ofi personsi whoi sharei ai commoni identityi andi environment
c. Ai groupi ofi personsi whoi worki togetheri toi meeti commoni goals
d. Ai groupi ofi personsi whoi resolvei ai communityi concern
ANS:i B
Communityi healthi nursesi worki withi bothi geopoliticali groupsi (withini specifici
geographici boundaries)i andi phenomenologicali groupsi (whoi havei ai commoni identityi
basedi oni culture,i history,i ori goals).i Ai particulari phenomenologicali groupi mayi ori mayi
noti havei beeni ai plannedi group—thati is,i ai groupi thati camei togetheri toi resolvei ai
recognizedi commoni problemi ori toi meeti ai commoni goal.i However,i ofi alli thei choices,i
ai groupi ofi personsi whoi sharei ai commoni identityi (phenomenologicali group)i andi
environmenti (whichi impliesi ai specifici geographici setting)i isi thei broadesti andi mosti
completei definition.
DIF: Cognitivei Level:i Applyi (Application)
9. Whichi variablei hasi ai majori influencei oni ai community’si health?
a. Behaviori choicesi madei byi personsi ini thei community
b. Numberi ofi healthi carei providersi andi hospitalsi ini thei community
ANS:i
A