Editionz byz Maryz A.z Nies,z Melaniez McEwenz -latestz
edition-2023
Chapterz 01:z Health:z Az Communityz View
Nies:z Community/Publicz Healthz Nursing,z 7thz Edition
MULTIPLEz CHOICE
1. Whichz bestz describesz thez primaryz reasonz thatz Americansz arez concernedz aboutz healthz care?
a. Politiciansz arez discussingz howz toz improvez healthz care.
b. Thez mediaz hasz providedz mixedz messagesz aboutz thez healthz carez system.
c. Ourz nationalz healthz carez costsz keepz increasing.
d. Thez newz healthz carez systemz offersz freez servicesz toz Americans.
ANS:z C
Thez primaryz reasonz forz thez focusz onz healthz carez isz thez constantlyz increasingz costs,z
whichz cannotz bez sustained.z Thez costsz ofz caringz forz thez sickz accountedz forz thez
majorityz ofz escalatingz healthz carez dollars,z whichz increasedz fromz 5.7%z ofz thez grossz
domesticz productz inz 1965z toz 17.8%z inz 2015.z Politiciansz andz thez mediaz bothz
influencez Americans’z perceptionsz aboutz healthz care;z however,z theyz arez notz thez
primaryz reasonz whyz Americansz arez concerned.z Thez newz healthz carez systemz willz
changez thez healthz carez accessz andz availability,z butz willz notz necessarilyz bez offeringz
anyz freez servicesz toz Americans.
DIF: Cognitivez Level:z Understandz (Comprehension)
2. Az nursez hasz begunz toz lobbyz withz politiciansz forz changesz toz thez healthz carez system.z
Whyz isz thisz involvementz important?
e. Nurses,z asz centralz charactersz inz severalz popularz TVz series,z arez
NzzAmericanz med ziz a. I
currentlyz veryz visiblez in
f. Nursesz arez primarilyz responUsibSlez foNrz mTanagingOthez variousz unitsz inz ourz healthz care
system. R
g. Nursesz arez thez largestz segmentz ofz healthz carez providers.
h. Nursesz arez thez onlyz groupz thatz isz employedz bothz insidez andz outsidez ofz hospitals.
ANS:z C
Asz thez largestz segmentz ofz healthz carez providers,z nursesz arez informedz aboutz thez
currentz healthz carez systemz andz allz thez problemsz thatz resultz fromz peoplez notz
seekingz carez untilz theyz arez desperatelyz ill.z Nurses,z asz thez Americanz Nursesz
Associationz (ANA)z emphasize,z usuallyz believez thatz healthz carez isz az right,z notz az
privilege.z Therefore,z nurses,z whosez workz isz centralz toz ourz currentz healthz carez
deliveryz system,z canz alsoz bez instrumentalz inz workingz politicallyz toz createz az healthz
carez deliveryz systemz thatz willz meetz healthz needs.z Whilez nursesz arez inz severalz
currentz TVz seriesz andz arez employedz bothz insidez andz outsidez ofz hospitals,z physiciansz
andz otherz healthz carez providersz arez asz well.z Nursesz arez oftenz managers,z butz
managersz oftenz havez otherz backgrounds,z suchz asz businessz administration.
DIF: Cognitivez Level:z Understandz (Comprehension)
3. Whatz conclusionz canz bez drawnz fromz examiningz wherez nursesz arez employed?
i. Therez isz az trendz towardz consolidationz ofz healthz carez intoz largez centralz
medicalz centers.
j. Therez isz anz increasedz emphasisz onz community-basedz healthz care.
k. Therez isz anz obviousz needz toz decreasez healthz carez costsz byz cuttingz positions.
,Managedz carez organizationsz (MCOs)z arez employingz nursesz toz improvez
customer
, relations.
ANS:z B
MCOsz arez employingz nursesz inz manyz capacities.z Althoughz hospitalsz arez closingz andz
acutez carez isz increasinglyz foundz inz centralz medicalz centers,z thez samez trendz mayz bez
seenz inz anz increasez inz neighborhood-basedz practicez centers.z Whilez positionsz arez cutz
inz mostz industries,z healthz carez isz recognizedz asz anz areaz wherez growthz inz
employmentz isz expected.z However,z nursesz arez increasinglyz employedz inz communityz
settingsz asz opposedz toz hospitals.z Thisz changez reflectsz thez movez towardz community-
basedz carez ratherz thanz hospital-basedz tertiaryz care.z Toz helpz decreasez thez continuedz
risez inz healthz carez costs,z thez increasedz emphasisz isz onz diseasez preventionz ratherz
thanz high-costz treatment.
DIF: Cognitivez Level:z Understandz (Comprehension)
4. Whichz ethicalz beliefz wouldz bez mostz helpfulz inz thez currentz healthz carez crisis?
a. Emphasisz shouldz bez onz individualz andz corporationz freedomz inz thez marketplace.
b. Emphasisz shouldz bez onz individualz autonomyz andz freedomz ofz choice.
c. Emphasisz shouldz bez onz socialz justicez andz collectivez responsibility.
d. Emphasisz shouldz bez onz thez effectivenessz ofz technologyz inz resolvingz problems.
ANS:z C
Publicz healthz recognizesz thez necessityz ofz collectivez actionz inz keepingz thez environmentz
safez andz inz egalitarianz traditionz andz vision.z Anz overinvestmentz inz technologyz andz
seekingz ofz curesz withinz thez marketz justicez systemz hasz stifledz thez evolutionz ofz az
healthz systemz toz protectz andz preservez thez healthz ofz thez population.z Althoughz
individualz autonomyz andz freedomz ofz choicez arez important,z soz isz thez recognitionz ofz
collectivez responsibilityz inz ensuringz socialz justice,z whichz entitlesz allz peoplez toz basicz
necessities.
Uz Sz Nz T O
DIF: Cognitivez Level:z Applyz (Application)
5. Whatz isz thez primaryz problemz seenz inz Healthyz Peoplez 2020’sz emphasisz onz
choosingz healthyz lifestylez behaviors,z suchz asz dailyz exercisez orz healthyz foodz
choices?
a. Emphasisz onz otherz lifestylez choices,z suchz asz notz smokingz andz
minimalz usez ofz alcoholz orz drugs,z isz alsoz needed.
b. Allz ofz usz mustz workz togetherz toz makez unhealthyz behaviorsz sociallyz unacceptable.
c. Itz costsz morez toz makez healthyz choices,z suchz asz buyingz andz eatingz freshz
fruitsz andz vegetablesz asz opposedz toz quickz andz cheapz fast-foodz choices.
d. Publicz policyz emphasizesz personalz responsibilityz butz ignoresz
socialz andz environmentalz changesz neededz forz well-being.
ANS:z D
Althoughz allz responsesz arez accurate,z thez primaryz problemz isz thez emphasisz onz
personalz choicesz inz thez Healthyz Peoplez 2020z objectives.z Emphasisz onz personalz
choicesz ignoresz thez needz forz communityz responsibilityz andz actionz thatz addressesz
environmentalz orz culturalz restraintsz toz health.
DIF: Cognitivez Level:z Applyz (Application)
6. Whatz responsibilityz doesz thez Americanz Nursesz Associationz (ANA)z Codez ofz Ethicsz
requirez ofz thez nursez beyondz givingz excellentz carez toz patients?
a. Acceptz longerz workz schedulesz toz ensurez thatz professionalz carez isz alwaysz available
,