, TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING 7TH
EDITION BY MARY A. NIES, MELANIE MCEWEN COMPLETE GUIDE GRADED
A+ UPDATED QUESTIONS AND ANSWERS WITH RATIONALES 2025 - 2026
,
,
Chapter 01: Health:A Community View Nies:Community/Public Health Nursing 7th Edition.
,
,
MULTIPLE,CHOICE,
,
1. Which,best,describes,the,primary,reason,that,Americans,are,concerned,about,health,care?,
a. Politicians,are,discussing,how,to,improve,health,care.,
b. The,media,has,provided,mixed,messages,about,the,health,care,system.,
c. Our,national,health,care,costs,keep,increasing.,
d. The,new,health,care,system,offers,free,services,to,Americans.,
ANS:,C,
The,primary,reason,for,the,focus,on,health,care,is,the,constantly,increasing,costs,,which,canno
t,be,sustained.,The,costs,of,caring,for,the,sick,accounted,for,the,majority,of,escalating,health,c
are,dollars,,which,increased,from,5.7%,of,the,gross,domestic,product,in,1965,to,
17.8%,in,2015.,Politicians,and,the,media,both,influence,Americans’,perceptions,about,health,car
e;,however,,they,are,not,the,primary,reason,why,Americans,are,concerned.,The,new,health,care,s
ystem,will,change,the,health,care,access,and,availability,,but,will,not,necessarily,be,offering,any,
free,services,to,Americans.,
,
DIF:,Cognitive,Level:,Understand,(Comprehension),
,
2. A,nurse,has,begun,to,lobby,with,politicians,for,changes,to,the,health,care,system.,Why,is,this,invol
vement,important?,
e. Nurses,,as,central,characters,in,several,popular,TV,series,,are,currently,very,visible,in,America
n,med,iNa.,,R,I,
f. Nurses,are,primarily,responUsibSle,foNr,mTanagingOthe,various,units,in,our,health,care,syst
em.,
g. Nurses,are,the,largest,segment,of,health,care,providers.,
h. Nurses,are,the,only,group,that,is,employed,both,inside,and,outside,of,hospitals.,
ANS:,C,
As,the,largest,segment,of,health,care,providers,,nurses,are,informed,about,the,current,health,c
are,system,and,all,the,problems,that,result,from,people,not,seeking,care,until,they,are,desperat
ely,ill.,Nurses,,as,the,American,Nurses,Association,(ANA),emphasize,,usually,believe,that,he
alth,care,is,a,right,,not,a,privilege.,Therefore,,nurses,,whose,work,is,central,to,our,current,heal
th,care,delivery,system,,can,also,be,instrumental,in,working,politically,to,create,a,health,care,
delivery,system,that,will,meet,health,needs.,While,nurses,are,in,several,current,TV,series,and,
are,employed,both,inside,and,outside,of,hospitals,,physicians,and,other,health,care,providers,a
re,as,well.,Nurses,are,often,managers,,but,managers,often,have,other,backgrounds,,such,as,bu
siness,administration.,
,
, DIF:,Cognitive,Level:,Understand,(Comprehension),
,
3. What,conclusion,can,be,drawn,from,examining,where,nurses,are,employed?,
i. There,is,a,trend,toward,consolidation,of,health,care,into,large,central,medical,centers.,
j. There,is,an,increased,emphasis,on,community-based,health,care.,
k. There,is,an,obvious,need,to,decrease,health,care,costs,by,cutting,positions.,
Managed,care,organizations,(MCOs),are,employing,nurses,to,improve,customer,
,
,relations.,
ANS:,B,
MCOs,are,employing,nurses,in,many,capacities.,Although,hospitals,are,closing,and,acute,care,i
s,increasingly,found,in,central,medical,centers,,the,same,trend,may,be,seen,in,an,increase,in,nei
ghborhood-
based,practice,centers.,While,positions,are,cut,in,most,industries,,health,care,is,recognized,as,a
n,area,where,growth,in,employment,is,expected.,However,,nurses,are,increasingly,employed,in
,community,settings,as,opposed,to,hospitals.,This,change,reflects,the,move,toward,community-
based,care,rather,than,hospital-
based,tertiary,care.,To,help,decrease,the,continued,rise,in,health,care,costs,,the,increased,emph
asis,is,on,disease,prevention,rather,than,high-cost,treatment.,
,
DIF:,Cognitive,Level:,Understand,(Comprehension),
,
,
4.,Which,ethical,belief,would,be,most,helpful,in,the,current,health,care,crisis?,
a. Emphasis,should,be,on,individual,and,corporation,freedom,in,the,marketplace.,
b. Emphasis,should,be,on,individual,autonomy,and,freedom,of,choice.,
c. Emphasis,should,be,on,social,justice,and,collective,responsibility.,
d. Emphasis,should,be,on,the,effectiveness,of,technology,in,resolving,problems.,
ANS:,C,
Public,health,recognizes,the,necessity,of,collective,action,in,keeping,the,environment,safe,and
,in,egalitarian,tradition,and,vision.,An,overinvestment,in,technology,and,seeking,of,cures,with
in,the,market,justice,system,has,stifled,the,evolution,of,a,health,system,to,protect,and,preserv
e,the,health,of,the,population.,Although,individual,autonomy,and,freedom,of,choice,are,impor
tant,,so,is,the,recognition,of,collective,responsibility,in,ensuring,social,justice,,which,entitles,
all,people,to,basic,necessities.,
U,S,N,T,O,
DIF:,Cognitive,Level:,Apply,(Application),
,
5. What,is,the,primary,problem,seen,in,Healthy,People,2020’s,emphasis,on,choosing,healthy,lifest
yle,behaviors,,such,as,daily,exercise,or,healthy,food,choices?,
a. Emphasis,on,other,lifestyle,choices,,such,as,not,smoking,and,minimal,use,of,alcohol,or,dru
gs,,is,also,needed.,
b. All,of,us,must,work,together,to,make,unhealthy,behaviors,socially,unacceptable.,
c. It,costs,more,to,make,healthy,choices,,such,as,buying,and,eating,fresh,fruits,and,vegetables,
as,opposed,to,quick,and,cheap,fast-food,choices.,
d. Public,policy,emphasizes,personal,responsibility,but,ignores,social,and,environmental,chan
ges,needed,for,well-being.,
ANS:,D,
, Although,all,responses,are,accurate,,the,primary,problem,is,the,emphasis,on,personal,choice
s,in,the,Healthy,People,2020,objectives.,Emphasis,on,personal,choices,ignores,the,need,for,
community,responsibility,and,action,that,addresses,environmental,or,cultural,restraints,to,he
alth.,
,
DIF:,Cognitive,Level:,Apply,(Application),
,
6. What,responsibility,does,the,American,Nurses,Association,(ANA),Code,of,Ethics,require,of,the
,nurse,beyond,giving,excellent,care,to,patients?,
a. Accept,longer,work,schedules,to,ensure,that,professional,care,is,always,available,
, to,clients.,
b. Recognize,the,need,for,experienced,nurses,to,mentor,new,graduates,to,help,increase,and,ex
pand,the,number,of,professionals,available.,
c. Support,health,legislation,to,improve,accessibility,and,cost,of,health,care.,
d. Volunteer,to,work,overtime,as,needed,to,ensure,maximum,quality,of,care.,
ANS:,C,
The,ANA,Code,of,Ethics,promotes,social,reform,by,focusing,on,health,policy,and,legislation,t
o,positively,affect,accessibility,,quality,,and,cost,of,health,care.,The,code,does,not,directly,add
ress,workplace,issues,,such,as,work,schedules,or,need,for,overtime.,
,
DIF:,Cognitive,Level:,Analyze,(Analysis),
,
7. What,is,the,community,health,nursing,definition,of,health?,
a. Health,is,a,person’s,goal-directed,purposeful,process,toward,well-being,or,wholeness.,
b. Health,is,an,individual’s,physical,,mental,,and,social,well-
being,,not,merely,the,absence,of,disease,or,infirmity.,
c. Health,is,the,mutual,adaptation,between,a,person,and,his,or,her,environment,in,meeting,dail
y,existence.,
d. Health,is,families,and,aggregates,choosing,actions,to,ensure,safety,and,well-being.,
ANS:,D,
The,text,stresses,that,health,is,not,just,the,result,of,an,individual’s,choices,,but,choices,and,action
s,of,individuals,,families,,groups,,and,communities,that,lead,to,better,health.,
,
DIF:,Cognitive,Level:,Apply,(Application),
8.
U S N T
How,does,community,health,n ursi ng,d efin e,comm unity?,
O
a. A,group,of,persons,living,within,specific,geographic,boundaries,
b. A,group,of,persons,who,share,a,common,identity,and,environment,
c. A,group,of,persons,who,work,together,to,meet,common,goals,
d. A,group,of,persons,who,resolve,a,community,concern,
ANS:,B,
Community,health,nurses,work,with,both,geopolitical,groups,(within,specific,geographic,bou
ndaries),and,phenomenological,groups,(who,have,a,common,identity,based,on,culture,,history
,,or,goals).,A,particular,phenomenological,group,may,or,may,not,have,been,a,planned,group
—
that,is,,a,group,that,came,together,to,resolve,a,recognized,common,problem,or,to,meet,a,com
mon,goal.,However,,of,all,the,choices,,a,group,of,persons,who,share,a,common,identity,(phen
omenological,group),and,environment,(which,implies,a,specific,geographic,setting),is,the,bro
adest,and,most,complete,definition.,
,
DIF:,Cognitive,Level:,Apply,(Application),
,
9. Which,variable,has,a,major,influence,on,a,community’s,health?,
a. Behavior,choices,made,by,persons,in,the,community,
b. Number,of,health,care,providers,and,hospitals,in,the,community,
c. Quality,of,the,public,safety,officers,(police,officers,,firefighters,,etc.),
d. The,number,and,credentials,of,public,health,officials,in,the,community,ANS:,A,
EDITION BY MARY A. NIES, MELANIE MCEWEN COMPLETE GUIDE GRADED
A+ UPDATED QUESTIONS AND ANSWERS WITH RATIONALES 2025 - 2026
,
,
Chapter 01: Health:A Community View Nies:Community/Public Health Nursing 7th Edition.
,
,
MULTIPLE,CHOICE,
,
1. Which,best,describes,the,primary,reason,that,Americans,are,concerned,about,health,care?,
a. Politicians,are,discussing,how,to,improve,health,care.,
b. The,media,has,provided,mixed,messages,about,the,health,care,system.,
c. Our,national,health,care,costs,keep,increasing.,
d. The,new,health,care,system,offers,free,services,to,Americans.,
ANS:,C,
The,primary,reason,for,the,focus,on,health,care,is,the,constantly,increasing,costs,,which,canno
t,be,sustained.,The,costs,of,caring,for,the,sick,accounted,for,the,majority,of,escalating,health,c
are,dollars,,which,increased,from,5.7%,of,the,gross,domestic,product,in,1965,to,
17.8%,in,2015.,Politicians,and,the,media,both,influence,Americans’,perceptions,about,health,car
e;,however,,they,are,not,the,primary,reason,why,Americans,are,concerned.,The,new,health,care,s
ystem,will,change,the,health,care,access,and,availability,,but,will,not,necessarily,be,offering,any,
free,services,to,Americans.,
,
DIF:,Cognitive,Level:,Understand,(Comprehension),
,
2. A,nurse,has,begun,to,lobby,with,politicians,for,changes,to,the,health,care,system.,Why,is,this,invol
vement,important?,
e. Nurses,,as,central,characters,in,several,popular,TV,series,,are,currently,very,visible,in,America
n,med,iNa.,,R,I,
f. Nurses,are,primarily,responUsibSle,foNr,mTanagingOthe,various,units,in,our,health,care,syst
em.,
g. Nurses,are,the,largest,segment,of,health,care,providers.,
h. Nurses,are,the,only,group,that,is,employed,both,inside,and,outside,of,hospitals.,
ANS:,C,
As,the,largest,segment,of,health,care,providers,,nurses,are,informed,about,the,current,health,c
are,system,and,all,the,problems,that,result,from,people,not,seeking,care,until,they,are,desperat
ely,ill.,Nurses,,as,the,American,Nurses,Association,(ANA),emphasize,,usually,believe,that,he
alth,care,is,a,right,,not,a,privilege.,Therefore,,nurses,,whose,work,is,central,to,our,current,heal
th,care,delivery,system,,can,also,be,instrumental,in,working,politically,to,create,a,health,care,
delivery,system,that,will,meet,health,needs.,While,nurses,are,in,several,current,TV,series,and,
are,employed,both,inside,and,outside,of,hospitals,,physicians,and,other,health,care,providers,a
re,as,well.,Nurses,are,often,managers,,but,managers,often,have,other,backgrounds,,such,as,bu
siness,administration.,
,
, DIF:,Cognitive,Level:,Understand,(Comprehension),
,
3. What,conclusion,can,be,drawn,from,examining,where,nurses,are,employed?,
i. There,is,a,trend,toward,consolidation,of,health,care,into,large,central,medical,centers.,
j. There,is,an,increased,emphasis,on,community-based,health,care.,
k. There,is,an,obvious,need,to,decrease,health,care,costs,by,cutting,positions.,
Managed,care,organizations,(MCOs),are,employing,nurses,to,improve,customer,
,
,relations.,
ANS:,B,
MCOs,are,employing,nurses,in,many,capacities.,Although,hospitals,are,closing,and,acute,care,i
s,increasingly,found,in,central,medical,centers,,the,same,trend,may,be,seen,in,an,increase,in,nei
ghborhood-
based,practice,centers.,While,positions,are,cut,in,most,industries,,health,care,is,recognized,as,a
n,area,where,growth,in,employment,is,expected.,However,,nurses,are,increasingly,employed,in
,community,settings,as,opposed,to,hospitals.,This,change,reflects,the,move,toward,community-
based,care,rather,than,hospital-
based,tertiary,care.,To,help,decrease,the,continued,rise,in,health,care,costs,,the,increased,emph
asis,is,on,disease,prevention,rather,than,high-cost,treatment.,
,
DIF:,Cognitive,Level:,Understand,(Comprehension),
,
,
4.,Which,ethical,belief,would,be,most,helpful,in,the,current,health,care,crisis?,
a. Emphasis,should,be,on,individual,and,corporation,freedom,in,the,marketplace.,
b. Emphasis,should,be,on,individual,autonomy,and,freedom,of,choice.,
c. Emphasis,should,be,on,social,justice,and,collective,responsibility.,
d. Emphasis,should,be,on,the,effectiveness,of,technology,in,resolving,problems.,
ANS:,C,
Public,health,recognizes,the,necessity,of,collective,action,in,keeping,the,environment,safe,and
,in,egalitarian,tradition,and,vision.,An,overinvestment,in,technology,and,seeking,of,cures,with
in,the,market,justice,system,has,stifled,the,evolution,of,a,health,system,to,protect,and,preserv
e,the,health,of,the,population.,Although,individual,autonomy,and,freedom,of,choice,are,impor
tant,,so,is,the,recognition,of,collective,responsibility,in,ensuring,social,justice,,which,entitles,
all,people,to,basic,necessities.,
U,S,N,T,O,
DIF:,Cognitive,Level:,Apply,(Application),
,
5. What,is,the,primary,problem,seen,in,Healthy,People,2020’s,emphasis,on,choosing,healthy,lifest
yle,behaviors,,such,as,daily,exercise,or,healthy,food,choices?,
a. Emphasis,on,other,lifestyle,choices,,such,as,not,smoking,and,minimal,use,of,alcohol,or,dru
gs,,is,also,needed.,
b. All,of,us,must,work,together,to,make,unhealthy,behaviors,socially,unacceptable.,
c. It,costs,more,to,make,healthy,choices,,such,as,buying,and,eating,fresh,fruits,and,vegetables,
as,opposed,to,quick,and,cheap,fast-food,choices.,
d. Public,policy,emphasizes,personal,responsibility,but,ignores,social,and,environmental,chan
ges,needed,for,well-being.,
ANS:,D,
, Although,all,responses,are,accurate,,the,primary,problem,is,the,emphasis,on,personal,choice
s,in,the,Healthy,People,2020,objectives.,Emphasis,on,personal,choices,ignores,the,need,for,
community,responsibility,and,action,that,addresses,environmental,or,cultural,restraints,to,he
alth.,
,
DIF:,Cognitive,Level:,Apply,(Application),
,
6. What,responsibility,does,the,American,Nurses,Association,(ANA),Code,of,Ethics,require,of,the
,nurse,beyond,giving,excellent,care,to,patients?,
a. Accept,longer,work,schedules,to,ensure,that,professional,care,is,always,available,
, to,clients.,
b. Recognize,the,need,for,experienced,nurses,to,mentor,new,graduates,to,help,increase,and,ex
pand,the,number,of,professionals,available.,
c. Support,health,legislation,to,improve,accessibility,and,cost,of,health,care.,
d. Volunteer,to,work,overtime,as,needed,to,ensure,maximum,quality,of,care.,
ANS:,C,
The,ANA,Code,of,Ethics,promotes,social,reform,by,focusing,on,health,policy,and,legislation,t
o,positively,affect,accessibility,,quality,,and,cost,of,health,care.,The,code,does,not,directly,add
ress,workplace,issues,,such,as,work,schedules,or,need,for,overtime.,
,
DIF:,Cognitive,Level:,Analyze,(Analysis),
,
7. What,is,the,community,health,nursing,definition,of,health?,
a. Health,is,a,person’s,goal-directed,purposeful,process,toward,well-being,or,wholeness.,
b. Health,is,an,individual’s,physical,,mental,,and,social,well-
being,,not,merely,the,absence,of,disease,or,infirmity.,
c. Health,is,the,mutual,adaptation,between,a,person,and,his,or,her,environment,in,meeting,dail
y,existence.,
d. Health,is,families,and,aggregates,choosing,actions,to,ensure,safety,and,well-being.,
ANS:,D,
The,text,stresses,that,health,is,not,just,the,result,of,an,individual’s,choices,,but,choices,and,action
s,of,individuals,,families,,groups,,and,communities,that,lead,to,better,health.,
,
DIF:,Cognitive,Level:,Apply,(Application),
8.
U S N T
How,does,community,health,n ursi ng,d efin e,comm unity?,
O
a. A,group,of,persons,living,within,specific,geographic,boundaries,
b. A,group,of,persons,who,share,a,common,identity,and,environment,
c. A,group,of,persons,who,work,together,to,meet,common,goals,
d. A,group,of,persons,who,resolve,a,community,concern,
ANS:,B,
Community,health,nurses,work,with,both,geopolitical,groups,(within,specific,geographic,bou
ndaries),and,phenomenological,groups,(who,have,a,common,identity,based,on,culture,,history
,,or,goals).,A,particular,phenomenological,group,may,or,may,not,have,been,a,planned,group
—
that,is,,a,group,that,came,together,to,resolve,a,recognized,common,problem,or,to,meet,a,com
mon,goal.,However,,of,all,the,choices,,a,group,of,persons,who,share,a,common,identity,(phen
omenological,group),and,environment,(which,implies,a,specific,geographic,setting),is,the,bro
adest,and,most,complete,definition.,
,
DIF:,Cognitive,Level:,Apply,(Application),
,
9. Which,variable,has,a,major,influence,on,a,community’s,health?,
a. Behavior,choices,made,by,persons,in,the,community,
b. Number,of,health,care,providers,and,hospitals,in,the,community,
c. Quality,of,the,public,safety,officers,(police,officers,,firefighters,,etc.),
d. The,number,and,credentials,of,public,health,officials,in,the,community,ANS:,A,
