Complete Test Bank Community Public Health Nursing 7th Edition by Mary A. Nies, Melanie McEwen | Complete Guide 2025

Community Public Health Nursing 7th Edition Nies Test
xz xz xz xz xz xz xz xz




Bank
xz




All Chapters Complete
xz xz




Question and Answers, With Rationales
xz xz xz xz

,Community Public Health Nursing 7th Edition Nies Test xz xz xz xz xz xz xz xz




Bank
xz




Chapter 01: Health: A Community View
xz xz xz xz xz



Nies: Community/Public Health Nursing, 7th Edition
xz xz xz xz xz




MULTIPLE CHOICE xz




1. Which best describes the primary reason that Americans are concerned about health care?
xz xz xz xz xz xz xz xz xz xz xz xz



a. Politicians are discussing how to improve health care. xz xz xz xz xz xz xz



b. The media has provided mixed messages about the health care system.
xz xz xz xz xz xz xz xz xz xz



c. Our national health care costs keep increasing.
xz xz xz xz xz xz



d. The new health care system offers free services to Americans.
xz xz xz xz xz xz xz xz xz




ANS: C xz



The primary reason for the focus on health care is the constantly increasing costs, which
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



cannot be sustained. The costs of caring for the sick accounted for the majority of
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



escalating health care dollars, which increased from 5.7% of the gross domestic product in
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



1965 to 17.8% in 2015. Politicians and the media both influence Americans‘ perceptions
xz xz xz xz xz xz xz xz xz xz xz xz xz



about health care; however, they are not the primary reason why Americans are concerned.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



The new health care system will change the health care access and availability, but will not
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



necessarily be offering any free services to Americans.
xz xz xz xz xz xz xz xz




DIF: Cognitive Level: Understand (Comprehension) xz xz xz




2. A nurse has begun to lobby with politicians for changes to the health care system. Why is
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



xz this involvement important?
xz xz



a. Nurses, as central characters in several popular TV series, are currently very
xz xz xz xz xz xz xz xz xz xz xz


visible in American media
xz xz xz xz



b. Nurses are primarily responsible for managing various units in our health care
xz xz xz xz xz xz xz xz xz xz xz



system. xz



c. Nurses are the largest segment of health care providers. xz xz xz xz xz xz xz xz



d. Nurses are the only group that is employed both inside and outside of hospitals.
xz xz xz xz xz xz xz xz xz xz xz xz xz




ANS: C xz



As the largest segment of health care providers, nurses are informed about the current health
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



care system and all the problems that result from people not seeking care until they are
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
xz xz xz xz xz xz xz xz xz xz xz



believe that health care is a right, not a privilege. Therefore, nurses, whose work is central
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



to our current health care delivery system, can also be instrumental in working politically
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



to create a health care delivery system that will meet health needs. While nurses are in
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



several current TV series and are employed both inside and outside of hospitals, physicians
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



and other health care providers are as well. Nurses are often managers, but managers often
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



have other backgrounds, such as business administration.
xz xz xz xz xz xz xz




DIF: Cognitive Level: Understand (Comprehension) xz xz xz




3. What conclusion can be drawn from examining where nurses are employed?
xz xz xz xz xz xz xz xz xz xz



a. There is a trend toward consolidation of health care into large central medical
xz xz xz xz xz xz xz xz xz xz xz xz



centers. xz



b. There is an increased emphasis on community-based health care.
xz xz xz xz xz xz xz xz



c. There is an obvious need to decrease health care costs by cutting positions.
xz xz xz xz xz xz xz xz xz xz xz xz



d. Managed care organizations (MCOs) are employing nurses to improve customer xz xz xz xz xz xz xz xz xz

, relations.
ANS: B xz



MCOs are employing nurses in many capacities. Although hospitals are closing and acute
xz xz xz xz xz xz xz xz xz xz xz xz



care is increasingly found in central medical centers, the same trend may be seen in an
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



increase in neighborhood-based practice centers. While positions are cut in most industries,
xz xz xz xz xz xz xz xz xz xz xz xz



health care is recognized as an area where growth in employment is expected. However,
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



nurses are increasingly employed in community settings as opposed to hospitals. This
xz xz xz xz xz xz xz xz xz xz xz xz



change reflects the move toward community-based care rather than hospital-based tertiary
xz xz xz xz xz xz xz xz xz xz xz



care. To help decrease the continued rise in health care costs, the increased emphasis is on
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



disease prevention rather than high-cost treatment.
xz xz xz xz xz xz




DIF: Cognitive Level: Understand (Comprehension) xz xz xz




4. Which ethical belief would be most helpful in the current health care crisis?
xz xz xz xz xz xz xz xz xz xz xz xz



a. Emphasis should be on individual and corporation freedom in the marketplace.
xz xz xz xz xz xz xz xz xz xz



b. Emphasis should be on individual autonomy and freedom of choice. xz xz xz xz xz xz xz xz xz



c. Emphasis should be on social justice and collective responsibility. xz xz xz xz xz xz xz xz



d. Emphasis should be on the effectiveness of technology in resolving problems.
xz xz xz xz xz xz xz xz xz xz




ANS: C xz



Public health recognizes the necessity of collective action in keeping the environment safe
xz xz xz xz xz xz xz xz xz xz xz xz



and in egalitarian tradition and vision. An overinvestment in technology and seeking of
xz xz xz xz xz xz xz xz xz xz xz xz xz



cures within the market justice system has stifled the evolution of a health system to protect
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



and preserve the health of the population. Although individual autonomy and freedom of
xz xz xz xz xz xz xz xz xz xz xz xz xz



choice are important, so is the recognition of collective responsibility in ensuring social
xz xz xz xz xz xz xz xz xz xz xz xz xz



justice, which entitles all people to basic necessities.
xz x z xz xz xz xz xz xz




DIF: Cognitive Level: Apply (Application) xz xz xz




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
xz xz xz xz xz xz xz xz xz xz xz xz xz



xz lifestyle behaviors, such as daily exercise or healthy food choices?
xz xz xz xz xz xz xz xz xz



a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
xz xz xz xz xz xz xz xz xz xz xz xz



xz alcohol or drugs, is also needed. xz xz xz xz xz



b. All of us must work together to make unhealthy behaviors socially unacceptable.
xz xz xz xz xz xz xz xz xz xz xz



c. It costs more to make healthy choices, such as buying and eating fresh fruits
xz xz xz xz xz xz xz xz xz xz xz xz xz



and vegetables as opposed to quick and cheap fast-food choices.
xz xz xz xz xz xz xz xz xz xz



d. Public policy emphasizes personal responsibility but ignores social and
xz xz xz xz xz xz xz xz



environmental changes needed for well-being.
xz xz xz xz xz




ANS: D xz



Although all responses are accurate, the primary problem is the emphasis on personal choices
xz xz xz xz xz xz xz xz xz xz xz xz xz



in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



community responsibility and action that addresses environmental or cultural restraints to
xz xz xz xz xz xz xz xz xz xz xz



health.
xz




DIF: Cognitive Level: Apply (Application) xz xz xz




6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
xz xz xz xz xz xz xz xz xz xz xz xz



the nurse beyond giving excellent care to patients?
xz xz xz xz xz xz xz xz



a. Accept longer work schedules to ensure that professional care is always available
xz xz xz xz xz xz xz xz xz xz xz

, to clients.xz



b. Recognize the need for experienced nurses to mentor new graduates to help
xz xz xz xz xz xz xz xz xz xz xz



increase and expand the number of professionals available.
xz xz xz xz xz xz xz xz



c. Support health legislation to improve accessibility and cost of health care.
xz xz xz xz xz xz xz xz xz xz



d. Volunteer to work overtime as needed to ensure maximum quality of care.
xz xz xz xz xz xz xz xz xz xz xz




ANS: C xz



The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
xz xz xz xz xz xz xz xz xz xz xz xz xz xz



to positively affect accessibility, quality, and cost of health care. The code does not directly
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



address workplace issues, such as work schedules or need for overtime.
xz xz xz xz xz xz xz xz xz xz xz




DIF: Cognitive Level: Analyze (Analysis) xz xz xz




7. What is the community health nursing definition of health?
xz xz xz xz xz xz xz xz



a. Health is a person‘s goal-directed purposeful process toward well-being or
xz xz xz xz xz xz xz xz xz



wholeness.
xz



b. Health is an individual‘s physical, mental, and social well-being, not merely the
xz xz xz xz xz xz xz xz xz xz xz



absence of disease or infirmity.
xz xz xz xz xz



c. Health is the mutual adaptation between a person and his or her environment in
xz xz xz xz xz xz xz xz xz xz xz xz xz



meeting daily existence.
xz xz xz



d. Health is families and aggregates choosing actions to ensure safety and well-being.
xz xz xz xz xz xz xz xz xz xz xz




ANS: D xz



The text stresses that health is not just the result of an individual‘s choices, but choices and
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



actions of individuals, families, groups, and communities that lead to better health.
xz xz xz xz xz xz xz xz xz xz xz xz




DIF: Cognitive Level: Apply (Application) xz xz xz




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



a. A group of persons living within specific geographic boundaries
xz xz xz xz xz xz xz xz



b. A group of persons who share a common identity and environment
xz xz xz xz xz xz xz xz xz xz



c. A group of persons who work together to meet common goals
xz xz xz xz xz xz xz xz xz xz



d. A group of persons who resolve a community concern
xz xz xz xz xz xz xz xz




ANS: B xz



Community health nurses work with both geopolitical groups (within specific geographic
xz xz xz xz xz xz xz xz xz xz



boundaries) and phenomenological groups (who have a common identity based on culture,
xz xz xz xz xz xz xz xz xz xz xz xz



history, or goals). A particular phenomenological group may or may not have been a planned
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



group—that is, a group that came together to resolve a recognized common problem or to
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



meet a common goal. However, of all the choices, a group of persons who share a common
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz



identity (phenomenological group) and environment (which implies a specific geographic
xz xz xz xz xz xz xz xz xz xz



setting) is the broadest and most complete definition.
xz xz xz xz xz xz xz xz




DIF: Cognitive Level: Apply (Application) xz xz xz




9. Which variable has a major influence on a community‘s health?
xz xz xz xz xz xz xz xz xz



a. Behavior choices made by persons in the community xz xz xz xz xz xz xz



b. Number of health care providers and hospitals in the community
xz xz xz xz xz xz xz xz xz



c. Quality of the public safety officers (police officers, firefighters, etc.)
xz xz xz xz xz xz xz xz xz



d. The number and credentials of public health officials in the community
xz xz xz xz xz xz xz xz xz xz




ANS: A xz