f
#
f f
# #
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f# NURSINGTB.COM f#
,f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
Chapter 01: Health: A Community View Nies: Community/Public Health
f# f# f# f# f# f# f# f#
Nursing, 7th Edition
f# f# f# f# f#
f#
MULTIPLE f#CHOICE f#
f#
1. Which f#best f#describes f#the f#primary f#reason f#that f#Americans f#are f#concerned f#about f#health
care? f#
f#
a. Politicians f#are f#discussing f#how f#to f#improve f#health f#care. f#
b. The f#media f#has f#provided f#mixed f#messages f#about f#the f#health f#care f#system. f#
c. Our f#national f#health f#care f#costs f#keep f#increasing. f#
d. The f#new f#health f#care f#system f#offers f#free f#services f#to f#Americans. f#
ANS: f#C f#
The f#primary f#reason f#for f#the f#focus f#on f#health f#care f#is f#the f#constantly f#increasing f#costs,
f#which f#cannot f#be f#sustained. f#The f#costs f#of f#caring f#for f#the f#sick f#accounted f#for f#the
f#majority f#of f#escalating f#health f#care f#dollars, f#which f#increased f#from f#5.7% f#of f#the f#gross
f#domestic f#product f#in f#1965 f#to f#17.8% f#in f#2015. f#Politicians f#and f#the f#media f#both
f#influence f#Americans’ f#perceptions f#about f#health f#care; f#however, f#they f#are f#not f#the
f#primary f#reason f#why f#Americans f#are f#concerned. f#The f#new f#health f#care f#system f#will
f#change f#the f#health f#care f#access f#and f#availability, f#but f#will f#not f#necessarily f#be f#offering
f#any f#free f#services f#to f#Americans. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
2. A f#nurse f#has f#begun f#to f#lobby f#with f#politicians f#for f#changes f#to f#the f#health f#care f#system.
Why f#is f#this f#involvement f#important? f#
f#
a. Nurses, f#as f#central f#characters f#in f#several f#popular f#TV f#series, f#are f#currently f#very
f#visible f#in f#American f#mediNa. f# f# f# R f#I f#G f#B.C f#M f#
b. Nurses f#are f#primarily f#responUsibSle f#foNr f#mTanagingOthe f#various f#units f#in f#our
f# health f#care f#system. f#
c. Nurses f#are f#the f#largest f#segment f#of f#health f#care f#providers. f#
d. Nurses f#are f#the f#only f#group f#that f#is f#employed f#both f#inside f#and f#outside f#of f#hospitals.
f#
ANS: f#C f#
As f#the f#largest f#segment f#of f#health f#care f#providers, f#nurses f#are f#informed f#about f#the
f#current f#health f#care f#system f#and f#all f#the f#problems f#that f#result f#from f#people f#not f#seeking
f#care f#until f#they f#are f#desperately f#ill. f#Nurses, f#as f#the f#American f#Nurses f#Association
f#(ANA) f#emphasize, f#usually f#believe f#that f#health f#care f#is f#a f#right, f#not f#a f#privilege.
f#Therefore, f#nurses, f#whose f#work f#is f#central f#to f#our f#current f#health f#care f#delivery f#system,
f#can f#also f#be f#instrumental f#in f#working f#politically f#to f#create f#a f#health f#care f#delivery
f#system f#that f#will f#meet f#health f#needs. f#While f#nurses f#are f#in f#several f#current f#TV f#series
f#and f#are f#employed f#both f#inside f#and f#outside f#of f#hospitals, f#physicians f#and f#other f#health
f#care f#providers f#are f#as f#well. f#Nurses f#are f#often f#managers, f#but f#managers f#often f#have
f#other f#backgrounds, f#such f#as f#business f#administration. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
3. What f#conclusion f#can f#be f#drawn f#from f#examining f#where f#nurses f#are f#employed? f#
f# NURSINGTB.COM f#
,f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
a. There f#is f#a f#trend f#toward f#consolidation f#of f#health f#care f#into f#large f#central f#medical
centers. f#
f#
b. There f#is f#an f#increased f#emphasis f#on f#community-based f#health f#care. f#
c. There f#is f#an f#obvious f#need f#to f#decrease f#health f#care f#costs f#by f#cutting f#positions. f#
d. Managed f#care f#organizations f#(MCOs) f#are f#employing f#nurses f#to f#improve f#customer f#
relations. f#
ANS: f#B f#
MCOs f#are f#employing f#nurses f#in f#many f#capacities. f#Although f#hospitals f#are f#closing f#and
f#acute f#care f#is f#increasingly f#found f#in f#central f#medical f#centers, f#the f#same f#trend f#may f#be
f#seen f#in f#an f#increase f#in f#neighborhood-based f#practice f#centers. f#While f#positions f#are f#cut
f#in f#most f#industries, f#health f#care f#is f#recognized f#as f#an f#area f#where f#growth f#in
f#employment f#is f#expected. f#However, f#nurses f#are f#increasingly f#employed f#in f#community
f#settings f#as f#opposed f#to f#hospitals. f#This f#change f#reflects f#the f#move f#toward f#community-
based f#care f#rather f#than f#hospital-based f#tertiary f#care. f#To f#help f#decrease f#the f#continued
f#rise f#in f#health f#care f#costs, f#the f#increased f#emphasis f#is f#on f#disease f#prevention f#rather
f#than f#high-cost f#treatment. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
4. f#Which f#ethical f#belief f#would f#be f#most f#helpful f#in f#the f#current f#health f#care f#crisis? f#
a. Emphasis f#should f#be f#on f#individual f#and f#corporation f#freedom f#in f#the f#marketplace. f#
b. Emphasis f#should f#be f#on f#individual f#autonomy f#and f#freedom f#of f#choice. f#
c. Emphasis f#should f#be f#on f#social f#justice f#and f#collective f#responsibility. f#
d. Emphasis f#should f#be f#on f#the f#effectiveness f#of f#technology f#in f#resolving f#problems. f#
ANS: f#C f#
Public f#health f#recognizes f#the f#necessity f#of f#collective f#action f#in f#keeping f#the f#environment
f#safe f#and f#in f#egalitarian f#tradition f#and f#vision. f#An f#overinvestment f#in f#technology f#and
f#seeking f#of f#cures f#within f#the f#market f#justice f#system f#has f#stifled f#the f#evolution f#of f#a
f#health f#system f#to f#protect f#and f#preserve f#the f#health f#of f#the f#population. f#Although
f#individual f#autonomy f#and f#freedom f#of f#choice f#are f#important, f#so f#is f#the f#recognition f#of
f#collective f#responsibility f#in f#ensuring f#social f#justice, f#which f#entitles f#all f#people f#to f#basic
f#necessities. f#
NU R S I N G
f# f# f# f# f# f# f# TB.C O M
f# f# f# f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
f#
5. What f#is f#the f#primary f#problem f#seen f#in f#Healthy f#People f#2020’s f#emphasis f#on f#choosing
f#healthy f#lifestyle f#behaviors, f#such f#as f#daily f#exercise f#or f#healthy f#food f#choices? f#
a. Emphasis f#on f#other f#lifestyle f#choices, f#such f#as f#not f#smoking f#and f#minimal f#use f#of
f#alcohol f#or f#drugs, f#is f#also f#needed. f#
b. All f#of f#us f#must f#work f#together f#to f#make f#unhealthy f#behaviors f#socially f#unacceptable.
f#
c. It f#costs f#more f#to f#make f#healthy f#choices, f#such f#as f#buying f#and f#eating f#fresh f#fruits
and f#vegetables f#as f#opposed f#to f#quick f#and f#cheap f#fast-food f#choices. f#
f#
d. Public f#policy f#emphasizes f#personal f#responsibility f#but f#ignores f#social f#and
f#environmental f#changes f#needed f#for f#well-being. f#
ANS: f#D f#
f# NURSINGTB.COM f#
, f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
Although f#all f#responses f#are f#accurate, f#the f#primary f#problem f#is f#the f#emphasis f#on
f#personal f#choices f#in f#the f#Healthy f#People f#2020 f#objectives. f#Emphasis f#on f#personal
f#choices f#ignores f#the f#need f#for f#community f#responsibility f#and f#action f#that f#addresses
f#environmental f#or f#cultural f#restraints f#to f#health. f#
f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
f#
6. What f#responsibility f#does f#the f#American f#Nurses f#Association f#(ANA) f#Code f#of f#Ethics
f#require f#of f#the f#nurse f#beyond f#giving f#excellent f#care f#to f#patients? f#
a. Accept f#longer f#work f#schedules f#to f#ensure f#that f#professional f#care f#is f#always f#available
f#
to f#clients. f#
b. Recognize f#the f#need f#for f#experienced f#nurses f#to f#mentor f#new f#graduates f#to f#help
f#increase f#and f#expand f#the f#number f#of f#professionals f#available. f#
c. Support f#health f#legislation f#to f#improve f#accessibility f#and f#cost f#of f#health f#care. f#
d. Volunteer f#to f#work f#overtime f#as f#needed f#to f#ensure f#maximum f#quality f#of f#care. f#
ANS: f#C f#
The f#ANA f#Code f#of f#Ethics f#promotes f#social f#reform f#by f#focusing f#on f#health f#policy f#and
f#legislation f#to f#positively f#affect f#accessibility, f#quality, f#and f#cost f#of f#health f#care. f#The
f#code f#does f#not f#directly f#address f#workplace f#issues, f#such f#as f#work f#schedules f#or f#need
f#for f#overtime. f#
f#
DIF: f#Cognitive f#Level: f#Analyze f#(Analysis) f#
f#
7. What f#is f#the f#community f#health f#nursing f#definition f#of f#health? f#
a. Health f#is f#a f#person’s f#goal-directed f#purposeful f#process f#toward f#well-being f#or
f#wholeness. f#
b. Health f#is f#an f#individual’s f#physical, f#mental, f#and f#social f#well-being, f#not f#merely f#the
f#absence f#of f#disease f#or f#infirmity. f#
c. Health f#is f#the f#mutual f#adaptation f#between f#a f#person f#and f#his f#or f#her f#environment f#in
f#meeting f#daily f#existence. f#
d. Health f#is f#families f#and f#aggregates f#choosing f#actions f#to f#ensure f#safety f#and f#well-
being. f#
ANS: f#D f#
The f#text f#stresses f#that f#health f#is f#not f#just f#the f#result f#of f#an f#individual’s f#choices, f#but
f#choices f#and f#actions f#of f#individuals, f#families, f#groups, f#and f#communities f#that f#lead f#to
f#better f#health. f#
f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
N
8. How f#does f#community f#health f#nursingU f# R S I
f# f# f# f# defineN f# G f# f# TB.C f#
f# community?O f# M f# f# f#
a. A f#group f#of f#persons f#living f#within f#specific f#geographic f#boundaries f#
b. A f#group f#of f#persons f#who f#share f#a f#common f#identity f#and f#environment f#
c. A f#group f#of f#persons f#who f#work f#together f#to f#meet f#common f#goals f#
d. A f#group f#of f#persons f#who f#resolve f#a f#community f#concern f#
ANS: f#B f#
f# NURSINGTB.COM f#
#
f f
# #
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f# NURSINGTB.COM f#
,f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
Chapter 01: Health: A Community View Nies: Community/Public Health
f# f# f# f# f# f# f# f#
Nursing, 7th Edition
f# f# f# f# f#
f#
MULTIPLE f#CHOICE f#
f#
1. Which f#best f#describes f#the f#primary f#reason f#that f#Americans f#are f#concerned f#about f#health
care? f#
f#
a. Politicians f#are f#discussing f#how f#to f#improve f#health f#care. f#
b. The f#media f#has f#provided f#mixed f#messages f#about f#the f#health f#care f#system. f#
c. Our f#national f#health f#care f#costs f#keep f#increasing. f#
d. The f#new f#health f#care f#system f#offers f#free f#services f#to f#Americans. f#
ANS: f#C f#
The f#primary f#reason f#for f#the f#focus f#on f#health f#care f#is f#the f#constantly f#increasing f#costs,
f#which f#cannot f#be f#sustained. f#The f#costs f#of f#caring f#for f#the f#sick f#accounted f#for f#the
f#majority f#of f#escalating f#health f#care f#dollars, f#which f#increased f#from f#5.7% f#of f#the f#gross
f#domestic f#product f#in f#1965 f#to f#17.8% f#in f#2015. f#Politicians f#and f#the f#media f#both
f#influence f#Americans’ f#perceptions f#about f#health f#care; f#however, f#they f#are f#not f#the
f#primary f#reason f#why f#Americans f#are f#concerned. f#The f#new f#health f#care f#system f#will
f#change f#the f#health f#care f#access f#and f#availability, f#but f#will f#not f#necessarily f#be f#offering
f#any f#free f#services f#to f#Americans. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
2. A f#nurse f#has f#begun f#to f#lobby f#with f#politicians f#for f#changes f#to f#the f#health f#care f#system.
Why f#is f#this f#involvement f#important? f#
f#
a. Nurses, f#as f#central f#characters f#in f#several f#popular f#TV f#series, f#are f#currently f#very
f#visible f#in f#American f#mediNa. f# f# f# R f#I f#G f#B.C f#M f#
b. Nurses f#are f#primarily f#responUsibSle f#foNr f#mTanagingOthe f#various f#units f#in f#our
f# health f#care f#system. f#
c. Nurses f#are f#the f#largest f#segment f#of f#health f#care f#providers. f#
d. Nurses f#are f#the f#only f#group f#that f#is f#employed f#both f#inside f#and f#outside f#of f#hospitals.
f#
ANS: f#C f#
As f#the f#largest f#segment f#of f#health f#care f#providers, f#nurses f#are f#informed f#about f#the
f#current f#health f#care f#system f#and f#all f#the f#problems f#that f#result f#from f#people f#not f#seeking
f#care f#until f#they f#are f#desperately f#ill. f#Nurses, f#as f#the f#American f#Nurses f#Association
f#(ANA) f#emphasize, f#usually f#believe f#that f#health f#care f#is f#a f#right, f#not f#a f#privilege.
f#Therefore, f#nurses, f#whose f#work f#is f#central f#to f#our f#current f#health f#care f#delivery f#system,
f#can f#also f#be f#instrumental f#in f#working f#politically f#to f#create f#a f#health f#care f#delivery
f#system f#that f#will f#meet f#health f#needs. f#While f#nurses f#are f#in f#several f#current f#TV f#series
f#and f#are f#employed f#both f#inside f#and f#outside f#of f#hospitals, f#physicians f#and f#other f#health
f#care f#providers f#are f#as f#well. f#Nurses f#are f#often f#managers, f#but f#managers f#often f#have
f#other f#backgrounds, f#such f#as f#business f#administration. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
3. What f#conclusion f#can f#be f#drawn f#from f#examining f#where f#nurses f#are f#employed? f#
f# NURSINGTB.COM f#
,f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
a. There f#is f#a f#trend f#toward f#consolidation f#of f#health f#care f#into f#large f#central f#medical
centers. f#
f#
b. There f#is f#an f#increased f#emphasis f#on f#community-based f#health f#care. f#
c. There f#is f#an f#obvious f#need f#to f#decrease f#health f#care f#costs f#by f#cutting f#positions. f#
d. Managed f#care f#organizations f#(MCOs) f#are f#employing f#nurses f#to f#improve f#customer f#
relations. f#
ANS: f#B f#
MCOs f#are f#employing f#nurses f#in f#many f#capacities. f#Although f#hospitals f#are f#closing f#and
f#acute f#care f#is f#increasingly f#found f#in f#central f#medical f#centers, f#the f#same f#trend f#may f#be
f#seen f#in f#an f#increase f#in f#neighborhood-based f#practice f#centers. f#While f#positions f#are f#cut
f#in f#most f#industries, f#health f#care f#is f#recognized f#as f#an f#area f#where f#growth f#in
f#employment f#is f#expected. f#However, f#nurses f#are f#increasingly f#employed f#in f#community
f#settings f#as f#opposed f#to f#hospitals. f#This f#change f#reflects f#the f#move f#toward f#community-
based f#care f#rather f#than f#hospital-based f#tertiary f#care. f#To f#help f#decrease f#the f#continued
f#rise f#in f#health f#care f#costs, f#the f#increased f#emphasis f#is f#on f#disease f#prevention f#rather
f#than f#high-cost f#treatment. f#
f#
DIF: f#Cognitive f#Level: f#Understand f#(Comprehension) f#
f#
4. f#Which f#ethical f#belief f#would f#be f#most f#helpful f#in f#the f#current f#health f#care f#crisis? f#
a. Emphasis f#should f#be f#on f#individual f#and f#corporation f#freedom f#in f#the f#marketplace. f#
b. Emphasis f#should f#be f#on f#individual f#autonomy f#and f#freedom f#of f#choice. f#
c. Emphasis f#should f#be f#on f#social f#justice f#and f#collective f#responsibility. f#
d. Emphasis f#should f#be f#on f#the f#effectiveness f#of f#technology f#in f#resolving f#problems. f#
ANS: f#C f#
Public f#health f#recognizes f#the f#necessity f#of f#collective f#action f#in f#keeping f#the f#environment
f#safe f#and f#in f#egalitarian f#tradition f#and f#vision. f#An f#overinvestment f#in f#technology f#and
f#seeking f#of f#cures f#within f#the f#market f#justice f#system f#has f#stifled f#the f#evolution f#of f#a
f#health f#system f#to f#protect f#and f#preserve f#the f#health f#of f#the f#population. f#Although
f#individual f#autonomy f#and f#freedom f#of f#choice f#are f#important, f#so f#is f#the f#recognition f#of
f#collective f#responsibility f#in f#ensuring f#social f#justice, f#which f#entitles f#all f#people f#to f#basic
f#necessities. f#
NU R S I N G
f# f# f# f# f# f# f# TB.C O M
f# f# f# f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
f#
5. What f#is f#the f#primary f#problem f#seen f#in f#Healthy f#People f#2020’s f#emphasis f#on f#choosing
f#healthy f#lifestyle f#behaviors, f#such f#as f#daily f#exercise f#or f#healthy f#food f#choices? f#
a. Emphasis f#on f#other f#lifestyle f#choices, f#such f#as f#not f#smoking f#and f#minimal f#use f#of
f#alcohol f#or f#drugs, f#is f#also f#needed. f#
b. All f#of f#us f#must f#work f#together f#to f#make f#unhealthy f#behaviors f#socially f#unacceptable.
f#
c. It f#costs f#more f#to f#make f#healthy f#choices, f#such f#as f#buying f#and f#eating f#fresh f#fruits
and f#vegetables f#as f#opposed f#to f#quick f#and f#cheap f#fast-food f#choices. f#
f#
d. Public f#policy f#emphasizes f#personal f#responsibility f#but f#ignores f#social f#and
f#environmental f#changes f#needed f#for f#well-being. f#
ANS: f#D f#
f# NURSINGTB.COM f#
, f
#
Community f#Public f#Health f#Nursing f#7th f#Edition f#Nies f#Test f#Bank f#
f#
Although f#all f#responses f#are f#accurate, f#the f#primary f#problem f#is f#the f#emphasis f#on
f#personal f#choices f#in f#the f#Healthy f#People f#2020 f#objectives. f#Emphasis f#on f#personal
f#choices f#ignores f#the f#need f#for f#community f#responsibility f#and f#action f#that f#addresses
f#environmental f#or f#cultural f#restraints f#to f#health. f#
f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
f#
6. What f#responsibility f#does f#the f#American f#Nurses f#Association f#(ANA) f#Code f#of f#Ethics
f#require f#of f#the f#nurse f#beyond f#giving f#excellent f#care f#to f#patients? f#
a. Accept f#longer f#work f#schedules f#to f#ensure f#that f#professional f#care f#is f#always f#available
f#
to f#clients. f#
b. Recognize f#the f#need f#for f#experienced f#nurses f#to f#mentor f#new f#graduates f#to f#help
f#increase f#and f#expand f#the f#number f#of f#professionals f#available. f#
c. Support f#health f#legislation f#to f#improve f#accessibility f#and f#cost f#of f#health f#care. f#
d. Volunteer f#to f#work f#overtime f#as f#needed f#to f#ensure f#maximum f#quality f#of f#care. f#
ANS: f#C f#
The f#ANA f#Code f#of f#Ethics f#promotes f#social f#reform f#by f#focusing f#on f#health f#policy f#and
f#legislation f#to f#positively f#affect f#accessibility, f#quality, f#and f#cost f#of f#health f#care. f#The
f#code f#does f#not f#directly f#address f#workplace f#issues, f#such f#as f#work f#schedules f#or f#need
f#for f#overtime. f#
f#
DIF: f#Cognitive f#Level: f#Analyze f#(Analysis) f#
f#
7. What f#is f#the f#community f#health f#nursing f#definition f#of f#health? f#
a. Health f#is f#a f#person’s f#goal-directed f#purposeful f#process f#toward f#well-being f#or
f#wholeness. f#
b. Health f#is f#an f#individual’s f#physical, f#mental, f#and f#social f#well-being, f#not f#merely f#the
f#absence f#of f#disease f#or f#infirmity. f#
c. Health f#is f#the f#mutual f#adaptation f#between f#a f#person f#and f#his f#or f#her f#environment f#in
f#meeting f#daily f#existence. f#
d. Health f#is f#families f#and f#aggregates f#choosing f#actions f#to f#ensure f#safety f#and f#well-
being. f#
ANS: f#D f#
The f#text f#stresses f#that f#health f#is f#not f#just f#the f#result f#of f#an f#individual’s f#choices, f#but
f#choices f#and f#actions f#of f#individuals, f#families, f#groups, f#and f#communities f#that f#lead f#to
f#better f#health. f#
f#
DIF: f#Cognitive f#Level: f#Apply f#(Application) f#
N
8. How f#does f#community f#health f#nursingU f# R S I
f# f# f# f# defineN f# G f# f# TB.C f#
f# community?O f# M f# f# f#
a. A f#group f#of f#persons f#living f#within f#specific f#geographic f#boundaries f#
b. A f#group f#of f#persons f#who f#share f#a f#common f#identity f#and f#environment f#
c. A f#group f#of f#persons f#who f#work f#together f#to f#meet f#common f#goals f#
d. A f#group f#of f#persons f#who f#resolve f#a f#community f#concern f#
ANS: f#B f#
f# NURSINGTB.COM f#
