TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING:
Promoting the Health of Populations; 8TH EDITION BY MARY
& MELANIE
,CH 01: Health: A Community View
Nies: Community/Public Health Nursing, 8TH Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that Americans are concerned about health care?
z z z z z z z z z z z z
a. Politicians are discussing how to improve health care. z z z z z z z
b. The media has provided mixed messages about the primary care system.
z z z z z z z z z z
c. Our national primary care costs keep increasing.
z z z z z z
d. The new primary care system offers free services to Americans.
z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>The primary reason for the focus on primary care is the constantly increasin z z z z z z z z z z z z
g costs, which cannot be sustained. The costs of caring for the sick accounted for the majority of e
z z z z z z z z z z z z z z z z z z
scalating primary care dollars, which increased from 5.7% of the gross domestic product in 1965
z z z z z z z z z z z z z z z
to 17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about health
z z z z z z z z z z z z z
care; however, they are not the primary reason why Americans are concerned. The new healthcar
z z z z z z z z z z z z z z
e system will change the primary care access and availability, but will not necessarily be offering
z z z z z z z z z z z z z z z z
any free services to Americans.
z z z z
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
2. A nursing attendant has begun to lobby with politicians for changes to the primary care system.
z z z z z z z z z z z z z z z z
Why is thisinvolvement important?
z z z
a. Nursing attendants, as central characters in several popular TV series, are curr
z z z z z z z z z z z
N R med i a. I
ently veryvisible in American z z z z z z z
b. Nursing attendants are primarilyresponUsi bS
l e foNr mTanag in gOt he various units in our health care
z
z z z z z z z z z z z z z z z
system.
c. Nursing attendants are the largest segment of primary care providers.
z z z z z z z z z
d. Nursing attendants are the only group that is employed both inside and outside of health centers.
z z z z z z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>As the largest segment of primary care providers, nursing attendants are in z z z z z z z z z z z
formed about the current primary care system and all the problems that result from people not se
z z z z z z z z z z z z z z z z
eking care until they are desperately ill. Nursing attendants, as the American Nursing attendants
z z z z z z z z z z z z z
zAssociation (ANA) emphasize, usually believe that primary care is a right, not a privilege. Ther
z z z z z z z z z z z z z z
efore, nursing attendants, whose work is central toour current primary care delivery system, can
z z z z z z z z z z z z z
zalso be instrumental in working politically to create a primary care delivery system that will me
z z z z z z z z z z z z z z z
et health needs. While nursing attendants are in several current TV series and are employed both
z z z z z z z z z z z z z z z z
inside and outside of health centers, physicians and otherprimary care providers are as well.
z z z z z z z z z z z z z
Nursing attendants are often managers, but managers often have other backgrounds, such as business admi
z z z z z z z z z z z z z z
nistration.
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
3. What conclusion can be drawn from examining where nursing attendants are employed?
z z z z z z z z z z z
a. There is a trend toward consolidation of primary care into large central medical c
z z z z z z z z z z z z z
enters.
b. There is an increased emphasis on community-based health care.
z z z z z z z z
c. There is an obvious need to decrease primary care costs by cutting positions.
z z z z z z z z z z z z
d. Managed care organizations (MCOs) are employing nursing attendants to improve customer
z z z z z z z z z z
, relations.
ACCURATE CHOICE:-B z
HYPOTHESIS:>>>MCOs are employing nursing attendants in many capacities. Although hea z z z z z z z z z
lth centers are closing and acute careis increasingly found in central medical centers, the same tre
z z z z z z z z z z z z z z z
nd may be seen in an increase in neighborhood-
z z z z z z z z
based practice centers. While positions are cut in most industries, primary care isrecognized as a
z z z z z z z z z z z z z z
n area where growth in employment is expected. However, nursing attendants are increasingly e
z z z z z z z z z z z z z
mployed in community settings as opposed to health centers. This change reflects themove towa
z z z z z z z z z z z z z
rd community-based care rather than health center-
z z z z z z
based tertiary care. To help decreasethe continued rise in primary care costs, the increased emph
z z z z z z z z z z z z z z
asis is on disease prevention rather than high-cost treatment.
z z z z z z z z
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
4. Which ethical belief would be most helpful in the current primary care crisis?
z z z z z z z z z z z z
a. Emphasis should be on individual and corporation freedom in the marketplace. z z z z z z z z z z
b. Emphasis should be on individual autonomy and freedom of choice. z z z z z z z z z
c. Emphasis should be on social justice and collective responsibility. z z z z z z z z
d. Emphasis should be on the effectiveness of technology in resolving problems. z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>Public health recognizes the necessity of collective action in keeping the en z z z z z z z z z z z
vironment safe andin egalitarian tradition and vision. An overinvestment in technology and seeki
z z z z z z z z z z z z
ng of cures within the market justice system has stifled the evolution of a health system to protect
z z z z z z z z z z z z z z z z z z
and preserve the health of the population. Although individual autonomy and freedom of choice
z z z z z z z z z z z z z z
are important, so is the recognition of collective responsibility in ensuring social justice, which e
z z z z z z z z z z z z z z
ntitles all people to basic necessities.
z z z z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
5. What is the primaryproblem seen in Healthy People 2020’s emphasis on choosing healthy life
z z z z z z z z z z z z z z
style behaviors, such as daily exercise or healthy food choices?
z z z z z z z z z
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of alc
z z z z z z z z z z z z z
ohol or drugs, is also needed. z z z z z
b. All of us must work together to make unhealthy behaviors socially unacceptable.
z z z z z z z z z z z
c. It costs more to make healthy choices, such as buying and eating fresh fruits and veg
z z z z z z z z z z z z z z z
etables as opposed to quick and cheap fast-food choices. z z z z z z z z
d. Public policy emphasizes personal responsibility but ignores social and e
z z z z z z z z z
nvironmental changes needed for well-being. z z z z
ACCURATE CHOICE:-D z
HYPOTHESIS:>>>Although all responses are accurate, the primary problem is the emphasis on z z z z z z z z z z z z
personal choicesin the Healthy People 2020 objectives. Emphasis on personal choices ignores th
z z z z z z z z z z z z
e need for community responsibility and action that addresses environmental or cultural restraint
z z z z z z z z z z z z
s to health.
z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
6. What responsibility does the American Nursing attendants Association (ANA) Code of
z z z z z z z z z z z
Ethics require ofthe nursing attendant beyond giving excellent care to victims?
z z z z z z z z z z
a. Accept longer work schedules to ensure that professional care is always available
z z z z z z z z z z z
, to hospital clients.
z z
b. Recognize the need for experienced nursing attendants to mentor new gradua z z z z z z z z z z
tes to helpincrease and expand the number of professionals available.
z z z z z z z z z
c. Support health legislation to improve accessibility and cost of health care.
z z z z z z z z z z
d. Volunteer to work overtime as needed to ensure maximum quality of care. z z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>The ANA Code of Ethics promotes social reform by focusing on health poli z z z z z z z z z z z z
cy and legislationto positively affect accessibility, quality, and cost of health care. The code doe
z z z z z z z z z z z z z z
s not directly address workplace issues, such as work schedules or need for overtime.
z z z z z z z z z z z z z
DIFFICULT: Cognitive Level: Analyze (Analysis) z z z
7. What is the community health nursing definition of health?
z z z z z z z z
a. Health is a person‘s goal-directed purposeful process toward well-
z z z z z z z z
being or wholeness. z z
b. Health is an individual‘s physical, mental, and social well-
z z z z z z z z
being, not merely the absence of disease or infirmity.
z z z z z z z z
c. Health is the mutual adaptation between a person and his or her environment in me
z z z z z z z z z z z z z z
eting daily existence. z z
d. Health is families and aggregates choosing actions to ensure safetyand well-being.
z z z z z z z z z z z
ACCURATE CHOICE:-D z
HYPOTHESIS:>>>The text stresses that health is not just the result of an individual‘s choices, but z z z z z z z z z z z z z z z
choices andactions of individuals, families, groups, and communities that lead to better health.
z z z z z z z z z z z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
8. How does community health nity?
z z z z
a. A group of persons living within specific geographic boundaries
z z z z z z z z
b. A group of persons who share a common identityand environment
z z z z z z z z z z
c. A group of persons who work together to meet common goals
z z z z z z z z z z
d. A group of persons who resolve a community concern
z z z z z z z z
ACCURATE CHOICE:-B z
HYPOTHESIS:>>>Community health nursing attendants work with both geopolitical groups z z z z z z z z z
(within specific geographic boundaries) and phenomenological groups (who have a common id
z z z z z z z z z z z
entity based on culture, history, or goals). A particular phenomenological group may or may not h
z z z z z z z z z z z z z z z
ave been a plannedgroup—
z z z
that is, a group that came together to resolve a recognized common problem or to meet a common
z z z z z z z z z z z z z z z z z
zgoal. However, of all the choices, a group of persons who share a common identity (phenomenol
z z z z z z z z z z z z z z z
ogical group) and environment (which implies a specific geographic setting) is the broadest and
z z z z z z z z z z z z z z
most complete definition.
z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
9. Which variable has a major influence on a community‘s health?
z z z z z z z z z
a. Behavior choices made by persons in the community z z z z z z z
b. Number of primary care providers and health centers in the community
z z z z z z z z z z
c. Quality of the public safety officers (police officers, firefighters, etc.)
z z z z z z z z z
d. The number and credentials of public health officials in the community
z z z z z z z z z z
ACCURATE CHOICE:-A z
Promoting the Health of Populations; 8TH EDITION BY MARY
& MELANIE
,CH 01: Health: A Community View
Nies: Community/Public Health Nursing, 8TH Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that Americans are concerned about health care?
z z z z z z z z z z z z
a. Politicians are discussing how to improve health care. z z z z z z z
b. The media has provided mixed messages about the primary care system.
z z z z z z z z z z
c. Our national primary care costs keep increasing.
z z z z z z
d. The new primary care system offers free services to Americans.
z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>The primary reason for the focus on primary care is the constantly increasin z z z z z z z z z z z z
g costs, which cannot be sustained. The costs of caring for the sick accounted for the majority of e
z z z z z z z z z z z z z z z z z z
scalating primary care dollars, which increased from 5.7% of the gross domestic product in 1965
z z z z z z z z z z z z z z z
to 17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about health
z z z z z z z z z z z z z
care; however, they are not the primary reason why Americans are concerned. The new healthcar
z z z z z z z z z z z z z z
e system will change the primary care access and availability, but will not necessarily be offering
z z z z z z z z z z z z z z z z
any free services to Americans.
z z z z
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
2. A nursing attendant has begun to lobby with politicians for changes to the primary care system.
z z z z z z z z z z z z z z z z
Why is thisinvolvement important?
z z z
a. Nursing attendants, as central characters in several popular TV series, are curr
z z z z z z z z z z z
N R med i a. I
ently veryvisible in American z z z z z z z
b. Nursing attendants are primarilyresponUsi bS
l e foNr mTanag in gOt he various units in our health care
z
z z z z z z z z z z z z z z z
system.
c. Nursing attendants are the largest segment of primary care providers.
z z z z z z z z z
d. Nursing attendants are the only group that is employed both inside and outside of health centers.
z z z z z z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>As the largest segment of primary care providers, nursing attendants are in z z z z z z z z z z z
formed about the current primary care system and all the problems that result from people not se
z z z z z z z z z z z z z z z z
eking care until they are desperately ill. Nursing attendants, as the American Nursing attendants
z z z z z z z z z z z z z
zAssociation (ANA) emphasize, usually believe that primary care is a right, not a privilege. Ther
z z z z z z z z z z z z z z
efore, nursing attendants, whose work is central toour current primary care delivery system, can
z z z z z z z z z z z z z
zalso be instrumental in working politically to create a primary care delivery system that will me
z z z z z z z z z z z z z z z
et health needs. While nursing attendants are in several current TV series and are employed both
z z z z z z z z z z z z z z z z
inside and outside of health centers, physicians and otherprimary care providers are as well.
z z z z z z z z z z z z z
Nursing attendants are often managers, but managers often have other backgrounds, such as business admi
z z z z z z z z z z z z z z
nistration.
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
3. What conclusion can be drawn from examining where nursing attendants are employed?
z z z z z z z z z z z
a. There is a trend toward consolidation of primary care into large central medical c
z z z z z z z z z z z z z
enters.
b. There is an increased emphasis on community-based health care.
z z z z z z z z
c. There is an obvious need to decrease primary care costs by cutting positions.
z z z z z z z z z z z z
d. Managed care organizations (MCOs) are employing nursing attendants to improve customer
z z z z z z z z z z
, relations.
ACCURATE CHOICE:-B z
HYPOTHESIS:>>>MCOs are employing nursing attendants in many capacities. Although hea z z z z z z z z z
lth centers are closing and acute careis increasingly found in central medical centers, the same tre
z z z z z z z z z z z z z z z
nd may be seen in an increase in neighborhood-
z z z z z z z z
based practice centers. While positions are cut in most industries, primary care isrecognized as a
z z z z z z z z z z z z z z
n area where growth in employment is expected. However, nursing attendants are increasingly e
z z z z z z z z z z z z z
mployed in community settings as opposed to health centers. This change reflects themove towa
z z z z z z z z z z z z z
rd community-based care rather than health center-
z z z z z z
based tertiary care. To help decreasethe continued rise in primary care costs, the increased emph
z z z z z z z z z z z z z z
asis is on disease prevention rather than high-cost treatment.
z z z z z z z z
DIFFICULT: Cognitive Level: Understand (Comprehension) z z z
4. Which ethical belief would be most helpful in the current primary care crisis?
z z z z z z z z z z z z
a. Emphasis should be on individual and corporation freedom in the marketplace. z z z z z z z z z z
b. Emphasis should be on individual autonomy and freedom of choice. z z z z z z z z z
c. Emphasis should be on social justice and collective responsibility. z z z z z z z z
d. Emphasis should be on the effectiveness of technology in resolving problems. z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>Public health recognizes the necessity of collective action in keeping the en z z z z z z z z z z z
vironment safe andin egalitarian tradition and vision. An overinvestment in technology and seeki
z z z z z z z z z z z z
ng of cures within the market justice system has stifled the evolution of a health system to protect
z z z z z z z z z z z z z z z z z z
and preserve the health of the population. Although individual autonomy and freedom of choice
z z z z z z z z z z z z z z
are important, so is the recognition of collective responsibility in ensuring social justice, which e
z z z z z z z z z z z z z z
ntitles all people to basic necessities.
z z z z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
5. What is the primaryproblem seen in Healthy People 2020’s emphasis on choosing healthy life
z z z z z z z z z z z z z z
style behaviors, such as daily exercise or healthy food choices?
z z z z z z z z z
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of alc
z z z z z z z z z z z z z
ohol or drugs, is also needed. z z z z z
b. All of us must work together to make unhealthy behaviors socially unacceptable.
z z z z z z z z z z z
c. It costs more to make healthy choices, such as buying and eating fresh fruits and veg
z z z z z z z z z z z z z z z
etables as opposed to quick and cheap fast-food choices. z z z z z z z z
d. Public policy emphasizes personal responsibility but ignores social and e
z z z z z z z z z
nvironmental changes needed for well-being. z z z z
ACCURATE CHOICE:-D z
HYPOTHESIS:>>>Although all responses are accurate, the primary problem is the emphasis on z z z z z z z z z z z z
personal choicesin the Healthy People 2020 objectives. Emphasis on personal choices ignores th
z z z z z z z z z z z z
e need for community responsibility and action that addresses environmental or cultural restraint
z z z z z z z z z z z z
s to health.
z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
6. What responsibility does the American Nursing attendants Association (ANA) Code of
z z z z z z z z z z z
Ethics require ofthe nursing attendant beyond giving excellent care to victims?
z z z z z z z z z z
a. Accept longer work schedules to ensure that professional care is always available
z z z z z z z z z z z
, to hospital clients.
z z
b. Recognize the need for experienced nursing attendants to mentor new gradua z z z z z z z z z z
tes to helpincrease and expand the number of professionals available.
z z z z z z z z z
c. Support health legislation to improve accessibility and cost of health care.
z z z z z z z z z z
d. Volunteer to work overtime as needed to ensure maximum quality of care. z z z z z z z z z z z
ACCURATE CHOICE:-C z
HYPOTHESIS:>>>The ANA Code of Ethics promotes social reform by focusing on health poli z z z z z z z z z z z z
cy and legislationto positively affect accessibility, quality, and cost of health care. The code doe
z z z z z z z z z z z z z z
s not directly address workplace issues, such as work schedules or need for overtime.
z z z z z z z z z z z z z
DIFFICULT: Cognitive Level: Analyze (Analysis) z z z
7. What is the community health nursing definition of health?
z z z z z z z z
a. Health is a person‘s goal-directed purposeful process toward well-
z z z z z z z z
being or wholeness. z z
b. Health is an individual‘s physical, mental, and social well-
z z z z z z z z
being, not merely the absence of disease or infirmity.
z z z z z z z z
c. Health is the mutual adaptation between a person and his or her environment in me
z z z z z z z z z z z z z z
eting daily existence. z z
d. Health is families and aggregates choosing actions to ensure safetyand well-being.
z z z z z z z z z z z
ACCURATE CHOICE:-D z
HYPOTHESIS:>>>The text stresses that health is not just the result of an individual‘s choices, but z z z z z z z z z z z z z z z
choices andactions of individuals, families, groups, and communities that lead to better health.
z z z z z z z z z z z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
8. How does community health nity?
z z z z
a. A group of persons living within specific geographic boundaries
z z z z z z z z
b. A group of persons who share a common identityand environment
z z z z z z z z z z
c. A group of persons who work together to meet common goals
z z z z z z z z z z
d. A group of persons who resolve a community concern
z z z z z z z z
ACCURATE CHOICE:-B z
HYPOTHESIS:>>>Community health nursing attendants work with both geopolitical groups z z z z z z z z z
(within specific geographic boundaries) and phenomenological groups (who have a common id
z z z z z z z z z z z
entity based on culture, history, or goals). A particular phenomenological group may or may not h
z z z z z z z z z z z z z z z
ave been a plannedgroup—
z z z
that is, a group that came together to resolve a recognized common problem or to meet a common
z z z z z z z z z z z z z z z z z
zgoal. However, of all the choices, a group of persons who share a common identity (phenomenol
z z z z z z z z z z z z z z z
ogical group) and environment (which implies a specific geographic setting) is the broadest and
z z z z z z z z z z z z z z
most complete definition.
z z
DIFFICULT: Cognitive Level: Apply (Application) z z z
9. Which variable has a major influence on a community‘s health?
z z z z z z z z z
a. Behavior choices made by persons in the community z z z z z z z
b. Number of primary care providers and health centers in the community
z z z z z z z z z z
c. Quality of the public safety officers (police officers, firefighters, etc.)
z z z z z z z z z
d. The number and credentials of public health officials in the community
z z z z z z z z z z
ACCURATE CHOICE:-A z
