TEST BANK for Community Public Health Nursing 8TH Edition by Mary All Chapters | Instant Download

TESTBANK forCommunityPublicHealthNursing 8TH
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EditionbyMary
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A.Nies,MelanieMcEwen|CompleteGuideWITH
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RATIONALES
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Chapter 01: Health: A Community View
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MULTIPLE iiCHOICE



1. Which ibest iidescribes itheprimary ireason iithat iAmericans iiare iiconcerned iiabout ihealth iicare?
a. Politicians iare idiscussinghowtoiimprove ihealth iicare.
b. Themedia ihasiprovidedimixed imessagesiaboutitheihealth icare isystem.
c. Ourinationalihealth icareicostsikeep iincreasing.
d. Thenewhealth icare iisystem ioffers ifree iservices ito iiAmericans.
ANS:iC
The i i primary i i reason i i for i i the i i focus i i on i i health i i care i i is i i the
i i constantly i i increasing

costs, i i which iicannot iibe iisustained. iiThe iicosts iiof iicaring iifor iithe iisick iiaccounted iifor iithe
iimajority iof iiescalating iihealth i i care i i dollars, i i which i i increased i i from i i 5.7%

i i of i i the i i gross i i domestic i i product i i in i i 1965 i i to ii17.8% iiin ii2015.

iiPoliticians iiand iithe iimedia iiboth iiinfluence iiAmericans‘ iiperceptions iiabout iihealth iicare;

iihowever, iithey iiare iinot iithe iiprimary iireason iiwhy iiAmericans iiare iiconcerned. iiThe iinew iihealth

iicare i i system i i will i i change i i the i i health i i care i i access i i and iiavailability,

i i but i i will iinot i i necessarily i i be iioffering iiany iifree iiservices iito iiAmericans.




DIF: Cognitive iLevel: iUnderstand i(Comprehension)

2. Ainurseihasibegun itoilobbyiwith ipoliticiansiforichangesitotheihealth iicareisystem.iWhyiis
this iiinvolvement iiimportant?
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a. Nurses,iascentral icharacters iin iseveralipopular iTV iiseries, iare icurrently iivery
visibleiin iiAmerican iimiedii Na . Q,




b. Nurses iiare iiprimarily iiresponsible iifor iim thevarious units inourhealth
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care iisystem.
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c. Nursesiare iithe iilargest iisegmentiof ihealth iicare iiproviders.
d. Nursesiare ithe ionly igroup iithat iis iemployed iiboth iiinside iand iioutside iiof iihospitals.
ANS:iC

As iithe iilargest iisegment iiof iihealth iicare iiproviders, iinurses iiare iiinformed iiabout iithe iicurrent iihealth iicare
iisystem i i and i i all i i the i i problems i i that i i result i i from i i people i i not

i i seeking i i care i i until i i they iiare iidesperately i i ill. i i Nurses, i i as i i the

i i American i i Nurses i i Association i i (ANA) i i emphasize, i i usually iibelieve iithat

iihealth iicare iiis iia iiright, iinot iia iiprivilege. iiTherefore, iinurses, iiwhose iiwork iiis iicentral iito iiour

i i current i i health i i care i i delivery i i system, i i can i i also i i be

i i instrumental i i in iiworking i i politically i i to iicreate iia iihealth iicare iidelivery iisystem iithat

iiwill iimeet iihealth iineeds. iiWhile iinurses iiare iiin iiseveral iicurrent iiTV iiseries iiand iiare iiemployed

,iiboth iiinside iiand iioutside iiof iihospitals, iiphysicians iiand iiother iihealth iicare iiproviders iiare iias iiwell.
Nurses iiare iioften iimanagers, iibut iimanagers iioften iihave iiother iibackgrounds, iisuch iias iibusiness
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iiadministration.

, DIF: Cognitive Level: Understand (Comprehension)
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3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central
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ii
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b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to i mprove customer
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, relations.
ANS: B Q,




MCOs are employing nurses in many capacities. Although hospitals are closing and acute care is
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ii increasingly found in central medical centers, the same trend may be seen in an increase in
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i i neighborhood-based practice centers. While positions are cut in most industries, health care i s
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i i recognized ii i i i i as ii i i i i an ii i i i i area ii i i i i wheregrowth ii i i i i in ii i i i i employment ii i i i i is
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ii i i i i expected. ii i i i i However, ii i i i i nurses ii
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i i are increasingly employed in community settings as opposed to hospitals. This change reflects
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ii t he move toward community-based care rather than hospital-based tertiary care. To help
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i i decrease the continued rise in health care costs, the increased emphasis is on disease
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i i prevention rather than high-cost treatment.
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DIF: Cognitive Level: Understand (Comprehension) Q, Q, Q,




4. Which ethical belief would be most helpful in the current health care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace. Q, Q, Q, Q, Q, Q, Q, Q, Q, Q,




b. Emphasisshould be on individual autonomy and freedom of choice. Q, Q, Q, Q, Q, Q, Q, Q, Q,




c. Emphasis should be on social justice and collective responsibility. Q, Q, Q, Q, Q, Q, Q, Q,




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




ANS: C Q,




Public health recognizes the necessity of collective action in keeping the environment safe and in
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i i i i i i ii i i egalitarian ii i i i i tradition ii i i i i and ii i iQ i i vision. ii i i i i An ii i i
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i i overinvestment ii i i i i in ii i i i i technology ii i i i i and ii i i i i seeking ii i i i i of Q , Q , Q , Q , Q ,




Q i i i i cures within the market justice system has stifled the i i
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i i evolution of a health system to protect i i ii Q, Q, Q, Q, Q, Q, Q ,




i i and preserve the health of the population. Although individual autonomy and freedom of
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ii choice are ii i i i i important, ii i i i i so ii i i i i is ii i i i i the ii i i i i recognition ii i i i i of ii i i i i collective ii
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i i i i responsibility ii i i i i in ii i i i i ensuring ii
, ii i i social ii ii Q , Q , Q , Q ,




i i justice, which entitles all people to basic necessities. Q, Q, Q, Q, Q, Q, Q,




DIF: Cognitive Level: Apply (Application) Q, Q, Q,




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
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healthy lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal use of Q, Q, Q, Q, Q, Q, Q, Q, Q, Q, Q, Q,




ii alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits
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ii and vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but i gnores social and Q, Q, Q, Q, Q, Q, Q, Q,




ii environmental changes needed for well-being.
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ANS: D Q,




Although all responses are accurate, the primary problem is the emphasis on personal choices in
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i i i i the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
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