,Chapter 01: Health: A Community View
u u u u u
Nies: Community/Public Health Nursing, 8th Edition
u u u u u
MULTIPLEuCHOICE
1. Whichu bestu describesu theu primaryureasonu thatu Americansu areu concernedu aboutu healthu care?
a. Politiciansu areu discussingu howu tou improveu healthu care.
b. Theu mediau hasu providedu mixedu messagesu aboutu theu healthu careu system.
c. Ouru nationalu healthu careu costsu keepu increasing.
d. Theunewu healthu careu systemu offersu freeu servicesu tou Americans.
ANS:u C
Theu primaryu reasonu foru theu focusu onu healthu careu isu theu constantlyu increasingu costs,u whichu cua
nnotu beu sustained.u Theu costsu ofu caringu foru theu sicku accountedu foru theu majorityu ofu escalatinugu h
ealthu careu dollars,u whichu increasedu fromu 5.7%u ofu theu grossu domesticu productu inu 1965u tou17.8
%u inu 2015.u Politiciansu andu theu mediau bothu influenceu Americans‘u perceptionsu aboutu healuthu car
e;u however,u theyuareu notu theu primaryureasonu whyuAmericansu areu concerned.u Theu newu huealthu c
areu systemu willu changeu theu healthu careu accessu andu availability,u butu willu notu necessariluyu beu off
eringu anyu freeu servicesu tou Americans.
DIF: CognitiveuLevel:uUnderstandu(Comprehension)
2. Au nurseu hasu begunu tou lobbyuwithu politiciansu foru changesu tou theu healthu careu system.u Whyuisu tuhi
su involvementu important?
a. Nurses,u asu centralu charactersu inu severalu popularu TVu series,u areu currentlyuveur
yu visibleuinu Americanu medi uaN
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b. Nursesu areu primarilyu responUsibS
leuufoNru mTanagingOtheuuvariousu unitsu inu ouru healthu care
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system.
c. Nursesu areu theu largestu segmentu ofu healthu careu providers.
d. Nursesu areu theu onlyu groupu thatu isu employedu bothu insideu andu outsideu ofu hospitals.
ANS:u C
Asu theu largestu segmentu ofu healthu careu providers,u nursesu areu informedu aboutu theu currentu healtuhu
careu systemu andu allu theu problemsu thatu resultu fromu peopleu notu seekingu careu untilu theyu areu duespe
ratelyu ill.u Nurses,u asu theu Americanu Nursesu Associationu (ANA)u emphasize,u usuallyu belieuveu tha
tu healthu careu isu au right,u notu au privilege.u Therefore,u nurses,u whoseu worku isu centralu tou ouuru curre
ntu healthu careu deliveryu system,u canu alsou beu instrumentalu inu workingu politicallyu tou crueateu au hea
lthu careu deliveryu systemu thatu willu meetu healthu needs.u Whileu nursesu areu inu severalucurrentu TVu s
eriesu andu areu employedu bothu insideu andu outsideu ofu hospitals,u physiciansu andu othueru healthu careu
providersu areu asu well.u Nursesu areu oftenu managers,u butu managersu oftenu haveu outheru background
s,u suchu asu businessu administration.
DIF: CognitiveuLevel:uUnderstandu(Comprehension)
3. Whatu conclusionu canu beu drawnu fromu examiningu whereu nursesu areu employed?
a. Thereu isu au trendu towardu consolidationu ofu healthu careu intou largeu centralu medicua
lu centers.
b. Thereuisu anu increasedu emphasisu onu community-basedu healthu care.
c. Thereu isu anu obviousu needu tou decreaseu healthu careu costsu byu cuttingu positions.
d. Managedu careu organizationsu (MCOs)u areu employingu nursesu tou improveu customer
,