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Exam (elaborations)

Test Bank for Community/Public Health Nursing, 8th Edition by Mary A. Nies & Melanie McEwen – Nursing Study Guide and Exam Preparation

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Prepare for Community/Public Health Nursing, 8th Edition by Mary A. Nies and Melanie McEwen with a comprehensive study resource covering community assessment, population-focused nursing, health promotion, disease prevention, epidemiology, environmental health, family and community care, vulnerable populations, public health policy, and evidence-based practice. Ideal for nursing coursework, chapter review, quizzes, assignments, and exam preparation, this resource helps reinforce essential concepts and strengthen understanding of community and population health nursing practice.

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ST BANKTEST
for Community
BANK for Public
Community
HealthPublic
Nursing
Health
8THNursing
Edition by
8THMary
Edition
A. Nies,
by Mary
Melanie
A. Nies,
McEwen
Melanie
Complete
McEwen
PageGuide
1Complete
of 635https://online2pdf.com/remove-pdf-header-footer
A+ GRADE..pdfhttps://online2pdf.com/remove-pdf-header-foo
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p



TEST BANK for Community Public Health Nursing
8TH Edition by Mary
A. Nies, Melanie McEwen | Complete Guide WITH
RATIONALES
Chapter 01: Health: A Community View
MULTIPLE CHOICE


1. Which best describes the primary reason that Americans are concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.


DIF: Cognitive Level: Understand (Comprehension)

2. A nurse has begun to lobby with politicians for changes to the health care system. Why is
this involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
a.
visible in American m ed iN

b. Nurses are primarily responsible for m the various units in our health
care system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.

ANS: C

As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such Page as business
TEST BANK for Community Public Health Nursing 8TH
1 ofEdition
administration.
635https://online2pdf.com/remove-pdf-header-footer
by Mary A. Nies, Melanie McEwen
Page 1Complete
of 635https://online2pdf.com/remove-pdf-header-footer
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p

,ST BANKTEST
for Community
BANK for Public
Community
HealthPublic
Nursing
Health
8THNursing
Edition by
8THMary
Edition
A. Nies,
by Mary
Melanie
A. Nies,
McEwen
Melanie
Complete
McEwen
PageGuide
2Complete
of 635https://online2pdf.com/remove-pdf-header-footer
A+ GRADE..pdfhttps://online2pdf.com/remove-pdf-header-foo
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p



DIF: Cognitive Level: Understand (Comprehension)



3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central
medical centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer




TEST BANK for Community Public Health Nursing
Page8TH
2 ofEdition
635https://online2pdf.com/remove-pdf-header-footer
by Mary A. Nies, Melanie McEwen
Page 2Complete
of 635https://online2pdf.com/remove-pdf-header-footer
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p

,ST BANKTEST
for Community
BANK for Public
Community
HealthPublic
Nursing
Health
8THNursing
Edition by
8THMary
Edition
A. Nies,
by Mary
Melanie
A. Nies,
McEwen
Melanie
Complete
McEwen
PageGuide
3Complete
of 635https://online2pdf.com/remove-pdf-header-footer
A+ GRADE..pdfhttps://online2pdf.com/remove-pdf-header-foo
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p


relations.
ANS: B

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


DIF: Cognitive Level: Understand (Comprehension)


4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
are important, so is the recognition of collective responsibility in ensuring social justice,
which entitles all people to basic necessities.


DIF: Cognitive Level: Apply (Application)


5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
healthy lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal use
of alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits
and vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and
environmental changes needed for well-being.
ANS: D

Although all responses are accurate, the primary problem is the emphasis on personal choices
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to
health.

TEST BANK for Community Public Health Nursing
Page8TH
3 ofEdition
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by Mary A. Nies, Melanie McEwen
Page 3Complete
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Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p

,ST BANKTEST
for Community
BANK for Public
Community
HealthPublic
Nursing
Health
8THNursing
Edition by
8THMary
Edition
A. Nies,
by Mary
Melanie
A. Nies,
McEwen
Melanie
Complete
McEwen
PageGuide
4Complete
of 635https://online2pdf.com/remove-pdf-header-footer
A+ GRADE..pdfhttps://online2pdf.com/remove-pdf-header-foo
Guide A+ GRADE..pdfhttps://online2pdf.com/remove-p
DIF: Cognitive Level: Apply (Application)



6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
the nurse beyond giving excellent care to patients?
a. Accept longer work schedules to ensure that professional care is always available




TEST BANK for Community Public Health Nursing
Page8TH
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by Mary A. Nies, Melanie McEwen
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