TEST BANK FOR COMMUNITY PUBLIC HEALTH
& & & & & &
NURSING 7TH EDITION BY MARY A. NIES,
& & & & & & &
MELANIE MCEWEN | COMPLETE GUIDE
& & & & &
2025/2026
Chapter 01: & &
Health: A Community View Nies: Community/Public Health
& & & & & & &
Nursing, 7th Edition
& &
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
& & & & & & & & & & &
visible in American mediNa.
& & &
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 as business administration.
& & & & & & & &
&
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
& & & & & & & & &
&
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?
& & & & & & & & & & &
& & & & & &
NURSING 7TH EDITION BY MARY A. NIES,
& & & & & & &
MELANIE MCEWEN | COMPLETE GUIDE
& & & & &
2025/2026
Chapter 01: & &
Health: A Community View Nies: Community/Public Health
& & & & & & &
Nursing, 7th Edition
& &
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
& & & & & & & & & & &
visible in American mediNa.
& & &
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 as business administration.
& & & & & & & &
&
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
& & & & & & & & &
&
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?
& & & & & & & & & & &
