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, Community gQPublic gQHealth gQNursing gQ7th gQEdition gQNies gQTest
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Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLE gQCHOICE
1. Which gQbest gQdescribes gQthe gQprimary gQreason gQthat gQAmericans gQare gQconcerned gQabout gQhealth gQcare?
a. Politicians gQare gQdiscussing gQhow gQto gQimprove gQhealth gQcare.
b. The gQmedia gQhas gQprovided gQmixed gQmessages gQabout gQthe gQhealth gQcare gQsystem.
c. Our gQnational gQhealth gQcare gQcosts gQkeep gQincreasing.
d. The gQnew gQhealth gQcare gQsystem gQoffers gQfree gQservices gQto gQAmericans.
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The gQprimary gQreason gQfor gQthe gQfocus gQon gQhealth gQcare gQis gQthe gQconstantly gQincreasing gQcosts,
gQwhich gQcannot gQbe gQsustained. gQThe gQcosts gQof gQcaring gQfor gQthe gQsick gQaccounted gQfor gQthe
gQmajority gQof gQescalating gQhealth gQcare gQdollars, gQwhich gQincreased gQfrom gQ5.7% gQof gQthe gQgross
gQdomestic gQproduct gQin gQ1965 gQto gQ17.8% gQin gQ2015. gQPoliticians gQand gQthe gQmedia gQboth
gQinfluence gQAmericans’ gQperceptions gQabout gQhealth gQcare; gQhowever, gQthey gQare gQnot gQthe
gQprimary gQreason gQwhy gQAmericans gQare gQconcerned. gQThe gQnew gQhealth gQcare gQsystem gQwill
gQchange gQthe gQhealth gQcare gQaccess gQand gQavailability, gQbut gQwill gQnot gQnecessarily gQbe gQoffering
gQany gQfree gQservices gQto gQAmericans.
DIF: Cognitive gQLevel: gQUnderstand gQ(Comprehension)
2. A gQnurse gQhas gQbegun gQto gQlobby gQwith gQpoliticians gQfor gQchanges gQto gQthe gQhealth gQcare gQsystem.
Why gQis gQthis gQinvolvement gQimportant?
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a. Nurses, gQas gQcentral gQcharacters gQin gQseveral gQpopular gQTV gQseries, gQare
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gQcurrently gQvery gQvisible gQin gQAmerican gQm e d i a . g Q
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b. Nurses gQare gQprimarily gQrespon sib le gQfo r gQm anaging the gQ various gQunits gQin gQour gQhealth gQcare
system.
c. Nurses gQare gQthe gQlargest gQsegment gQof gQhealth gQcare gQproviders.
d. Nurses gQare gQthe gQonly gQgroup gQthat gQis gQemployed gQboth gQinside gQand gQoutside gQof gQhospitals.
ANS: g Q C
As gQthe gQlargest gQsegment gQof gQhealth gQcare gQproviders, gQnurses gQare gQinformed gQabout gQthe
gQcurrent gQhealth gQcare gQsystem gQand gQall gQthe gQproblems gQthat gQresult gQfrom gQpeople gQnot
gQseeking gQcare gQuntil gQthey gQare gQdesperately gQill. gQNurses, gQas gQthe gQAmerican gQNurses
gQAssociation gQ(ANA) gQemphasize, gQusually gQbelieve gQthat gQhealth gQcare gQis gQa gQright, gQnot gQa
gQprivilege. gQTherefore, gQnurses, gQwhose gQwork gQis gQcentral gQto gQour gQcurrent gQhealth gQcare
gQdelivery gQsystem, gQcan gQalso gQbe gQinstrumental gQin gQworking gQpolitically gQto gQcreate gQa gQhealth
gQcare gQdelivery gQsystem gQthat gQwill gQmeet gQhealth gQneeds. gQWhile gQnurses gQare gQin gQseveral
gQcurrent gQTV gQseries gQand gQare gQemployed gQboth gQinside gQand gQoutside gQof gQhospitals, gQphysicians
gQand gQother gQhealth gQcare gQproviders gQare gQas gQwell. gQNurses gQare gQoften gQmanagers, gQbut
gQmanagers gQoften gQhave gQother gQbackgrounds, gQsuch gQas gQbusiness gQadministration.
DIF: Cognitive gQLevel: gQUnderstand gQ(Comprehension)
3. What gQconclusion gQcan gQbe gQdrawn gQfrom gQexamining gQwhere gQnurses gQare gQemployed?
a. There gQis gQa gQtrend gQtoward gQconsolidation gQof gQhealth gQcare gQinto gQlarge gQcentral
gQ medical gQcenters.
b. There gQis gQan gQincreased gQemphasis gQon gQcommunity-based gQhealth gQcare.
c. There gQis gQan gQobvious gQneed gQto gQdecrease gQhealth gQcare gQcosts gQby gQcutting gQpositions.
d. Managed gQcare gQorganizations gQ(MCOs) gQare gQemploying gQnurses gQto gQimprove gQcustomer
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, Community gQPublic gQHealth gQNursing gQ7th gQEdition gQNies gQTest
gQBank
relations.
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MCOs gQare gQemploying gQnurses gQin gQmany gQcapacities. gQAlthough gQhospitals gQare gQclosing gQand
gQacute gQcare gQis gQincreasingly gQfound gQin gQcentral gQmedical gQcenters, gQthe gQsame gQtrend gQmay
gQbe gQseen gQin gQan gQincrease gQin gQneighborhood-based gQpractice gQcenters. gQWhile gQpositions gQare
gQcut gQin gQmost gQindustries, gQhealth gQcare gQis gQrecognized gQas gQan gQarea gQwhere gQgrowth gQin
gQemployment gQis gQexpected. gQHowever, gQnurses gQare gQincreasingly gQemployed gQin gQcommunity
gQsettings gQas gQopposed gQto gQhospitals. gQThis gQchange gQreflects gQthe gQmove gQtoward gQcommunity-
based gQcare gQrather gQthan gQhospital-based gQtertiary gQcare. gQTo gQhelp gQdecrease gQthe gQcontinued
gQrise gQin gQhealth gQcare gQcosts, gQthe gQincreased gQemphasis gQis gQon gQdisease gQprevention gQrather
gQthan gQhigh-cost gQtreatment.
DIF: Cognitive gQLevel: gQUnderstand gQ(Comprehension)
4. Which gQethical gQbelief gQwould gQbe gQmost gQhelpful gQin gQthe gQcurrent gQhealth gQcare gQcrisis?
a. Emphasis gQshould gQbe gQon gQindividual gQand gQcorporation gQfreedom gQin gQthe gQmarketplace.
b. Emphasis gQshould gQbe gQon gQindividual gQautonomy gQand gQfreedom gQof gQchoice.
c. Emphasis gQshould gQbe gQon gQsocial gQjustice gQand gQcollective gQresponsibility.
d. Emphasis gQshould gQbe gQon gQthe gQeffectiveness gQof gQtechnology gQin gQresolving gQproblems.
ANS: g Q C
Public gQhealth gQrecognizes gQthe gQnecessity gQof gQcollective gQaction gQin gQkeeping gQthe gQenvironment
gQsafe gQand gQin gQegalitarian gQtradition gQand gQvision. gQAn gQoverinvestment gQin gQtechnology gQand
gQseeking gQof gQcures gQwithin gQthe gQmarket gQjustice gQsystem gQhas gQstifled gQthe gQevolution gQof gQa
gQhealth gQsystem gQto gQprotect gQand gQpreserve gQthe gQhealth gQof gQthe gQpopulation. gQAlthough
gQindividual gQautonomy gQand gQfreedom gQof gQchoice gQare gQimportant, gQso gQis gQthe gQrecognition gQof
gQcollective gQresponsibility gQin gQensuring gQsocial gQjustice, g Q which gQentitles gQall gQpeople gQto
gQbasic gQnecessities.
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DIF: Cognitive gQLevel: gQApply gQ(Application)
5. What gQis gQthe gQprimary gQproblem gQseen gQin gQHealthy gQPeople gQ2020’s gQemphasis gQon
choosing gQhealthy gQlifestyle gQbehaviors, gQsuch gQas gQdaily gQexercise gQor gQhealthy gQfood
gQ
choices?
gQ
a. Emphasis gQon gQother gQlifestyle gQchoices, gQsuch gQas gQnot gQsmoking gQand
gQminimal gQuse gQof gQalcohol gQor gQdrugs, gQis gQalso gQneeded.
b. All gQof gQus gQmust gQwork gQtogether gQto gQmake gQunhealthy gQbehaviors gQsocially gQunacceptable.
c. It gQcosts gQmore gQto gQmake gQhealthy gQchoices, gQsuch gQas gQbuying gQand gQeating gQfresh
gQfruits gQand gQvegetables gQas gQopposed gQto gQquick gQand gQcheap gQfast-food
gQchoices.
d. Public gQpolicy gQemphasizes gQpersonal gQresponsibility gQbut gQignores
gQsocial gQand gQenvironmental gQchanges gQneeded gQfor gQwell-being.
ANS: g Q D
Although gQall gQresponses gQare gQaccurate, gQthe gQprimary gQproblem gQis gQthe gQemphasis gQon
gQpersonal gQchoices gQin gQthe gQHealthy gQPeople gQ2020 gQobjectives. gQEmphasis gQon gQpersonal
gQchoices gQignores gQthe gQneed gQfor gQcommunity gQresponsibility gQand gQaction gQthat gQaddresses
gQenvironmental gQor gQcultural gQrestraints gQto gQhealth.
DIF: Cognitive gQLevel: gQApply gQ(Application)
6. What gQresponsibility gQdoes gQthe gQAmerican gQNurses gQAssociation gQ(ANA) gQCode gQof gQEthics
gQrequire gQof gQthe gQnurse gQbeyond gQgiving gQexcellent gQcare gQto gQpatients?
a. Accept gQlonger gQwork gQschedules gQto gQensure gQthat gQprofessional gQcare gQis gQalways gQavailable
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, Community gQPublic gQHealth gQNursing gQ7th gQEdition gQNies gQTest
gQBank
to gQclients.
b. Recognize gQthe gQneed gQfor gQexperienced gQnurses gQto gQmentor gQnew gQgraduates
to gQhelp gQincrease gQand gQexpand gQthe gQnumber gQof gQprofessionals
gQ
available.
gQ
c. Support gQhealth gQlegislation gQto gQimprove gQaccessibility gQand gQcost gQof gQhealth gQcare.
d. Volunteer gQto gQwork gQovertime gQas gQneeded gQto gQensure gQmaximum gQquality gQof gQcare.
ANS: g Q C
The gQANA gQCode gQof gQEthics gQpromotes gQsocial gQreform gQby gQfocusing gQon gQhealth gQpolicy gQand
gQlegislation gQto gQpositively gQaffect gQaccessibility, gQquality, gQand gQcost gQof gQhealth gQcare. gQThe
gQcode gQdoes gQnot gQdirectly gQaddress gQworkplace gQissues, gQsuch gQas gQwork gQschedules gQor gQneed
gQfor gQovertime.
DIF: Cognitive gQLevel: gQAnalyze gQ(Analysis)
7. What gQis gQthe gQcommunity gQhealth gQnursing gQdefinition gQof gQhealth?
a. Health gQis gQa gQperson’s gQgoal-directed gQpurposeful gQprocess gQtoward gQwell-
being gQor gQwholeness.
b. Health gQis gQan gQindividual’s gQphysical, gQmental, gQand gQsocial gQwell-being, gQnot
gQ merely gQthe gQabsence gQof gQdisease gQor gQinfirmity.
c. Health gQis gQthe gQmutual gQadaptation gQbetween gQa gQperson gQand gQhis gQor gQher
gQ environment gQin gQmeeting gQdaily gQexistence.
d. Health gQis gQfamilies gQand gQaggregates gQchoosing gQactions gQto gQensure gQsafety gQand gQwell-being.
ANS: g Q D
The gQtext gQstresses gQthat gQhealth gQis gQnot gQjust gQthe gQresult gQof gQan gQindividual’s gQchoices, gQbut
gQchoices gQand gQactions gQof gQindividuals, gQfamilies, gQgroups, gQand gQcommunities gQthat gQlead gQto
gQbetter gQhealth.
DIF: Cognitive gQLevel: gQApply gQ(Application)
N R I G B.C M
8. How gQdoes gQcommunity gQhealthUgQnursing
gQS gQN gQT O
gQ gQ gQ gQ gQ
gQdefine gQcommunity?
a. A gQgroup gQof gQpersons gQliving gQwithin gQspecific gQgeographic gQboundaries
b. A gQgroup gQof gQpersons gQwho gQshare gQa gQcommon gQidentity gQand gQenvironment
c. A gQgroup gQof gQpersons gQwho gQwork gQtogether gQto gQmeet gQcommon gQgoals
d. A gQgroup gQof gQpersons gQwho gQresolve gQa gQcommunity gQconcern
ANS: g Q B
Community gQhealth gQnurses gQwork gQwith gQboth gQgeopolitical gQgroups gQ(within gQspecific
gQgeographic gQboundaries) gQand gQphenomenological gQgroups gQ(who gQhave gQa gQcommon
gQidentity gQbased gQon gQculture, gQhistory, gQor gQgoals). gQA gQparticular gQphenomenological gQgroup
gQmay gQor gQmay gQnot gQhave gQbeen gQa gQplanned gQgroup—that gQis, gQa gQgroup gQthat gQcame gQtogether
gQto gQresolve gQa gQrecognized gQcommon gQproblem gQor gQto gQmeet gQa gQcommon gQgoal. gQHowever,
gQof gQall gQthe gQchoices, gQa gQgroup gQof gQpersons gQwho gQshare gQa gQcommon gQidentity
gQ(phenomenological gQgroup) gQand gQenvironment gQ(which gQimplies gQa gQspecific gQgeographic
gQsetting) gQis gQthe gQbroadest gQand gQmost gQcomplete gQdefinition.
DIF: Cognitive gQLevel: gQApply gQ(Application)
9. Which gQvariable gQhas gQa gQmajor gQinfluence gQon gQa gQcommunity’s gQhealth?
a. Behavior gQchoices gQmade gQby gQpersons gQin gQthe gQcommunity
b. Number gQof gQhealth gQcare gQproviders gQand gQhospitals gQin gQthe gQcommunity
c. Quality gQof gQthe gQpublic gQsafety gQofficers gQ(police gQofficers, gQfirefighters, gQetc.)
d. The gQnumber gQand gQcredentials gQof gQpublic gQhealth gQofficials gQin gQthe gQcommunity
ANS: g Q A
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