MedConnoisseurL©L202
2
,ChapterL01:LHealth:LALCommunityLViewLNies:
Community/PublicLHealthLNursing,L8thLEdition
MULTIPLELCHOICE
1. WhichLbestLdescribesLtheLprimaryLreasonLt
hatLAmericansLareLconcernedLaboutLhealth
Lcare?
a. PoliticiansLareLdiscussingLhowLtoLimproveLheal
thLcare.
b. TheLmediaLhasLprovidedLmixedLmessagesLaboutLt
heLhealthLcareLsystem.
c. OurLnationalLhealthLcareLcostsLkeepLincreasing.
d. TheLnewLhealthLcareLsystemLoffersLfreeLservices
LtoLAmericans.
ANS:L C
TheLprimaryLreasonLforLtheLfocusLonLhealthLcareLisLtheLconstantlyLincreasingLcosts,Lwhich
LcannotLbeLsustained.LTheLcostsLofLcaringLforLtheLsickLaccountedLforLtheLmajorityLofLesca
latingLhealthLcareLdollars,LwhichLincreasedLfromL5.7%LofLtheLgrossLdomesticLproductLinL1
965LtoL17.8%LinL2015.LPoliticiansLandLtheLmediaLbothLinfluenceLAmericans’LperceptionsL
aboutLhealthLcare;Lhowever,LtheyLareLnotLtheLprimaryLreasonLwhyLAmericansLareLconcerne
d.LTheLnewLhealthLcareLsystemLwillLchangeLtheLhealthLcareLaccessLandLavailability,LbutLw
illLnotLnecessarilyLbeLofferingLanyLfreeLservicesLtoLAmericans.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
2. ALnurseLhasLbegunLtoLlobbyLwithLpoliticiansLforLchangesLtoLtheLhealthLcareLsystem.LWhyL
isLthisLinvolvementLimportant?
a. Nurses,LasLcentralLcharactersLinLseveralLpopularLTVLseries,LareLcurrentlyL
veryLvisibleLinLAmericanLm ed iNa.
b. NursesLareLprimarilyLresp onUsibS
le LfoNrLmTanagingOthe LvariousLunitsLinLourLhealthLcare
system.
c. NursesLareLtheLlargestLsegmentLofLhealthLcareLproviders.
d. NursesLareLtheLonlyLgroupLthatLisLemployedLbothLinsideLandLoutsideLofLhospitals.
ANS:L C
AsLtheLlargestLsegmentLofLhealthLcareLproviders,LnursesLareLinformedLaboutLtheLcurrentLh
ealthLcareLsystemLandLallLtheLproblemsLthatLresultLfromLpeopleLnotLseekingLcareLuntilLthe
yLareLdesperatelyLill.LNurses,LasLtheLAmericanLNursesLAssociationL(ANA)Lemphasize,Lusu
allyLbelieveLthatLhealthLcareLisLaLright,LnotLaLprivilege.LTherefore,Lnurses,LwhoseLworkLis
LcentralLtoLourLcurrentLhealthLcareLdeliveryLsystem,LcanLalsoLbeLinstrumentalLinLworkingL
politicallyLtoLcreateLaLhealthLcareLdeliveryLsystemLthatLwillLmeetLhealthLneeds.LWhileLnur
sesLareLinLseveralLcurrentLTVLseriesLandLareLemployedLbothLinsideLandLoutsideLofLhospital
s,LphysiciansLandLotherLhealthLcareLprovidersLareLasLwell.LNursesLareLoftenLmanagers,Lbut
LmanagersLoftenLhaveLotherLbackgrounds,LsuchLasLbusinessLadministration.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
3. WhatLconclusionLcanLbeLdrawnLfromLexaminingLwhereLnursesLareLemployed?
a. ThereLisLaLtrendLtowardLconsolidationLofLhealthLcareLintoLlargeLcentralLmedical
MedConnoisseurL©L202
2
, centers.
b. ThereLisLanLincreasedLemphasisLonLcommunity-basedLhealthLcare.
c. ThereLisLanLobviousLneedLtoLdecreaseLhealthLcareLcostsLbyLcuttingLpositions.
d. ManagedLcareLorganizationsL(MCOs)LareLemployingLnursesLtoLimproveLcustomer
relations.
ANS:L B
MCOsLareLemployingLnursesLinLmanyLcapacities.LAlthoughLhospitalsLareLclosingLandLacute
LcareLisLincreasinglyLfoundLinLcentralLmedicalLcenters,LtheLsameLtrendLmayLbeLseenLinLanL
increaseLinLneighborhood-
basedLpracticeLcenters.LWhileLpositionsLareLcutLinLmostLindustries,LhealthLcareLisLrecogniz
edLasLanLareaLwhereLgrowthLinLemploymentLisLexpected.LHowever,LnursesLareLincreasingly
LemployedLinLcommunityLsettingsLasLopposedLtoLhospitals.LThisLchangeLreflectsLtheLmoveL
towardLcommunity-basedLcareLratherLthanLhospital-
basedLtertiaryLcare.LToLhelpLdecreaseLtheLcontinuedLriseLinLhealthLcareLcosts,LtheLincreased
LemphasisLisLonLdiseaseLpreventionLratherLthanLhigh-costLtreatment.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
4. WhichLethicalLbeliefLwouldLbeLmostLhelpfulLinLtheLcurrentLhealthLcareLcrisis?
a. EmphasisLshouldLbeLonLindividualLandLcorporationLfreedomLinLtheLmarketplace.
b. EmphasisLshouldLbeLonLindividualLautonomyLandLfreedomLofLchoice.
c. EmphasisLshouldLbeLonLsocialLjusticeLandLcollectiveLresponsibility.
d. EmphasisLshouldLbeLonLtheLeffectivenessLofLtechnologyLinLresolvingLproblems.
ANS:L C
PublicLhealthLrecognizesLtheLnecessityLofLcollectiveLactionLinLkeepingLtheLenvironmentLsaf
eLandLinLegalitarianLtraditionLandLvision.LAnLoverinvestmentLinLtechnologyLandLseekingLof
LcuresLwithinLtheLmarketLjusticeLsystemLhasLstifledLtheLevolutionLofLaLhealthLsystemLtoLpr
otectLandLpreserveLtheLhealthLofLtheLpopulation.LAlthoughLindividualLautonomyLandLfreed
omLofLchoiceLareLimportant,LsoLisLtheLrecognitionLofLcollectiveLresponsibilityLinLensuringL
socialLjustice,LwhichLentitlesLallLpeopleLtoLbasicLnecessities.
DIF: CognitiveLLevel:LApplyL(Application)
5. WhatLisLtheLprimaryLproblemLseenLinLHealthyLPeopleL2020’sLemphasisLonLchoosingLhe
althyLlifestyleLbehaviors,LsuchLasLdailyLexerciseLorLhealthyLfoodLchoices?
a. EmphasisLonLotherLlifestyleLchoices,LsuchLasLnotLsmokingLandLminimalLu
seLofLalcoholLorLdrugs,LisLalsoLneeded.
b. AllLofLusLmustLworkLtogetherLtoLmakeLunhealthyLbehaviorsLsociallyLunacceptable.
c. ItLcostsLmoreLtoLmakeLhealthyLchoices,LsuchLasLbuyingLandLeatingLfreshLfruit
sLandLvegetablesLasLopposedLtoLquickLandLcheapLfast-foodLchoices.
d. PublicLpolicyLemphasizesLpersonalLresponsibilityLbutLignoresLsocialL
andLenvironmentalLchangesLneededLforLwell-being.
ANS:L D
AlthoughLallLresponsesLareLaccurate,LtheLprimaryLproblemLisLtheLemphasisLonLpersonalLch
oicesLinLtheLHealthyLPeopleL2020Lobjectives.LEmphasisLonLpersonalLchoicesLignoresLtheLn
eedLforLcommunityLresponsibilityLandLactionLthatLaddressesLenvironmentalLorLculturalLrest
raintsLtoLhealth.
DIF: CognitiveLLevel:LApplyL(Application)
6. WhatLresponsibilityLdoesLtheLAmericanLNursesLAssociationL(ANA)LCodeLofLEthicsLrequi
reLofLtheLnurseLbeyondLgivingLexcellentLcareLtoLpatients?
MedConnoisseurL©L202
2
, a. AcceptLlongerLworkLschedulesLtoLensureLthatLprofessionalLcareLisLalwaysLavailable
toLclients.
b. RecognizeLtheLneedLforLexperiencedLnursesLtoLmentorLnewLgraduatesLtoL
helpLincreaseLandLexpandLtheLnumberLofLprofessionalsLavailable.
c. SupportLhealthLlegislationLtoLimproveLaccessibilityLandLcostLofLhealthLcare.
d. VolunteerLtoLworkLovertimeLasLneededLtoLensureLmaximumLqualityLofLcare.
ANS:L C
TheLANALCodeLofLEthicsLpromotesLsocialLreformLbyLfocusingLonLhealthLpolicyLandLlegisl
ationLtoLpositivelyLaffectLaccessibility,Lquality,LandLcostLofLhealthLcare.LTheLcodeLdoesLno
tLdirectlyLaddressLworkplaceLissues,LsuchLasLworkLschedulesLorLneedLforLovertime.
DIF: CognitiveLLevel:LAnalyzeL(Analysis)
7. WhatLisLtheLcommunityLhealthLnursingLdefinitionLofLhealth?
a. HealthLisLaLperson’sLgoal-directedLpurposefulLprocessLtowardLwell-
beingLorLwholeness.
b. HealthLisLanLindividual’sLphysical,Lmental,LandLsocialLwell-
being,LnotLmerelyLtheLabsenceLofLdiseaseLorLinfirmity.
c. HealthLisLtheLmutualLadaptationLbetweenLaLpersonLandLhisLorLherLenvironme
ntLinLmeetingLdailyLexistence.
d. HealthLisLfamiliesLandLaggregatesLchoosingLactionsLtoLensureLsafetyLandLwell-being.
ANS:L D
TheLtextLstressesLthatLhealthLisLnotLjustLtheLresultLofLanLindividual’sLchoices,LbutLchoicesLa
ndLactionsLofLindividuals,Lfamilies,Lgroups,LandLcommunitiesLthatLleadLtoLbetterLhealth.
DIF: CognitiveLLevel:LApplyL(Application)
8. HowLdoesLcommunityLhealthLnursingLdefineLcommunity?
a. ALgroupLofLpersonsLlivingLwithinLspecificLgeographicLboundaries
b. ALgroupLofLpersonsLwhoLshareLaLcommonLidentityLandLenvironment
c. ALgroupLofLpersonsLwhoLworkLtogetherLtoLmeetLcommonLgoals
d. ALgroupLofLpersonsLwhoLresolveLaLcommunityLconcern
ANS:L B
CommunityLhealthLnursesLworkLwithLbothLgeopoliticalLgroupsL(withinLspecificLgeographic
Lboundaries)LandLphenomenologicalLgroupsL(whoLhaveLaLcommonLidentityLbasedLonLcultu
re,Lhistory,LorLgoals).LALparticularLphenomenologicalLgroupLmayLorLmayLnotLhaveLbeenLaL
plannedLgroup—
thatLis,LaLgroupLthatLcameLtogetherLtoLresolveLaLrecognizedLcommonLproblemLorLtoLmeetL
aLcommonLgoal.LHowever,LofLallLtheLchoices,LaLgroupLofLpersonsLwhoLshareLaLcommonLi
dentityL(phenomenologicalLgroup)LandLenvironmentL(whichLimpliesLaLspecificLgeographicL
setting)LisLtheLbroadestLandLmostLcompleteLdefinition.
DIF: CognitiveLLevel:LApplyL(Application)
9. WhichLvariableLhasLaLmajorLinfluenceLonLaLcommunity’sLhealth?
a. BehaviorLchoicesLmadeLbyLpersonsLinLtheLcommunity
b. NumberLofLhealthLcareLprovidersLandLhospitalsLinLtheLcommunity
c. QualityLofLtheLpublicLsafetyLofficersL(policeLofficers,Lfirefighters,Letc.)
d. TheLnumberLandLcredentialsLofLpublicLhealthLofficialsLinLtheLcommunity
ANS:L A
MedConnoisseurL©L202
2
2
,ChapterL01:LHealth:LALCommunityLViewLNies:
Community/PublicLHealthLNursing,L8thLEdition
MULTIPLELCHOICE
1. WhichLbestLdescribesLtheLprimaryLreasonLt
hatLAmericansLareLconcernedLaboutLhealth
Lcare?
a. PoliticiansLareLdiscussingLhowLtoLimproveLheal
thLcare.
b. TheLmediaLhasLprovidedLmixedLmessagesLaboutLt
heLhealthLcareLsystem.
c. OurLnationalLhealthLcareLcostsLkeepLincreasing.
d. TheLnewLhealthLcareLsystemLoffersLfreeLservices
LtoLAmericans.
ANS:L C
TheLprimaryLreasonLforLtheLfocusLonLhealthLcareLisLtheLconstantlyLincreasingLcosts,Lwhich
LcannotLbeLsustained.LTheLcostsLofLcaringLforLtheLsickLaccountedLforLtheLmajorityLofLesca
latingLhealthLcareLdollars,LwhichLincreasedLfromL5.7%LofLtheLgrossLdomesticLproductLinL1
965LtoL17.8%LinL2015.LPoliticiansLandLtheLmediaLbothLinfluenceLAmericans’LperceptionsL
aboutLhealthLcare;Lhowever,LtheyLareLnotLtheLprimaryLreasonLwhyLAmericansLareLconcerne
d.LTheLnewLhealthLcareLsystemLwillLchangeLtheLhealthLcareLaccessLandLavailability,LbutLw
illLnotLnecessarilyLbeLofferingLanyLfreeLservicesLtoLAmericans.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
2. ALnurseLhasLbegunLtoLlobbyLwithLpoliticiansLforLchangesLtoLtheLhealthLcareLsystem.LWhyL
isLthisLinvolvementLimportant?
a. Nurses,LasLcentralLcharactersLinLseveralLpopularLTVLseries,LareLcurrentlyL
veryLvisibleLinLAmericanLm ed iNa.
b. NursesLareLprimarilyLresp onUsibS
le LfoNrLmTanagingOthe LvariousLunitsLinLourLhealthLcare
system.
c. NursesLareLtheLlargestLsegmentLofLhealthLcareLproviders.
d. NursesLareLtheLonlyLgroupLthatLisLemployedLbothLinsideLandLoutsideLofLhospitals.
ANS:L C
AsLtheLlargestLsegmentLofLhealthLcareLproviders,LnursesLareLinformedLaboutLtheLcurrentLh
ealthLcareLsystemLandLallLtheLproblemsLthatLresultLfromLpeopleLnotLseekingLcareLuntilLthe
yLareLdesperatelyLill.LNurses,LasLtheLAmericanLNursesLAssociationL(ANA)Lemphasize,Lusu
allyLbelieveLthatLhealthLcareLisLaLright,LnotLaLprivilege.LTherefore,Lnurses,LwhoseLworkLis
LcentralLtoLourLcurrentLhealthLcareLdeliveryLsystem,LcanLalsoLbeLinstrumentalLinLworkingL
politicallyLtoLcreateLaLhealthLcareLdeliveryLsystemLthatLwillLmeetLhealthLneeds.LWhileLnur
sesLareLinLseveralLcurrentLTVLseriesLandLareLemployedLbothLinsideLandLoutsideLofLhospital
s,LphysiciansLandLotherLhealthLcareLprovidersLareLasLwell.LNursesLareLoftenLmanagers,Lbut
LmanagersLoftenLhaveLotherLbackgrounds,LsuchLasLbusinessLadministration.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
3. WhatLconclusionLcanLbeLdrawnLfromLexaminingLwhereLnursesLareLemployed?
a. ThereLisLaLtrendLtowardLconsolidationLofLhealthLcareLintoLlargeLcentralLmedical
MedConnoisseurL©L202
2
, centers.
b. ThereLisLanLincreasedLemphasisLonLcommunity-basedLhealthLcare.
c. ThereLisLanLobviousLneedLtoLdecreaseLhealthLcareLcostsLbyLcuttingLpositions.
d. ManagedLcareLorganizationsL(MCOs)LareLemployingLnursesLtoLimproveLcustomer
relations.
ANS:L B
MCOsLareLemployingLnursesLinLmanyLcapacities.LAlthoughLhospitalsLareLclosingLandLacute
LcareLisLincreasinglyLfoundLinLcentralLmedicalLcenters,LtheLsameLtrendLmayLbeLseenLinLanL
increaseLinLneighborhood-
basedLpracticeLcenters.LWhileLpositionsLareLcutLinLmostLindustries,LhealthLcareLisLrecogniz
edLasLanLareaLwhereLgrowthLinLemploymentLisLexpected.LHowever,LnursesLareLincreasingly
LemployedLinLcommunityLsettingsLasLopposedLtoLhospitals.LThisLchangeLreflectsLtheLmoveL
towardLcommunity-basedLcareLratherLthanLhospital-
basedLtertiaryLcare.LToLhelpLdecreaseLtheLcontinuedLriseLinLhealthLcareLcosts,LtheLincreased
LemphasisLisLonLdiseaseLpreventionLratherLthanLhigh-costLtreatment.
DIF: CognitiveLLevel:LUnderstandL(Comprehension)
4. WhichLethicalLbeliefLwouldLbeLmostLhelpfulLinLtheLcurrentLhealthLcareLcrisis?
a. EmphasisLshouldLbeLonLindividualLandLcorporationLfreedomLinLtheLmarketplace.
b. EmphasisLshouldLbeLonLindividualLautonomyLandLfreedomLofLchoice.
c. EmphasisLshouldLbeLonLsocialLjusticeLandLcollectiveLresponsibility.
d. EmphasisLshouldLbeLonLtheLeffectivenessLofLtechnologyLinLresolvingLproblems.
ANS:L C
PublicLhealthLrecognizesLtheLnecessityLofLcollectiveLactionLinLkeepingLtheLenvironmentLsaf
eLandLinLegalitarianLtraditionLandLvision.LAnLoverinvestmentLinLtechnologyLandLseekingLof
LcuresLwithinLtheLmarketLjusticeLsystemLhasLstifledLtheLevolutionLofLaLhealthLsystemLtoLpr
otectLandLpreserveLtheLhealthLofLtheLpopulation.LAlthoughLindividualLautonomyLandLfreed
omLofLchoiceLareLimportant,LsoLisLtheLrecognitionLofLcollectiveLresponsibilityLinLensuringL
socialLjustice,LwhichLentitlesLallLpeopleLtoLbasicLnecessities.
DIF: CognitiveLLevel:LApplyL(Application)
5. WhatLisLtheLprimaryLproblemLseenLinLHealthyLPeopleL2020’sLemphasisLonLchoosingLhe
althyLlifestyleLbehaviors,LsuchLasLdailyLexerciseLorLhealthyLfoodLchoices?
a. EmphasisLonLotherLlifestyleLchoices,LsuchLasLnotLsmokingLandLminimalLu
seLofLalcoholLorLdrugs,LisLalsoLneeded.
b. AllLofLusLmustLworkLtogetherLtoLmakeLunhealthyLbehaviorsLsociallyLunacceptable.
c. ItLcostsLmoreLtoLmakeLhealthyLchoices,LsuchLasLbuyingLandLeatingLfreshLfruit
sLandLvegetablesLasLopposedLtoLquickLandLcheapLfast-foodLchoices.
d. PublicLpolicyLemphasizesLpersonalLresponsibilityLbutLignoresLsocialL
andLenvironmentalLchangesLneededLforLwell-being.
ANS:L D
AlthoughLallLresponsesLareLaccurate,LtheLprimaryLproblemLisLtheLemphasisLonLpersonalLch
oicesLinLtheLHealthyLPeopleL2020Lobjectives.LEmphasisLonLpersonalLchoicesLignoresLtheLn
eedLforLcommunityLresponsibilityLandLactionLthatLaddressesLenvironmentalLorLculturalLrest
raintsLtoLhealth.
DIF: CognitiveLLevel:LApplyL(Application)
6. WhatLresponsibilityLdoesLtheLAmericanLNursesLAssociationL(ANA)LCodeLofLEthicsLrequi
reLofLtheLnurseLbeyondLgivingLexcellentLcareLtoLpatients?
MedConnoisseurL©L202
2
, a. AcceptLlongerLworkLschedulesLtoLensureLthatLprofessionalLcareLisLalwaysLavailable
toLclients.
b. RecognizeLtheLneedLforLexperiencedLnursesLtoLmentorLnewLgraduatesLtoL
helpLincreaseLandLexpandLtheLnumberLofLprofessionalsLavailable.
c. SupportLhealthLlegislationLtoLimproveLaccessibilityLandLcostLofLhealthLcare.
d. VolunteerLtoLworkLovertimeLasLneededLtoLensureLmaximumLqualityLofLcare.
ANS:L C
TheLANALCodeLofLEthicsLpromotesLsocialLreformLbyLfocusingLonLhealthLpolicyLandLlegisl
ationLtoLpositivelyLaffectLaccessibility,Lquality,LandLcostLofLhealthLcare.LTheLcodeLdoesLno
tLdirectlyLaddressLworkplaceLissues,LsuchLasLworkLschedulesLorLneedLforLovertime.
DIF: CognitiveLLevel:LAnalyzeL(Analysis)
7. WhatLisLtheLcommunityLhealthLnursingLdefinitionLofLhealth?
a. HealthLisLaLperson’sLgoal-directedLpurposefulLprocessLtowardLwell-
beingLorLwholeness.
b. HealthLisLanLindividual’sLphysical,Lmental,LandLsocialLwell-
being,LnotLmerelyLtheLabsenceLofLdiseaseLorLinfirmity.
c. HealthLisLtheLmutualLadaptationLbetweenLaLpersonLandLhisLorLherLenvironme
ntLinLmeetingLdailyLexistence.
d. HealthLisLfamiliesLandLaggregatesLchoosingLactionsLtoLensureLsafetyLandLwell-being.
ANS:L D
TheLtextLstressesLthatLhealthLisLnotLjustLtheLresultLofLanLindividual’sLchoices,LbutLchoicesLa
ndLactionsLofLindividuals,Lfamilies,Lgroups,LandLcommunitiesLthatLleadLtoLbetterLhealth.
DIF: CognitiveLLevel:LApplyL(Application)
8. HowLdoesLcommunityLhealthLnursingLdefineLcommunity?
a. ALgroupLofLpersonsLlivingLwithinLspecificLgeographicLboundaries
b. ALgroupLofLpersonsLwhoLshareLaLcommonLidentityLandLenvironment
c. ALgroupLofLpersonsLwhoLworkLtogetherLtoLmeetLcommonLgoals
d. ALgroupLofLpersonsLwhoLresolveLaLcommunityLconcern
ANS:L B
CommunityLhealthLnursesLworkLwithLbothLgeopoliticalLgroupsL(withinLspecificLgeographic
Lboundaries)LandLphenomenologicalLgroupsL(whoLhaveLaLcommonLidentityLbasedLonLcultu
re,Lhistory,LorLgoals).LALparticularLphenomenologicalLgroupLmayLorLmayLnotLhaveLbeenLaL
plannedLgroup—
thatLis,LaLgroupLthatLcameLtogetherLtoLresolveLaLrecognizedLcommonLproblemLorLtoLmeetL
aLcommonLgoal.LHowever,LofLallLtheLchoices,LaLgroupLofLpersonsLwhoLshareLaLcommonLi
dentityL(phenomenologicalLgroup)LandLenvironmentL(whichLimpliesLaLspecificLgeographicL
setting)LisLtheLbroadestLandLmostLcompleteLdefinition.
DIF: CognitiveLLevel:LApplyL(Application)
9. WhichLvariableLhasLaLmajorLinfluenceLonLaLcommunity’sLhealth?
a. BehaviorLchoicesLmadeLbyLpersonsLinLtheLcommunity
b. NumberLofLhealthLcareLprovidersLandLhospitalsLinLtheLcommunity
c. QualityLofLtheLpublicLsafetyLofficersL(policeLofficers,Lfirefighters,Letc.)
d. TheLnumberLandLcredentialsLofLpublicLhealthLofficialsLinLtheLcommunity
ANS:L A
MedConnoisseurL©L202
2
