,
,Chapter 01: Health: A Community View
q! q! q! q! q!
Nies: Community/Public Health Nursing, 8th Edition
q! q! q! q! q!
MULTIPLE CHOICE q!
1. Which best describes the primary reason that Americans are concerned about health care?
q! q! q! q! q! q! q! q! q! q! q! q!
a. Politicians are discussing how to improve health care. q! q! q! q! q! q! q!
b. The media has provided mixed messages about the health care system.
q! q! q! q! q! q! q! q! q! q!
c. Our national health care costs keep increasing.
q! q! q! q! q! q!
d. The new health care system offers free services to Americans.
q! q! q! q! q! q! q! q! q!
ANS: C q !
The primary reason for the focus on health care is the constantly increasing costs, which can
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
not be sustained. The costs of caring for the sick accounted for the majority of escalating hea
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
lth care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% i
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
n 2015. Politicians and the media both influence Americans’ perceptions about health care; h
q! q! q! q! q! q! q! q! q! q! q! q! q!
owever, they are not the primary reason why Americans are concerned. The new health care s
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
ystem will change the health care access and availability, but will not necessarily be offering
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q
any free services to Americans.
! q! q! q! q!
DIF: Cognitive Level: Understand (Comprehension) q! q! q!
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is thi
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
s involvement important?
q! q!
a. Nurses, as central characters in several popular TV series, are currently very
q! q! q! q! q! q! q! q! q! q! q!
visible in American m e d iNa . R I G B.CM
q! q! q! q! q ! q! q! !
q
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
q!
q! q! q! q! q! q! q! q! q! q! q!
system.
c. Nurses are the largest segment of health care providers. q! q! q! q! q! q! q! q!
d. Nurses are the only group that is employed both inside and outside of hospitals.
q! q! q! q! q! q! q! q! q! q! q! q! q!
ANS: C q!
As the largest segment of health care providers, nurses are informed about the current health
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
care system and all the problems that result from people not seeking care until they are desp
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
erately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe th
q! q! q! q! q! q! q! q! q! q! q! q!
at health care is a right, not a privilege. Therefore, nurses, whose work is central to our curre
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
nt health care delivery system, can also be instrumental in working politically to create a hea
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
lth care delivery system that will meet health needs. While nurses are in several current TV s
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
eries and are employed both inside and outside of hospitals, physicians and other health care
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
providers are as well. Nurses are often managers, but managers often have other background
q! q! q! q! q! q! q! q! q! q! q! q! q!
s, such as business administration.
q! q! q! q!
DIF: Cognitive Level: Understand (Comprehension) q! q! q!
3. What conclusion can be drawn from examining where nurses are employed?
q! q! q! q! q! q! q! q! q! q!
a. There is a trend toward consolidation of health care into large central medical
q! q! q! q! q! q! q! q! q! q! q! q!
centers. q!
b. There is an increased emphasis on community-based health care.
q! q! q! q! q! q! q! q!
c. There is an obvious need to decrease health care costs by cutting positions.
q! q! q! q! q! q! q! q! q! q! q! q!
d. Managed care organizations (MCOs) are employing nurses to improve customerq! q! q! q! q! q! q! q! q!
,
,Chapter 01: Health: A Community View
q! q! q! q! q!
Nies: Community/Public Health Nursing, 8th Edition
q! q! q! q! q!
MULTIPLE CHOICE q!
1. Which best describes the primary reason that Americans are concerned about health care?
q! q! q! q! q! q! q! q! q! q! q! q!
a. Politicians are discussing how to improve health care. q! q! q! q! q! q! q!
b. The media has provided mixed messages about the health care system.
q! q! q! q! q! q! q! q! q! q!
c. Our national health care costs keep increasing.
q! q! q! q! q! q!
d. The new health care system offers free services to Americans.
q! q! q! q! q! q! q! q! q!
ANS: C q !
The primary reason for the focus on health care is the constantly increasing costs, which can
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
not be sustained. The costs of caring for the sick accounted for the majority of escalating hea
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
lth care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% i
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
n 2015. Politicians and the media both influence Americans’ perceptions about health care; h
q! q! q! q! q! q! q! q! q! q! q! q! q!
owever, they are not the primary reason why Americans are concerned. The new health care s
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
ystem will change the health care access and availability, but will not necessarily be offering
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q
any free services to Americans.
! q! q! q! q!
DIF: Cognitive Level: Understand (Comprehension) q! q! q!
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is thi
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
s involvement important?
q! q!
a. Nurses, as central characters in several popular TV series, are currently very
q! q! q! q! q! q! q! q! q! q! q!
visible in American m e d iNa . R I G B.CM
q! q! q! q! q ! q! q! !
q
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
q!
q! q! q! q! q! q! q! q! q! q! q!
system.
c. Nurses are the largest segment of health care providers. q! q! q! q! q! q! q! q!
d. Nurses are the only group that is employed both inside and outside of hospitals.
q! q! q! q! q! q! q! q! q! q! q! q! q!
ANS: C q!
As the largest segment of health care providers, nurses are informed about the current health
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
care system and all the problems that result from people not seeking care until they are desp
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
erately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe th
q! q! q! q! q! q! q! q! q! q! q! q!
at health care is a right, not a privilege. Therefore, nurses, whose work is central to our curre
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
nt health care delivery system, can also be instrumental in working politically to create a hea
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
lth care delivery system that will meet health needs. While nurses are in several current TV s
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
eries and are employed both inside and outside of hospitals, physicians and other health care
q! q! q! q! q! q! q! q! q! q! q! q! q! q! q!
providers are as well. Nurses are often managers, but managers often have other background
q! q! q! q! q! q! q! q! q! q! q! q! q!
s, such as business administration.
q! q! q! q!
DIF: Cognitive Level: Understand (Comprehension) q! q! q!
3. What conclusion can be drawn from examining where nurses are employed?
q! q! q! q! q! q! q! q! q! q!
a. There is a trend toward consolidation of health care into large central medical
q! q! q! q! q! q! q! q! q! q! q! q!
centers. q!
b. There is an increased emphasis on community-based health care.
q! q! q! q! q! q! q! q!
c. There is an obvious need to decrease health care costs by cutting positions.
q! q! q! q! q! q! q! q! q! q! q! q!
d. Managed care organizations (MCOs) are employing nurses to improve customerq! q! q! q! q! q! q! q! q!
,
