,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8th Edition
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MULTIPLE CHOICE F #
1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. F# F# F# F# F# F# F#
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
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d. The new health care system offers free services to Americans.
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ANS: F # F # C
The primary reason for the focus on health care is the constantly increasing costs, which c a
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nnot be sustained. The costs of caring for the sick accounted for the majority of escal
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atin g health care dollars, which increased from 5.7% of the gross domestic product in 1965 t
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o 17.8% in 2015. Politicians and the media both influence Americans’ perceptions about he
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al th care; however, they are not the primary reason why Americans are concerned. The ne
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w h ealth care system will change the health care access and availability, but will not ne
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cessaril y be offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) F# F# F#
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
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his involvement important?
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a. Nurses, as central characters in several popular TV series, are currently ve
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ry visible in American medi Na .
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b. Nurses are primarily resp on sib l e fo r mTanagingOthe various units in our health care
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R
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system. 5
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c. Nurses are the largest segment of health care providers. F# F# F# F# F# F# F# F#
d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C F#
As the largest segment of health care providers, nurses are informed about the current h
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ealt h care system and all the problems that result from people not seeking care until the
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y are d esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
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belie ve that health care is a right, not a privilege. Therefore, nurses, whose work is
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central to o ur current health care delivery system, can also be instrumental in working politi
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cally to cr eate a health care delivery system that will meet health needs. While nurses are i
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n several current TV series and are employed both inside and outside of hospitals, physicia
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ns and oth er health care providers are as well. Nurses are often managers, but managers oft
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en have o ther backgrounds, such as business administration.
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DIF: Cognitive Level: Understand (Comprehension) F# F# F#
3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central medic
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al centers. F#
b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer F# F# F# F# F# F# F# F# F#
,