https://www.stuvia.com/user/lectkeshi
TESTBANK FOR COMMUNITY PUBLIC HEALTH NURSING -PROMOTING THE
HEALTH OF POPULATIONS 8TH EDITION BY MARTIN
CH 01: Health: A Community View
Nies: Community/Public Health Nursing, 8TH Edition
MULTIPLE CHOICE
1. WhichzbestzdescribeszthezprimaryzreasonzthatzAmericanszar
ezconcernedzaboutzhealthzcare?
a. Politicianszarezdiscussingzhowztozimprovezhealthzcare.
b. Thezmediazhaszprovidedzmixedzmessageszaboutzthezpri
maryzcarezsystem.
c. Ourznationalzprimaryzcarezcostszkeepzincreasing.
d. TheznewzprimaryzcarezsystemzofferszfreezservicesztozA
mericans.
ACCURATEzCHOICE:-C
HYPOTHESIS:>>>Thezprimaryzreasonzforzthezfocuszonzprim
aryzcareziszthezconstantlyzincreasin
gzcosts,zwhichzcannotzbezsustained.zThezcostszofzcaringzfo
rzthezsickzaccountedzforzthezmajorityzofze
scalatingzprimaryzcarezdollars,zwhichzincreasedzfromz5.7%z
ofzthezgrosszdomesticzproductzinz1965z
toz17.8%zinz2015.zPoliticianszandzthezmediazbothzinfluenc
ezAmericans‘zperceptionszaboutzhealth
https://www.stuvia.com/user/lectkeshi
, care;zhowever,ztheyzareznotzthezprimaryzreasonzwhyzAme
ricanszarezconcerned.zTheznewzhealthcar
ezsystemzwillzchangezthezprimaryzcarezaccesszandzavailabil
ity,zbutzwillznotznecessarilyzbezofferingz
anyzfreezservicesztozAmericans.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
2. Aznursingzattendantzhaszbegunztozlobbyzwithzpoliticianszfor
zchangesztozthezprimaryzcarezsystem.z
Whyziszthisinvolvementzimportant?
a. Nursingzattendants,zaszcentralzcharacterszinzseveralzpop
ularzTVzseries,zarezcurr entlyzveryvisiblezinzAmericanNzR
zmedziza.z I
b. Nursingzattendantszarezprimarilyzresponz Usiz bSlez
foNrzmTanagingOtzhez variouszunitszinzourzhealthzcare
system.
c. Nursingzattendantszarezthezlargestzsegmentzofzprimaryz
carezproviders.
d. Nursingzattendantszarezthezonlyzgroupzthatziszemployed
zbothzinsidezandzoutsidezofzhealthzcenters.
ACCURATEzCHOICE:-C
HYPOTHESIS:>>>Aszthezlargestzsegmentzofzprimaryzcarezpr
oviders,znursingzattendantszarezin
formedzaboutzthezcurrentzprimaryzcarezsystemzandzallzthe
zproblemszthatzresultzfromzpeopleznotzse
ekingzcarezuntilztheyzarezdesperatelyzill.zNursingzattendant
s,zaszthezAmericanzNursingzattendants
, zAssociationz(ANA)zemphasize,zusuallyzbelievezthatzprimary
zcareziszazright,znotzazprivilege.zTher
efore,znursingzattendants,zwhosezworkziszcentralztoourzcur
rentzprimaryzcarezdeliveryzsystem,zcan
zalsozbezinstrumentalzinzworkingzpoliticallyztozcreatezazpri
maryzcarezdeliveryzsystemzthatzwillzme
etzhealthzneeds.zWhileznursingzattendantszarezinzseveralzc
urrentzTVzserieszandzarezemployedzbothz
insidezandzoutsidezofzhealthzcenters,zphysicianszandzother
primaryzcarezproviderszarezaszwell.
Nursingzattendantszarezoftenzmanagers,zbutzmanagerszoftenzha
vezotherzbackgrounds,zsuchzaszbusinesszadmi nistration.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
3.
Whatzconclusionzcanzbezdrawnzfromzexaminingzwhereznursing
zattendantszarezemployed?
a. Thereziszaztrendztowardzconsolidationzofzprimaryzcarezi
ntozlargezcentralzmedicalzc enters.
b. Thereziszanzincreasedzemphasiszonzcommunity-
basedzhealthzcare.
c. Thereziszanzobviouszneedztozdecreasezprimaryzcarezcost
szbyzcuttingzpositions.
d. Managedzcarezorganizationsz(MCOs)zarezemployingznurs
ingzattendantsztozimprovezcustomer
, relations.
ACCURATEzCHOICE:-B
HYPOTHESIS:>>>MCOszarezemployingznursingzattendantszi
nzmanyzcapacities.zAlthoughzhea
lthzcenterszarezclosingzandzacutezcareiszincreasinglyzfound
zinzcentralzmedicalzcenters,zthezsameztre
ndzmayzbezseenzinzanzincreasezinzneighborhoodbasedzpra
cticezcenters.zWhilezpositionszarezcutzinzmostzindustries,zp
rimaryzcarezisrecognizedzasza
nzareazwherezgrowthzinzemploymentziszexpected.zHoweve
r,znursingzattendantszarezincreasinglyze
mployedzinzcommunityzsettingszaszopposedztozhealthzcent
ers.zThiszchangezreflectszthemoveztowa rdzcommunity-
basedzcarezratherzthanzhealthzcenterbasedztertiaryzcare.zT
ozhelpzdecreasethezcontinuedzrisezinzprimaryzcarezcosts,zt
hezincreasedzemph
asisziszonzdiseasezpreventionzratherzthanzhigh-
costztreatment.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
4. Whichzethicalzbeliefzwouldzbezmostzhelpfulzinzthezcurrent
zprimaryzcarezcrisis?
a. Emphasiszshouldzbezonzindividualzandzcorporationzfreed
omzinzthezmarketplace.
b. Emphasiszshouldzbezonzindividualzautonomyzandzfreedo
mzofzchoice.
c. Emphasiszshouldzbezonzsocialzjusticezandzcollectivezresp
onsibility.
TESTBANK FOR COMMUNITY PUBLIC HEALTH NURSING -PROMOTING THE
HEALTH OF POPULATIONS 8TH EDITION BY MARTIN
CH 01: Health: A Community View
Nies: Community/Public Health Nursing, 8TH Edition
MULTIPLE CHOICE
1. WhichzbestzdescribeszthezprimaryzreasonzthatzAmericanszar
ezconcernedzaboutzhealthzcare?
a. Politicianszarezdiscussingzhowztozimprovezhealthzcare.
b. Thezmediazhaszprovidedzmixedzmessageszaboutzthezpri
maryzcarezsystem.
c. Ourznationalzprimaryzcarezcostszkeepzincreasing.
d. TheznewzprimaryzcarezsystemzofferszfreezservicesztozA
mericans.
ACCURATEzCHOICE:-C
HYPOTHESIS:>>>Thezprimaryzreasonzforzthezfocuszonzprim
aryzcareziszthezconstantlyzincreasin
gzcosts,zwhichzcannotzbezsustained.zThezcostszofzcaringzfo
rzthezsickzaccountedzforzthezmajorityzofze
scalatingzprimaryzcarezdollars,zwhichzincreasedzfromz5.7%z
ofzthezgrosszdomesticzproductzinz1965z
toz17.8%zinz2015.zPoliticianszandzthezmediazbothzinfluenc
ezAmericans‘zperceptionszaboutzhealth
https://www.stuvia.com/user/lectkeshi
, care;zhowever,ztheyzareznotzthezprimaryzreasonzwhyzAme
ricanszarezconcerned.zTheznewzhealthcar
ezsystemzwillzchangezthezprimaryzcarezaccesszandzavailabil
ity,zbutzwillznotznecessarilyzbezofferingz
anyzfreezservicesztozAmericans.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
2. Aznursingzattendantzhaszbegunztozlobbyzwithzpoliticianszfor
zchangesztozthezprimaryzcarezsystem.z
Whyziszthisinvolvementzimportant?
a. Nursingzattendants,zaszcentralzcharacterszinzseveralzpop
ularzTVzseries,zarezcurr entlyzveryvisiblezinzAmericanNzR
zmedziza.z I
b. Nursingzattendantszarezprimarilyzresponz Usiz bSlez
foNrzmTanagingOtzhez variouszunitszinzourzhealthzcare
system.
c. Nursingzattendantszarezthezlargestzsegmentzofzprimaryz
carezproviders.
d. Nursingzattendantszarezthezonlyzgroupzthatziszemployed
zbothzinsidezandzoutsidezofzhealthzcenters.
ACCURATEzCHOICE:-C
HYPOTHESIS:>>>Aszthezlargestzsegmentzofzprimaryzcarezpr
oviders,znursingzattendantszarezin
formedzaboutzthezcurrentzprimaryzcarezsystemzandzallzthe
zproblemszthatzresultzfromzpeopleznotzse
ekingzcarezuntilztheyzarezdesperatelyzill.zNursingzattendant
s,zaszthezAmericanzNursingzattendants
, zAssociationz(ANA)zemphasize,zusuallyzbelievezthatzprimary
zcareziszazright,znotzazprivilege.zTher
efore,znursingzattendants,zwhosezworkziszcentralztoourzcur
rentzprimaryzcarezdeliveryzsystem,zcan
zalsozbezinstrumentalzinzworkingzpoliticallyztozcreatezazpri
maryzcarezdeliveryzsystemzthatzwillzme
etzhealthzneeds.zWhileznursingzattendantszarezinzseveralzc
urrentzTVzserieszandzarezemployedzbothz
insidezandzoutsidezofzhealthzcenters,zphysicianszandzother
primaryzcarezproviderszarezaszwell.
Nursingzattendantszarezoftenzmanagers,zbutzmanagerszoftenzha
vezotherzbackgrounds,zsuchzaszbusinesszadmi nistration.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
3.
Whatzconclusionzcanzbezdrawnzfromzexaminingzwhereznursing
zattendantszarezemployed?
a. Thereziszaztrendztowardzconsolidationzofzprimaryzcarezi
ntozlargezcentralzmedicalzc enters.
b. Thereziszanzincreasedzemphasiszonzcommunity-
basedzhealthzcare.
c. Thereziszanzobviouszneedztozdecreasezprimaryzcarezcost
szbyzcuttingzpositions.
d. Managedzcarezorganizationsz(MCOs)zarezemployingznurs
ingzattendantsztozimprovezcustomer
, relations.
ACCURATEzCHOICE:-B
HYPOTHESIS:>>>MCOszarezemployingznursingzattendantszi
nzmanyzcapacities.zAlthoughzhea
lthzcenterszarezclosingzandzacutezcareiszincreasinglyzfound
zinzcentralzmedicalzcenters,zthezsameztre
ndzmayzbezseenzinzanzincreasezinzneighborhoodbasedzpra
cticezcenters.zWhilezpositionszarezcutzinzmostzindustries,zp
rimaryzcarezisrecognizedzasza
nzareazwherezgrowthzinzemploymentziszexpected.zHoweve
r,znursingzattendantszarezincreasinglyze
mployedzinzcommunityzsettingszaszopposedztozhealthzcent
ers.zThiszchangezreflectszthemoveztowa rdzcommunity-
basedzcarezratherzthanzhealthzcenterbasedztertiaryzcare.zT
ozhelpzdecreasethezcontinuedzrisezinzprimaryzcarezcosts,zt
hezincreasedzemph
asisziszonzdiseasezpreventionzratherzthanzhigh-
costztreatment.
DIFFICULT: CognitivezLevel:zUnderstandz(Comprehension)
4. Whichzethicalzbeliefzwouldzbezmostzhelpfulzinzthezcurrent
zprimaryzcarezcrisis?
a. Emphasiszshouldzbezonzindividualzandzcorporationzfreed
omzinzthezmarketplace.
b. Emphasiszshouldzbezonzindividualzautonomyzandzfreedo
mzofzchoice.
c. Emphasiszshouldzbezonzsocialzjusticezandzcollectivezresp
onsibility.
