Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
Community Public Health Nursing 8th Edition by
Nies, Melanie McEwen Test Bank
TABLE OF CONTENT
Unit 1: Introduction to Community Health Nursing
Chapter 1. Health: A Community View
Chapter 2. Historical Factors: Public Health Nursing in Context
Chapter 3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
Chapter 4. Health Promotion and Risk Reduction
Unit 2: The Art and Science of Community Health Nursing
Chapter 5. Epidemiology
Chapter 6. Community Assessment
Chapter 7. Community Health Planning, Implementation, and Evaluation
Chapter 8. Community Health Education and Engagement 9. Case Management
Unit 3: Factors that Influence the Health of the Community
Chapter 10. Policy, Politics, Legislation, and Community Health Nursing
Chapter 11. The Healthcare System
Chapter 12. Economics of Health Care
Chapter 13. Cultural Diversity and Community Health Nursing
Chapter 14. Environmental Health
Chapter 15. Health in the Global Community
Unit 4: Aggregates in the Community
Chapter 16. Child and Adolescent Health
Chapter 17. Women’s Health
Chapter 18. Men’s Health
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, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
Chapter 19. Senior Health
Chapter 20. Family Health
Unit 5: Vulnerable Populations
Chapter 21. Populations Affected by Disabilities
Chapter 22. Veterans’ Health
Chapter 23. Homeless Populations
Chapter 24. Rural and Migrant Health
Chapter 25. Populations Affected by Mental Illness
Unit 6: Population Health Problems
Chapter 26. Communicable Disease
Chapter 27. Substance Abuse
Chapter 28. Violence
Chapter 29. Natural and Man-Made Disasters
Unit 7: Community Health Settings
Chapter 30. School Health
Chapter 31. Occupational Health
Chapter 32. Forensic and Correctional Nursing
Chapter 33. Faith Community Nursing
Chapter 34. Home Health and Hospice
Test Bank Page 2
, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that Americans are concerned about health
care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very in American
visible media
b. Nurses are primarily responsible for managing the various units in our health care
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
Test Bank Page 3
, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
Test Bank Page 4
Community Public Health Nursing 8th Edition by
Nies, Melanie McEwen Test Bank
TABLE OF CONTENT
Unit 1: Introduction to Community Health Nursing
Chapter 1. Health: A Community View
Chapter 2. Historical Factors: Public Health Nursing in Context
Chapter 3. Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
Chapter 4. Health Promotion and Risk Reduction
Unit 2: The Art and Science of Community Health Nursing
Chapter 5. Epidemiology
Chapter 6. Community Assessment
Chapter 7. Community Health Planning, Implementation, and Evaluation
Chapter 8. Community Health Education and Engagement 9. Case Management
Unit 3: Factors that Influence the Health of the Community
Chapter 10. Policy, Politics, Legislation, and Community Health Nursing
Chapter 11. The Healthcare System
Chapter 12. Economics of Health Care
Chapter 13. Cultural Diversity and Community Health Nursing
Chapter 14. Environmental Health
Chapter 15. Health in the Global Community
Unit 4: Aggregates in the Community
Chapter 16. Child and Adolescent Health
Chapter 17. Women’s Health
Chapter 18. Men’s Health
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, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
Chapter 19. Senior Health
Chapter 20. Family Health
Unit 5: Vulnerable Populations
Chapter 21. Populations Affected by Disabilities
Chapter 22. Veterans’ Health
Chapter 23. Homeless Populations
Chapter 24. Rural and Migrant Health
Chapter 25. Populations Affected by Mental Illness
Unit 6: Population Health Problems
Chapter 26. Communicable Disease
Chapter 27. Substance Abuse
Chapter 28. Violence
Chapter 29. Natural and Man-Made Disasters
Unit 7: Community Health Settings
Chapter 30. School Health
Chapter 31. Occupational Health
Chapter 32. Forensic and Correctional Nursing
Chapter 33. Faith Community Nursing
Chapter 34. Home Health and Hospice
Test Bank Page 2
, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that Americans are concerned about health
care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very in American
visible media
b. Nurses are primarily responsible for managing the various units in our health care
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
Test Bank Page 3
, Community Public Health Nursing 8th Edition by Nies, Melanie McEwen Test Bank
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
is increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
within the market justice system has stifled the evolution of a health system to protect and
preserve the health of the population. Although individual autonomy and freedom of choice
Test Bank Page 4
