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Exam (elaborations)

Community Nursing Test Bank for

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Which of the following 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 17.6% in 2009. 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 availablity, but will not necessarily be offering any free services to Americans. DIF: Cognitive Level: Understand (Comprehension) REF: p. 2 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 visible in American media. b. Nurses are primarily responsible for managing the various units in our health care system. c. Nurses are the largest group of health care providers. d. Nurses are the only group that is employed both inside and outside of hospitals. ANS: C As the largest group 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 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) REF: p. 2

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Institution
240 Community Nursing
Course
240 Community Nursing











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Institution
240 Community Nursing
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240 Community Nursing

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Uploaded on
August 26, 2024
Number of pages
667
Written in
2024/2025
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2024 Edition
Community Nursing Test Banks
WhichkjofkjthekjfollowingkjbestkjdescribeskjthekjprimarykjreasonkjthatkjAmericanskjarekjconcernedkjaboutkjh
ealthkjcare?
a. Politicianskjarekjdiscussingkjhowkjtokjimprov
e
healthkjcare.
b. Thekjmediakjhaskjprovidedkjmixedkjmessage
s
aboutkjthekjhealthkjcarekjsystem.
c. Ourkjnationalkjhealthkjcarekjcostskjkeep
increasing.
d. Thekjnewkjhealthkjcarekjsystemkjofferskjfree
serviceskjtokjAmericans.
ANS:k j C
Thekjprimarykjreasonkjforkjthekjfocuskjonkjhealthkjcarekjiskjthekjconstantlykjincreasingkjcosts,kjwhic
hkjcannotkjbekjsustained.kjThekjcostskjofkjcaringkjforkjthekjsickkjaccountedkjforkjthekjmajoritykjofkjes
calatingkjhealthkjcarekjdollars,kjwhichkjincreasedkjfromkj5.7%kjofkjthekjgrosskjdomestickjproductkjinkj
1965kjtokj17.6%kjinkj2009.
PoliticianskjandkjthekjmediakjbothkjinfluencekjAmericans’kjperceptionskjaboutkjhealthkjcare;kjhowe
ver,kjtheykjarekjnotkjthekjprimarykjreasonkjwhykjAmericanskjarekjconcerned.kjThekjnewkjhealthkjcare
kjsystemkjwillkjchangekjthekjhealthkjcarekjaccesskjandkjavailablity,kjbutkjwillkjnotkjnecessarilykjbekjof
feringkjanykjfreekjserviceskjtokjAmericans.

DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2

2. Akjnursekjhaskjbegunkjtokjlobbykjwithkjpoliticianskjforkjchangeskjtokjthekjhealthkjcarekjsystem.kj
Whykjiskjthiskij nvolvementkjimportant?
a. Nurses,kjaskjcentralkjcharacterskjinkjseveral
popularkjTVkjseries,kjarekjcurrentlykjv
erykjvisiblekjinkjAmericankjmedia.
b. Nurseskjarekjprimarilykjresponsiblekjforkj
managingkjthekjvariouskjunitskjinkjourkjhe
alth
carekjsystem.
c. Nurseskjarekjthekjlargestkjgroupkjofkjhealthkj
care
providers.
d. Nurseskjarekjthekjonlykjgroupkjthatkji
skjemployedkjbothkjinsidekjandkjoutsi
dekjof
hospitals.
ANS:k j C
Askjthekjlargestkjgroupkjofkjhealthkjcarekjproviders,kjnurseskjarekjinformedkjaboutkjthekjcurrentkjhea

,lthkjcarekjsystemkjandkjallkjthekjproblemskjthatkjresultkjfromkjpeoplekjnotkjseekingkjcarekjuntilkjtheykj
arekjdesperatelykjill.kjNurses,kjaskjthekjAmericankjNurseskjAssociationkj(ANA)kjemphasize,kjusually
kjbelievekjthatkjhealthkjcarekjiskjakjright,kjnotkjakjprivilege.kjTherefore,kjnurses,kjwhosekjworkkjiskjce
ntralkjtokjourkjcurrentkjhealthkjcarekjdeliverykjsystem,kjcankjalsokjbekjinstrumentalkjinkjworkingkjpoli
ticallykjtokjcreatekjakjhealthkjcarekjdelivery

, systemkj thatkjwillkjmeetkjhealthkjneeds.kjWhilekjnurseskjarekjinkjseveralkjcurrentkjTVkjserieskjandkja
rekjemployedkjbothkjinsidekjandkjoutsidekjofkjhospitals,kjphysicianskjandkjotherkjhealthkjcarekjprovi
derskjarekjaskw
j ell.kjNurseskjarekjoftenkjmanagers,kjbutkjmanagerskjoftenkjhavekjotherkjbackgrounds,
kjsuchkjaskjbusinesskjadministration.


DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2

3. Whatkjconclusionkjcankjbekjdrawnkjfromkjexaminingkjwherekjnurseskjarekjemployed?
a. Therekjiskjakjtrendkjtowardkjconsolidationkjo
f
healthkjcarekjintokjlargekjcentralkjmed
icalkjcenters.
b. Therekjiskjankjincreasedkjemphasiskjon
community-basedkjhealthkjcare.
c. Therekjiskjankjobviouskjneedkjtokjdecrease
healthkjcarekjcostskjbykjcuttingkjpositions.
d. Managedkjcarekjorganizationskj(MCOs)kj
arekjemployingkjnurseskjtokjimprovekjcusto
mer
relations.
ANS:k j B
MCOskjarekjemployingkjnurseskjinkjmanykjcapacities.kjAlthoughkjhospitalskjarekjclosingkjandkjacut
ekjcarekjiskjincreasinglykjfoundkjinkjcentralkjmedicalkjcenters,kjthekjsamekjtrendkjmaykjbekjseenkjinkja
nkjincreasekjinkjneighborhood-
basedkjpracticekjcenters.kjWhilekjpositionskjarekjcutkjinkjmostkjindustries,kjhealthkjcarekjiskjrecogniz
edkjaskjankjareakjwherekjgrowthkjinkjemploymentkjiskjexpected.kjHowever,kjnurseskjarekjincreasingl
ykjemployedkjinkjcommunitykjsettingskjaskjopposedkjtokjhospitals.kjThiskjchangekjreflectskjthekjmov
ekjtowardkjcommunity-basedkjcarekjratherkjthankjhospital-
basedkjtertiarykjcare.kjTokjhelpkjdecreasekjthekjcontinuedkjrisekjinkjhealthkjcarekjcosts,kjthekjincreased
kjemphasiskjiskjonkjdiseasekjpreventionkjratherkjthankjhigh-costkjtreatment.


DIF: CognitivekjLevel:kjUnderstandkj(Comprehension) REF:k j p.kj2

4. Whichkjethicalkjbeliefkjwouldkjbekjmostkjhelpfulkjinkjthekjcurrentkjhealthkjcarekjcrisis?
a. Emphasiskjshouldkjbekjonkjindividualkjand
corporationkjfreedomkjinkjthekjmarketplace.
b. Emphasiskjshouldkjbekjonkjindividual
autonomykjandkjfreedomkjofkjchoice.
c. Emphasiskjshouldkjbekjonkjsocialkjjusticekjan
d
collectivekjresponsibility.
d. Emphasiskjshouldkjbekjonkjthekjeffectiveness
ofkjtechnologykjinkjresolvingkjproblems.
ANS:k j C
Publickjhealthkjrecognizeskjthekjnecessitykjofkjcollectivekjactionkjinkjkeepingkjthekjenvironmentkjsaf
ekjandkjinkjegalitariankjtraditionkjandkjvision.kjAnkjoverinvestmentkjinkjtechnologykjandkjseekingkjof
kjcureskjwithinkjthekmj arketkjjusticekjsystemkjhaskjstifledkjthekjevolutionkjofkjakjhealthkjsystemkjtokjpr
otectkjandkjpreservekjthekjhealthkjofkjthekjpopulation.kjAlthoughkjindividualkjautonomykjandkjfreedo
mkjofkjchoicekjarekjimportant,kjso

, iskjthekjrecognitionkjofkjcollectivekjresponsibilitykjinkjensuringkjsocialkjjustice,kjwhichkjentitleskjall
kjpeoplekjtokjbasickjnecessities.


DIF: CognitivekjLevel:kjApplykj(Application) REF:k j p.kj2

5. WhatkjiskjthekjprimarykjproblemkjseenkjinkjHealthykjPeoplekj2020’skjemphasiskjonkjchoosing
kjhealthyklj ifestylekjbehaviors,kjsuchkjaskjdailykjexercisekjorkjhealthykjfoodkjchoices?
a. Emphasiskjonkjotherkjlifestylekjchoices,kjs
uchkjaskjnotkjsmokingkjandkjminimalkjusekj
of
alcoholkjorkjdrugs,kjiskjalsokjneeded.
b. Allkjofkjuskjmustkjworkkjtogetherkjtokj
makekjunhealthykjbehaviorskjsocially
unacceptable.
c. Itkjcostskjmorekjtokjmakekjhealthykjchoices
,kjsuchkjaskjbuyingkjandkjeatingkjfreshkjfrui
tskjand
vegetableskjaskjopposedkjtokjquickkjandkjc
heapkjfast-foodkjchoices.
d. Publickjpolicykjemphasizeskjpersonalkjre
sponsibilitykjbutkjignoreskjsocialkjandkje
nvironmentalkjchangeskjneededkjforkjwel
l-
being.
ANS:k j D
Althoughkjallkjresponseskjarekjaccurate,kjthekjprimarykjproblemkjiskjthekjemphasiskjonkjpersonalkjc
hoiceskjinkjthekjHealthykjPeoplekj2020kjobjectives.kjEmphasiskjonkjpersonalkjchoiceskjignoreskjthek
jneedkjforkjcommunitykjresponsibilitykjandkjactionkjthatkjaddresseskjenvironmentalkjorkjculturalkjres
traintskjtokjhealth.

DIF: CognitivekjLevel:kjApplykj(Application) REF:k j p.kj2

6. WhatkjresponsibilitykjdoeskjthekjAmericankjNurseskjAssociationkj(ANA)kjCodekjofkjEthicskjrequir
ekjofkjthekjnursekjbeyondkjgivingkjexcellentkjcarekjtokjpatients?
a. Acceptkjlongerkjworkkjscheduleskjtokjensure
thatkjprofessionalkjcarekjiskjalwayskjavaila
blekjtokjclients
b. Recognizekjthekjneedkjforkjexperiencedk
jnurseskjtokjmentorkjnewkjgraduateskjtokj
helpkjincreasekjandkjexpandkjthekjnumber
kjof
professionalskjavailable
c. Supportkjhealthkjlegislationkjtokjimprove
accessibilitykjandkjcostkjofkjhealthkjcare
d. Volunteerkjtokjworkkjovertimekjaskjneededkjt
o
ensurekjmaximumkjqualitykjofkjcare
ANS:k j C
ThekjANAkjCodekjofkjEthicskjpromoteskjsocialkjreformkjbykjfocusingkjonkjhealthkjpolicykjandkjlegi
slationkjtokjpositivelykjaffectkjaccessibility,kjquality,kjandkjcostkjofkjhealthkjcare.kjThekjcodekjdoeskj

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