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Community Nursing Test Banks Exam Questions and Answers | 100% pass Guarantee | Revised 2024

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being. ANS: D Although all responses are accurate, the primary problem is the emphasis on personal choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for community responsibility and action that addresses environmental or cultural restraints to health. DIF: Cognitive Level: Apply (Application) REF: p. 2 • What responsibility does the American Nurses Association (ANA) Code of Ethics require of thenurse beyond giving excellent care to patients? a. Accept longer work schedules to ensure that professional care is always available to clients b. Recognize the need for experienced nurses to mentor new graduates to help increase and expand the number of professionals available c. Support health legislation to improve accessibility and cost of health care d. Volunteer to work overtime as needed to ensure maximum quality of care ANS: C The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to positively affect accessibility, quality, and cost of health care. The code does not directly address workplace issues, such as work schedules or need for overtime. DIF: Cognitive Level: Analyze (Analysis) REF: p. 2 • What is the community health nursing definition of health? a. Health is a person’s goal-directed purposeful process toward well-being or wholeness. b. Health is an individual’s physical, mental, and social well-being, not merely the absence of disease or infirmity. c. Health is the mutual adaptation between a person and his or her environment in meeting daily existence. d. Health is families and aggregates choosing actions to ensure safety and well-being. ANS: D The text stresses that health is not just the result of an individual’s choices, but choices andactions of individuals, families, groups, and communities that lead to better health. DIF: Cognitive Level: Apply (Application) REF: p. 3 • How does community health nursing define community? a. A group of persons living within specific geographic boundaries b. A group of persons who share a common identity and environment c. A group of persons who work together to meet common goals d. Persons who form a group to resolve a common concern ANS: B Community health nurses work with both geopolitical groups (within specific geographic boundaries) and phenomenological groups (who have a common identity based on culture, history, or goals). A particular phenomenological group may or may not have been a planned group—that is, a group that came together to resolve a recognized common problem or to meet a common goal. However, of all the choices, a group of persons who share a common identity (phenomenological group) and environment (which implies a specific geographic setting) is thebroadest and most complete definition. DIF: Cognitive Level: Apply (Application) REF: p. 3 • Which variable has a major influence on a community’s health? a. Behavior choices made by persons in the community b. Number of health care providers and hospitals in the community c. Quality of the public safety officers (police officers, firefighters, etc.) d. The number and credentials of public health officials in the community ANS: A Individual behavior choices and environmental factors are responsible for about 70% of health outcomes. Individual choices are affected through interaction with other individuals, and their mutual social and physical environments. Health care providers are responsible for only 10% ofthe outcome. The quality of public safety officers and number of public health officials have notbeen identified as major contributors to the determinants of health. DIF: Cognitive Level: Apply (Application) REF: p. 4 • What change could most effectively lead to a longer life span in Americans? a. Parenting and sexual behavior classes in all public school systems b. Legislation restricting alcohol and drug use c. Notably reducing speed limits on all state and federal highways, and changing the age limit for driving to 21 years of age d. The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm ANS: D Smoking is responsible for about 20% of all deaths in the United States. Although smoking is an individual’s choice, all people are affected by social norms. Parenting and sexual behavior classes and legislative changes may influence health, but may not necessarily lead to a longer lifespan. Community health nurses should recognize that health is influenced by a web of factors,some that can be changed and some that cannot. Influencing social norms may better promote change among Americans. DIF: Cognitive Level: Apply (Application) REF: p. 4 • What is the health issue causing the most concern in the United States today? a. Diabetes epidemic b. Increase in cardiac disease c. Increase in obesity d. Rise in cancer rates ANS: C The widespread increase in incidence of overweight and obesity has led to calls for population-based measures to address this issue. The overarching problem of obesity has led to an increasein diabetes as well as cardiac disease. If this health issue was controlled, there should be in a decrease in the other health issues. DIF: Cognitive Level: Understand (Comprehension) REF: p. 5 • What factors are most responsible for the increasing length of life of Americans over the past 100years? a. Better nutrition and family planning options b. Education concerning the need to reduce salt and fat in the diet c. Improved medical care, including exciting new technologies d. More efficient cancer screenings and early intervention ANS: A Average increased life span over the past 100 years can be largely attributed to higher standardsof living, better nutrition, a healthier environment, and having fewer children. Public health efforts such as immunization and medical care have also contributed. DIF: Cognitive Level: Understand (Comprehension) REF: p. 5 • Why would a public health nurse want to know about morbidity and mortality statistics on thelocal, state, and national level? a. To be able to share current trends in health problems with the community b. To be able to observe the community’s statistics over time and compare the community with other communities c. To justify local budgets and the need for increased income from citizens d. To publicize current health issues and suggest appropriate actions to citizens ANS: B Although being informed and being able to educate the public is always preferred and nurses often do have to justify budgets, data are needed to compare the local community with itself overtime and with other communities so that problems may be recognized and action taken to confront health issues. The first step is always to recognize problems as they develop. DIF: Cognitive Level: Apply (Application) REF: p. 5 • How do public health efforts differ from medical efforts in improving the health of our citizens? a. Medical care providers autonomously choose appropriate interventions, whereas public health care providers must engage in whatever actions legislation requires. b. Medical care providers are self-employed or agency employed, whereas public health care providers are employed by and paid through the government. c. Medical care providers focus only on individuals, whereas public health care providers focus only on aggregates. d. Medical care providers focus on disease diagnosis and management, whereas public health care providers focus on health promotion and disease prevention. ANS: D Medical care providers are restricted by insurance and government regulations. Providers may also be employed in government facilities, such as Veterans Administration facilities. However, medical care providers primarily focus on diagnosis and treatment of disease, whereas public health care providers try to promote health and prevent disease. Although medical care providersprimarily focus on individuals and public health care providers primarily focus on aggregates, their practice is not limited to only individuals or only aggregates. DIF: Cognitive Level: Apply (Application) REF: p. 7 • Which primary prevention would the school nurse choose to address the school’s number ofunwed pregnancies? a. Create a class on parenting for both the moms-to-be and the dads-to-be b. Convince the school board to allow sex education classes to include birth control measures c. Employ the moms-to-be as 1-hour-a-day employees in the school day care center for children born to school students d. Establish a class where all the unwed moms-to-be can learn infant care ANS: B Although all choices would be appropriate actions in a school, only education regardingsexuality and birth control would help prevent future pregnancies. DIF: Cognitive Level: Apply (Application) REF: p. 7 • What would be the proper term for the action of the school health nurse arranging for all thestudents in the elementary school to receive H1N1 immunizations? a. Health education b. Secondary prevention c. Specific protection d. Tertiary prevention ANS: C Immunizations are a specific protection effort as part of primary prevention. DIF: Cognitive Level: Understand (Comprehension) REF: p. 7 • Which action would probably result in the largest change in health care outcomes for Americans? a. Establish large numbers of scholarships for education of nurses, physicians, and other health care providers b. Fund a one-time extremely large stimulus to allow all health care providers and agencies to create and integrate computer network systems for client health care records c. Increase funding for hospitals and medical centers to expand their neighborhood clinics d. Redirect a large portion of federal funding from acute care to health promotion activities ANS: D Of the choices given, health promotion activities would make the largest difference. Increased expenditures on acute care will not notably change the health of the population, whereas fundingthat addresses health promotion such as education and safe environments would improve the health of the aggregate

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UTAH VALLEY UNIVERSITY
DISCUSSION PRACTISE QUESTION
Community Nursing Test Banks Exam Questions and
Answers | 100% pass Guarantee | Revised 2024


Which of the following best describes the primary reason that Americans are concerned about
healthcare?

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 caredollars, 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, theyare 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

,• A nurse has begun to lobby with politicians for changes to the health care system.
Why is thisinvolvement 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 aswell. Nurses are often managers, but managers often have
other backgrounds, such as business administration.


DIF: Cognitive Level: Understand (Comprehension) REF: p. 2


• 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 isincreasingly 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 thecontinued rise in health care
costs, the increased emphasis is on disease prevention rather than high-cost treatment.


DIF: Cognitive Level: Understand (Comprehension) REF: p. 2


• 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 inegalitarian tradition and vision. An overinvestment in technology and
seeking of cures within themarket 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 are important, so is the recognition of collective
responsibility in ensuring social justice, which entitles all people to basic necessities.


DIF: Cognitive Level: Apply (Application) REF: p. 2


• What is the primary problem seen in Healthy People 2020’s emphasis on
choosing healthylifestyle behaviors, such as daily exercise or healthy food
choices?

a. Emphasis on other lifestyle choices, such
as not smoking and minimal use of
alcohol or drugs, is also needed.

b. All of us must work together to make
unhealthy behaviors socially
unacceptable.

c. It costs more to make healthy choices,
such as buying and eating fresh fruits and
vegetables as opposed to quick and cheap
fast-food choices.

d. Public policy emphasizes personal
responsibility but ignores social and
environmental changes needed for well-

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