COMPLETE TEST BANK
. .
,
, Community .Public .Health .Nursing .
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
visible .in .American .media.
b. Nurses .are .primarily .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 .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
NURSINGTB.COM
, 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 .n eUc e s sSi t y No f .cToll ectivOe .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
.are .important, .so .is .the .recognition .of .collective .responsibility .in .ensuring .social .justice,
.which .entitles .all .people .to .basic .necessities.
DIF: Cognitive .Level: .Apply .(
5. What .is .the .primary .problem .seen .in .Healthy .People .2020’s .emphasis .on .choosing
.healthy .lifestyle .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-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)
6. What .responsibility .does .the .American .Nurses .Association .(ANA) .Code .of .Ethics .require .of
. the .nurse .beyond .giving .excellent .care .to .patients?
a. Accept .longer .work .schedules .to .ensure .that .professional .care .is .always .available
NURSINGTB.COM
. .
,
, Community .Public .Health .Nursing .
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
visible .in .American .media.
b. Nurses .are .primarily .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 .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
NURSINGTB.COM
, 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 .n eUc e s sSi t y No f .cToll ectivOe .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
.are .important, .so .is .the .recognition .of .collective .responsibility .in .ensuring .social .justice,
.which .entitles .all .people .to .basic .necessities.
DIF: Cognitive .Level: .Apply .(
5. What .is .the .primary .problem .seen .in .Healthy .People .2020’s .emphasis .on .choosing
.healthy .lifestyle .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-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)
6. What .responsibility .does .the .American .Nurses .Association .(ANA) .Code .of .Ethics .require .of
. the .nurse .beyond .giving .excellent .care .to .patients?
a. Accept .longer .work .schedules .to .ensure .that .professional .care .is .always .available
NURSINGTB.COM
