,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 8th Edition
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MULTIPLE wrCHOICE
1. Which wrbest wrdescribes wrthe wrprimary wrreason wrthat wrAmericans wrare wrconcerned wrabout
wr health w r care?
a. Politicians w r are w r discussing w r how w r to w r improve w r health w r care.
b. The w r media w r has w r provided w r mixed w r messages w r about w r the w r health w r care w r system.
c. Our wrnational wrhealth wrcare wrcosts wrkeep wrincreasing.
d. The w r new w r health w r care w r system w r offers w r free w rservices w r to w r Americans.
ANSWER: wrC
The wrprimary wrreason wrfor wrthe wrfocus wron wrhealth wrcare wris wrthe wrconstantly wrincreasing
wrcosts, w r which w r cannot w r be wrsustained. wrThe wrcosts wrof wrcaring wrfor w r the wrsick
wraccounted wrfor w r the wrmajority w r of wrescalating wrhealth wrcare wrdollars, wrwhich
wrincreased wrfrom wr5.7% wrof wrthe wrgross wrdomestic w r product wrin wr1965 wrto wr17.8% wrin
wr2015. wrPoliticians wrand wrthe wrmedia wrboth wrinfluence
Americans’ wrperceptions wrabout wrhealth wrcare; wrhowever, wrthey wrare wrnot wrthe wrprimary
wrreason w r why w r Americans w r are w r concerned. w r The w r new w r healthcare w r system
w r will w r change w r the w r health wrcare wraccess wrand wravailability, wrbut wrwill wrnot
wrnecessarily wrbe wroffering wrany wrfree wrservices wrto w r Americans.
DIF: Cognitive wrLevel: wrUnderstand wr(Comprehension)
2. A wrnurse wrhas wrbegun wrto wrlobby wrwith wrpoliticians wrfor wrchanges wrto wrthe wrhealth
wr care wrsystem. wrWhy wris wrthisinvolvement wrimportant?
a. Nurses, w r as w r central w r characters w r in w r several w r popular w r TV w r series, w r are w r currently
w r very
visible wrin wrAmerican wrmedia w r wwrr
b. w r w r
Nurses wrare wrprimarily wrrespon wrsible wrfo wrr wrmanaging w r the wrvarious wrunits wrin
wrour wrhealth wrcare wrsystem.
c. Nurses w r are w r the w r largest w r segment w r of w r health w r care w r providers.
d. Nurses wrare wrthe wronly wrgroup wrthat wris wremployed wrboth wrinside wrand wroutside wrof
wrhospitals.
ANSWER: wrC
As wrthe wrlargest wrsegment wrof wrhealth wrcare wrproviders, wrnurses wrare wrinformed wrabout
wrthe w r current wrhealth wrcare wrsystem wrand wrall wrthe wrproblems wrthat wrresult wrfrom
wrpeople wrnot wrseeking w r care w r until w r they w r are w r desperately w r ill. w r Nurses, w r as
w r the w r American w r Nurses w r Association wr(ANA) w r emphasize, w r usually w r believe
w r that w r health w r care w r is w r a w r right, w r not w r a w r privilege.
Therefore, w r nurses, w r whose w r work w r is w r central w r to w r our w r current w r health w r care w r delivery
w r system,
, can wralso wrbe wrinstrumental wrin wrworking wrpolitically wrto wrcreate wra wrhealth wrcare
wrdelivery wrsystem wrthat wrwill wrmeet wrhealth wrneeds. wrWhile wrnurses wrare wrin wrseveral
wrcurrent wrTV wrseries wrand wrare wremployed wrboth wrinside wrand wroutside wrof wrhospitals,
wrphysicians wrand wrotherhealth wrcare wrproviders wrare wras wrwell. wrNurses wrare wroften
wrmanagers, wrbut wrmanagers wroften wrhave wrother wrbackgrounds, wrsuch wras wrbusiness
wradministration.
DIF: Cognitive wrLevel: wrUnderstand wr(Comprehension)
3. What w r conclusion w r can w r be w r drawn w r from w r examining w r where w r nurses w r are w r employed?
a. There wris wra wrtrend wrtoward wrconsolidation wrof wrhealth wrcare wrinto wrlarge
central wrmedicalcenters.
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b. There w r is w r an w r increased w r emphasis w r on w r community-based w r health w r care.
c. There w r is w r an w r obvious w r need w r to w r decrease w r health w r care w r costs w r by w r cutting
w r positions.
d. Managed w r care w r organizations w r (MCOs) w r are w r employing w r nurses w r to w r improve
w r customer relations.
ANSWER: w r B
MCOs wrare wremploying wrnurses wrin wrmany wrcapacities. wrAlthough wrhospitals wrare
wrclosing wrand wracute wrcareis wrincreasingly wrfound wrin wrcentral wrmedical wrcenters, wrthe
wrsame wrtrend wrmay wrbe wrseen wrin wran wrincrease wrin wrneighborhood-based wrpractice
wrcenters. wrWhile wrpositions wrare wrcut wrin wrmost wrindustries, wrhealth wrcare wris
wrrecognized wras wran wrarea wrwhere wrgrowth wrin wremployment wris wrexpected. wrHowever,
wrnurses wrare wrincreasingly wremployed wrin wrcommunity wrsettings wras wropposed wrto
wrhospitals. wrThis wrchange wrreflects wrthemove wrtoward wrcommunity-based wrcare
wrrather wrthan wrhospital-based wrtertiary wrcare. wrTo wrhelp wrdecrease wrthe wrcontinued wrrise
wrin wrhealth wrcare wrcosts, wrthe wrincreased wremphasis wris wron wrdisease wrprevention wrrather
wrthan wrhigh-cost wrtreatment.
DIF: Cognitive wrLevel: wrUnderstand wr(Comprehension)
4. Which w r ethical w r belief w r would w r be w r most w r helpful w r in w r the w r current w r health w r care w r crisis?
a. Emphasis wrshould wrbe wron wrindividual wrand wrcorporation wrfreedom wrin wrthe
wrmarketplace.
b. Emphasis wrshould wrbe wron wrindividual wrautonomy wrand wrfreedom wrof wrchoice.
c. Emphasis w r should w r be w r on w r social w r justice w r and w r collective w r responsibility.
d. Emphasis wrshould wrbe wron wrthe wreffectiveness wrof wrtechnology wrin wrresolving wrproblems.
ANSWER: wrC
Public wrhealth wrrecognizes wrthe wrnecessity wrof wrcollective wraction wrin wrkeeping wrthe
wrenvironment w r safe w r andin w r egalitarian w r tradition w r and w r vision. w r An
w r overinvestment w r in w r technology w r and wrseeking wrof wrcures wrwithin wrthe wrmarket
wrjustice wrsystem wrhas wrstifled wrthe wrevolution wrof wra wrhealth w r system w r to w r protect
w r and w r preserve w r the w r health w r of w r the w r population. w r Although w r individual
wrautonomy wrand wrfreedom wrof wrchoice wrare wrimportant, w r so w r is wrthe w r recognition w r of
wrcollective wrresponsibility w r in w r ensuring w r social w r justice, w r which w r entitles w r all
w r people w r to w r basic w r necessities.
UN R
S ING T
wr B.C MO
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DIF: Cognitive w r Level: w r Apply w r (Application)