Community Public Health Nursing 7th Edition Nies Test zs zs zs zs zs zs zs zs
Bank
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Chapter 01: Health: A Community View
zs zs zs zs zs
Nies: Community/Public Health Nursing, 7th Edition
zs zs zs zs zs
MULTIPLE CHOICE zs
1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. zs zs zs zs zs zs zs
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
zs zs zs zs zs zs
d. The new health care system offers free services to Americans.
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ANS: C zs
The primary reason for the focus on health care is the constantly increasing costs, which
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cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
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health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
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17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about
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health care; however, they are not the primary reason why Americans are concerned. The new
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health care system will change the health care access and availability, but will not
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necessarily be offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) zs zs zs
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
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zs involvement important? zs
a. Nurses, as central characters in several popular TV series, are currently very
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visible in American media
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b. Nurses are primarily responsible for managing various units in our health care
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system. zs
c. Nurses are the largest segment of health care providers.zs zs zs zs zs zs zs zs
d. Nurses are the only group that is employed both inside and outside of hospitals.
zs zs zs zs zs zs zs zs zs zs zs zs zs
ANS: C zs
As the largest segment of health care providers, nurses are informed about the current health
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care system and all the problems that result from people not seeking care until they are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
zs zs zs zs zs zs zs zs zs zs zs
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
our current health care delivery system, can also be instrumental in working politically to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
create a health care delivery system that will meet health needs. While nurses are in several
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
current TV series and are employed both inside and outside of hospitals, physicians and other
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
health care providers are as well. Nurses are often managers, but managers often have other
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
backgrounds, such as business administration.
zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central medical
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centers. zs
b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer zs zs zs zs zs zs zs zs zs
, relations.
ANS: B zs
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
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is increasingly found in central medical centers, the same trend may be seen in an increase in
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neighborhood-based practice centers. While positions are cut in most industries, health care
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is recognized as an area where growth in employment is expected. However, nurses are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
increasingly employed in community settings as opposed to hospitals. This change reflects the
zs zs zs zs zs zs zs zs zs zs zs zs zs
move toward community-based care rather than hospital-based tertiary care. To help
zs zs zs zs zs zs zs zs zs zs zs
decrease the continued rise in health care costs, the increased emphasis is on disease
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prevention rather than high-cost treatment.
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DIF: Cognitive Level: Understand (Comprehension) zs zs zs
4. Which ethical belief would be most helpful in the current health care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace. zs zs zs zs zs zs zs zs zs zs
b. Emphasis should be on individual autonomy and freedom of choice. zs zs zs zs zs zs zs zs zs
c. Emphasis should be on social justice and collective responsibility. zs zs zs zs zs zs zs zs
d. Emphasis should be on the effectiveness of technology in resolving problems. zs zs zs zs zs zs zs zs zs zs
ANS: C zs
Public health recognizes the necessity of collective action in keeping the environment safe and
zs zs zs zs zs zs zs zs zs zs zs zs zs
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
zs zs zs zs zs zs zs zs zs zs zs zs zs
within the market justice system has stifled the evolution of a health system to protect and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
preserve the health of the population. Although individual autonomy and freedom of choice
zs zs zs zs zs zs zs zs zs zs zs zs zs
are important, so is the recognition of collective responsibility in ensuring social justice,
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which entitles all people to basic necessities.
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DIF: Cognitive Level: Apply (Application) zs zs zs
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
zs zs zs zs zs zs zs zs zs zs zs zs zs
zs lifestyle behaviors, such as daily exercise or healthy food choices?
zs zs zs zs zs zs zs zs zs
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of zs zs zs zs zs zs zs zs zs zs zs zs
zs alcohol or drugs, is also needed. zs zs zs zs zs
b. All of us must work together to make unhealthy behaviors socially unacceptable.
zs zs zs zs zs zs zs zs zs zs zs
c. It costs more to make healthy choices, such as buying and eating fresh fruits and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
vegetables as opposed to quick and cheap fast-food choices.
zs zs zs zs zs zs zs zs zs
d. Public policy emphasizes personal responsibility but ignores social and
zs zs zs zs zs zs zs zs
environmental changes needed for well-being.
zs zs zs zs zs
ANS: D zs
Although all responses are accurate, the primary problem is the emphasis on personal choices
zs zs zs zs zs zs zs zs zs zs zs zs zs
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
community responsibility and action that addresses environmental or cultural restraints to
zs zs zs zs zs zs zs zs zs zs zs
health.
zs
DIF: Cognitive Level: Apply (Application) zs zs zs
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
zs zs zs zs zs zs zs zs zs zs zs zs
the nurse beyond giving excellent care to patients?
zs zs zs zs zs zs zs zs
a. Accept longer work schedules to ensure that professional care is always available
zs zs zs zs zs zs zs zs zs zs zs
, to clients.zs
b. Recognize the need for experienced nurses to mentor new graduates to help zs zs zs zs zs zs zs zs zs zs zs
zs increase and expand the number of professionals available.
zs zs zs zs zs zs zs
c. Support health legislation to improve accessibility and cost of health care.
zs zs zs zs zs zs zs zs zs zs
d. Volunteer to work overtime as needed to ensure maximum quality of care.
zs zs zs zs zs zs zs zs zs zs zs
ANS: C zs
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
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to positively affect accessibility, quality, and cost of health care. The code does not directly
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
address workplace issues, such as work schedules or need for overtime.
zs zs zs zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Analyze (Analysis) zs zs zs
7. What is the community health nursing definition of health?
zs zs zs zs zs zs zs zs
a. Health is a person‘s goal-directed purposeful process toward well-being or
zs zs zs zs zs zs zs zs zs
wholeness.
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b. Health is an individual‘s physical, mental, and social well-being, not merely the
zs zs zs zs zs zs zs zs zs zs zs
absence of disease or infirmity.
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c. Health is the mutual adaptation between a person and his or her environment in
zs zs zs zs zs zs zs zs zs zs zs zs zs
meeting daily existence.
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d. Health is families and aggregates choosing actions to ensure safety and well-being.
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ANS: D zs
The text stresses that health is not just the result of an individual‘s choices, but choices and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
actions of individuals, families, groups, and communities that lead to better health.
zs zs zs zs zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs
8. How does community health nursing define community?
zs zs zs zs zs zs
a. A group of persons living within specific geographic boundaries
zs zs zs zs zs zs zs zs
b. A group of persons who share a common identity and environment
zs zs zs zs zs zs zs zs zs zs
c. A group of persons who work together to meet common goals
zs zs zs zs zs zs zs zs zs zs
d. A group of persons who resolve a community concern
zs zs zs zs zs zs zs zs
ANS: B zs
Community health nurses work with both geopolitical groups (within specific geographic
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boundaries) and phenomenological groups (who have a common identity based on culture,
zs zs zs zs zs zs zs zs zs zs zs zs
history, or goals). A particular phenomenological group may or may not have been a planned
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
group—that is, a group that came together to resolve a recognized common problem or to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
meet a common goal. However, of all the choices, a group of persons who share a common
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
identity (phenomenological group) and environment (which implies a specific geographic
zs zs zs zs zs zs zs zs zs zs
setting) is the broadest and most complete definition.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs
9. Which variable has a major influence on a community‘s health?
zs zs zs zs zs zs zs zs zs
a. Behavior choices made by persons in the community zs zs zs zs zs zs zs
b. Number of health care providers and hospitals in the community
zs zs zs zs zs zs zs zs zs
c. Quality of the public safety officers (police officers, firefighters, etc.)
zs zs zs zs zs zs zs zs zs
d. The number and credentials of public health officials in the community
zs zs zs zs zs zs zs zs zs zs
ANS: A zs
, Individual behavior choices are responsible for about 50% of health outcomes. Individual
zs zs zs zs zs zs zs zs zs zs zs
choices are affected through interaction with other individuals, and their mutual social and
zs zs zs zs zs zs zs zs zs zs zs zs zs
physical environments. The number of health care providers has not played a major role in the
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
health outcomes in the community in comparison to individual health behaviors. The quality
zs zs zs zs zs zs zs zs zs zs zs zs zs
of public safety officers and number of public health officials have not been identified as
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
major contributors to the determinants of health.
zs zs zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs
10. What change could most effectively lead to a longer life span in Americans?
zs zs zs zs zs zs zs zs zs zs zs zs
a. Parenting and sexual behavior classes in all public school systems zs zs zs zs zs zs zs zs zs
b. Legislation restricting alcohol and drug use zs zs zs zs zs
c. Notably reducing speed limits on all state and federal highways, and changing the
zs zs zs zs zs zs zs zs zs zs zs zs
age limit for driving to 21 years of age
zs zs zs zs zs zs zs zs zs
d. The belief that smoking is shameful and disgusting, as well as expensive,
zs zs zs zs zs zs zs zs zs zs zs
becoming the social norm
zs zs zs zs
ANS: D zs
Smoking is responsible for almost 20% of all deaths in the United States. Although smoking
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
is an individual‘s choice, all people are affected by social norms. Parenting and sexual
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
behavior classes and legislative changes may influence health, but may not necessarily lead to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
a longer lifespan. Community health nurses should recognize that health is influenced by a
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
web of factors, some that can be changed and some that cannot. Influencing social norms may
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
better promote change among Americans.
zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs
11. What is the health issue causing the most concerns in the United States today?
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. Diabetes epidemic zs
b. Increase in cardiac disease zs zs zs
c. Increase in obesity zs zs
d. Rise in cancer rates zs zs zs
ANS: C zs
The widespread increase in incidence of overweight and obesity has led to calls for
zs zs zs zs zs zs zs zs zs zs zs zs zs
population-based measures to address this issue. The overarching problem of obesity has led
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to an increase in diabetes as well as cardiac disease. If this health issue was controlled,
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
there should be in a decrease in the other health issues.
zs zs zs zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
12. What factors are most responsible for the increasing length of life of Americans over the past
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
100 years?
zs zs
a. Better nutrition and family planning options zs zs zs zs zs
b. Education concerning the need to reduce salt and fat in the diet zs zs zs zs zs zs zs zs zs zs zs
c. Improved medical care, including exciting new technologies zs zs zs zs zs zs
d. More efficient cancer screenings and early intervention
zs zs zs zs zs zs
ANS: A zs
Bank
zs
Chapter 01: Health: A Community View
zs zs zs zs zs
Nies: Community/Public Health Nursing, 7th Edition
zs zs zs zs zs
MULTIPLE CHOICE zs
1. Which best describes the primary reason that Americans are concerned about health care?
zs zs zs zs zs zs zs zs zs zs zs zs
a. Politicians are discussing how to improve health care. zs zs zs zs zs zs zs
b. The media has provided mixed messages about the health care system.
zs zs zs zs zs zs zs zs zs zs
c. Our national health care costs keep increasing.
zs zs zs zs zs zs
d. The new health care system offers free services to Americans.
zs zs zs zs zs zs zs zs zs
ANS: C zs
The primary reason for the focus on health care is the constantly increasing costs, which
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about
zs zs zs zs zs zs zs zs zs zs zs zs
health care; however, they are not the primary reason why Americans are concerned. The new
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
health care system will change the health care access and availability, but will not
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
necessarily be offering any free services to Americans.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
zs involvement important? zs
a. Nurses, as central characters in several popular TV series, are currently very
zs zs zs zs zs zs zs zs zs zs zs
visible in American media
zs zs zs zs
b. Nurses are primarily responsible for managing various units in our health care
zs zs zs zs zs zs zs zs zs zs zs
system. zs
c. Nurses are the largest segment of health care providers.zs zs zs zs zs zs zs zs
d. Nurses are the only group that is employed both inside and outside of hospitals.
zs zs zs zs zs zs zs zs zs zs zs zs zs
ANS: C zs
As the largest segment of health care providers, nurses are informed about the current health
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
care system and all the problems that result from people not seeking care until they are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
zs zs zs zs zs zs zs zs zs zs zs
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
our current health care delivery system, can also be instrumental in working politically to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
create a health care delivery system that will meet health needs. While nurses are in several
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
current TV series and are employed both inside and outside of hospitals, physicians and other
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
health care providers are as well. Nurses are often managers, but managers often have other
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
backgrounds, such as business administration.
zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
3. What conclusion can be drawn from examining where nurses are employed?
zs zs zs zs zs zs zs zs zs zs
a. There is a trend toward consolidation of health care into large central medical
zs zs zs zs zs zs zs zs zs zs zs zs
centers. zs
b. There is an increased emphasis on community-based health care.
zs zs zs zs zs zs zs zs
c. There is an obvious need to decrease health care costs by cutting positions.
zs zs zs zs zs zs zs zs zs zs zs zs
d. Managed care organizations (MCOs) are employing nurses to improve customer zs zs zs zs zs zs zs zs zs
, relations.
ANS: B zs
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
zs zs zs zs zs zs zs zs zs zs zs zs zs
is increasingly found in central medical centers, the same trend may be seen in an increase in
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
neighborhood-based practice centers. While positions are cut in most industries, health care
zs zs zs zs zs zs zs zs zs zs zs zs
is recognized as an area where growth in employment is expected. However, nurses are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
increasingly employed in community settings as opposed to hospitals. This change reflects the
zs zs zs zs zs zs zs zs zs zs zs zs zs
move toward community-based care rather than hospital-based tertiary care. To help
zs zs zs zs zs zs zs zs zs zs zs
decrease the continued rise in health care costs, the increased emphasis is on disease
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
prevention rather than high-cost treatment.
zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
4. Which ethical belief would be most helpful in the current health care crisis?
zs zs zs zs zs zs zs zs zs zs zs zs
a. Emphasis should be on individual and corporation freedom in the marketplace. zs zs zs zs zs zs zs zs zs zs
b. Emphasis should be on individual autonomy and freedom of choice. zs zs zs zs zs zs zs zs zs
c. Emphasis should be on social justice and collective responsibility. zs zs zs zs zs zs zs zs
d. Emphasis should be on the effectiveness of technology in resolving problems. zs zs zs zs zs zs zs zs zs zs
ANS: C zs
Public health recognizes the necessity of collective action in keeping the environment safe and
zs zs zs zs zs zs zs zs zs zs zs zs zs
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
zs zs zs zs zs zs zs zs zs zs zs zs zs
within the market justice system has stifled the evolution of a health system to protect and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
preserve the health of the population. Although individual autonomy and freedom of choice
zs zs zs zs zs zs zs zs zs zs zs zs zs
are important, so is the recognition of collective responsibility in ensuring social justice,
zs zs zs zs zs zs zs zs zs zs zs zs zs
which entitles all people to basic necessities.
z s zs zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
zs zs zs zs zs zs zs zs zs zs zs zs zs
zs lifestyle behaviors, such as daily exercise or healthy food choices?
zs zs zs zs zs zs zs zs zs
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of zs zs zs zs zs zs zs zs zs zs zs zs
zs alcohol or drugs, is also needed. zs zs zs zs zs
b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits and
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vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but ignores social and
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environmental changes needed for well-being.
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ANS: D zs
Although all responses are accurate, the primary problem is the emphasis on personal choices
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in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
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community responsibility and action that addresses environmental or cultural restraints to
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health.
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DIF: Cognitive Level: Apply (Application) zs zs zs
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
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the nurse beyond giving excellent care to patients?
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a. Accept longer work schedules to ensure that professional care is always available
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, to clients.zs
b. Recognize the need for experienced nurses to mentor new graduates to help zs zs zs zs zs zs zs zs zs zs zs
zs increase and expand the number of professionals available.
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c. Support health legislation to improve accessibility and cost of health care.
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d. Volunteer to work overtime as needed to ensure maximum quality of care.
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ANS: C zs
The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
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to positively affect accessibility, quality, and cost of health care. The code does not directly
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address workplace issues, such as work schedules or need for overtime.
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DIF: Cognitive Level: Analyze (Analysis) zs zs zs
7. What is the community health nursing definition of health?
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a. Health is a person‘s goal-directed purposeful process toward well-being or
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wholeness.
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b. Health is an individual‘s physical, mental, and social well-being, not merely the
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absence of disease or infirmity.
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c. Health is the mutual adaptation between a person and his or her environment in
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meeting daily existence.
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d. Health is families and aggregates choosing actions to ensure safety and well-being.
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ANS: D zs
The text stresses that health is not just the result of an individual‘s choices, but choices and
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actions of individuals, families, groups, and communities that lead to better health.
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DIF: Cognitive Level: Apply (Application) zs zs zs
8. How does community health nursing define community?
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a. A group of persons living within specific geographic boundaries
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b. A group of persons who share a common identity and environment
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c. A group of persons who work together to meet common goals
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d. A group of persons who resolve a community concern
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ANS: B zs
Community health nurses work with both geopolitical groups (within specific geographic
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boundaries) and phenomenological groups (who have a common identity based on culture,
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history, or goals). A particular phenomenological group may or may not have been a planned
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group—that is, a group that came together to resolve a recognized common problem or to
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meet a common goal. However, of all the choices, a group of persons who share a common
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identity (phenomenological group) and environment (which implies a specific geographic
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setting) is the broadest and most complete definition.
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DIF: Cognitive Level: Apply (Application) zs zs zs
9. Which variable has a major influence on a community‘s health?
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a. Behavior choices made by persons in the community zs zs zs zs zs zs zs
b. Number of health care providers and hospitals in the community
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c. Quality of the public safety officers (police officers, firefighters, etc.)
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d. The number and credentials of public health officials in the community
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ANS: A zs
, Individual behavior choices are responsible for about 50% of health outcomes. Individual
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choices are affected through interaction with other individuals, and their mutual social and
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physical environments. The number of health care providers has not played a major role in the
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health outcomes in the community in comparison to individual health behaviors. The quality
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of public safety officers and number of public health officials have not been identified as
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major contributors to the determinants of health.
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DIF: Cognitive Level: Apply (Application) zs zs zs
10. What change could most effectively lead to a longer life span in Americans?
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a. Parenting and sexual behavior classes in all public school systems zs zs zs zs zs zs zs zs zs
b. Legislation restricting alcohol and drug use zs zs zs zs zs
c. Notably reducing speed limits on all state and federal highways, and changing the
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age limit for driving to 21 years of age
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d. The belief that smoking is shameful and disgusting, as well as expensive,
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becoming the social norm
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ANS: D zs
Smoking is responsible for almost 20% of all deaths in the United States. Although smoking
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is an individual‘s choice, all people are affected by social norms. Parenting and sexual
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behavior classes and legislative changes may influence health, but may not necessarily lead to
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a longer lifespan. Community health nurses should recognize that health is influenced by a
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web of factors, some that can be changed and some that cannot. Influencing social norms may
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better promote change among Americans.
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DIF: Cognitive Level: Apply (Application) zs zs zs
11. What is the health issue causing the most concerns in the United States today?
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a. Diabetes epidemic zs
b. Increase in cardiac disease zs zs zs
c. Increase in obesity zs zs
d. Rise in cancer rates zs zs zs
ANS: C zs
The widespread increase in incidence of overweight and obesity has led to calls for
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population-based measures to address this issue. The overarching problem of obesity has led
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to an increase in diabetes as well as cardiac disease. If this health issue was controlled,
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there should be in a decrease in the other health issues.
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DIF: Cognitive Level: Understand (Comprehension) zs zs zs
12. What factors are most responsible for the increasing length of life of Americans over the past
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100 years?
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a. Better nutrition and family planning options zs zs zs zs zs
b. Education concerning the need to reduce salt and fat in the diet zs zs zs zs zs zs zs zs zs zs zs
c. Improved medical care, including exciting new technologies zs zs zs zs zs zs
d. More efficient cancer screenings and early intervention
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ANS: A zs
