,
,Chapter 01: Health: A Community View
v v v v v
Nies: Community/Public Health Nursing, 8th Edition
v v v v v
MULTIPLEvCHOICE
1. WhichvbestvdescribesvthevprimaryvreasonvthatvAmericansvarevconcernedvaboutvhealthvcare?
a. Politiciansvarevdiscussingvhowvtovimprovevhealthvcare.
b. Thevmediavhasvprovidedv mixedvmessagesvaboutvthevhealthvcarevsystem.
c. Ourvnationalvhealthvcarevcostsvkeepvincreasing.
d. ThevnewvhealthvcarevsystemvoffersvfreevservicesvtovAmericans.
ANS:v C
Thevprimaryvreasonvforvthevfocusvonvhealthvcarevisvthevconstantlyvincreasingvcosts,vwhichvcannvo
tvbevsustained.vThevcostsvofvcaringvforvthevsickvaccountedvforvthevmajorityvofvescalatingvhealtvhvc
arevdollars,vwhichvincreasedvfromv5.7%vofvthevgrossvdomesticvproductvinv1965vtov17.8%vinv2015
.vPoliticiansvandvthevmediavbothvinfluencevAmericans‘vperceptionsvaboutvhealthvcare;vhovwever,v
theyvare notvthevprimaryvreasonvwhyvAmericansvarevconcerned.vThevnewvhealthvcarevsyvstemvwil
yi
lvchangevthevhealthvcarevaccessvandvavailability,vbutvwillvnotvnecessarilyvbevofferingvavnyvfreevser
vicesvtovAmericans.
DIF: CognitivevLevel:vUnderstand (Comprehension)
yi
2. Avnursevhasvbegunvtovlobbyvwithvpoliticiansvforvchangesvtovthevhealthvcarevsystem.vWhyvisvthisvi
nvolvementvimportant?
a. Nurses,vasvcentralvcharactersvinvseveralvpopularvTVvseries,varevcurrentlyvveryv
visiblevinvAmericanvmediN v a.
v R
IvGvB.CM
b. Nursesvarevprimarilyvresp on sib levfoNrvmT
U S anagingOthev various unitsvin ourvhealthvcare
yi yi
system.
c. Nursesvarevthevlargestvsegmentvofvhealthvcarevproviders.
d. Nursesvarevthevonlyvgroupvthatvisvemployedvbothvinsidevandvoutsidevofvhospitals.
ANS:vC
Asvthevlargestvsegmentvofvhealthvcarevproviders,vnursesvarevinformedvaboutvthevcurrentvhealthvca
revsystemvand allvthevproblemsvthatvresultvfromvpeoplevnotvseekingvcarevuntilvtheyvarevdespevrate
yi
lyvill.vNurses,vasvthevAmericanvNursesvAssociationv(ANA)vemphasize,vusuallyvbelievevthatvhealt
hvcarevisvavright,vnotvavprivilege.vTherefore,vnurses,vwhosevworkvisvcentralvtovourvcurrentvhealthvc
arevdeliveryvsystem,vcanvalsovbevinstrumentalvinvworkingvpoliticallyvtovcreatevavhealthvcarevdeliv
eryvsystemvthatvwillvmeetvhealthvneeds.vWhilevnursesvarevinvseveralvcurrentvTVvserievsvandvareve
mployedvbothvinsidevandvoutside ofvhospitals,vphysiciansvandvothervhealthvcarevprovvidersvarevasv
yi
well.vNursesvarevoftenvmanagers,vbutvmanagersvoftenvhavevothervbackgrounds,vsucvhvasvbusiness
vadministration.
DIF: CognitivevLevel:vUnderstand (Comprehension)
yi
3. Whatvconclusionvcanvbevdrawnvfromvexaminingvwherevnursesvarevemployed?
a. Therevisvavtrendvtowardvconsolidationvofvhealthvcarevintovlargevcentralvmedicalvc
enters.
b. Therevisvanvincreasedvemphasisvonvcommunity-basedvhealthvcare.
c. Therevisvanvobviousvneedv tovdecreasevhealthvcarevcostsvbyvcuttingvpositions.
d. Managedvcarevorganizationsv(MCOs)varevemploying nursesvtovimprovevcustomer
yi
,
,Chapter 01: Health: A Community View
v v v v v
Nies: Community/Public Health Nursing, 8th Edition
v v v v v
MULTIPLEvCHOICE
1. WhichvbestvdescribesvthevprimaryvreasonvthatvAmericansvarevconcernedvaboutvhealthvcare?
a. Politiciansvarevdiscussingvhowvtovimprovevhealthvcare.
b. Thevmediavhasvprovidedv mixedvmessagesvaboutvthevhealthvcarevsystem.
c. Ourvnationalvhealthvcarevcostsvkeepvincreasing.
d. ThevnewvhealthvcarevsystemvoffersvfreevservicesvtovAmericans.
ANS:v C
Thevprimaryvreasonvforvthevfocusvonvhealthvcarevisvthevconstantlyvincreasingvcosts,vwhichvcannvo
tvbevsustained.vThevcostsvofvcaringvforvthevsickvaccountedvforvthevmajorityvofvescalatingvhealtvhvc
arevdollars,vwhichvincreasedvfromv5.7%vofvthevgrossvdomesticvproductvinv1965vtov17.8%vinv2015
.vPoliticiansvandvthevmediavbothvinfluencevAmericans‘vperceptionsvaboutvhealthvcare;vhovwever,v
theyvare notvthevprimaryvreasonvwhyvAmericansvarevconcerned.vThevnewvhealthvcarevsyvstemvwil
yi
lvchangevthevhealthvcarevaccessvandvavailability,vbutvwillvnotvnecessarilyvbevofferingvavnyvfreevser
vicesvtovAmericans.
DIF: CognitivevLevel:vUnderstand (Comprehension)
yi
2. Avnursevhasvbegunvtovlobbyvwithvpoliticiansvforvchangesvtovthevhealthvcarevsystem.vWhyvisvthisvi
nvolvementvimportant?
a. Nurses,vasvcentralvcharactersvinvseveralvpopularvTVvseries,varevcurrentlyvveryv
visiblevinvAmericanvmediN v a.
v R
IvGvB.CM
b. Nursesvarevprimarilyvresp on sib levfoNrvmT
U S anagingOthev various unitsvin ourvhealthvcare
yi yi
system.
c. Nursesvarevthevlargestvsegmentvofvhealthvcarevproviders.
d. Nursesvarevthevonlyvgroupvthatvisvemployedvbothvinsidevandvoutsidevofvhospitals.
ANS:vC
Asvthevlargestvsegmentvofvhealthvcarevproviders,vnursesvarevinformedvaboutvthevcurrentvhealthvca
revsystemvand allvthevproblemsvthatvresultvfromvpeoplevnotvseekingvcarevuntilvtheyvarevdespevrate
yi
lyvill.vNurses,vasvthevAmericanvNursesvAssociationv(ANA)vemphasize,vusuallyvbelievevthatvhealt
hvcarevisvavright,vnotvavprivilege.vTherefore,vnurses,vwhosevworkvisvcentralvtovourvcurrentvhealthvc
arevdeliveryvsystem,vcanvalsovbevinstrumentalvinvworkingvpoliticallyvtovcreatevavhealthvcarevdeliv
eryvsystemvthatvwillvmeetvhealthvneeds.vWhilevnursesvarevinvseveralvcurrentvTVvserievsvandvareve
mployedvbothvinsidevandvoutside ofvhospitals,vphysiciansvandvothervhealthvcarevprovvidersvarevasv
yi
well.vNursesvarevoftenvmanagers,vbutvmanagersvoftenvhavevothervbackgrounds,vsucvhvasvbusiness
vadministration.
DIF: CognitivevLevel:vUnderstand (Comprehension)
yi
3. Whatvconclusionvcanvbevdrawnvfromvexaminingvwherevnursesvarevemployed?
a. Therevisvavtrendvtowardvconsolidationvofvhealthvcarevintovlargevcentralvmedicalvc
enters.
b. Therevisvanvincreasedvemphasisvonvcommunity-basedvhealthvcare.
c. Therevisvanvobviousvneedv tovdecreasevhealthvcarevcostsvbyvcuttingvpositions.
d. Managedvcarevorganizationsv(MCOs)varevemploying nursesvtovimprovevcustomer
yi
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