,
,Chapter 01: Health: A Community View
n9 n9 n9 n9 n9
Nies: Community/Public Health Nursing, 8th Edition
n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which best describes the primary reason that Americans are concerned about health care?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Politicians are discussing how to improve health care. n9 n9 n9 n9 n9 n9 n9
b. The media has provided mixed messages about the health care system.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Our national health care costs keep increasing.
n9 n9 n9 n9 n9 n9
d. The new health care system offers free services to Americans.
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n 9
The primary reason for the focus on health care is the constantly increasing costs, which c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about heal
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
th care; however, they are not the primary reason why Americans are concerned. The new h
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ealth care system will change the health care access and availability, but will not necessaril
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y be offering any free services to Americans.
n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understand (Comprehension) n9 n9 n9
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
his involvement important?
n9 n9
a. Nurses, as central characters in several popular TV series, are currently ve
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ry visible in American m e d iNa . R I G B.CM
n9 n9 n9 n9 n 9 n9 n9 9
n
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
n9
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
system.
c. Nurses are the largest segment of health care providers.
n9 n9 n9 n9 n9 n9 n9 n9
d. Nurses are the only group that is employed both inside and outside of hospitals.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
As the largest segment of health care providers, nurses are informed about the current healt
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
h care system and all the problems that result from people not seeking care until they are d
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ur current health care delivery system, can also be instrumental in working politically to cr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
eate a health care delivery system that will meet health needs. While nurses are in several
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
current TV series and are employed both inside and outside of hospitals, physicians and oth
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
er health care providers are as well. Nurses are often managers, but managers often have o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ther backgrounds, such as business administration.
n9 n9 n9 n9 n9
DIF: Cognitive Level: Understand (Comprehension) n9 n9 n9
3. What conclusion can be drawn from examining where nurses are employed?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. There is a trend toward consolidation of health care into large central medic
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
al centers. n9
b. There is an increased emphasis on community-based health care.
n9 n9 n9 n9 n9 n9 n9 n9
c. There is an obvious need to decrease health care costs by cutting positions.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Managed care organizations (MCOs) are employing nurses to improve customer
n9 n9 n9 n9 n9 n9 n9 n9 n9
,
,Chapter 01: Health: A Community View
n9 n9 n9 n9 n9
Nies: Community/Public Health Nursing, 8th Edition
n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which best describes the primary reason that Americans are concerned about health care?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Politicians are discussing how to improve health care. n9 n9 n9 n9 n9 n9 n9
b. The media has provided mixed messages about the health care system.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Our national health care costs keep increasing.
n9 n9 n9 n9 n9 n9
d. The new health care system offers free services to Americans.
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n 9
The primary reason for the focus on health care is the constantly increasing costs, which c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
annot be sustained. The costs of caring for the sick accounted for the majority of escalatin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
17.8% in 2015. Politicians and the media both influence Americans‘ perceptions about heal
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
th care; however, they are not the primary reason why Americans are concerned. The new h
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ealth care system will change the health care access and availability, but will not necessaril
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y be offering any free services to Americans.
n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understand (Comprehension) n9 n9 n9
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
his involvement important?
n9 n9
a. Nurses, as central characters in several popular TV series, are currently ve
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ry visible in American m e d iNa . R I G B.CM
n9 n9 n9 n9 n 9 n9 n9 9
n
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
n9
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
system.
c. Nurses are the largest segment of health care providers.
n9 n9 n9 n9 n9 n9 n9 n9
d. Nurses are the only group that is employed both inside and outside of hospitals.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
As the largest segment of health care providers, nurses are informed about the current healt
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
h care system and all the problems that result from people not seeking care until they are d
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
esperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually belie
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ve that health care is a right, not a privilege. Therefore, nurses, whose work is central to o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ur current health care delivery system, can also be instrumental in working politically to cr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
eate a health care delivery system that will meet health needs. While nurses are in several
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
current TV series and are employed both inside and outside of hospitals, physicians and oth
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
er health care providers are as well. Nurses are often managers, but managers often have o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ther backgrounds, such as business administration.
n9 n9 n9 n9 n9
DIF: Cognitive Level: Understand (Comprehension) n9 n9 n9
3. What conclusion can be drawn from examining where nurses are employed?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. There is a trend toward consolidation of health care into large central medic
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
al centers. n9
b. There is an increased emphasis on community-based health care.
n9 n9 n9 n9 n9 n9 n9 n9
c. There is an obvious need to decrease health care costs by cutting positions.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Managed care organizations (MCOs) are employing nurses to improve customer
n9 n9 n9 n9 n9 n9 n9 n9 n9
,
