EDITION BY MARY A. NIES, MELANIE MCEWEN|LATEST
EDITION
TABLE OF CONTENTS
• Chapter 1: Health: A Community View
• Chapter 2: Historical Factors: Community Health Nursing in Context
• Chapter 3: Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice
• Chapter 4: Health Promotion and Risk Reduction
• Chapter 5: Epidemiology
• Chapter 6: Communicable Disease
• Chapter 7: Community Health Planning, Implementation, and Evaluation
• Chapter 8: Community Health Education
• Chapter 9: Case Management
• Chapter 10: Policy, Politics, Legislation, and Community Health Nursing
• Chapter 11: The Health Care System
• Chapter 12: Economics of Health Care
• Chapter 13: Cultural Diversity and Community Health Nursing
• Chapter 14: Environmental Health
• Chapter 15: Health in the Global Community
• Chapter 16: Ethics in Community Health Nursing Practice
• Chapter 17: Community as Client: Assessment and Analysis
• Chapter 18: Family Development and Family Nursing Assessment
• Chapter 19: Senior Health
• Chapter 20: Maternal and Child Health
• Chapter 21: Adolescent Health
,• Chapter 22: Veterans Health
• Chapter 23: Homeless Populations
• Chapter 24: Rural and Migrant Health
• Chapter 25: Correctional Health
• Chapter 26: School and Occupational Health
• Chapter 27: Substance Abuse
• Chapter 28: Violence
• Chapter 29: Emergency Preparedness and Disaster Management
• Chapter 30: Public Health Nursing Practice Settings
• Chapter 31: Home Health and Hospice Care
• Chapter 32: The Nurse’s Role in Health Policy
• Chapter 33: Quality Improvement and Safety in Community Health Nursing
• Chapter 34: The Future of Community Health Nursing Practice
, Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that Americans are concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
e. Nurses, as central characters in several popular TV series, are currently very
visible in American medNi a.R I
f. Nurses are primarily responUsibSle foNr mTanagingOthe various units in our health care
system.
g. Nurses are the largest segment of health care providers.
h. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
i. There is a trend toward consolidation of health care into large central medical
centers.
j. There is an increased emphasis on community-based health care.
k. There is an obvious need to decrease health care costs by cutting positions.
Managed care organizations (MCOs) are employing nurses to improve customer