TESTBANKForCommunityPublic
c c c c
Health Nursing 7th Edition by Mary
c c c c c c
A. Nies,Melanie McEwen| Complete
c c c c c
Guide 2025(Full pages)GRADED A+
c c c c
,Chapter 01: Health: A Community View c c c c c
Nies: Community/Public Health Nursing, 7th Edition
c c c c c
MULTIPLE CHOICE c
1. Which best describes the primary reason that Americans are concerned about health care?
c c c c c c c c c c c c
a. Politicians are discussing how to improve health care. c c c c c c c
b. The media has provided mixed messages about the health care system.
c c c c c c c c c c
c. Our national health care costs keep increasing.
c c c c c c
d. The new health care system offers free services to Americans.
c c c c c c c c c
ANS: C c
The primary reason for the focus on health care is the constantly increasing costs, which
c c c c c c c c c c c c c c
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
c c c c c c c c c c c c c c c c
health care dollars, which increased from 5.7% of the gross domestic product in 1965
c c c c c c c c c c c c c c
cto 17.8% in 2015. Politicians and the media both influence Americans’ perceptions about
c c c c c c c c c c c c
health care; however, they are not the primary reason why Americans are concerned. The new
c c c c c c c c c c c c c c c
health care system will change the health care access and availability, but will not
c c c c c c c c c c c c c c
cnecessarily be offering any free services to Americans. c c c c c c c
DIF: Cognitive Level: Understand (Comprehension) c c c
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is
c c c c c c c c c c c c c c c c
this involvement important?
c c c
a. Nurses, as central characters in several popular TV series, are currently very
c c c c c c c c c c c
visible in American m ediN
a. c c c
b. Nurses are primarily responsible for m c c c c c the various units in our health
c c c c c
c care system. c
c. Nurses are the largest segment of health care providers. c c c c c c c c
d. Nurses are the only group that is employed both inside and outside of hospitals.
c c c c c c c c c c c c c
ANS: C c
As the largest segment of health care providers, nurses are informed about the current health
c c c c c c c c c c c c c c
care system and all the problems that result from people not seeking care until they
c c c c c c c c c c c c c c c
care desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
c c c c c c c c c c c
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
c c c c c c c c c c c c c c c c c
our current health care delivery system, can also be instrumental in working
c c c c c c c c c c c
cpolitically to create a health care delivery system that will meet health needs. While nurses are
c c c c c c c c c c c c c c c
in several current TV series and are employed both inside and outside of hospitals, physicians
c c c c c c c c c c c c c c c
and other health care providers are as well. Nurses are often managers, but managers often have
c c c c c c c c c c c c c c c c
other backgrounds, such as business administration.
c c c c c c
, DIF: Cognitive Level: Understand (Comprehension)
c c c
3. What conclusion can be drawn from examining where nurses are employed?
c c c c c c c c c c
a. There is a trend toward consolidation of health care into large central
c c c c c c c c c c c
c medical centers.c
b. There is an increased emphasis on community-based health care.
c c c c c c c c
c. There is an obvious need to decrease health care costs by cutting positions.
c c c c c c c c c c c c
d. Managed care organizations (MCOs) are employing nurses to improve customer
c c c c c c c c c
, relations.
ANS: B c
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
c c c c c c c c c c c c c
is increasingly found in central medical centers, the same trend may be seen in an increase in
c c c c c c c c c c c c c c c c c
neighborhood-based practice centers. While positions are cut in most industries, health care is
c c c c c c c c c c c c c
recognized as an area where growth in employment is expected. However, nurses are
c c c c c c c c c c c c
increasingly employed in community settings as opposed to hospitals. This change reflects the
c c c c c c c c c c c c c
move toward community-based care rather than hospital-based tertiary care. To help decrease
c c c c c c c c c c c c
the continued rise in health care costs, the increased emphasis is on disease prevention rather
c c c c c c c c c c c c c c c
than high-cost treatment.
c c c
DIF: Cognitive Level: Understand (Comprehension) c c c
4. Which ethical belief would be most helpful in the current health care crisis?
c c c c c c c c c c c c
a. Emphasis should be on individual and corporation freedom in the marketplace.
c c c c c c c c c c
b. Emphasis should be on individual autonomy and freedom of choice. c c c c c c c c c
c. Emphasis should be on social justice and collective responsibility. c c c c c c c c
d. Emphasis should be on the effectiveness of technology in resolving problems.
c c c c c c c c c c
ANS: C c
Public health recognizes the necessity of collective action in keeping the environment safe and
c c c c c c c c c c c c c
in egalitarian tradition and vision. An overinvestment in technology and seeking of
c c c c c c c c c c c c
ccures within the market justice system has stifled the evolution of a health system to protect
c c c c c c c c c c c c c c c
and preserve the health of the population. Although individual autonomy and freedom of
c c c c c c c c c c c c c
choice
c
are important, so is the recognition of collective responsibility in ensuring social
c c c c c c c c c c c
cjustice, which entitles all people to basic necessities.
c c c c c c c
DIF: Cognitive Level: Apply (Application) c c c
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
c c c c c c c c c c c c
healthy lifestyle behaviors, such as daily exercise or healthy food choices?
c c c c c c c c c c c
a. Emphasis on other lifestyle choices, such as not smoking and minimal use
c c c c c c c c c c c
of alcohol or drugs, is also needed.
c c c c c c c
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c c c c c c c c c c c
c. It costs more to make healthy choices, such as buying and eating fresh fruits
c c c c c c c c c c c c c
and vegetables as opposed to quick and cheap fast-food choices.
c c c c c c c c c c
d. Public policy emphasizes personal responsibility but ignores social and
c c c c c c c c
environmental changes needed for well-being.
c c c c c
ANS: D c
Although all responses are accurate, the primary problem is the emphasis on personal choices
c c c c c c c c c c c c c
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
c c c c c c c c c c c c c c
community responsibility and action that addresses environmental or cultural
c c c c c c c c c
crestraints to health. c c
c c c c
Health Nursing 7th Edition by Mary
c c c c c c
A. Nies,Melanie McEwen| Complete
c c c c c
Guide 2025(Full pages)GRADED A+
c c c c
,Chapter 01: Health: A Community View c c c c c
Nies: Community/Public Health Nursing, 7th Edition
c c c c c
MULTIPLE CHOICE c
1. Which best describes the primary reason that Americans are concerned about health care?
c c c c c c c c c c c c
a. Politicians are discussing how to improve health care. c c c c c c c
b. The media has provided mixed messages about the health care system.
c c c c c c c c c c
c. Our national health care costs keep increasing.
c c c c c c
d. The new health care system offers free services to Americans.
c c c c c c c c c
ANS: C c
The primary reason for the focus on health care is the constantly increasing costs, which
c c c c c c c c c c c c c c
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
c c c c c c c c c c c c c c c c
health care dollars, which increased from 5.7% of the gross domestic product in 1965
c c c c c c c c c c c c c c
cto 17.8% in 2015. Politicians and the media both influence Americans’ perceptions about
c c c c c c c c c c c c
health care; however, they are not the primary reason why Americans are concerned. The new
c c c c c c c c c c c c c c c
health care system will change the health care access and availability, but will not
c c c c c c c c c c c c c c
cnecessarily be offering any free services to Americans. c c c c c c c
DIF: Cognitive Level: Understand (Comprehension) c c c
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is
c c c c c c c c c c c c c c c c
this involvement important?
c c c
a. Nurses, as central characters in several popular TV series, are currently very
c c c c c c c c c c c
visible in American m ediN
a. c c c
b. Nurses are primarily responsible for m c c c c c the various units in our health
c c c c c
c care system. c
c. Nurses are the largest segment of health care providers. c c c c c c c c
d. Nurses are the only group that is employed both inside and outside of hospitals.
c c c c c c c c c c c c c
ANS: C c
As the largest segment of health care providers, nurses are informed about the current health
c c c c c c c c c c c c c c
care system and all the problems that result from people not seeking care until they
c c c c c c c c c c c c c c c
care desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
c c c c c c c c c c c
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
c c c c c c c c c c c c c c c c c
our current health care delivery system, can also be instrumental in working
c c c c c c c c c c c
cpolitically to create a health care delivery system that will meet health needs. While nurses are
c c c c c c c c c c c c c c c
in several current TV series and are employed both inside and outside of hospitals, physicians
c c c c c c c c c c c c c c c
and other health care providers are as well. Nurses are often managers, but managers often have
c c c c c c c c c c c c c c c c
other backgrounds, such as business administration.
c c c c c c
, DIF: Cognitive Level: Understand (Comprehension)
c c c
3. What conclusion can be drawn from examining where nurses are employed?
c c c c c c c c c c
a. There is a trend toward consolidation of health care into large central
c c c c c c c c c c c
c medical centers.c
b. There is an increased emphasis on community-based health care.
c c c c c c c c
c. There is an obvious need to decrease health care costs by cutting positions.
c c c c c c c c c c c c
d. Managed care organizations (MCOs) are employing nurses to improve customer
c c c c c c c c c
, relations.
ANS: B c
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
c c c c c c c c c c c c c
is increasingly found in central medical centers, the same trend may be seen in an increase in
c c c c c c c c c c c c c c c c c
neighborhood-based practice centers. While positions are cut in most industries, health care is
c c c c c c c c c c c c c
recognized as an area where growth in employment is expected. However, nurses are
c c c c c c c c c c c c
increasingly employed in community settings as opposed to hospitals. This change reflects the
c c c c c c c c c c c c c
move toward community-based care rather than hospital-based tertiary care. To help decrease
c c c c c c c c c c c c
the continued rise in health care costs, the increased emphasis is on disease prevention rather
c c c c c c c c c c c c c c c
than high-cost treatment.
c c c
DIF: Cognitive Level: Understand (Comprehension) c c c
4. Which ethical belief would be most helpful in the current health care crisis?
c c c c c c c c c c c c
a. Emphasis should be on individual and corporation freedom in the marketplace.
c c c c c c c c c c
b. Emphasis should be on individual autonomy and freedom of choice. c c c c c c c c c
c. Emphasis should be on social justice and collective responsibility. c c c c c c c c
d. Emphasis should be on the effectiveness of technology in resolving problems.
c c c c c c c c c c
ANS: C c
Public health recognizes the necessity of collective action in keeping the environment safe and
c c c c c c c c c c c c c
in egalitarian tradition and vision. An overinvestment in technology and seeking of
c c c c c c c c c c c c
ccures within the market justice system has stifled the evolution of a health system to protect
c c c c c c c c c c c c c c c
and preserve the health of the population. Although individual autonomy and freedom of
c c c c c c c c c c c c c
choice
c
are important, so is the recognition of collective responsibility in ensuring social
c c c c c c c c c c c
cjustice, which entitles all people to basic necessities.
c c c c c c c
DIF: Cognitive Level: Apply (Application) c c c
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
c c c c c c c c c c c c
healthy lifestyle behaviors, such as daily exercise or healthy food choices?
c c c c c c c c c c c
a. Emphasis on other lifestyle choices, such as not smoking and minimal use
c c c c c c c c c c c
of alcohol or drugs, is also needed.
c c c c c c c
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c c c c c c c c c c c
c. It costs more to make healthy choices, such as buying and eating fresh fruits
c c c c c c c c c c c c c
and vegetables as opposed to quick and cheap fast-food choices.
c c c c c c c c c c
d. Public policy emphasizes personal responsibility but ignores social and
c c c c c c c c
environmental changes needed for well-being.
c c c c c
ANS: D c
Although all responses are accurate, the primary problem is the emphasis on personal choices
c c c c c c c c c c c c c
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
c c c c c c c c c c c c c c
community responsibility and action that addresses environmental or cultural
c c c c c c c c c
crestraints to health. c c
