Nursing 7th Edition By Mary
A. Nies, Melanie Mcewen Exam | Complete Guid
2024-2025(688 Pages) GRADED A+ With 100%
Correct Answers And Definitions
,Chapter 01: Health: A Community View
Nies : Community/Public Health Nursing, 7th Edition
MULTIPLEiCHOICE
1. WhichibestidescribesitheiprimaryireasonithatiAmericansiareiconcernediaboutihealthicare?
a. Politiciansiareidiscussingihowitoiimproveihealthicare.
b. Theimediaihasiprovidedimixedimessagesiaboutitheihealthicareisystem.
c. Ourinationalihealthicareicostsikeepiincreasing.
d. TheinewihealthicareisystemioffersifreeiservicesitoiAmericans.
ANS:iC
Theiprimaryireasoniforitheifocusionihealthicareiisi thei constantlyi increasingi costs,i whichicann
otibeisustained.iTheicostsioficaringiforitheisickiaccountediforitheimajorityiofiescalatingihealthicar
eidollars,iwhichiincreasedifromi5.7%iofithei grossi domestici producti ini 1965i toi17.8%iini2015.
iPoliticiansianditheimediaibothiinfluenceiAmericans’iperceptionsiaboutihealthicare;ihowever,ithe
yiareinotitheiprimaryireasoniwhyiAmericansiareiconcerned.iTheinewihealthicarei systemi willi cha
ngei thei healthi carei accessi andi availability,i buti willinoti necessarilyi beiofferingianyifreeiservic
esitoiAmericans.
DIF: CognitiveiLevel:iUnderstandi(Comprehension)
2. Ainurseihasibegunitoilobbyiwithipoliticiansiforichangesitoitheihealthicareisystem.iWhyiisithi
siinvolvementiimportant?
a. Nurses,iasicentralicharactersiiniseveralipopulariTViseries,iareicurrentlyivery
visibleiiniAmericanim ediN
a.
b. Nursesiareiprimarilyiresponsibleiforim
theivariousiunitsiiniourihealthi
careisystem.
c. Nursesiareitheilargestisegmentiofihealthicareiproviders.
d. Nursesiareitheionlyigroupithatiisiemployedibothiinsideiandioutsideiofihospitals.
ANS:iC
Asitheilargestisegmentiofihealthicareiproviders,inursesiareiinformediaboutitheicurrentihealthicare
i systemi andi alli thei problemsi thati resulti fromi peoplei noti seekingi carei untili theyi arei desperat
elyiill.iNurses,iasitheiAmericaniNursesiAssociationi (ANA)i emphasize,i usuallyibelieveithatiheal
thicareiisiairight,inotiaiprivilege.iTherefore,inurses,iwhoseiworkiisicentralito
ouri currenti healthi carei deliveryi system,i cani alsoi bei instrumentali ini workingi politicallyi toicr
eateiaihealthicareideliveryisystemithatiwillimeetihealthineeds.iWhileinursesiareiiniseveralicurrenti
TViseriesiandiareiemployedibothiinsideiandioutsideiofihospitals,iphysiciansiandiotherihealthicarei
providersiareiasiwell.iNursesiareioftenimanagers,ibutimanagersioftenihaveiotheribackgrounds,isu
chiasibusinessiadministration.
, DIF: CognitiveiLevel:iUnderstandi(Comprehension)
3. Whaticonclusionicanibeidrawnifromiexaminingiwhereinursesiareiemployed?
a. Thereiisiaitrenditowardiconsolidationiofihealthicareiintoilargeicentralim
edicalicenters.
b. Thereiisianiincreasediemphasisionicommunity-basedihealthicare.
c. Thereiisianiobviousineeditoidecreaseihealthicareicostsibyicuttingipositions.
d. Managedicareiorganizationsi(MCOs)iareiemployinginursesitoiimproveicustomer
, relations.
ANS:iB
MCOsiareiemployinginursesiinimanyicapacities.iAlthoughihospitalsiareiclosingiandiacuteicareiisi
increasinglyifoundiinicentralimedicalicenters,itheisameitrendimayibeiseeniinianiincreaseiinineig
hborhood-
basedipracticeicenters.iWhileipositionsiareicutiinimostiindustries,ihealthicareiisirecognizedi asi a
ni areai where
growthiiniemploymentiisiexpected.iHowever,inursesiareiincre
asinglyiemployediinicommunityisettingsiasiopposeditoihospitals.iThisichangeireflectsitheimoveit
owardicommunity-basedicareiratherithanihospital-
baseditertiaryicare.iToihelpidecreaseitheicontinuediriseiinihealthicareicosts,itheiincreasediempha
sisiisionidiseaseipreventioniratherithanihigh-costitreatment.
DIF: CognitiveiLevel:iUnderstandi(Comprehension)
4. Whichiethicalibeliefiwouldibeimostihelpfuliinitheicurrentihealthicareicrisis?
a. Emphasisishouldibeioniindividualiandicorporationifreedomiinitheimarketplace.
b. Emphasisishouldibeioniindividualiautonomyiandifreedomiofichoice.
c. Emphasisishouldibeionisocialijusticeiandicollectiveiresponsibility.
d. Emphasisishouldibeionitheieffectivenessiofitechnologyiiniresolvingiproblems.
ANS:iC
Publicihealthirecognizesitheinecessityioficollectiveiactioniinikeepingitheienvironmentisafeiandiin
i egalitariani traditioni andi vision.i Ani overinvestmenti ini technologyi andi seekingi ofi curesiwith
initheimarketijusticeisystemihasistifleditheievolutioniofiaihealthisystemitoiprotectiandipreserveith
eihealthiofitheipopulation.iAlthoughiindividualiautonomyiandifreedomiofichoice
arei important,i soi isi thei recognitioni ofi collectivei responsibilityi ini ensuringi sociali justice,iwhi
chientitlesiallipeopleitoibasicinecessities.
DIF: CognitiveiLevel:iApplyi(Application)
5. WhatiisitheiprimaryiproblemiseeniiniHealthyiPeoplei2020’siemphasisionichoosingih
ealthyilifestyleibehaviors,isuchiasidailyiexerciseiorihealthyifoodichoices?
a. Emphasisioniotherilifestyleichoices,isuchiasinotismokingiandiminimaliuseiof
ialcoholioridrugs,iisialsoineeded.
b. Alliofiusimustiworkitogetheritoimakeiunhealthyibehaviorsisociallyiunacceptable.
c. Iticostsimoreitoimakeihealthyichoices,isuchiasibuyingiandieatingifreshifruitsia
ndivegetablesiasiopposeditoiquickiandicheapifast-foodichoices.
d. Publicipolicyiemphasizesipersonaliresponsibilityibutiignoresisocialiandie
nvironmentalichangesineedediforiwell-being.
ANS:iD
Althoughialliresponsesiareiaccurate,itheiprimaryiproblemiisitheiemphasisionipersonalichoicesiin
itheiHealthyiPeoplei2020iobjectives.iEmphasisionipersonalichoicesiignoresitheineediforicommu
nityi responsibilityi andi actioni thati addressesi environmentali ori culturali restraintsi toihealth.