TEST BANK For Community PublicHeal
z z z z z
th Nursing 7th Edition by Mary
z z z z z
A. Nies, Melanie McEwen | CompleteGuid
z z z z z z
e 2023
z
,Chapter 01: Health: A Community View
z z z z z
Nies: Community/Public Health Nursing, 7th Edition
z z z z z
MULTIPLEzCHOICE
1. WhichzbestzdescribeszthezprimaryzreasonzthatzAmericanszarezconcernedzaboutzhealthzcare?
a. Politicianszarezdiscussingzhowztozimprovezhealthzcare.
b. Thezmediazhaszprovidedzmixedzmessageszaboutzthezhealthzcarezsystem.
c. Ourznationalzhealthzcarezcostszkeepzincreasing.
d. TheznewzhealthzcarezsystemzofferszfreezservicesztozAmericans.
ANS:zC
Thezprimaryzreasonzforzthezfocuszonzhealthzcarezisz thez constantlyz increasingz costs,z whichzcannotz
bezsustained.zThezcostszofzcaringzforzthezsickzaccountedzforzthezmajorityzofzescalatingzhealthzcarezdol
lars,zwhichzincreasedzfromz5.7%zofzthez grossz domesticz productz inz 1965z toz17.8%zinz2015.zPolitic
ianszandzthezmediazbothzinfluencezAmericans’zperceptionszaboutzhealthzcare;zhowever,ztheyzareznotzt
hezprimaryzreasonzwhyzAmericanszarezconcerned.zTheznewzhealthzcarez systemz willz changez thez he
althz carez accessz andz availability,z butz willznotz necessarilyz bezofferingzanyzfreezservicesztozAmeric
ans.
DIF: CognitivezLevel:zUnderstandz(Comprehension)
2. Aznursezhaszbegunztozlobbyzwithzpoliticianszforzchangesztozthezhealthzcarezsystem.zWhyziszth
iszinvolvementzimportant?
a. Nurses,zaszcentralzcharacterszinzseveralzpopularzTVzseries,zarezcurrentlyzvery
visiblezinzAmericanzmediN
a.
b. Nurseszarezprimarilyzresponsiblezforzm
thezvariouszunitszinzourzhealthzcarezsystem.
c. Nurseszarezthezlargestzsegmentzofzhealthzcarezproviders.
d. Nurseszarezthezonlyzgroupzthatziszemployedzbothzinsidezandzoutsidezofzhospitals.
ANS:zC
Aszthezlargestzsegmentzofzhealthzcarezproviders,znurseszarezinformedzaboutzthezcurrentzhealthzcarez
systemz andz allz thez problemsz thatz resultz fromz peoplez notz seekingz carez untilz theyz arezdespera
telyzill.zNurses,zaszthezAmericanzNurseszAssociationz (ANA)z emphasize,z usuallyzbelievezthatzhea
lthzcareziszazright,znotzazprivilege.zTherefore,znurses,zwhosezworkziszcentralzto
ourz currentz healthz carez deliveryz system,z canz alsoz bez instrumentalz inz workingz politicallyz tozcr
eatezazhealthzcarezdeliveryzsystemzthatzwillzmeetzhealthzneeds.zWhileznurseszarezinzseveralzcurrentzT
Vzserieszandzarezemployedzbothzinsidezandzoutsidezofzhospitals,zphysicianszandzotherzhealthzcarezpro
viderszarezaszwell.zNurseszarezoftenzmanagers,zbutzmanagerszoftenzhavezotherzbackgrounds,zsuchzasz
businesszadministration.
, DIF: CognitivezLevel:zUnderstandz(Comprehension)
3. Whatzconclusionzcanzbezdrawnzfromzexaminingzwhereznurseszarezemployed?
a. Thereziszaztrendztowardzconsolidationzofzhealthzcarezintozlargezcentralz
medicalzcenters.
b. Thereziszanzincreasedzemphasiszonzcommunity-basedzhealthzcare.
c. Thereziszanzobviouszneedztozdecreasezhealthzcarezcostszbyzcuttingzpositions.
d. Managedzcarezorganizationsz(MCOs)zarezemployingznursesztozimprovezcustomer
, relations.
ANS:zB
MCOszarezemployingznurseszinzmanyzcapacities.zAlthoughzhospitalszarezclosingzandzacutezcarezisz
increasinglyzfoundzinzcentralzmedicalzcenters,zthezsameztrendzmayzbezseenzinzanzincreasezinzneigh
borhood-
basedzpracticezcenters.zWhilezpositionszarezcutzinzmostzindustries,zhealthzcareziszrecognizedz asz a
nz areaz where
growthzinzemploymentziszexpected.zHowever,znurseszarezincre
asinglyzemployedzinzcommunityzsettingszaszopposedztozhospitals.zThiszchangezreflectszthezmovezt
owardzcommunity-basedzcarezratherzthanzhospital-
basedztertiaryzcare.zTozhelpzdecreasezthezcontinuedzrisezinzhealthzcarezcosts,zthezincreasedzempha
sisziszonzdiseasezpreventionzratherzthanzhigh-costztreatment.
DIF: CognitivezLevel:zUnderstandz(Comprehension)
4. Whichzethicalzbeliefzwouldzbezmostzhelpfulzinzthezcurrentzhealthzcarezcrisis?
a. Emphasiszshouldzbezonzindividualzandzcorporationzfreedomzinzthezmarketplace.
b. Emphasiszshouldzbezonzindividualzautonomyzandzfreedomzofzchoice.
c. Emphasiszshouldzbezonzsocialzjusticezandzcollectivezresponsibility.
d. Emphasiszshouldzbezonzthezeffectivenesszofztechnologyzinzresolvingzproblems.
ANS:zC
Publiczhealthzrecognizesztheznecessityzofzcollectivezactionzinzkeepingzthezenvironmentzsafezandzinz
egalitarianz traditionz andz vision.z Anz overinvestmentz inz technologyz andz seekingz ofz cureszwithi
nzthezmarketzjusticezsystemzhaszstifledzthezevolutionzofzazhealthzsystemztozprotectzandzpreservezthez
healthzofzthezpopulation.zAlthoughzindividualzautonomyzandzfreedomzofzchoice
arez important,z soz isz thez recognitionz ofz collectivez responsibilityz inz ensuringz socialz justice,zwhi
chzentitleszallzpeopleztozbasicznecessities.
DIF: CognitivezLevel:zApplyz(Application)
5. WhatziszthezprimaryzproblemzseenzinzHealthyzPeoplez2020’szemphasiszonzchoosingzh
ealthyzlifestylezbehaviors,zsuchzaszdailyzexercisezorzhealthyzfoodzchoices?
a. Emphasiszonzotherzlifestylezchoices,zsuchzasznotzsmokingzandzminimalzusezo
fzalcoholzorzdrugs,ziszalsozneeded.
b. Allzofzuszmustzworkztogetherztozmakezunhealthyzbehaviorszsociallyzunacceptable.
c. Itzcostszmoreztozmakezhealthyzchoices,zsuchzaszbuyingzandzeatingzfreshzfruitsza
ndzvegetableszaszopposedztozquickzandzcheapzfast-foodzchoices.
d. Publiczpolicyzemphasizeszpersonalzresponsibilityzbutzignoreszsocialzandze
nvironmentalzchangeszneededzforzwell-being.
ANS:zD
Althoughzallzresponseszarezaccurate,zthezprimaryzproblemziszthezemphasiszonzpersonalzchoiceszinzt
hezHealthyzPeoplez2020zobjectives.zEmphasiszonzpersonalzchoiceszignoreszthezneedzforzcommunit
yz responsibilityz andz actionz thatz addressesz environmentalz orz culturalz restraintsz tozhealth.
z z z z z
th Nursing 7th Edition by Mary
z z z z z
A. Nies, Melanie McEwen | CompleteGuid
z z z z z z
e 2023
z
,Chapter 01: Health: A Community View
z z z z z
Nies: Community/Public Health Nursing, 7th Edition
z z z z z
MULTIPLEzCHOICE
1. WhichzbestzdescribeszthezprimaryzreasonzthatzAmericanszarezconcernedzaboutzhealthzcare?
a. Politicianszarezdiscussingzhowztozimprovezhealthzcare.
b. Thezmediazhaszprovidedzmixedzmessageszaboutzthezhealthzcarezsystem.
c. Ourznationalzhealthzcarezcostszkeepzincreasing.
d. TheznewzhealthzcarezsystemzofferszfreezservicesztozAmericans.
ANS:zC
Thezprimaryzreasonzforzthezfocuszonzhealthzcarezisz thez constantlyz increasingz costs,z whichzcannotz
bezsustained.zThezcostszofzcaringzforzthezsickzaccountedzforzthezmajorityzofzescalatingzhealthzcarezdol
lars,zwhichzincreasedzfromz5.7%zofzthez grossz domesticz productz inz 1965z toz17.8%zinz2015.zPolitic
ianszandzthezmediazbothzinfluencezAmericans’zperceptionszaboutzhealthzcare;zhowever,ztheyzareznotzt
hezprimaryzreasonzwhyzAmericanszarezconcerned.zTheznewzhealthzcarez systemz willz changez thez he
althz carez accessz andz availability,z butz willznotz necessarilyz bezofferingzanyzfreezservicesztozAmeric
ans.
DIF: CognitivezLevel:zUnderstandz(Comprehension)
2. Aznursezhaszbegunztozlobbyzwithzpoliticianszforzchangesztozthezhealthzcarezsystem.zWhyziszth
iszinvolvementzimportant?
a. Nurses,zaszcentralzcharacterszinzseveralzpopularzTVzseries,zarezcurrentlyzvery
visiblezinzAmericanzmediN
a.
b. Nurseszarezprimarilyzresponsiblezforzm
thezvariouszunitszinzourzhealthzcarezsystem.
c. Nurseszarezthezlargestzsegmentzofzhealthzcarezproviders.
d. Nurseszarezthezonlyzgroupzthatziszemployedzbothzinsidezandzoutsidezofzhospitals.
ANS:zC
Aszthezlargestzsegmentzofzhealthzcarezproviders,znurseszarezinformedzaboutzthezcurrentzhealthzcarez
systemz andz allz thez problemsz thatz resultz fromz peoplez notz seekingz carez untilz theyz arezdespera
telyzill.zNurses,zaszthezAmericanzNurseszAssociationz (ANA)z emphasize,z usuallyzbelievezthatzhea
lthzcareziszazright,znotzazprivilege.zTherefore,znurses,zwhosezworkziszcentralzto
ourz currentz healthz carez deliveryz system,z canz alsoz bez instrumentalz inz workingz politicallyz tozcr
eatezazhealthzcarezdeliveryzsystemzthatzwillzmeetzhealthzneeds.zWhileznurseszarezinzseveralzcurrentzT
Vzserieszandzarezemployedzbothzinsidezandzoutsidezofzhospitals,zphysicianszandzotherzhealthzcarezpro
viderszarezaszwell.zNurseszarezoftenzmanagers,zbutzmanagerszoftenzhavezotherzbackgrounds,zsuchzasz
businesszadministration.
, DIF: CognitivezLevel:zUnderstandz(Comprehension)
3. Whatzconclusionzcanzbezdrawnzfromzexaminingzwhereznurseszarezemployed?
a. Thereziszaztrendztowardzconsolidationzofzhealthzcarezintozlargezcentralz
medicalzcenters.
b. Thereziszanzincreasedzemphasiszonzcommunity-basedzhealthzcare.
c. Thereziszanzobviouszneedztozdecreasezhealthzcarezcostszbyzcuttingzpositions.
d. Managedzcarezorganizationsz(MCOs)zarezemployingznursesztozimprovezcustomer
, relations.
ANS:zB
MCOszarezemployingznurseszinzmanyzcapacities.zAlthoughzhospitalszarezclosingzandzacutezcarezisz
increasinglyzfoundzinzcentralzmedicalzcenters,zthezsameztrendzmayzbezseenzinzanzincreasezinzneigh
borhood-
basedzpracticezcenters.zWhilezpositionszarezcutzinzmostzindustries,zhealthzcareziszrecognizedz asz a
nz areaz where
growthzinzemploymentziszexpected.zHowever,znurseszarezincre
asinglyzemployedzinzcommunityzsettingszaszopposedztozhospitals.zThiszchangezreflectszthezmovezt
owardzcommunity-basedzcarezratherzthanzhospital-
basedztertiaryzcare.zTozhelpzdecreasezthezcontinuedzrisezinzhealthzcarezcosts,zthezincreasedzempha
sisziszonzdiseasezpreventionzratherzthanzhigh-costztreatment.
DIF: CognitivezLevel:zUnderstandz(Comprehension)
4. Whichzethicalzbeliefzwouldzbezmostzhelpfulzinzthezcurrentzhealthzcarezcrisis?
a. Emphasiszshouldzbezonzindividualzandzcorporationzfreedomzinzthezmarketplace.
b. Emphasiszshouldzbezonzindividualzautonomyzandzfreedomzofzchoice.
c. Emphasiszshouldzbezonzsocialzjusticezandzcollectivezresponsibility.
d. Emphasiszshouldzbezonzthezeffectivenesszofztechnologyzinzresolvingzproblems.
ANS:zC
Publiczhealthzrecognizesztheznecessityzofzcollectivezactionzinzkeepingzthezenvironmentzsafezandzinz
egalitarianz traditionz andz vision.z Anz overinvestmentz inz technologyz andz seekingz ofz cureszwithi
nzthezmarketzjusticezsystemzhaszstifledzthezevolutionzofzazhealthzsystemztozprotectzandzpreservezthez
healthzofzthezpopulation.zAlthoughzindividualzautonomyzandzfreedomzofzchoice
arez important,z soz isz thez recognitionz ofz collectivez responsibilityz inz ensuringz socialz justice,zwhi
chzentitleszallzpeopleztozbasicznecessities.
DIF: CognitivezLevel:zApplyz(Application)
5. WhatziszthezprimaryzproblemzseenzinzHealthyzPeoplez2020’szemphasiszonzchoosingzh
ealthyzlifestylezbehaviors,zsuchzaszdailyzexercisezorzhealthyzfoodzchoices?
a. Emphasiszonzotherzlifestylezchoices,zsuchzasznotzsmokingzandzminimalzusezo
fzalcoholzorzdrugs,ziszalsozneeded.
b. Allzofzuszmustzworkztogetherztozmakezunhealthyzbehaviorszsociallyzunacceptable.
c. Itzcostszmoreztozmakezhealthyzchoices,zsuchzaszbuyingzandzeatingzfreshzfruitsza
ndzvegetableszaszopposedztozquickzandzcheapzfast-foodzchoices.
d. Publiczpolicyzemphasizeszpersonalzresponsibilityzbutzignoreszsocialzandze
nvironmentalzchangeszneededzforzwell-being.
ANS:zD
Althoughzallzresponseszarezaccurate,zthezprimaryzproblemziszthezemphasiszonzpersonalzchoiceszinzt
hezHealthyzPeoplez2020zobjectives.zEmphasiszonzpersonalzchoiceszignoreszthezneedzforzcommunit
yz responsibilityz andz actionz thatz addressesz environmentalz orz culturalz restraintsz tozhealth.
