,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLE CHOICE 4r
1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. 4r 4r 4r 4r 4r 4r 4r
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
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d. The new health care system offers free services to Americans.
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ANS: C 4 r
The primary reason for the focus on health care is the constantly increasing costs, which can
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not be sustained. The costs of caring for the sick accounted for the majority of escalating hea
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lth care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% i
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n 2015. Politicians and the media both influence Americans‘ perceptions about health care; h
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owever, they are not the primary reason why Americans are concerned. The new health care s
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ystem will change the health care access and availability, but will not necessarily be offering
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any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) 4r 4r 4r
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is thi
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s involvement important?
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a. Nurses, as central characters in several popular TV series, are currently very
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visible in American m e d iNa . R I G B.CM
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4
b. Nurses are primarily responUsibS le foNr mTanagingOthe various units in our health care
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system.
c. Nurses are the largest segment of health care providers.
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d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C 4r
As the largest segment of health care providers, nurses are informed about the current health
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care system and all the problems that result from people not seeking care until they are desp
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erately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe th
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at health care is a right, not a privilege. Therefore, nurses, whose work is central to our curre
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nt health care delivery system, can also be instrumental in working politically to create a hea
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lth care delivery system that will meet health needs. While nurses are in several current TV s
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eries and are employed both inside and outside of hospitals, physicians and other health care
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providers are as well. Nurses are often managers, but managers often have other background
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s, such as business administration.
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DIF: Cognitive Level: Understand (Comprehension) 4r 4r 4r
3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central medical
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centers. 4r
b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer
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,