TEST BANK For Community Public He
m m m m m
lth Nursing 7th Edition by Mary
m m m m m
A. Nies, Melanie McEwen | Complete Gu
m m m m m m
de 2023(636 pages)GRADED A+
m m m
,Chapter 01: Health: A Community View
m m m m m
Nies: Community/Public Health Nursing, 7th Edition
m m m m m
MULTIPLEmCHOICE
1. WhichmbestmdescribesmthemprimarymreasonmthatmAmericansmaremconcernedmaboutmhealthmcare?
a. Politiciansmaremdiscussing mhowmtomimprovemhealthmcare.
b. Themmediamhasmprovidedmmixedmmessagesmaboutmthemhealthmcaremsystem.
c. Our mnationalmhealthmcaremcostsmkeepmincreasing.
d. ThemnewmhealthmcaremsystemmoffersmfreemservicesmtomAmericans.
ANS:mC
Themprimarymreasonmformthemfocusmonmhealthmcaremis m them constantlym increasingm costs,m whichm
cannot mbemsustained.mThemcostsmof mcaringmformthemsickmaccounted mformthemmajoritymof mescalating
mhealthmcaremdollars,mwhichmincreased mfromm5.7%mof mthem grossm domesticm product m inm 1965m to
m17.8%minm2015.mPoliticiansmand mthemmediambothminfluencemAmericans’mperceptionsmabout mhealt
hmcare;mhowever,mtheymaremnot mthemprimarymreasonmwhymAmericansmarem concerned.mThe mnew mhe
althmcarem systemm willm changem them healthm carem accessm and m availability,m but m willmnot m necessa
rilym bemofferingmanymfreemservicesmtomAmericans.
DIF: Cognitive mLevel:mUnderstandm(Comprehension)
2. Amnursemhasmbegunmtomlobbymwithmpoliticiansmfor mchangesmtomthemhealthmcaremsystem.mW
hymismthisminvolvementmimportant?
a. Nurses,masmcentralmcharactersminmseveralmpopular mTVmseries,maremcurrentlymvery
visibleminmAmericanmme d iNa .
b. Nursesmaremprimarilymresponsiblemfor mm
themvariousmunitsminmourmhealt
hmcaremsystem.
c. Nursesmaremthemlargestmsegmentmofmhealthmcaremproviders.
d. Nursesmaremthemonlymgroupmthatmismemployedmbothminsidemandmoutsidemofmhospitals.
ANS:mC
Asmthemlargest msegment mof mhealthmcaremproviders,mnursesmareminformed mabout mthemcurrent mhealth
mcarem systemm and m allm them problemsm that m result m fromm peoplem not m seekingm carem untilm theym ar
em desperatelymill.mNurses,masmthemAmericanmNursesmAssociationm (ANA)m emphasize,m usuallymb
elievemthat mhealthmcaremismamright,mnot mamprivilege.m Therefore,mnurses,mwhosemworkmismcentralmto
ourm current m healthm carem deliverym system,m canm alsom bem instrumentalm inm workingm politicallym
tomcreatemamhealthmcaremdeliverymsystemmthat mwillmmeet mhealthmneeds.mWhilemnurses marem inmsever
almcurrent mTVmseriesmand marememployed mbothminsidemand moutsidemof mhospitals,mphysiciansmand mot
hermhealthmcaremprovidersmaremasmwell.mNursesmaremoftenmmanagers,mbut mmanagers moftenmhavemot
hermbackgrounds,msuchmasmbusinessmadministration.
, DIF: Cognitive mLevel:mUnderstandm(Comprehension)
3. Whatmconclusionmcanmbemdrawnmfrommexamining mwheremnursesmarememployed?
a. Theremismamtrendmtowardmconsolidationmofmhealthmcaremintomlargemcent
ralmmedicalmcenters.
b. Theremismanmincreasedmemphasismonmcommunity-basedmhealthmcare.
c. Theremismanmobviousmneedmtomdecreasemhealthmcaremcostsmbymcutting mpositions.
d. Managedmcaremorganizationsm(MCOs)marememploying mnursesmtomimprovemcustomer
, relations.
ANS:mB
MCOsmarememployingmnursesminmmanymcapacities.mAlthoughmhospitalsmaremclosingmand macutemca
remismincreasinglymfound minmcentralmmedicalmcenters,mthemsamemtrend mmaymbemseenminman mincrea
seminmneighborhood-
based mpracticemcenters.mWhilempositionsmaremcut minmmost mindustries,mhealthmcarem ismrecognized
m asm anm aream where
growthminmemployment mismexpected.mHowever,mnursesmaremin
creasinglymemployed minmcommunitymsettingsmasmopposed mtomhospitals.mThismchangemreflectsmthe
mmovemtoward mcommunity-based mcaremrathermthanmhospital-
based mtertiarymcare.mTomhelpmdecreasemthemcontinued mriseminmhealthmcaremcosts,mthemincreased me
mphasismismonmdiseasempreventionmrathermthanmhigh-cost mtreatment.
DIF: Cognitive mLevel:mUnderstandm(Comprehension)
4. Whichmethicalmbeliefmwouldmbemmostmhelpfulminmthemcurrentmhealthmcaremcrisis?
a. Emphasismshouldmbemonmindividualmandmcorporationmfreedomminmthemmarketplace.
b. Emphasismshouldmbemonmindividualmautonomymandmfreedommofmchoice.
c. Emphasismshouldmbemonmsocialmjusticemandmcollectivemresponsibility.
d. Emphasismshouldmbemonmthemeffectivenessmofmtechnologyminmresolving mproblems.
ANS:mC
Publicmhealthmrecognizesmthemnecessitymof mcollectivemactionmin mkeepingmthemenvironment msafema
nd minm egalitarianm traditionm and m vision.m Anm overinvestment m inm technologym and m seekingm of m c
uresmwithinmthemmarket mjusticemsystemmhasmstifled mthemevolutionmof mamhealthmsystemmtomprotect ma
nd mpreservemthemhealthmof mthempopulation.mAlthoughmindividualmautonomymand mfreedommof mchoi
ce
arem important,m som ism them recognitionm of m collectivem responsibilitym inm ensuringm socialm justice,
mwhichmentitlesmallmpeoplemtombasicmnecessities.
DIF: Cognitive mLevel:mApplym(Application)
5. WhatmismthemprimarymproblemmseenminmHealthymPeople m2020’sm emphasismonmchoos
ing mhealthymlifestylembehaviors,msuchmasmdailymexercisemormhealthymfoodmchoices?
a. Emphasismonmother mlifestylemchoices,msuchmasmnotmsmoking mandmminimalm
usemofmalcoholmormdrugs,mismalsomneeded.
b. Allmofmusmmustmworkmtogether mtommakemunhealthymbehaviorsmsociallymunacceptable.
c. Itmcostsmmoremtommakemhealthymchoices,msuchmasmbuying mandmeating mfreshmfr
uitsmandmvegetablesmasmopposedmtomquickmandmcheapmfast-foodmchoices.
d. Publicmpolicymemphasizesmpersonalmresponsibilitymbutmignoresmsocialma
ndmenvironmentalmchangesmneededmformwell-being.
ANS:mD
Althoughmallmresponsesmaremaccurate,mthemprimarymproblem mis mthememphasismonmpersonal mchoic
esminmthemHealthymPeoplem2020mobjectives.mEmphasismonmpersonal mchoicesmignoresmthemneed mf
ormcommunitym responsibilitym and m actionm that m addressesm environmentalm orm culturalm restrain
m m m m m
lth Nursing 7th Edition by Mary
m m m m m
A. Nies, Melanie McEwen | Complete Gu
m m m m m m
de 2023(636 pages)GRADED A+
m m m
,Chapter 01: Health: A Community View
m m m m m
Nies: Community/Public Health Nursing, 7th Edition
m m m m m
MULTIPLEmCHOICE
1. WhichmbestmdescribesmthemprimarymreasonmthatmAmericansmaremconcernedmaboutmhealthmcare?
a. Politiciansmaremdiscussing mhowmtomimprovemhealthmcare.
b. Themmediamhasmprovidedmmixedmmessagesmaboutmthemhealthmcaremsystem.
c. Our mnationalmhealthmcaremcostsmkeepmincreasing.
d. ThemnewmhealthmcaremsystemmoffersmfreemservicesmtomAmericans.
ANS:mC
Themprimarymreasonmformthemfocusmonmhealthmcaremis m them constantlym increasingm costs,m whichm
cannot mbemsustained.mThemcostsmof mcaringmformthemsickmaccounted mformthemmajoritymof mescalating
mhealthmcaremdollars,mwhichmincreased mfromm5.7%mof mthem grossm domesticm product m inm 1965m to
m17.8%minm2015.mPoliticiansmand mthemmediambothminfluencemAmericans’mperceptionsmabout mhealt
hmcare;mhowever,mtheymaremnot mthemprimarymreasonmwhymAmericansmarem concerned.mThe mnew mhe
althmcarem systemm willm changem them healthm carem accessm and m availability,m but m willmnot m necessa
rilym bemofferingmanymfreemservicesmtomAmericans.
DIF: Cognitive mLevel:mUnderstandm(Comprehension)
2. Amnursemhasmbegunmtomlobbymwithmpoliticiansmfor mchangesmtomthemhealthmcaremsystem.mW
hymismthisminvolvementmimportant?
a. Nurses,masmcentralmcharactersminmseveralmpopular mTVmseries,maremcurrentlymvery
visibleminmAmericanmme d iNa .
b. Nursesmaremprimarilymresponsiblemfor mm
themvariousmunitsminmourmhealt
hmcaremsystem.
c. Nursesmaremthemlargestmsegmentmofmhealthmcaremproviders.
d. Nursesmaremthemonlymgroupmthatmismemployedmbothminsidemandmoutsidemofmhospitals.
ANS:mC
Asmthemlargest msegment mof mhealthmcaremproviders,mnursesmareminformed mabout mthemcurrent mhealth
mcarem systemm and m allm them problemsm that m result m fromm peoplem not m seekingm carem untilm theym ar
em desperatelymill.mNurses,masmthemAmericanmNursesmAssociationm (ANA)m emphasize,m usuallymb
elievemthat mhealthmcaremismamright,mnot mamprivilege.m Therefore,mnurses,mwhosemworkmismcentralmto
ourm current m healthm carem deliverym system,m canm alsom bem instrumentalm inm workingm politicallym
tomcreatemamhealthmcaremdeliverymsystemmthat mwillmmeet mhealthmneeds.mWhilemnurses marem inmsever
almcurrent mTVmseriesmand marememployed mbothminsidemand moutsidemof mhospitals,mphysiciansmand mot
hermhealthmcaremprovidersmaremasmwell.mNursesmaremoftenmmanagers,mbut mmanagers moftenmhavemot
hermbackgrounds,msuchmasmbusinessmadministration.
, DIF: Cognitive mLevel:mUnderstandm(Comprehension)
3. Whatmconclusionmcanmbemdrawnmfrommexamining mwheremnursesmarememployed?
a. Theremismamtrendmtowardmconsolidationmofmhealthmcaremintomlargemcent
ralmmedicalmcenters.
b. Theremismanmincreasedmemphasismonmcommunity-basedmhealthmcare.
c. Theremismanmobviousmneedmtomdecreasemhealthmcaremcostsmbymcutting mpositions.
d. Managedmcaremorganizationsm(MCOs)marememploying mnursesmtomimprovemcustomer
, relations.
ANS:mB
MCOsmarememployingmnursesminmmanymcapacities.mAlthoughmhospitalsmaremclosingmand macutemca
remismincreasinglymfound minmcentralmmedicalmcenters,mthemsamemtrend mmaymbemseenminman mincrea
seminmneighborhood-
based mpracticemcenters.mWhilempositionsmaremcut minmmost mindustries,mhealthmcarem ismrecognized
m asm anm aream where
growthminmemployment mismexpected.mHowever,mnursesmaremin
creasinglymemployed minmcommunitymsettingsmasmopposed mtomhospitals.mThismchangemreflectsmthe
mmovemtoward mcommunity-based mcaremrathermthanmhospital-
based mtertiarymcare.mTomhelpmdecreasemthemcontinued mriseminmhealthmcaremcosts,mthemincreased me
mphasismismonmdiseasempreventionmrathermthanmhigh-cost mtreatment.
DIF: Cognitive mLevel:mUnderstandm(Comprehension)
4. Whichmethicalmbeliefmwouldmbemmostmhelpfulminmthemcurrentmhealthmcaremcrisis?
a. Emphasismshouldmbemonmindividualmandmcorporationmfreedomminmthemmarketplace.
b. Emphasismshouldmbemonmindividualmautonomymandmfreedommofmchoice.
c. Emphasismshouldmbemonmsocialmjusticemandmcollectivemresponsibility.
d. Emphasismshouldmbemonmthemeffectivenessmofmtechnologyminmresolving mproblems.
ANS:mC
Publicmhealthmrecognizesmthemnecessitymof mcollectivemactionmin mkeepingmthemenvironment msafema
nd minm egalitarianm traditionm and m vision.m Anm overinvestment m inm technologym and m seekingm of m c
uresmwithinmthemmarket mjusticemsystemmhasmstifled mthemevolutionmof mamhealthmsystemmtomprotect ma
nd mpreservemthemhealthmof mthempopulation.mAlthoughmindividualmautonomymand mfreedommof mchoi
ce
arem important,m som ism them recognitionm of m collectivem responsibilitym inm ensuringm socialm justice,
mwhichmentitlesmallmpeoplemtombasicmnecessities.
DIF: Cognitive mLevel:mApplym(Application)
5. WhatmismthemprimarymproblemmseenminmHealthymPeople m2020’sm emphasismonmchoos
ing mhealthymlifestylembehaviors,msuchmasmdailymexercisemormhealthymfoodmchoices?
a. Emphasismonmother mlifestylemchoices,msuchmasmnotmsmoking mandmminimalm
usemofmalcoholmormdrugs,mismalsomneeded.
b. Allmofmusmmustmworkmtogether mtommakemunhealthymbehaviorsmsociallymunacceptable.
c. Itmcostsmmoremtommakemhealthymchoices,msuchmasmbuying mandmeating mfreshmfr
uitsmandmvegetablesmasmopposedmtomquickmandmcheapmfast-foodmchoices.
d. Publicmpolicymemphasizesmpersonalmresponsibilitymbutmignoresmsocialma
ndmenvironmentalmchangesmneededmformwell-being.
ANS:mD
Althoughmallmresponsesmaremaccurate,mthemprimarymproblem mis mthememphasismonmpersonal mchoic
esminmthemHealthymPeoplem2020mobjectives.mEmphasismonmpersonal mchoicesmignoresmthemneed mf
ormcommunitym responsibilitym and m actionm that m addressesm environmentalm orm culturalm restrain
