TEST BANK for Community/public health nursing by Mary A. Nies, Melanie McEwen. ISBN:% ULTIMATE GUIDE FOR A+ GRADE !! NEWEST UPDATE!!

,
,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLE CHOICE ie




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. ie ie ie ie ie ie ie


b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.ie ie ie ie ie ie


d. The new health care system offers free services to Americans.
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ANS: C i e


The primary reason for the focus on health care is the constantly increasing costs, which cann
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ot be sustained. The costs of caring for the sick accounted for the majority of escalating health
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care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 20
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15. Politicians and the media both influence Americans’ perceptions about health care; howev
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er, they are not the primary reason why Americans are concerned. The new health care system
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will change the health care access and availability, but will not necessarily be offering any fre
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e services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) ie ie ie




2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this i
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nvolvement important? ie


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 ie ie ie i e ie ie e
i


b. Nurses are primarily respon sibS
U le foNr mTanagingOthe various units in our health care
ie

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system.
c. Nurses are the largest segment of health care providers. ie ie ie ie ie ie ie ie


d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C ie


As the largest segment of health care providers, nurses are informed about the current health c
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are system and all the problems that result from people not seeking care until they are despera
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tely ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe that h
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ealth care is a right, not a privilege. Therefore, nurses, whose work is central to our current he
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alth care delivery system, can also be instrumental in working politically to create a health car
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e delivery system that will meet health needs. While nurses are in several current TV series an
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d are employed both inside and outside of hospitals, physicians and other health care providers
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eare as well. Nurses are often managers, but managers often have other backgrounds, such as b
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usiness administration. ie




DIF: Cognitive Level: Understand (Comprehension) ie ie ie




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.
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 ie ie ie ie ie ie ie ie ie

, Community Public Health Nursing 7th Edition Nies Test Bank
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ie TheieMarketplaceietoieBuyieandieSellieyourieStudyieMaterial

relations.
ANS: B ie


MCOs are employing nurses in many capacities. Although hospitals are closing and acute care
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is increasingly found in central medical centers, the same trend may be seen in an increase in n
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eighborhood-
based practice centers. While positions are cut in most industries, health care is recognized as
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an area where growth in employment is expected. However, nurses are increasingly employed
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in community settings as opposed to hospitals. This change reflects the move toward communi
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ty-based care rather than hospital- ie ie ie ie


based tertiary care. To help decrease the continued rise in health care costs, the increased emp
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hasis is on disease prevention rather than high-cost treatment.
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DIF: Cognitive Level: Understand (Comprehension) ie ie ie




4. Which ethical belief would be most helpful in the current health care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace.
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b. Emphasis should be on individual autonomy and freedom of choice. ie ie ie ie ie ie ie ie ie


c. Emphasis should be on social justice and collective responsibility. ie ie ie ie ie ie ie ie


d. Emphasis should be on the effectiveness of technology in resolving problems.
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ANS: C ie


Public health recognizes the necessity of collective action in keeping the environment safe and
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in egalitarian tradition and vision. An overinvestment in technology and seeking of cures withi
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n the market justice system has stifled the evolution of a health system to protect and preserve
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the health of the population. Although individual autonomy and freedom of choice are importa
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nt, so is the recognition of collective responsibility in ensuring social justice, which entitles al
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l people to basic necessities.
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DIF: Cognitive Level: Apply (Application) ie ie ie
UN SRNITG B.CMO
ie
ie
e
i
ie
ie
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i




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
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lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
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alcohol or drugs, is also needed. ie ie ie ie ie


b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits and
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vegetables as opposed to quick and cheap fast-food choices. ie ie ie ie ie ie ie ie


d. Public policy emphasizes personal responsibility but ignores social and
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environmental changes needed for well-being. ie ie ie ie




ANS: D ie


Although all responses are accurate, the primary problem is the emphasis on personal choices i
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n the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for com
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munity responsibility and action that addresses environmental or cultural restraints to health.
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DIF: Cognitive Level: Apply (Application) ie ie ie




6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of t
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he nurse beyond giving excellent care to patients?
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a. Accept longer work schedules to ensure that professional care is always available
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