x x x x
NURSING 7TH EDITION 2022- x x x x
2023
CHAPTER 01: HEALTH: A COMMUNITY VIEW
x x x x x
NIES: COMMUNITY/PUBLIC HEALTH NURSING, 7TH EDITION
x x x x x
MULTIPLE xCHOICE
1. Which xbest xdescribes xthe xprimary xreason xthat xAmericans xare xconcerned xabout xhealth xcare?
a. Politicians xare xdiscussing xhow xto ximprove xhealth xcare.
b. The xmedia xhas xprovided xmixed xmessages xabout xthe xhealth xcare xsystem.
c. Our xnational xhealth xcare xcosts xkeep xincreasing.
d. The xnew xhealth xcare xsystem xoffers xfree xservices xto xAmericans.
ANS: x C
The xprimary xreason xfor xthe xfocus xon xhealth xcare xis xthe xconstantly xincreasing xcosts, xwhich
xcannot xbe xsustained. xThe xcosts xof xcaring xfor xthe xsick xaccounted xfor xthe xmajority xof
xescalating xhealth xcare xdollars, xwhich xincreased xfrom x5.7% xof xthe xgross xdomestic xproduct
xin x1965 xto x17.8% xin x2015. xPoliticians xand xthe xmedia xboth xinfluence xAmericans’
xperceptions xabout xhealth xcare; xhowever, xthey xare xnot xthe xprimary xreason xwhy xAmericans
xare xconcerned. xThe xnew xhealth xcare xsystem xwill xchange xthe xhealth xcare xaccess xand
xavailability, xbut xwill xnot xnecessarily xbe xoffering xany xfree xservices xto xAmericans.
DIF: Cognitive xLevel: xUnderstand x(Comprehension)
2. A xnurse xhas xbegun xto xlobby xwith xpoliticians xfor xchanges xto xthe xhealth xcare xsystem. xWhy
xis xthis xinvolvement ximportant?
a. Nurses, xas xcentral xcharacters xin xseveral xpopular xTV xseries, xare xcurrently
N x R xI xG xB.C xM
xvery xvisible xin xAmerican xm e di a.
b. Nurses x are x primarily x respon sib le x foNr x mT
U S anagingOthe x various x units x in x our x health x care
system.
c. Nurses xare xthe xlargest xsegment xof xhealth xcare xproviders.
d. Nurses xare xthe xonly xgroup xthat xis xemployed xboth xinside xand xoutside xof xhospitals.
ANS: x C
As xthe xlargest xsegment xof xhealth xcare xproviders, xnurses xare xinformed xabout xthe xcurrent
xhealth xcare xsystem xand xall xthe xproblems xthat xresult xfrom xpeople xnot xseeking xcare xuntil
xthey xare xdesperately xill. xNurses, xas xthe xAmerican xNurses xAssociation x(ANA) xemphasize,
xusually xbelieve xthat xhealth xcare xis xa xright, xnot xa xprivilege. xTherefore, xnurses, xwhose
xwork xis xcentral xto xour xcurrent xhealth xcare xdelivery xsystem, xcan xalso xbe xinstrumental xin
xworking xpolitically xto xcreate xa xhealth xcare xdelivery xsystem xthat xwill xmeet xhealth xneeds.
xWhile xnurses xare xin xseveral xcurrent xTV xseries xand xare xemployed xboth xinside xand xoutside
xof xhospitals, xphysicians xand xother xhealth xcare xproviders xare xas xwell. xNurses xare xoften
xmanagers, xbut xmanagers xoften xhave xother xbackgrounds, xsuch xas xbusiness xadministration.
DIF: Cognitive xLevel: xUnderstand x(Comprehension)
3. What xconclusion xcan xbe xdrawn xfrom xexamining xwhere xnurses xare xemployed?
a. There xis xa xtrend xtoward xconsolidation xof xhealth xcare xinto xlarge xcentral
medical xcenters.
x
b. There xis xan xincreased xemphasis xon xcommunity-based xhealth xcare.
c. There xis xan xobvious xneed xto xdecrease xhealth xcare xcosts xby xcutting xpositions.
d. Managed xcare xorganizations x(MCOs) xare xemploying xnurses xto ximprove xcustomer
, relations.
ANS: x B
MCOs xare xemploying xnurses xin xmany xcapacities. xAlthough xhospitals xare xclosing xand xacute
xcare xis xincreasingly xfound xin xcentral xmedical xcenters, xthe xsame xtrend xmay xbe xseen xin xan
xincrease xin xneighborhood-based xpractice xcenters. xWhile xpositions xare xcut xin xmost
xindustries, xhealth xcare xis xrecognized xas xan xarea xwhere xgrowth xin xemployment xis
xexpected. xHowever, xnurses xare xincreasingly xemployed xin xcommunity xsettings xas xopposed
xto xhospitals. xThis xchange xreflects xthe xmove xtoward xcommunity-based xcare xrather xthan
xhospital-based xtertiary xcare. xTo xhelp xdecrease xthe xcontinued xrise xin xhealth xcare xcosts, xthe
xincreased xemphasis xis xon xdisease xprevention xrather xthan xhigh-cost xtreatment.
DIF: Cognitive xLevel: xUnderstand x(Comprehension)
4. Which xethical xbelief xwould xbe xmost xhelpful xin xthe xcurrent xhealth xcare xcrisis?
a. Emphasis xshould xbe xon xindividual xand xcorporation xfreedom xin xthe xmarketplace.
b. Emphasis xshould xbe xon xindividual xautonomy xand xfreedom xof xchoice.
c. Emphasis xshould xbe xon xsocial xjustice xand xcollective xresponsibility.
d. Emphasis xshould xbe xon xthe xeffectiveness xof xtechnology xin xresolving xproblems.
ANS: x C
Public xhealth xrecognizes xthe xnecessity xof xcollective xaction xin xkeeping xthe xenvironment xsafe
xand xin xegalitarian xtradition xand xvision. xAn xoverinvestment xin xtechnology xand xseeking xof
xcures xwithin xthe xmarket xjustice xsystem xhas xstifled xthe xevolution xof xa xhealth xsystem xto
xprotect xand xpreserve xthe xhealth xof xthe xpopulation. xAlthough xindividual xautonomy xand
xfreedom xof xchoice xare ximportant, xso xis xthe xrecognition xof xcollective xresponsibility xin
xensuring xsocial xjustice, x which xentitles xall xpeople xto xbasic xnecessities.
NURSINGTB.COM
DIF: Cognitive xLevel: xApply x(Application)
5. What xis xthe xprimary xproblem xseen xin xHealthy xPeople x2020’s xemphasis xon xchoosing
xhealthy xlifestyle xbehaviors, xsuch xas xdaily xexercise xor xhealthy xfood xchoices?
a. Emphasis xon xother xlifestyle xchoices, xsuch xas xnot xsmoking xand xminimal
x use xof xalcohol xor xdrugs, xis xalso xneeded.
b. All xof xus xmust xwork xtogether xto xmake xunhealthy xbehaviors xsocially xunacceptable.
c. It xcosts xmore xto xmake xhealthy xchoices, xsuch xas xbuying xand xeating xfresh xfruits
x and xvegetables xas xopposed xto xquick xand xcheap xfast-food xchoices.
d. Public xpolicy xemphasizes xpersonal xresponsibility xbut xignores xsocial
x and xenvironmental xchanges xneeded xfor xwell-being.
ANS: x D
Although xall xresponses xare xaccurate, xthe xprimary xproblem xis xthe xemphasis xon xpersonal
xchoices xin xthe xHealthy xPeople x2020 xobjectives. xEmphasis xon xpersonal xchoices xignores
xthe xneed xfor xcommunity xresponsibility xand xaction xthat xaddresses xenvironmental xor
xcultural xrestraints xto xhealth.
DIF: Cognitive xLevel: xApply x(Application)
6. What xresponsibility xdoes xthe xAmerican xNurses xAssociation x(ANA) xCode xof xEthics
xrequire xof xthe xnurse xbeyond xgiving xexcellent xcare xto xpatients?
a. Accept xlonger xwork xschedules xto xensure xthat xprofessional xcare xis xalways xavailable
, to xclients.
b. Recognize xthe xneed xfor xexperienced xnurses xto xmentor xnew xgraduates xto
x help xincrease xand xexpand xthe xnumber xof xprofessionals xavailable.
c. Support xhealth xlegislation xto ximprove xaccessibility xand xcost xof xhealth xcare.
d. Volunteer xto xwork xovertime xas xneeded xto xensure xmaximum xquality xof xcare.
ANS: x C
The xANA xCode xof xEthics xpromotes xsocial xreform xby xfocusing xon xhealth xpolicy xand
xlegislation xto xpositively xaffect xaccessibility, xquality, xand xcost xof xhealth xcare. xThe xcode
xdoes xnot xdirectly xaddress xworkplace xissues, xsuch xas xwork xschedules xor xneed xfor
xovertime.
DIF: Cognitive xLevel: xAnalyze x(Analysis)
7. What xis xthe xcommunity xhealth xnursing xdefinition xof xhealth?
a. Health xis xa xperson’s xgoal-directed xpurposeful xprocess xtoward xwell-being
x or xwholeness.
b. Health xis xan xindividual’s xphysical, xmental, xand xsocial xwell-being, xnot xmerely
x the xabsence xof xdisease xor xinfirmity.
c. Health xis xthe xmutual xadaptation xbetween xa xperson xand xhis xor xher
x environment xin xmeeting xdaily xexistence.
d. Health xis xfamilies xand xaggregates xchoosing xactions xto xensure xsafety xand xwell-being.
ANS: x D
The xtext xstresses xthat xhealth xis xnot xjust xthe xresult xof xan xindividual’s xchoices, xbut xchoices
xand xactions xof xindividuals, xfamilies, xgroups, xand xcommunities xthat xlead xto xbetter
xhealth.
DIF: Cognitive xLevel: xApply x(Application)
NS
U RIx
x N GT B.C M
x
x
x
x O
x x
8. How xdoes xcommunity x health nursing define community?
x x x
a. A xgroup xof xpersons xliving xwithin xspecific xgeographic xboundaries
b. A xgroup xof xpersons xwho xshare xa xcommon xidentity xand xenvironment
c. A xgroup xof xpersons xwho x work xtogether xto xmeet xcommon xgoals
d. A xgroup xof xpersons xwho xresolve xa xcommunity xconcern
ANS: x B
Community xhealth xnurses xwork xwith xboth xgeopolitical xgroups x(within xspecific xgeographic
xboundaries) xand xphenomenological xgroups x(who xhave xa xcommon xidentity xbased xon
xculture, xhistory, xor xgoals). xA xparticular xphenomenological xgroup xmay xor xmay xnot xhave
xbeen xa xplanned xgroup—that xis, xa xgroup xthat xcame xtogether xto xresolve xa xrecognized
xcommon xproblem xor xto xmeet xa xcommon xgoal. xHowever, xof xall xthe xchoices, xa xgroup xof
xpersons xwho xshare xa xcommon xidentity x(phenomenological xgroup) xand xenvironment
x(which ximplies xa xspecific xgeographic xsetting) xis xthe xbroadest xand xmost xcomplete
xdefinition.
DIF: Cognitive xLevel: xApply x(Application)
9. Which xvariable xhas xa xmajor xinfluence xon xa xcommunity’s xhealth?
a. Behavior xchoices xmade xby xpersons xin xthe xcommunity
ANS:
xA
, b. Number xof xhealth xcare xproviders xand xhospitals xin xthe xcommunity
c. Quality xof xthe xpublic xsafety xofficers x(police xofficers, xfirefighters, xetc.)
d. The xnumber xand xcredentials xof xpublic xhealth xofficials xin xthe xcommunity
ANS:
xA