SCHOLARVAULT
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that
Americans are concerned about health care?
a. Politicians are discussing how to improve health
care.
b. The media has provided mixed messages about the
health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to
Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American m ed iNa.
b. Nurses are primarily responUsibS
le foNr mTanagingOthe various units in our health care
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
SCHOLARVAULT
, centers.
b. There #gfis #gfan #gfincreased #gfemphasis #gfon #gfcommunity-based #gfhealth #gfcare.
c. There #gfis #gfan #gfobvious #gfneed #gfto #gfdecrease #gfhealth #gfcare #gfcosts #gfby #gfcutting #gfpositions.
d. Managed #gfcare #gforganizations #gf(MCOs) #gfare #gfemploying #gfnurses #gfto #gfimprove #gfcustomer
relations.
ANS: # g f B
MCOs #gfare #gfemploying #gfnurses #gfin #gfmany #gfcapacities. #gfAlthough #gfhospitals #gfare #gfclosing #gfand
#gfacute #gfcare #gfis #gfincreasingly #gffound #gfin #gfcentral #gfmedical #gfcenters, #gfthe #gfsame #gftrend #gfmay
#gfbe #gfseen #gfin #gfan #gfincrease #gfin #gfneighborhood-based #gfpractice #gfcenters. #gfWhile #gfpositions
#gfare #gfcut #gfin #gfmost #gfindustries, #gfhealth #gfcare #gfis #gfrecognized #gfas #gfan #gfarea #gfwhere #gfgrowth #gfin
#gfemployment #gfis #gfexpected. #gfHowever, #gfnurses #gfare #gfincreasingly #gfemployed #gfin #gfcommunity
#gfsettings #gfas #gfopposed #gfto #gfhospitals. #gfThis #gfchange #gfreflects #gfthe #gfmove #gftoward
#gfcommunity-based #gfcare #gfrather #gfthan #gfhospital-based #gftertiary #gfcare. #gfTo #gfhelp #gfdecrease
#gfthe #gfcontinued #gfrise #gfin #gfhealth #gfcare #gfcosts, #gfthe #gfincreased #gfemphasis #gfis #gfon #gfdisease
#gfprevention #gfrather #gfthan #gfhigh-cost #gftreatment.
DIF: Cognitive #gfLevel: #gfUnderstand #gf(Comprehension)
4. Which #gfethical #gfbelief #gfwould #gfbe #gfmost #gfhelpful #gfin #gfthe #gfcurrent #gfhealth #gfcare #gfcrisis?
a. Emphasis #gfshould #gfbe #gfon #gfindividual #gfand #gfcorporation #gffreedom #gfin #gfthe #gfmarketplace.
b. Emphasis #gfshould #gfbe #gfon #gfindividual #gfautonomy #gfand #gffreedom #gfof #gfchoice.
c. Emphasis #gfshould #gfbe #gfon #gfsocial #gfjustice #gfand #gfcollective #gfresponsibility.
d. Emphasis #gfshould #gfbe #gfon #gfthe #gfeffectiveness #gfof #gftechnology #gfin #gfresolving #gfproblems.
ANS: # g f C
Public #gfhealth #gfrecognizes #gfthe #gfnecessity #gfof #gfcollective #gfaction #gfin #gfkeeping #gfthe
#gfenvironment #gfsafe #gfand #gfin #gfegalitarian #gftradition #gfand #gfvision. #gfAn #gfoverinvestment #gfin
#gftechnology #gfand #gfseeking #gfof #gfcures #gfwithin #gfthe #gfmarket #gfjustice #gfsystem #gfhas #gfstifled #gfthe
#gfevolution #gfof #gfa #gfhealth #gfsystem #gfto #gfprotect #gfand #gfpreserve #gfthe #gfhealth #gfof #gfthe
#gfpopulation. #gfAlthough #gfindividual #gfautonomy #gfand #gffreedom #gfof #gfchoice #gfare #gfimportant,
#gfso #gfis #gfthe #gfrecognition #gfof #gfcollective #gfresponsibility #gfin #gfensuring #gfsocial #gfjustice, #gfwhich
#gfentitles #gfall #gfpeople #gfto #gfbasic #gfnecessities.
DIF: Cognitive #gfLevel: #gfApply #gf(Application)
5. What #gfis #gfthe #gfprimary #gfproblem #gfseen #gfin #gfHealthy #gfPeople #gf2020’s #gfemphasis #gfon
choosing #gfhealthy #gflifestyle #gfbehaviors, #gfsuch #gfas #gfdaily #gfexercise #gfor #gfhealthy #gffood
#gf
choices?
#gf
a. Emphasis #gfon #gfother #gflifestyle #gfchoices, #gfsuch #gfas #gfnot #gfsmoking #gfand
#gfminimal #gfuse #gfof #gfalcohol #gfor #gfdrugs, #gfis #gfalso #gfneeded.
b. All #gfof #gfus #gfmust #gfwork #gftogether #gfto #gfmake #gfunhealthy #gfbehaviors #gfsocially #gfunacceptable.
c. It #gfcosts #gfmore #gfto #gfmake #gfhealthy #gfchoices, #gfsuch #gfas #gfbuying #gfand #gfeating #gffresh
#gffruits #gfand #gfvegetables #gfas #gfopposed #gfto #gfquick #gfand #gfcheap #gffast-food
#gfchoices.
d. Public #gfpolicy #gfemphasizes #gfpersonal #gfresponsibility #gfbut #gfignores
#gfsocial #gfand #gfenvironmental #gfchanges #gfneeded #gffor #gfwell-being.
ANS: # g f D
Although #gfall #gfresponses #gfare #gfaccurate, #gfthe #gfprimary #gfproblem #gfis #gfthe #gfemphasis #gfon
#gfpersonal #gfchoices #gfin #gfthe #gfHealthy #gfPeople #gf2020 #gfobjectives. #gfEmphasis #gfon #gfpersonal
#gfchoices #gfignores #gfthe #gfneed #gffor #gfcommunity #gfresponsibility #gfand #gfaction #gfthat #gfaddresses
#gfenvironmental #gfor #gfcultural #gfrestraints #gfto #gfhealth.
DIF: Cognitive #gfLevel: #gfApply #gf(Application)
SCHOLARVAULT
, 6. What #gfresponsibility #gfdoes #gfthe #gfAmerican #gfNurses #gfAssociation #gf(ANA) #gfCode #gfof #gfEthics
require #gfof #gfthe #gfnurse #gfbeyond #gfgiving #gfexcellent #gfcare #gfto #gfpatients?
#gf
SCHOLARVAULT
,Chapter 01: Health: A Community View Nies:
Community/Public Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which best describes the primary reason that
Americans are concerned about health care?
a. Politicians are discussing how to improve health
care.
b. The media has provided mixed messages about the
health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to
Americans.
ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which
cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
care; however, they are not the primary reason why Americans are concerned. The new health
care system will change the health care access and availability, but will not necessarily be
offering any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American m ed iNa.
b. Nurses are primarily responUsibS
le foNr mTanagingOthe various units in our health care
system.
c. Nurses are the largest segment of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANS: C
As the largest segment of health care providers, nurses are informed about the current health
care system and all the problems that result from people not seeking care until they are
desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
our current health care delivery system, can also be instrumental in working politically to
create a health care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals, physicians and other
health care providers are as well. Nurses are often managers, but managers often have other
backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension)
3. What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical
SCHOLARVAULT
, centers.
b. There #gfis #gfan #gfincreased #gfemphasis #gfon #gfcommunity-based #gfhealth #gfcare.
c. There #gfis #gfan #gfobvious #gfneed #gfto #gfdecrease #gfhealth #gfcare #gfcosts #gfby #gfcutting #gfpositions.
d. Managed #gfcare #gforganizations #gf(MCOs) #gfare #gfemploying #gfnurses #gfto #gfimprove #gfcustomer
relations.
ANS: # g f B
MCOs #gfare #gfemploying #gfnurses #gfin #gfmany #gfcapacities. #gfAlthough #gfhospitals #gfare #gfclosing #gfand
#gfacute #gfcare #gfis #gfincreasingly #gffound #gfin #gfcentral #gfmedical #gfcenters, #gfthe #gfsame #gftrend #gfmay
#gfbe #gfseen #gfin #gfan #gfincrease #gfin #gfneighborhood-based #gfpractice #gfcenters. #gfWhile #gfpositions
#gfare #gfcut #gfin #gfmost #gfindustries, #gfhealth #gfcare #gfis #gfrecognized #gfas #gfan #gfarea #gfwhere #gfgrowth #gfin
#gfemployment #gfis #gfexpected. #gfHowever, #gfnurses #gfare #gfincreasingly #gfemployed #gfin #gfcommunity
#gfsettings #gfas #gfopposed #gfto #gfhospitals. #gfThis #gfchange #gfreflects #gfthe #gfmove #gftoward
#gfcommunity-based #gfcare #gfrather #gfthan #gfhospital-based #gftertiary #gfcare. #gfTo #gfhelp #gfdecrease
#gfthe #gfcontinued #gfrise #gfin #gfhealth #gfcare #gfcosts, #gfthe #gfincreased #gfemphasis #gfis #gfon #gfdisease
#gfprevention #gfrather #gfthan #gfhigh-cost #gftreatment.
DIF: Cognitive #gfLevel: #gfUnderstand #gf(Comprehension)
4. Which #gfethical #gfbelief #gfwould #gfbe #gfmost #gfhelpful #gfin #gfthe #gfcurrent #gfhealth #gfcare #gfcrisis?
a. Emphasis #gfshould #gfbe #gfon #gfindividual #gfand #gfcorporation #gffreedom #gfin #gfthe #gfmarketplace.
b. Emphasis #gfshould #gfbe #gfon #gfindividual #gfautonomy #gfand #gffreedom #gfof #gfchoice.
c. Emphasis #gfshould #gfbe #gfon #gfsocial #gfjustice #gfand #gfcollective #gfresponsibility.
d. Emphasis #gfshould #gfbe #gfon #gfthe #gfeffectiveness #gfof #gftechnology #gfin #gfresolving #gfproblems.
ANS: # g f C
Public #gfhealth #gfrecognizes #gfthe #gfnecessity #gfof #gfcollective #gfaction #gfin #gfkeeping #gfthe
#gfenvironment #gfsafe #gfand #gfin #gfegalitarian #gftradition #gfand #gfvision. #gfAn #gfoverinvestment #gfin
#gftechnology #gfand #gfseeking #gfof #gfcures #gfwithin #gfthe #gfmarket #gfjustice #gfsystem #gfhas #gfstifled #gfthe
#gfevolution #gfof #gfa #gfhealth #gfsystem #gfto #gfprotect #gfand #gfpreserve #gfthe #gfhealth #gfof #gfthe
#gfpopulation. #gfAlthough #gfindividual #gfautonomy #gfand #gffreedom #gfof #gfchoice #gfare #gfimportant,
#gfso #gfis #gfthe #gfrecognition #gfof #gfcollective #gfresponsibility #gfin #gfensuring #gfsocial #gfjustice, #gfwhich
#gfentitles #gfall #gfpeople #gfto #gfbasic #gfnecessities.
DIF: Cognitive #gfLevel: #gfApply #gf(Application)
5. What #gfis #gfthe #gfprimary #gfproblem #gfseen #gfin #gfHealthy #gfPeople #gf2020’s #gfemphasis #gfon
choosing #gfhealthy #gflifestyle #gfbehaviors, #gfsuch #gfas #gfdaily #gfexercise #gfor #gfhealthy #gffood
#gf
choices?
#gf
a. Emphasis #gfon #gfother #gflifestyle #gfchoices, #gfsuch #gfas #gfnot #gfsmoking #gfand
#gfminimal #gfuse #gfof #gfalcohol #gfor #gfdrugs, #gfis #gfalso #gfneeded.
b. All #gfof #gfus #gfmust #gfwork #gftogether #gfto #gfmake #gfunhealthy #gfbehaviors #gfsocially #gfunacceptable.
c. It #gfcosts #gfmore #gfto #gfmake #gfhealthy #gfchoices, #gfsuch #gfas #gfbuying #gfand #gfeating #gffresh
#gffruits #gfand #gfvegetables #gfas #gfopposed #gfto #gfquick #gfand #gfcheap #gffast-food
#gfchoices.
d. Public #gfpolicy #gfemphasizes #gfpersonal #gfresponsibility #gfbut #gfignores
#gfsocial #gfand #gfenvironmental #gfchanges #gfneeded #gffor #gfwell-being.
ANS: # g f D
Although #gfall #gfresponses #gfare #gfaccurate, #gfthe #gfprimary #gfproblem #gfis #gfthe #gfemphasis #gfon
#gfpersonal #gfchoices #gfin #gfthe #gfHealthy #gfPeople #gf2020 #gfobjectives. #gfEmphasis #gfon #gfpersonal
#gfchoices #gfignores #gfthe #gfneed #gffor #gfcommunity #gfresponsibility #gfand #gfaction #gfthat #gfaddresses
#gfenvironmental #gfor #gfcultural #gfrestraints #gfto #gfhealth.
DIF: Cognitive #gfLevel: #gfApply #gf(Application)
SCHOLARVAULT
, 6. What #gfresponsibility #gfdoes #gfthe #gfAmerican #gfNurses #gfAssociation #gf(ANA) #gfCode #gfof #gfEthics
require #gfof #gfthe #gfnurse #gfbeyond #gfgiving #gfexcellent #gfcare #gfto #gfpatients?
#gf
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