Test Bank - Community/Public Health Nursing, 8th Edition (Nies, 2024), Chapter 1-34 | All Chapters

,TableofContents
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Chapter01HealthACommunity View
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Chapter02 Historical Factors Community Health Nursing in Context
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Chapter03 Thinking Upstream Nursing Theories and Population-FocusedNursing Practice
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Chapter04HealthPromotionandRisk Reduction
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Chapter05Epidemiology
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Chapter06CommunityAssessment
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Chapter07 CommunityHealth Planning, Implementation, and Evaluation
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Chapter08CommunityHealthEducation
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Chapter09CaseManagement
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Chapter10 Policy, Politics, Legislation, andCommunity Health Nursing
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Chapter11 TheHealthCare System
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Chapter12EconomicsofHealthCare
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Chapter13 Cultural Diversity and Community Health Nursing
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Chapter14 Environmental Health
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Chapter15 Healthin theGlobalCommunity
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Chapter16ChildandAdolescent Health
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Chapter17Women'sHealth
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Chapter18Men'sHealth
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Chapter19SeniorHealth
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Chapter20FamilyHealth
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Chapter21PopulationsAffectedbyDisabilities
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Chapter22VeteransHealth
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Chapter23HomelessPopulations
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Chapter24 RuralandMigrant Health
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Chapter25PopulationsAffectedbyMentalIllness
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Chapter26 Communicable Disease
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Chapter27SubstanceAbuse
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Chapter28Violence
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Chapter29NaturalandMan-Made Disasters
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Chapter30SchoolHealth
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Chapter 31 Occupational Health
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Chapter32ForensicandCorrectionalNursing
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Chapter33FaithCommunityNursing
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Chapter34HomeHealthandHospice
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,Chapter01:Health:ACommunityView
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Nies: Community/PublicHealthNursing,8thEdition
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MULTIPLECHOICE b




1. Whichbest describes the primaryreason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. b b b b b b b




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




d. Thenew health care system offers free services to Americans.
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ANS: C b




The primary reason for the focus on health care is the constantly increasing costs, which c annot be
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sustained. The costs of caring for the sick accounted for the majority of escalatin g health care
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dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 2015.
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Politicians and the media both influence Americans‘ perceptions about heal th care; however,
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they are not the primary reason why Americans are concerned. The new h ealth caresystem will
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change the health care access and availability, but will not necessaril y be offering any free
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services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) b b b




2. Anursehasbeguntolobbywithpoliticiansforchangestothehealthcaresystem.Whyist his
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involvement important?
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a. Nurses,ascentralcharactersinseveralpopularTVseries,arecurrentlyve ry b b b b b b b b b b b b




visible in American medi N a. RI G B.CM b b b b b




b. Nurses areprimarilyrespon sib lefo rmTanagingOthe variousunitsinourhealthcare
U S N
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b




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




d. Nurses are the only group that is employed both inside and outside of hospitals. b b b b b b b b b b b b b




ANS:C b




As thelargest segment ofhealth careproviders, nurses areinformed about the current healt h care
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system and all the problems that result from people not seeking care until they are d esperately ill.
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Nurses, as the American Nurses Association (ANA) emphasize, usually belie ve that health care
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is a right, not a privilege. Therefore, nurses, whose work is central to o ur current health care
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delivery system, can also be instrumental in working politically to cr eate a health care delivery
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system that will meet health needs. While nurses are in several current TV series and are employed
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both inside and outside ofhospitals, physicians and oth er health care providers are as well.
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Nurses are often managers, but managers often have o ther backgrounds, such as business
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administration.
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DIF: Cognitive Level: Understand (Comprehension) b b b




3. What conclusion can be drawn from examining where nurses are employed?
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a. Thereisatrendtowardconsolidationofhealthcareintolargecentralmedic al b b b b b b b b b b b b b




centers. b




b. Thereis an increased emphasis on community-based health care. b b b b b b b b




c. Thereis 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 b b b b b b b b b

, Comm
Stuuvniai.tc-yomPublic HealthNursing8thEditionNiesTest Ban b
wl
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relations.
ANS:B b




MCOs are employing nurses in many capacities. Although hospitals are closing and acute ca re is
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increasingly found in central medical centers, the same trend may be seen in an increa se in
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neighborhood-
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based practice centers. While positions are cut in most industries, health care is recognized as an
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area where growth in employment is expected. However, nurses are increasingly empl oyed in
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community settings as opposed to hospitals. This change reflects the move toward c ommunity-
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based care rather than hospital-b b b b




based tertiary care. To help decrease the continued rise in health care costs, the increased e
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mphasis is on disease prevention rather than high-cost treatment.
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DIF: CognitiveLevel:Understand(Comprehension)
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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. b b b b b b b b b b




b. Emphasis should be on individual autonomy and freedom of choice. b b b b b b b b b




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




d. Emphasis should be on the effectiveness of technology in resolving problems. b b b b b b b b b b




ANS:C b




Public health recognizes the necessity of collective action in keeping the environment safe a nd in
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egalitarian tradition and vision. An overinvestment in technology and seeking of cure s within the
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market justice system has stifled the evolution of a health system to protect an d preserve the health of
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the population. Although individual autonomy and freedom of choi ce are important, so is the
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brecognition of collective responsibility in ensuring social justice, b b b b b b b




which entitles all people to basic necessities.
NR IGB.CM
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DIF: CognitiveLevel: Apply( A p p S
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5. WhatistheprimaryproblemseeninHealthyPeople2020’semphasisonchoosinghealt hy
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lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasisonotherlifestylechoices,suchasnotsmokingandminimaluse of b b b b b b b b b b b b




alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. Itcostsmoretomakehealthychoices,suchasbuyingandeatingfreshfruitsa nd
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vegetables as opposed to quick and cheap fast-food choices.
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d. Publicpolicyemphasizespersonalresponsibilitybutignoressocialan d b b b b b b b b b




environmental changes needed for well-being.
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ANS:D b




Although all responses are accurate, the primary problem is the emphasis on personal choic es in the
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Healthy People 2020 objectives. Emphasis on personal choices ignores the need f or community
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responsibility and action that addresses environmental or cultural restraints t o health.
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DIF: CognitiveLevel: Apply(Application)
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6. WhatresponsibilitydoestheAmericanNursesAssociation(ANA)CodeofEthicsrequire of the
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bnurse beyond giving excellent care to patients?
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a. Accept longer work schedules to ensure that professional care is always available b b b b b b b b b b b