Test Bank For Community/Public Health
Nursing: Promoting the Health of Populations
8th Edition
by Mary A. Nies, Melanie McEwen
Chapter 1 - 34
,
,Chapter4c01:4cHealth:4cA4cCommunity4cView
Nies:4cCommunity/Public4cHealth4cNursing,4c8th4cEdition
MULTIPLE4cCHOICE
1. Which4cbest4cdescribes4cthe4cprimary4creason4cthat4cAmericans4care4cconcerned4cabout4chealth4ccare?
a. Politicians4care4cdiscussing4chow4cto4cimprove4chealth4ccare.
b. The4cmedia4chas4cprovided4cmixed4cmessages4cabout4cthe4chealth4ccare4csystem.
c. Our4cnational4chealth4ccare4ccosts4ckeep4cincreasing.
d. The4cnew4chealth4ccare4csystem4coffers4cfree4cservices4cto4cAmericans.
ANS:4c C
The4cprimary4creason4cfor4cthe4cfocus4con4chealth4ccare4cis4cthe4cconstantly4cincreasing4ccosts,4cwhi
ch4ccannot4cbe4csustained.4cThe4ccosts4cof4ccaring4cfor4cthe4csick4caccounted4cfor4cthe4cmajority4cof4
cescalating4chealth4ccare4cdollars,4cwhich4cincreased4cfrom4c5.7%4cof4cthe4cgross4cdomestic4cprodu
ct4cin4c19654cto4c17.8%4cin4c2015.4cPoliticians4cand4cthe4cmedia4cboth4cinfluence4cAmericans’4cperc
eptions4cabout4chealth4cc are;4chowever,4cthey4care4cnot4cthe4cprimary4creason4cwhy4cAmericans4care4c
concerned.4cThe4cnew4chealth4cc are4csystem4cwill4cchange4cthe4chealth4ccare4caccess4cand4cavailabili
ty,4cbut4cwill4cnot4cnecessarily4cbe4coffering4cany4cfree4cservices4cto4cAmericans.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
2. A4cnurse4chas4cbegun4cto4clobby4cwith4cpoliticians4cfor4cchanges4cto4cthe4chealth4ccare4csystem.4cWh
y4cis4cthis4cinvolvement4cimportant?
e. Nurses,4cas4ccentral4ccharacters4cin4cseveral4cpopular4cTV4cseries,4care4ccurrently4cvery
a.4c4 c R4cI
visible4cin4cAmerican4cmed4ciN
f. Nurses4care4cprimarily4cre sponUsi4cbS
le4 c foNr4cmTanagingOthe4 c various4cunits4cin4cour4chealt
h4ccare4csystem.
g. Nurses4care4cthe4clargest4csegment4cof4chealth4ccare4cproviders.
h. Nurses4care4cthe4conly4cgroup4cthat4cis4cemployed4cboth4cinside4cand4coutside4cof4chospitals.
ANS:4c C
As4cthe4clargest4csegment4cof4chealth4ccare4cproviders,4cnurses4care4cinformed4cabout4cthe4ccurrent4
chealth4c
c are4csystem4cand4call4cthe4cproblems4cthat4cresult4cfrom4cpeople4cnot4cseeking4ccare4cuntil4ct
hey4care4cdesperately4cill.4cNurses,4cas4cthe4cAmerican4cNurses4cAssociation4c(ANA)4cemphasize,
4cusually4cbelieve4cthat4chealth4ccare4cis4ca4cright,4cnot4ca4cprivilege.4cTherefore,4cnurses,4cwhose4cw
ork4cis4ccentral4cto4cour4ccurrent4chealth4ccare4cdelivery4csystem,4ccan4calso4cbe4cinstrumental4cin4cw
orking4cpolitically4cto4ccreate4ca4chealth4ccare4cdelivery4csystem4cthat4cwill4cmeet4chealth4cneeds.4c
While4cnurses4care4cin4cseveral4ccurrent4cTV4cseries4cand4care4cemployed4cboth4cinside4cand4coutside
4cof4chospitals,4cphysicians4cand4cother4chealth4ccare4cproviders4care4cas4cwell.4cNurses4care4coften4cm
anagers,4cbut4cmanagers4coften4chave4cother4cbackgrounds,4csuch4cas4cbusiness4cadministration.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
3. What4cconclusion4ccan4cbe4cdrawn4cfrom4cexamining4cwhere4cnurses4care4cemployed?
i. There4cis4ca4ctrend4ctoward4cconsolidation4cof4chealth4ccare4cinto4clarge4ccentral4cm
edical4cc enters.
j. There4cis4can4cincreased4cemphasis4con4ccommunity-based4chealth4ccare.
k. There4cis4can4cobvious4cneed4cto4cdecrease4chealth4ccare4ccosts4cby4ccutting4cpositions.
Managed4ccare4corganizations4c(MCOs)4care4cemploying4cnurses4cto4cimprove4ccustom
er
, relations.
ANS:4 c B
MCOs4care4cemploying4cnurses4cin4cmany4ccapacities.4cAlthough4chospitals4care4cclosing4cand4cacut
e4ccare4ic s4cincreasingly4cfound4cin4ccentral4cmedical4ccenters,4cthe4csame4ctrend4cmay4cbe4cseen4cin4c
an4cincrease4cin4cneighborhood-
based4cpractice4ccenters.4cWhile4cpositions4care4ccut4cin4cmost4cindustries,4chealth4ccare4cis4crecogni
zed4cas4can4carea4cwhere4cgrowth4cin4cemployment4cis4cexpected.4cHowever,4cnurses4care4cincreasi
ngly4cemployed4cin4ccommunity4csettings4cas4copposed4cto4chospitals.4cThis4cchange4creflects4cthe4c
move4ctoward4ccommunity-based4ccare4crather4cthan4chospital-
based4ctertiary4ccare.4cTo4chelp4cdecrease4cthe4ccontinued4crise4cin4chealth4ccare4ccosts,4cthe4cincreas
ed4cemphasis4cis4con4cdisease4cprevention4crather4cthan4chigh-cost4ctreatment.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
4. Which4cethical4cbelief4cwould4cbe4cmost4chelpful4cin4cthe4ccurrent4chealth4ccare4ccrisis?
a. Emphasis4cshould4cbe4con4cindividual4cand4ccorporation4cfreedom4cin4cthe4cmarketplace.
b. Emphasis4cshould4cbe4con4cindividual4cautonomy4cand4cfreedom4cof4cchoice.
c. Emphasis4cshould4cbe4con4csocial4cjustice4cand4ccollective4cresponsibility.
d. Emphasis4cshould4cbe4con4cthe4ceffectiveness4cof4ctechnology4cin4cresolving4cproblems.
ANS:4c C
Public4chealth4crecognizes4cthe4cnecessity4cof4ccollective4caction4cin4ckeeping4cthe4cenvironment4csa
fe4cand4cin4cegalitarian4ctradition4cand4cvision.4cAn4coverinvestment4cin4ctechnology4cand4cseeking4c
of4ccures4cwithin4cthe4cmarket4cjustice4csystem4chas4cstifled4cthe4cevolution4cof4ca4chealth4csystem4c
to4cprotect4cand4cpreserve4cthe4chealth4cof4cthe4cpopulation.4cAlthough4cindividual4cautonomy4can
d4cfreedom4cof4cchoice4care4cimportant,4cso4cis4cthe4crecognition4cof4ccollective4cresponsibility4cin4c
ensuring4csocial4cjustice,4cwhich4centitles4call4cpeople4cto4cbasic4cnecessities.
,
DIF: Cognitive4cLevel:4cApply4c(Application)
5. What4cis4cthe4cprimary4cproblem4cseen4cin4cHealthy4cPeople4c2020’s4cemphasis4con4cchoosing4c
healthy4clifestyle4cbehaviors,4csuch4cas4cdaily4cexercise4cor4chealthy4cfood4cchoices?
a. Emphasis4con4cother4clifestyle4cchoices,4csuch4cas4cnot4csmoking4cand4cminimal4c
use4cof4calcohol4cor4cdrugs,4cis4calso4cneeded.
b. All4cof4cus4cmust4c work4ctogether4cto4cmake4cunhealthy4cbehaviors4csocially4cunacceptable.
c. It4ccosts4cmore4cto4cmake4chealthy4cchoices,4csuch4cas4cbuying4cand4ceating4cfresh4cfru
its4cand4cvegetables4cas4copposed4cto4cquick4cand4ccheap4cfast-food4cchoices.
d. Public4cpolicy4cemphasizes4cpersonal4cresponsibility4cbut4cignores4csocial4c
and4cenvironmental4cchanges4cneeded4cfor4cwell-being.
ANS:4c D
Although4call4cresponses4care4caccurate,4cthe4cprimary4cproblem4cis4cthe4cemphasis4con4cpersonal4cch
oices4cin4cthe4cHealthy4cPeople4c20204cobjectives.4cEmphasis4con4cpersonal4cchoices4cignores4cthe4c
need4cfor4ccommunity4cresponsibility4cand4caction4cthat4caddresses4cenvironmental4cor4ccultural4cr
estraints4cto4chealth.
DIF: Cognitive4cLevel:4cApply4c(Application)
6. What4cresponsibility4cdoes4cthe4cAmerican4cNurses4cAssociation4c(ANA)4cCode4cof4cEthics4crequ
ire4cof4cthe4cnurse4cbeyond4cgiving4cexcellent4ccare4cto4cpatients?
a. Accept4clonger4cwork4cschedules4cto4censure4cthat4cprofessional4ccare4cis4calways4cavailable
Nursing: Promoting the Health of Populations
8th Edition
by Mary A. Nies, Melanie McEwen
Chapter 1 - 34
,
,Chapter4c01:4cHealth:4cA4cCommunity4cView
Nies:4cCommunity/Public4cHealth4cNursing,4c8th4cEdition
MULTIPLE4cCHOICE
1. Which4cbest4cdescribes4cthe4cprimary4creason4cthat4cAmericans4care4cconcerned4cabout4chealth4ccare?
a. Politicians4care4cdiscussing4chow4cto4cimprove4chealth4ccare.
b. The4cmedia4chas4cprovided4cmixed4cmessages4cabout4cthe4chealth4ccare4csystem.
c. Our4cnational4chealth4ccare4ccosts4ckeep4cincreasing.
d. The4cnew4chealth4ccare4csystem4coffers4cfree4cservices4cto4cAmericans.
ANS:4c C
The4cprimary4creason4cfor4cthe4cfocus4con4chealth4ccare4cis4cthe4cconstantly4cincreasing4ccosts,4cwhi
ch4ccannot4cbe4csustained.4cThe4ccosts4cof4ccaring4cfor4cthe4csick4caccounted4cfor4cthe4cmajority4cof4
cescalating4chealth4ccare4cdollars,4cwhich4cincreased4cfrom4c5.7%4cof4cthe4cgross4cdomestic4cprodu
ct4cin4c19654cto4c17.8%4cin4c2015.4cPoliticians4cand4cthe4cmedia4cboth4cinfluence4cAmericans’4cperc
eptions4cabout4chealth4cc are;4chowever,4cthey4care4cnot4cthe4cprimary4creason4cwhy4cAmericans4care4c
concerned.4cThe4cnew4chealth4cc are4csystem4cwill4cchange4cthe4chealth4ccare4caccess4cand4cavailabili
ty,4cbut4cwill4cnot4cnecessarily4cbe4coffering4cany4cfree4cservices4cto4cAmericans.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
2. A4cnurse4chas4cbegun4cto4clobby4cwith4cpoliticians4cfor4cchanges4cto4cthe4chealth4ccare4csystem.4cWh
y4cis4cthis4cinvolvement4cimportant?
e. Nurses,4cas4ccentral4ccharacters4cin4cseveral4cpopular4cTV4cseries,4care4ccurrently4cvery
a.4c4 c R4cI
visible4cin4cAmerican4cmed4ciN
f. Nurses4care4cprimarily4cre sponUsi4cbS
le4 c foNr4cmTanagingOthe4 c various4cunits4cin4cour4chealt
h4ccare4csystem.
g. Nurses4care4cthe4clargest4csegment4cof4chealth4ccare4cproviders.
h. Nurses4care4cthe4conly4cgroup4cthat4cis4cemployed4cboth4cinside4cand4coutside4cof4chospitals.
ANS:4c C
As4cthe4clargest4csegment4cof4chealth4ccare4cproviders,4cnurses4care4cinformed4cabout4cthe4ccurrent4
chealth4c
c are4csystem4cand4call4cthe4cproblems4cthat4cresult4cfrom4cpeople4cnot4cseeking4ccare4cuntil4ct
hey4care4cdesperately4cill.4cNurses,4cas4cthe4cAmerican4cNurses4cAssociation4c(ANA)4cemphasize,
4cusually4cbelieve4cthat4chealth4ccare4cis4ca4cright,4cnot4ca4cprivilege.4cTherefore,4cnurses,4cwhose4cw
ork4cis4ccentral4cto4cour4ccurrent4chealth4ccare4cdelivery4csystem,4ccan4calso4cbe4cinstrumental4cin4cw
orking4cpolitically4cto4ccreate4ca4chealth4ccare4cdelivery4csystem4cthat4cwill4cmeet4chealth4cneeds.4c
While4cnurses4care4cin4cseveral4ccurrent4cTV4cseries4cand4care4cemployed4cboth4cinside4cand4coutside
4cof4chospitals,4cphysicians4cand4cother4chealth4ccare4cproviders4care4cas4cwell.4cNurses4care4coften4cm
anagers,4cbut4cmanagers4coften4chave4cother4cbackgrounds,4csuch4cas4cbusiness4cadministration.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
3. What4cconclusion4ccan4cbe4cdrawn4cfrom4cexamining4cwhere4cnurses4care4cemployed?
i. There4cis4ca4ctrend4ctoward4cconsolidation4cof4chealth4ccare4cinto4clarge4ccentral4cm
edical4cc enters.
j. There4cis4can4cincreased4cemphasis4con4ccommunity-based4chealth4ccare.
k. There4cis4can4cobvious4cneed4cto4cdecrease4chealth4ccare4ccosts4cby4ccutting4cpositions.
Managed4ccare4corganizations4c(MCOs)4care4cemploying4cnurses4cto4cimprove4ccustom
er
, relations.
ANS:4 c B
MCOs4care4cemploying4cnurses4cin4cmany4ccapacities.4cAlthough4chospitals4care4cclosing4cand4cacut
e4ccare4ic s4cincreasingly4cfound4cin4ccentral4cmedical4ccenters,4cthe4csame4ctrend4cmay4cbe4cseen4cin4c
an4cincrease4cin4cneighborhood-
based4cpractice4ccenters.4cWhile4cpositions4care4ccut4cin4cmost4cindustries,4chealth4ccare4cis4crecogni
zed4cas4can4carea4cwhere4cgrowth4cin4cemployment4cis4cexpected.4cHowever,4cnurses4care4cincreasi
ngly4cemployed4cin4ccommunity4csettings4cas4copposed4cto4chospitals.4cThis4cchange4creflects4cthe4c
move4ctoward4ccommunity-based4ccare4crather4cthan4chospital-
based4ctertiary4ccare.4cTo4chelp4cdecrease4cthe4ccontinued4crise4cin4chealth4ccare4ccosts,4cthe4cincreas
ed4cemphasis4cis4con4cdisease4cprevention4crather4cthan4chigh-cost4ctreatment.
DIF: Cognitive4cLevel:4cUnderstand4c(Comprehension)
4. Which4cethical4cbelief4cwould4cbe4cmost4chelpful4cin4cthe4ccurrent4chealth4ccare4ccrisis?
a. Emphasis4cshould4cbe4con4cindividual4cand4ccorporation4cfreedom4cin4cthe4cmarketplace.
b. Emphasis4cshould4cbe4con4cindividual4cautonomy4cand4cfreedom4cof4cchoice.
c. Emphasis4cshould4cbe4con4csocial4cjustice4cand4ccollective4cresponsibility.
d. Emphasis4cshould4cbe4con4cthe4ceffectiveness4cof4ctechnology4cin4cresolving4cproblems.
ANS:4c C
Public4chealth4crecognizes4cthe4cnecessity4cof4ccollective4caction4cin4ckeeping4cthe4cenvironment4csa
fe4cand4cin4cegalitarian4ctradition4cand4cvision.4cAn4coverinvestment4cin4ctechnology4cand4cseeking4c
of4ccures4cwithin4cthe4cmarket4cjustice4csystem4chas4cstifled4cthe4cevolution4cof4ca4chealth4csystem4c
to4cprotect4cand4cpreserve4cthe4chealth4cof4cthe4cpopulation.4cAlthough4cindividual4cautonomy4can
d4cfreedom4cof4cchoice4care4cimportant,4cso4cis4cthe4crecognition4cof4ccollective4cresponsibility4cin4c
ensuring4csocial4cjustice,4cwhich4centitles4call4cpeople4cto4cbasic4cnecessities.
,
DIF: Cognitive4cLevel:4cApply4c(Application)
5. What4cis4cthe4cprimary4cproblem4cseen4cin4cHealthy4cPeople4c2020’s4cemphasis4con4cchoosing4c
healthy4clifestyle4cbehaviors,4csuch4cas4cdaily4cexercise4cor4chealthy4cfood4cchoices?
a. Emphasis4con4cother4clifestyle4cchoices,4csuch4cas4cnot4csmoking4cand4cminimal4c
use4cof4calcohol4cor4cdrugs,4cis4calso4cneeded.
b. All4cof4cus4cmust4c work4ctogether4cto4cmake4cunhealthy4cbehaviors4csocially4cunacceptable.
c. It4ccosts4cmore4cto4cmake4chealthy4cchoices,4csuch4cas4cbuying4cand4ceating4cfresh4cfru
its4cand4cvegetables4cas4copposed4cto4cquick4cand4ccheap4cfast-food4cchoices.
d. Public4cpolicy4cemphasizes4cpersonal4cresponsibility4cbut4cignores4csocial4c
and4cenvironmental4cchanges4cneeded4cfor4cwell-being.
ANS:4c D
Although4call4cresponses4care4caccurate,4cthe4cprimary4cproblem4cis4cthe4cemphasis4con4cpersonal4cch
oices4cin4cthe4cHealthy4cPeople4c20204cobjectives.4cEmphasis4con4cpersonal4cchoices4cignores4cthe4c
need4cfor4ccommunity4cresponsibility4cand4caction4cthat4caddresses4cenvironmental4cor4ccultural4cr
estraints4cto4chealth.
DIF: Cognitive4cLevel:4cApply4c(Application)
6. What4cresponsibility4cdoes4cthe4cAmerican4cNurses4cAssociation4c(ANA)4cCode4cof4cEthics4crequ
ire4cof4cthe4cnurse4cbeyond4cgiving4cexcellent4ccare4cto4cpatients?
a. Accept4clonger4cwork4cschedules4cto4censure4cthat4cprofessional4ccare4cis4calways4cavailable
