TEST BANK
Community/Public Health Nursing: Promoting the Health of Populations
MARY A. NIES, MELANIE MCEWEN
7th Edition
,Community Public Health Nursing 7th Edition Nies
Test Bank
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 7th 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 media
b. Nurses are primarily responsible for managing 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 centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
1|Page
, relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute
care is increasingly found in central medical centers, the same trend may be seen in an
increase in neighborhood-based practice centers. While positions are cut in most
industries, health care is recognized as an area where growth in employment is expected.
However, nurses are increasingly employed in community settings as opposed to
hospitals. This change reflects the move toward community-based care rather than
hospital-based tertiary care. To help decrease the continued rise in health care costs, the
increased emphasis is on disease prevention rather than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe
and in egalitarian tradition and vision. An overinvestment in technology and seeking of
cures within the market justice system has stifled the evolution of a health system to
protect and preserve the health of the population. Although individual autonomy and
freedom of choice are important, so is the recognition of collective responsibility in
ensuring social justice, which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
healthy lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal
use of alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh
fruits and vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social
and environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal
choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores the
need for community responsibility and action that addresses environmental or cultural
restraints to health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require
of the nurse beyond giving excellent care to patients?
a. Accept longer work schedules to ensure that professional care is always available
2|Page
, to clients.
b. Recognize the need for experienced nurses to mentor new graduates to
help increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and
legislation to positively affect accessibility, quality, and cost of health care. The code
does not directly address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-
being or wholeness.
b. Health is an individual’s physical, mental, and social well-being, not merely
the absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her
environment in meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices
and actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on
culture, history, or goals). A particular phenomenological group may or may not have
been a planned group—that is, a group that came together to resolve a recognized
common problem or to meet a common goal. However, of all the choices, a group of
persons who share a common identity (phenomenological group) and environment
(which implies a specific geographic setting) is the broadest and most complete
definition.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
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Community/Public Health Nursing: Promoting the Health of Populations
MARY A. NIES, MELANIE MCEWEN
7th Edition
,Community Public Health Nursing 7th Edition Nies
Test Bank
Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 7th 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 media
b. Nurses are primarily responsible for managing 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 centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
1|Page
, relations.
ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute
care is increasingly found in central medical centers, the same trend may be seen in an
increase in neighborhood-based practice centers. While positions are cut in most
industries, health care is recognized as an area where growth in employment is expected.
However, nurses are increasingly employed in community settings as opposed to
hospitals. This change reflects the move toward community-based care rather than
hospital-based tertiary care. To help decrease the continued rise in health care costs, the
increased emphasis is on disease prevention rather than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension)
4. Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANS: C
Public health recognizes the necessity of collective action in keeping the environment safe
and in egalitarian tradition and vision. An overinvestment in technology and seeking of
cures within the market justice system has stifled the evolution of a health system to
protect and preserve the health of the population. Although individual autonomy and
freedom of choice are important, so is the recognition of collective responsibility in
ensuring social justice, which entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application)
5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
healthy lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal
use of alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh
fruits and vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social
and environmental changes needed for well-being.
ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal
choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores the
need for community responsibility and action that addresses environmental or cultural
restraints to health.
DIF: Cognitive Level: Apply (Application)
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require
of the nurse beyond giving excellent care to patients?
a. Accept longer work schedules to ensure that professional care is always available
2|Page
, to clients.
b. Recognize the need for experienced nurses to mentor new graduates to
help increase and expand the number of professionals available.
c. Support health legislation to improve accessibility and cost of health care.
d. Volunteer to work overtime as needed to ensure maximum quality of care.
ANS: C
The ANA Code of Ethics promotes social reform by focusing on health policy and
legislation to positively affect accessibility, quality, and cost of health care. The code
does not directly address workplace issues, such as work schedules or need for overtime.
DIF: Cognitive Level: Analyze (Analysis)
7. What is the community health nursing definition of health?
a. Health is a person’s goal-directed purposeful process toward well-
being or wholeness.
b. Health is an individual’s physical, mental, and social well-being, not merely
the absence of disease or infirmity.
c. Health is the mutual adaptation between a person and his or her
environment in meeting daily existence.
d. Health is families and aggregates choosing actions to ensure safety and well-being.
ANS: D
The text stresses that health is not just the result of an individual’s choices, but choices
and actions of individuals, families, groups, and communities that lead to better health.
DIF: Cognitive Level: Apply (Application)
8. How does community health nursing define community?
a. A group of persons living within specific geographic boundaries
b. A group of persons who share a common identity and environment
c. A group of persons who work together to meet common goals
d. A group of persons who resolve a community concern
ANS: B
Community health nurses work with both geopolitical groups (within specific geographic
boundaries) and phenomenological groups (who have a common identity based on
culture, history, or goals). A particular phenomenological group may or may not have
been a planned group—that is, a group that came together to resolve a recognized
common problem or to meet a common goal. However, of all the choices, a group of
persons who share a common identity (phenomenological group) and environment
(which implies a specific geographic setting) is the broadest and most complete
definition.
DIF: Cognitive Level: Apply (Application)
9. Which variable has a major influence on a community’s health?
a. Behavior choices made by persons in the community
b. Number of health care providers and hospitals in the community
c. Quality of the public safety officers (police officers, firefighters, etc.)
d. The number and credentials of public health officials in the community
ANS: A
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