TEST BANK for Community Public Health
Nursing: Promoting the Health of
Populations 7th Edition by Mary A. Nies,
Melanie McEwen
VERIFIED CHAPTERS| 100% ACCURATE ANSWERS
WITH RATIONALES
Ar
ch
Do
c
Page | 1
, Chapter 1: Health: A Community View
1. Which of the following 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.
ANSWER: 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 17.6% in 2009.
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) REF: p. 2
Ar
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement
important?
ch
a. Nurses, as central characters in several popular TV series, are currently very visible in American
media.
Do
b. Nurses are primarily responsible for managing the various units in our health care system.
c
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANSWER: C
As the largest group 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) REF: p. 2
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.
Page | 2
,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 relations.
ANSWER: 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) REF: p. 2
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.
Ar
c. Emphasis should be on social justice and collective responsibility.
ch
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANSWER: C
Do
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
c
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) REF: p. 2
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.
ANSWER: D
Page | 3
, 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) REF: p. 2
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 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
ANSWER: 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.
Ar
DIF: Cognitive Level: Analyze (Analysis) REF: p. 2
ch
7. What is the community health nursing definition of health?
Do
a. Health is a person‘s goal-directed purposeful process toward well-being or wholeness.
c
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.
ANSWER: 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) REF: p. 3
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
Page | 4
Nursing: Promoting the Health of
Populations 7th Edition by Mary A. Nies,
Melanie McEwen
VERIFIED CHAPTERS| 100% ACCURATE ANSWERS
WITH RATIONALES
Ar
ch
Do
c
Page | 1
, Chapter 1: Health: A Community View
1. Which of the following 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.
ANSWER: 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 17.6% in 2009.
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) REF: p. 2
Ar
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement
important?
ch
a. Nurses, as central characters in several popular TV series, are currently very visible in American
media.
Do
b. Nurses are primarily responsible for managing the various units in our health care system.
c
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
ANSWER: C
As the largest group 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) REF: p. 2
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.
Page | 2
,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 relations.
ANSWER: 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) REF: p. 2
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.
Ar
c. Emphasis should be on social justice and collective responsibility.
ch
d. Emphasis should be on the effectiveness of technology in resolving problems.
ANSWER: C
Do
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
c
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) REF: p. 2
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.
ANSWER: D
Page | 3
, 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) REF: p. 2
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 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
ANSWER: 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.
Ar
DIF: Cognitive Level: Analyze (Analysis) REF: p. 2
ch
7. What is the community health nursing definition of health?
Do
a. Health is a person‘s goal-directed purposeful process toward well-being or wholeness.
c
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.
ANSWER: 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) REF: p. 3
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
Page | 4
