Community Public Health Nursing – Promoting the Health of Populations (7th Edition, Mary A. Nies & Melanie McEwen) – Complete Test Bank with Verified Answers

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MULTIPLEmCHOICE


1. WhichmbestmdescribesmthemprimarymreasonmthatmAmericansmaremconcernedmaboutmhealthmcare?
a. Politiciansmaremdiscussingmhowmtomimprovemhealthmcare.
b. Themmediamhasmprovidedmmixedmmessagesmaboutmthemhealthmcaremsystem.
c. Ourmnationalmhealthmcaremcostsmkeepmincreasing.
d. ThemnewmhealthmcaremsystemmoffersmfreemservicesmtomAmericans.
ANS:mC
Themprimarymreasonmformthemfocusmonmhealthmcaremism them constantlym increasingm costs,m vv vv vv vv



whichm
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cannotmbemsustained.mThemcostsmofmcaringmformthemsickmaccountedmformthemmajoritymofmescalating
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mhealthmcaremdollars,mwhichmincreasedmfromm5.7%mofmthem grossm domesticm productm inm 1965m
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to
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m17.8%minm2015.mPoliticiansmandmthemmediambothminfluencemAmericans‘mperceptionsmaboutmhealt
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hmcare;mhowever,mtheymaremnotmthemprimarymreasonmwhymAmericansmaremconcerned.mThemnewmhe
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althmcarem systemm willm changem them healthm carem accessm andm availability,m butm willmnotm
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necessa rilym bemofferingmanymfreemservicesmtomAmericans.
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DIF: v v v v CognitivemLevel:mUnderstandm(Comprehension)



2. Amnursemhasmbegunmtomlobbymwithmpoliticiansmformchangesmtomthemhealthmcaremsystem.mW
hymismthisminvolvementmimportant?
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a. Nurses,masmcentralmcharactersminmseveralmpopularmTVmseries,maremcurrentlymvery
visibleminmAmericanmmed i Na . v vv v




b. Nursesmaremprimarilymresponsiblemformm
themvariousmunitsminmourmhealt
hmcaremsystem.
c. Nursesmaremthemlargestmsegmentmofmhealthmcaremproviders.
d. Nursesmaremthemonlymgroupmthatmismemployedmbothminsidemandmoutsidemofmhospitals.
ANS:mC

Asmthemlargestmsegmentmofmhealthmcaremproviders,mnursesmareminformedmaboutmthemcurrentmhealth
mcarem systemm andm allm them problemsm thatm resultm fromm peoplem notm seekingm carem untilm
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theym ar em desperatelymill.mNurses,masmthemAmericanmNursesmAssociationm (ANA)m
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emphasize,m usuallymb
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elievemthatmhealthmcaremismamright,mnotmamprivilege.mTherefore,mnurses,mwhosemworkmismcentralmto
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ourm currentm health m carem deliverym system,m can m alsom bem instrumentalm inm workingm
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politicallym
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tomcreatemamhealthmcaremdeliverymsystemmthatmwillmmeetmhealthmneeds.mWhilemnursesmareminmsever
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almcurrentmTVmseriesmandmarememployedmbothminsidemandmoutsidemofmhospitals,mphysiciansmandmot
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hermhealthmcaremprovidersmaremasmwell.mNursesmaremoftenmmanagers,mbutmmanagersmoftenmhavemot
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hermbackgrounds,msuchmasmbusinessmadministration.
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DIF: CognitivemLevel:mUnderstandm(Comprehension)



3. Whatmconclusionmcanmbemdrawnmfrommexaminingmwheremnursesmarememployed?
a. Theremismamtrendmtowardmconsolidationmofmhealthmcaremintomlargemcent
ralmmedicalmcenters.
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b. Theremismanmincreasedmemphasismonmcommunity-basedmhealthmcare.
c. Theremismanmobviousmneedmtomdecreasemhealthmcaremcostsmbymcuttingmpositions.
d. Managedmcaremorganizationsm(MCOs)marememployingmnursesmtomimprovemcustomer