Testi Banki Fori Communityi Publici Healthi Nursingi 7thi i
vt vt vt vt vt vt vt vt
Editioni byi Maryi A.i Nies,i Melaniei McEweni -latesti
vt vt vt vt vt vt vt
edition-2023
Chapterivt01:ivtHealth:ivtAivtCommunityivtView
Nies:ivtCommunity/PublicivtHealthivtNursing,ivt 7thivt Edition
MULTIPLEivtCHOICE
1. WhichivtbestivtdescribesivttheivtprimaryivtreasonivtthativtAmericansivtareivtconcernedivtaboutivthealthivtcare?
a. Politiciansivtareivtdiscussingivthowivttoivtimproveivthealthivtcare.
b. Theivtmediaivthasivtprovidedivtmixedivtmessagesivtaboutivttheivthealthivtcareivtsystem.
c. Ourivtnationalivthealthivtcareivt costsivtkeepivtincreasing.
d. Theivtnewivthealthivtcareivtsystemivtoffersivtfreeivtservicesivttoivt Americans.
ANS:iv t C
Theivtprimaryivtreasonivtforivttheivtfocusivtonivthealthivtcareivtisivttheivtconstantlyivtincreasingivtcosts,i
vtwhichivtcannotivtbeivtsustained.ivtTheivtcostsivtofivtcaringivtforivttheivtsickivtaccountedivtforivttheivtma
jorityivtofivtescalatingivthealthivtcareivtdollars,ivtwhichivtincreasedivtfromivt5.7%ivtofivttheivtgrossivtdo
mesticivtproductivtinivt1965ivttoivt17.8%ivtinivt2015.ivtPoliticiansivtandivttheivtmediaivtbothivtinfluenceivt
Americans’ivtperceptionsivtaboutivthealthivtcare;ivthowever,ivttheyivtareivtnotivttheivtprimaryivtreasonivt
whyivtAmericansivtareivtconcerned.ivtTheivtnewivthealthivtcareivtsystemivtwillivtchangeivttheivthealthivt
careivtaccessivtandivtavailability,ivtbutivtwillivtnotivtnecessarilyivtbeivtofferingivtanyivtfreeivtservicesivtt
oivtAmericans.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
2. Aivtnurseivthasivtbegunivttoivtlobbyivtwithivtpoliticiansivtforivtchangesivttoivttheivthealthivtcareivtsystem.ivt
Whyivtisivtthisivtinvolvementivtimportant?
e. Nurses,ivtasivtcentralivtcharactersivtinivtseveralivtpopularivtTVivtseries,ivtareivtcurrent
lyivtveryivtvisibleivtinivtAmerican ivtmediiivta. I
NUi
f. Nursesivtareivtprimarilyi respon svti b l vteiv t foNrivtmT
S anagingOtheiv t variousivtunitsivtinivtourivthealthivtcare
system.
g. Nursesivtareivttheivtlargestivtsegmentivtofivthealthivtcareivtproviders.
h. Nursesivtareivttheivtonlyivtgroupivtthativtisivtemployedivtbothivtinsideivtandivtoutsideivtofivthospitals.
ANS:iv t C
Asivttheivtlargestivtsegmentivtofivthealthivtcareivtproviders,ivtnursesivtareivtinformedivtaboutivttheivtcur
rentivthealthivtcareivtsystemivtandivtallivttheivtproblemsivtthativtresultivtfromivtpeopleivtnotivtseekingivtc
areivtuntilivttheyivtareivtdesperatelyivtill.ivtNurses,ivtasivttheivtAmericanivtNursesivtAssociationivt(AN
A)ivtemphasize,ivtusuallyivtbelieveivtthativthealthivtcareivtisivtaivtright,ivtnotivtaivtprivilege.ivtTherefore
,ivtnurses,ivtwhoseivtworkivtisivtcentralivttoivtourivtcurrentivthealthivtcareivtdeliveryivtsystem,ivtcanivtals
oivtbeivtinstrumentalivtinivtworkingivtpoliticallyivttoivtcreateivtaivthealthivtcareivtdeliveryivtsystemivttha
tivtwillivtmeetivthealthivtneeds.ivtWhileivtnursesivtareivtinivtseveralivtcurrentivtTVivtseriesivtandivtareivtem
ployedivtbothivtinsideivtandivtoutsideivtofivthospitals,ivtphysiciansivtandivtotherivthealthivtcareivtprovide
rsivtareivtasivtwell.ivtNursesivtareivtoftenivtmanagers,ivtbutivtmanagersivtoftenivthaveivtotherivtbackgro
unds,ivtsuchivtasivtbusinessivtadministration.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
3. Whativtconclusionivtcanivtbeivtdrawnivtfromivtexaminingivtwhereivtnursesivtareivtemployed?
i. Thereivtisivtaivttrendivttowardivtconsolidationivtofivthealthivtcareivtintoivtlargeivtcent
ralivtmedicalivtcenters.
j. Thereivtisivtanivtincreasedivt emphasisivt onivtcommunity-basedivthealthivt care.
k. Thereivtisivtanivtobviousivtneedivttoivtdecreaseivthealthivtcareivtcostsivtbyivtcuttingivtpositions.
,Managedivtcareivtorganizationsivt(MCOs)ivtareivtemployingivtnursesivttoivtimpro
veivtcustomer
, relations.
ANS:iv t B
MCOsivtareivtemployingivtnursesivtinivtmanyivtcapacities.ivtAlthoughivthospitalsivtareivtclosingivtandivtac
uteivtcareivtisivtincreasinglyivtfoundivtinivtcentralivtmedicalivtcenters,ivttheivtsameivttrendivtmayivtbeivts
eenivtiniv t anivtincreaseivtinivtneighborhood-
basedivtpracticeivtcenters.ivtWhileivtpositionsivtareivtcutivtinivtmostivtindustries,ivthealthivtcareivtisivtre
cognizedivtasivtanivtareaivtwhereivtgrowthivtinivtemploymentivtisivtexpected.ivtHowever,ivtnursesivtar
eivtincreasinglyivtemployedivtinivtcommunityivtsettingsivtasivtopposedivttoivthospitals.ivtThisivtchangei
vtreflectsivttheivtmoveivttowardivtcommunity-basedivtcareivtratherivtthanivthospital-
basedivttertiaryivtcare.ivtToivthelpivtdecreaseivttheivtcontinuedivtriseivtinivthealthivtcareivtcosts,iv t theivti
ncreasedivtemphasisivtisivtonivtdiseaseivtpreventionivtratherivtthanivthigh-costivttreatment.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
4. Whichivtethicalivtbeliefivtwouldivtbeivtmostivthelpfulivtinivttheivtcurrentivthealthivtcareivtcrisis?
a. Emphasisivtshouldivtbeivtonivtindividualivtandivtcorporationivtfreedomivtinivttheivtmarketplace.
b. Emphasisivtshouldivtbeivtonivtindividualivtautonomyivtandivtfreedomivtofivtchoice.
c. Emphasisivtshouldivtbeivtonivt socialivtjusticeivtandivt collectiveivtresponsibility.
d. Emphasisivtshouldivtbeivtonivttheivteffectivenessivtofivttechnologyivtinivtresolvingivtproblems.
ANS:iv t C
Publicivthealthivtrecognizesivttheivtnecessityivtofivtcollectiveivtactionivtinivtkeepingivttheivtenvironmen
tivtsafeivtandivtinivtegalitarianivttraditionivtandivtvision.ivtAnivtoverinvestmentivtinivttechnologyivtandi
vtseekingivtofivtcuresivtwithinivttheivtmarketivtjusticeivtsystemivthasivtstifledivttheivtevolutionivtofivtaivth
ealthivtsystemivttoivtprotectivtandivtpreserveivttheivthealthivtofivttheivtpopulation.ivtAlthoughivtindivid
ualivtautonomyivtandivtfreedomivtofivtchoiceivtareivtimportant,ivtsoivtisivttheivtrecognitionivtofivtcollect
iveivtresponsibilityivtinivtensuringivtsocialivtjustice,ivtwhichivtentitlesivtallivtpeopleivttoivtbasicivtneces
sities.
Ui Si Ni T
vt vt vt vtvt O
DIF: CognitiveivtLevel:ivtApplyivt(Application)
5. WhativtisivttheivtprimaryivtproblemivtseenivtinivtHealthyivtPeopleivt2020’sivtemphasisivtonivtchoosi
ngivthealthyivtlifestyleivtbehaviors,ivtsuchivtasivtdailyivtexerciseivtorivthealthyivtfoodivtchoices
?
a. Emphasisivtonivtotherivtlifestyleivtchoices,ivtsuchivtasivtnotivtsmokingivtandivtmini
malivtuseivtofivtalcoholivtorivtdrugs,ivtisivtalsoivtneeded.
b. Allivtofivtusivtmustivtworkivttogetherivttoivtmakeivtunhealthyivtbehaviorsivtsociallyivtunacceptable.
c. Itivtcostsivtmoreivttoivtmakeivthealthyivtchoices,ivtsuchivtasivtbuyingivtandivteatingivtfr
eshivtfruitsivtandivtvegetablesivtasivtopposedivttoivtquickivtandivtcheapivtfast-
foodivtchoices.
d. Publicivtpolicyivtemphasizesivtpersonalivtresponsibilityivtbutivtignoresivtsocia
livtandivtenvironmentalivtchangesivtneededivtforivtwell-being.
ANS:iv t D
Althoughivtallivtresponsesivtareivtaccurate,ivttheivtprimaryivtproblemivtisivttheivtemphasisivtonivtpersona
livtchoicesivtinivttheivtHealthyivtPeopleivt2020ivtobjectives.ivtEmphasisivtonivtpersonalivtchoicesivtigno
resivttheivtneedivtforivtcommunityivtresponsibilityivtandivtactionivtthativtaddressesivtenvironmentalivt
orivtculturalivtrestraintsivttoivthealth.
DIF: CognitiveivtLevel:ivtApplyivt(Application)
6. WhativtresponsibilityivtdoesivttheivtAmericanivtNursesivtAssociationivt(ANA)ivtCodeivtofivtEthi
csivtrequireivtofivttheivtnurseivtbeyondivtgivingivtexcellentivtcareivttoivtpatients?
a. Acceptivtlongerivtworkivtschedulesivttoivtensureivtthativtprofessionalivtcareivtisivtalwaysivtavailable
,
vt vt vt vt vt vt vt vt
Editioni byi Maryi A.i Nies,i Melaniei McEweni -latesti
vt vt vt vt vt vt vt
edition-2023
Chapterivt01:ivtHealth:ivtAivtCommunityivtView
Nies:ivtCommunity/PublicivtHealthivtNursing,ivt 7thivt Edition
MULTIPLEivtCHOICE
1. WhichivtbestivtdescribesivttheivtprimaryivtreasonivtthativtAmericansivtareivtconcernedivtaboutivthealthivtcare?
a. Politiciansivtareivtdiscussingivthowivttoivtimproveivthealthivtcare.
b. Theivtmediaivthasivtprovidedivtmixedivtmessagesivtaboutivttheivthealthivtcareivtsystem.
c. Ourivtnationalivthealthivtcareivt costsivtkeepivtincreasing.
d. Theivtnewivthealthivtcareivtsystemivtoffersivtfreeivtservicesivttoivt Americans.
ANS:iv t C
Theivtprimaryivtreasonivtforivttheivtfocusivtonivthealthivtcareivtisivttheivtconstantlyivtincreasingivtcosts,i
vtwhichivtcannotivtbeivtsustained.ivtTheivtcostsivtofivtcaringivtforivttheivtsickivtaccountedivtforivttheivtma
jorityivtofivtescalatingivthealthivtcareivtdollars,ivtwhichivtincreasedivtfromivt5.7%ivtofivttheivtgrossivtdo
mesticivtproductivtinivt1965ivttoivt17.8%ivtinivt2015.ivtPoliticiansivtandivttheivtmediaivtbothivtinfluenceivt
Americans’ivtperceptionsivtaboutivthealthivtcare;ivthowever,ivttheyivtareivtnotivttheivtprimaryivtreasonivt
whyivtAmericansivtareivtconcerned.ivtTheivtnewivthealthivtcareivtsystemivtwillivtchangeivttheivthealthivt
careivtaccessivtandivtavailability,ivtbutivtwillivtnotivtnecessarilyivtbeivtofferingivtanyivtfreeivtservicesivtt
oivtAmericans.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
2. Aivtnurseivthasivtbegunivttoivtlobbyivtwithivtpoliticiansivtforivtchangesivttoivttheivthealthivtcareivtsystem.ivt
Whyivtisivtthisivtinvolvementivtimportant?
e. Nurses,ivtasivtcentralivtcharactersivtinivtseveralivtpopularivtTVivtseries,ivtareivtcurrent
lyivtveryivtvisibleivtinivtAmerican ivtmediiivta. I
NUi
f. Nursesivtareivtprimarilyi respon svti b l vteiv t foNrivtmT
S anagingOtheiv t variousivtunitsivtinivtourivthealthivtcare
system.
g. Nursesivtareivttheivtlargestivtsegmentivtofivthealthivtcareivtproviders.
h. Nursesivtareivttheivtonlyivtgroupivtthativtisivtemployedivtbothivtinsideivtandivtoutsideivtofivthospitals.
ANS:iv t C
Asivttheivtlargestivtsegmentivtofivthealthivtcareivtproviders,ivtnursesivtareivtinformedivtaboutivttheivtcur
rentivthealthivtcareivtsystemivtandivtallivttheivtproblemsivtthativtresultivtfromivtpeopleivtnotivtseekingivtc
areivtuntilivttheyivtareivtdesperatelyivtill.ivtNurses,ivtasivttheivtAmericanivtNursesivtAssociationivt(AN
A)ivtemphasize,ivtusuallyivtbelieveivtthativthealthivtcareivtisivtaivtright,ivtnotivtaivtprivilege.ivtTherefore
,ivtnurses,ivtwhoseivtworkivtisivtcentralivttoivtourivtcurrentivthealthivtcareivtdeliveryivtsystem,ivtcanivtals
oivtbeivtinstrumentalivtinivtworkingivtpoliticallyivttoivtcreateivtaivthealthivtcareivtdeliveryivtsystemivttha
tivtwillivtmeetivthealthivtneeds.ivtWhileivtnursesivtareivtinivtseveralivtcurrentivtTVivtseriesivtandivtareivtem
ployedivtbothivtinsideivtandivtoutsideivtofivthospitals,ivtphysiciansivtandivtotherivthealthivtcareivtprovide
rsivtareivtasivtwell.ivtNursesivtareivtoftenivtmanagers,ivtbutivtmanagersivtoftenivthaveivtotherivtbackgro
unds,ivtsuchivtasivtbusinessivtadministration.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
3. Whativtconclusionivtcanivtbeivtdrawnivtfromivtexaminingivtwhereivtnursesivtareivtemployed?
i. Thereivtisivtaivttrendivttowardivtconsolidationivtofivthealthivtcareivtintoivtlargeivtcent
ralivtmedicalivtcenters.
j. Thereivtisivtanivtincreasedivt emphasisivt onivtcommunity-basedivthealthivt care.
k. Thereivtisivtanivtobviousivtneedivttoivtdecreaseivthealthivtcareivtcostsivtbyivtcuttingivtpositions.
,Managedivtcareivtorganizationsivt(MCOs)ivtareivtemployingivtnursesivttoivtimpro
veivtcustomer
, relations.
ANS:iv t B
MCOsivtareivtemployingivtnursesivtinivtmanyivtcapacities.ivtAlthoughivthospitalsivtareivtclosingivtandivtac
uteivtcareivtisivtincreasinglyivtfoundivtinivtcentralivtmedicalivtcenters,ivttheivtsameivttrendivtmayivtbeivts
eenivtiniv t anivtincreaseivtinivtneighborhood-
basedivtpracticeivtcenters.ivtWhileivtpositionsivtareivtcutivtinivtmostivtindustries,ivthealthivtcareivtisivtre
cognizedivtasivtanivtareaivtwhereivtgrowthivtinivtemploymentivtisivtexpected.ivtHowever,ivtnursesivtar
eivtincreasinglyivtemployedivtinivtcommunityivtsettingsivtasivtopposedivttoivthospitals.ivtThisivtchangei
vtreflectsivttheivtmoveivttowardivtcommunity-basedivtcareivtratherivtthanivthospital-
basedivttertiaryivtcare.ivtToivthelpivtdecreaseivttheivtcontinuedivtriseivtinivthealthivtcareivtcosts,iv t theivti
ncreasedivtemphasisivtisivtonivtdiseaseivtpreventionivtratherivtthanivthigh-costivttreatment.
DIF: CognitiveivtLevel:ivtUnderstandivt(Comprehension)
4. Whichivtethicalivtbeliefivtwouldivtbeivtmostivthelpfulivtinivttheivtcurrentivthealthivtcareivtcrisis?
a. Emphasisivtshouldivtbeivtonivtindividualivtandivtcorporationivtfreedomivtinivttheivtmarketplace.
b. Emphasisivtshouldivtbeivtonivtindividualivtautonomyivtandivtfreedomivtofivtchoice.
c. Emphasisivtshouldivtbeivtonivt socialivtjusticeivtandivt collectiveivtresponsibility.
d. Emphasisivtshouldivtbeivtonivttheivteffectivenessivtofivttechnologyivtinivtresolvingivtproblems.
ANS:iv t C
Publicivthealthivtrecognizesivttheivtnecessityivtofivtcollectiveivtactionivtinivtkeepingivttheivtenvironmen
tivtsafeivtandivtinivtegalitarianivttraditionivtandivtvision.ivtAnivtoverinvestmentivtinivttechnologyivtandi
vtseekingivtofivtcuresivtwithinivttheivtmarketivtjusticeivtsystemivthasivtstifledivttheivtevolutionivtofivtaivth
ealthivtsystemivttoivtprotectivtandivtpreserveivttheivthealthivtofivttheivtpopulation.ivtAlthoughivtindivid
ualivtautonomyivtandivtfreedomivtofivtchoiceivtareivtimportant,ivtsoivtisivttheivtrecognitionivtofivtcollect
iveivtresponsibilityivtinivtensuringivtsocialivtjustice,ivtwhichivtentitlesivtallivtpeopleivttoivtbasicivtneces
sities.
Ui Si Ni T
vt vt vt vtvt O
DIF: CognitiveivtLevel:ivtApplyivt(Application)
5. WhativtisivttheivtprimaryivtproblemivtseenivtinivtHealthyivtPeopleivt2020’sivtemphasisivtonivtchoosi
ngivthealthyivtlifestyleivtbehaviors,ivtsuchivtasivtdailyivtexerciseivtorivthealthyivtfoodivtchoices
?
a. Emphasisivtonivtotherivtlifestyleivtchoices,ivtsuchivtasivtnotivtsmokingivtandivtmini
malivtuseivtofivtalcoholivtorivtdrugs,ivtisivtalsoivtneeded.
b. Allivtofivtusivtmustivtworkivttogetherivttoivtmakeivtunhealthyivtbehaviorsivtsociallyivtunacceptable.
c. Itivtcostsivtmoreivttoivtmakeivthealthyivtchoices,ivtsuchivtasivtbuyingivtandivteatingivtfr
eshivtfruitsivtandivtvegetablesivtasivtopposedivttoivtquickivtandivtcheapivtfast-
foodivtchoices.
d. Publicivtpolicyivtemphasizesivtpersonalivtresponsibilityivtbutivtignoresivtsocia
livtandivtenvironmentalivtchangesivtneededivtforivtwell-being.
ANS:iv t D
Althoughivtallivtresponsesivtareivtaccurate,ivttheivtprimaryivtproblemivtisivttheivtemphasisivtonivtpersona
livtchoicesivtinivttheivtHealthyivtPeopleivt2020ivtobjectives.ivtEmphasisivtonivtpersonalivtchoicesivtigno
resivttheivtneedivtforivtcommunityivtresponsibilityivtandivtactionivtthativtaddressesivtenvironmentalivt
orivtculturalivtrestraintsivttoivthealth.
DIF: CognitiveivtLevel:ivtApplyivt(Application)
6. WhativtresponsibilityivtdoesivttheivtAmericanivtNursesivtAssociationivt(ANA)ivtCodeivtofivtEthi
csivtrequireivtofivttheivtnurseivtbeyondivtgivingivtexcellentivtcareivttoivtpatients?
a. Acceptivtlongerivtworkivtschedulesivttoivtensureivtthativtprofessionalivtcareivtisivtalwaysivtavailable
,
