100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Test Bank - Community/Public Health Nursing, 7th edition (Nies, 2019), Chapter 1-34 | All Chapters A+ LATEST $10.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. Community/Public Health Nursing, Nies, 7th Edition
  4.  
  5. Community/Public Health Nursing, Nies, 7th Edition

Exam (elaborations)

Test Bank - Community/Public Health Nursing, 7th edition (Nies, 2019), Chapter 1-34 | All Chapters A+ LATEST
 0 purchase
  • Course
  • Community/Public Health Nursing, Nies, 7th Edition
  • Institution
  • Community/Public Health Nursing, Nies, 7th Edition
  • Book
  • Community/Public Health Nursing

Test Bank - Community/Public Health Nursing, 7th edition (Nies, 2019), Chapter 1-34 | All Chapters A+ LATEST

Preview 4 out of 337  pages

Document information

  • October 2, 2023
  • 337
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • 9780323528948
  • 7th edition nies
  • 2019
  • 2023
  • mary a nies melanie mcewen
  • communitypublic health nursing
  • test bank communitypublic health nursing
  • chapter 1 34 all chapters

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

  • Test Bank for Community Public Health Nursing 7th Edition By Mary A. Nies, Melanie McEwen
  • Test Bank For Community Public Health Nursing 7th Edition by Mary A. Nies, Melanie McEwen
  • Test Bank for Community Public Health Nursing, 7th Edition by Mary A. Nies & Melanie McEwen | 9780323528948 |All Chapters included |LATEST
All for this textbook (66)

Written for

  • Community/Public Health Nursing, Nies, 7th Edition
All documents for this subject (4)

Seller

avatar-seller
ASolution

Reviews received

Content preview

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.
NURSIfor
b. Nurses are primarily responsible NGmanaging
TB.COthe M 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




NURSINGTB.COM

, Community Public Health Nursing 7th Edition Nies Test Bank


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.
NURSINGTB.COM
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




NURSINGTB.COM

, Community Public Health Nursing 7th Edition Nies Test Bank


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)
NURSINGTB.COM
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




NURSINGTB.COM

, Community Public Health Nursing 7th Edition Nies Test Bank


Individual behavior choices are responsible for about 50% of health outcomes. Individual
choices are affected through interaction with other individuals, and their mutual social and
physical environments. The number of health care providers has not played a major role in the
health outcomes in the community in comparison to individual health behaviors. The quality
of public safety officers and number of public health officials have not been identified as
major contributors to the determinants of health.

DIF: Cognitive Level: Apply (Application)

10. What change could most effectively lead to a longer life span in Americans?
a. Parenting and sexual behavior classes in all public school systems
b. Legislation restricting alcohol and drug use
c. Notably reducing speed limits on all state and federal highways, and changing the
age limit for driving to 21 years of age
d. The belief that smoking is shameful and disgusting, as well as expensive,
becoming the social norm
ANS: D
Smoking is responsible for almost 20% of all deaths in the United States. Although smoking
is an individual’s choice, all people are affected by social norms. Parenting and sexual
behavior classes and legislative changes may influence health, but may not necessarily lead to
a longer lifespan. Community health nurses should recognize that health is influenced by a
web of factors, some that can be changed and some that cannot. Influencing social norms may
better promote change among Americans.

DIF: Cognitive Level: Apply (Application)
NUR
11. What is the health issue causing SI
the NGT
most B.COinMthe United States today?
concern
a. Diabetes epidemic
b. Increase in cardiac disease
c. Increase in obesity
d. Rise in cancer rates
ANS: C
The widespread increase in incidence of overweight and obesity has led to calls for
population-based measures to address this issue. The overarching problem of obesity has led
to an increase in diabetes as well as cardiac disease. If this health issue was controlled, there
should be in a decrease in the other health issues.

DIF: Cognitive Level: Understand (Comprehension)

12. What factors are most responsible for the increasing length of life of Americans over the past
100 years?
a. Better nutrition and family planning options
b. Education concerning the need to reduce salt and fat in the diet
c. Improved medical care, including exciting new technologies
d. More efficient cancer screenings and early intervention
ANS: A




NURSINGTB.COM

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ASolution. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(1)

2023 NGN HESI LEVEL 1 PRACTICE EXAM LATEST (Already graded A)

$10.49
  • (0)
Add to cart
Added