Test Bank for Community Public HEALTH Nursing 7th Edition
by Mary A. Nies , Melanie McEwen
,Community Nursing Test Banks
Which of the following best describes the primary reason that Americans are concerned about
HEALTHcare?
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
keepincreasing.
d. The new HEALTH care system offers
freeservices to Americans.
SOLUTION: 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,
theyare not the primary reason why Americans are concerned. The new HEALTH care system
will change the HEALTH care access and availablity, but will not necessarily be offering any
free services to Americans.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
2. A nurse has begun to lobby with politicians for changes to the HEALTH care system. Why is
thisinvolvement 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 the various units in our
HEALTHcare system.
c. Nurses are the largest group of HEALTH
careproviders.
d. Nurses are the only group that is
employed both inside and outside of
hospitals.
SOLUTION: 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 aswell. 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.
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.
SOLUTION: 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.
c. Emphasis should be on social justice and
collective responsibility.
d. Emphasis should be on the effectiveness
of technology in resolving problems.
SOLUTION: C
, Public HEALTH recognizes the necessity of collective action in keeping the environment safe
and inegalitarian tradition and vision. An overinvestment in technology and seeking of cures
within themarket 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) REF: p. 2
5. What is the primary problem seen in HEALTHy People 2020’s emphasis on choosing
HEALTHylifestyle 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 andvegetables as opposed to quick
and cheapfast-food choices.
d. Public policy emphasizes personal
responsibility but ignores social and
environmental changes needed for well-
being.
SOLUTION: 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) 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
improveaccessibility and cost of
HEALTH care
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