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TEST BANK - COMMUNITY PUBLIC HEALTH NURSING

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TEST BANK - COMMUNITY PUBLIC HEALTH NURSING BY MARY A. NIES, MELANIEMCEWEN{ 8TH EDITION TEST BANK - COMMUNITY PUBLIC HEALTH NURSING BY MARY A. NIES, MELANIEMCEWEN{ 8TH EDITION

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  • November 13, 2024
  • 656
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMMUNITY PUBLIC HEALTH NURSING
  • COMMUNITY PUBLIC HEALTH NURSING
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TEST BANK for Community Public Health Nursing
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8TH Edition by Mary
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A. Nies, Melanie McEwen | Complete Guide WITH
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RATIONALES
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Chapter 01: Health: A Community View b b b b b




MULTIPLE CHOICE b




1. Which best describes the primary reason that Americans are concerned about health care?
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a. Politicians are discussing how to improve health care. b b b b b b b



b. The media has provided mixed messages about the health care system.
b b b b b b b b b b



c. Our national health care costs keep increasing.
b b b b b b



d. The new health care system offers free services to Americans.
b b b b b b b b b




ANS: C b




The primary reason for the focus on health care is the constantly increasing costs, whichcannot
b b b b b b b b b b b b b b b



be sustained. The costs of caring for the sick accounted for the majority of escalating health care
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bdollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in
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2015. Politicians and the media both influence Americans’ perceptions about health care;
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however, they are not the primary reason why Americans are concerned. The new health care
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bsystem will change the health care access and availability, but will not necessarily be
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offering any free services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) b b b




2. A nurse has begun to lobby with politicians for changes to the health care system. Why is
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this involvement important?
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a. Nurses, as central characters in several popular TV series, are currently very
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visible in American m ediN
a. b b b b




b. Nurses are primarily responsible for m b b b b b the various units in our health
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care system.
b b



c. Nurses are the largest segment of health care providers. b b b b b b b b



d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C b




As the largest segment of health care providers, nurses are informed about the current health
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care system and all the problems that result from people not seeking care until they are
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desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe
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that health care is a right, not a privilege. Therefore, nurses, whose work is central to our
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bcurrent health care delivery system, can also be instrumental in working politically to
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create a health care delivery system that will meet health needs. While nurses are in several
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current TV series and are employed both inside and outside of hospitals, physicians and other
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health care providers are as well. Nurses are often managers, but managers often have other
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backgrounds, such as business administration.
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, DIF: Cognitive Level: Understand (Comprehension)
b b b




3. What conclusion can be drawn from examining where nurses are employed?
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a. There is a trend toward consolidation of health care into large central
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medical centers.
b b



b. There is an increased emphasis on community-based health care.
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c. There is an obvious need to decrease health care costs by cutting positions.
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d. Managed care organizations (MCOs) are employing nurses to improve customer
b b b b b b b b b

, relations.
ANS: B b




MCOs are employing nurses in many capacities. Although hospitals are closing and acute careis
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increasingly found in central medical centers, the same trend may be seen in an increase in
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neighborhood-based practice centers. While positions are cut in most industries, health care is
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recognized as an area where growth in employment is expected. However, nurses are
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increasingly employed in community settings as opposed to hospitals. This change reflects the
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move toward community-based care rather than hospital-based tertiary care. To help decrease
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the continued rise in health care costs, the increased emphasis is on disease prevention rather
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than high-cost treatment.
b b b




DIF: Cognitive Level: Understand (Comprehension) b b b




4. Which ethical belief would be most helpful in the current health care crisis?
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a. Emphasis should be on individual and corporation freedom in the marketplace.
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b. Emphasis should be on individual autonomy and freedom of choice. b b b b b b b b b



c. Emphasis should be on social justice and collective responsibility. b b b b b b b b



d. Emphasis should be on the effectiveness of technology in resolving problems.
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ANS: C b




Public health recognizes the necessity of collective action in keeping the environment safe andin
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begalitarian tradition and vision. An overinvestment in technology and seeking of cures
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within the market justice system has stifled the evolution of a health system to protect and
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preserve the health of the population. Although individual autonomy and freedom of choice are
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important, so is the recognition of collective responsibility in ensuring social justice, which
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entitles all people to basic necessities.
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DIF: Cognitive Level: Apply (Application) b b b




5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing
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healthy lifestyle behaviors, such as daily exercise or healthy food choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal use b b b b b b b b b b b



of alcohol or drugs, is also needed.
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b. All of us must work together to make unhealthy behaviors socially unacceptable.
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c. It costs more to make healthy choices, such as buying and eating fresh fruits
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and vegetables as opposed to quick and cheap fast-food choices.
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d. Public policy emphasizes personal responsibility but ignores social and
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environmental changes needed for well-being.
b b b b b




ANS: D b




Although all responses are accurate, the primary problem is the emphasis on personal choicesin
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the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
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community responsibility and action that addresses environmental or cultural restraints
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btohealth.
b

, DIF: Cognitive Level: Apply (Application)
b b b




6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of
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the nurse beyond giving excellent care to patients?
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a. Accept longer work schedules to ensure that professional care is always available
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