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Test Bank for Community Public Health Nursing 8th Edition By Mary Nies, Melanie McEwen (All Chapters, 100% Original Verified, A+ Grade)$17.49
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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 nn nn nn nn nn
MULTIPLE CHOICE nn
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. nn nn nn nn nn nn nn
b. The media has provided mixed messages about the health care system.
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c. Our national health care costs keep increasing.
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d. The new health care system offers free services to Americans.
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ANS: C nn
The primary reason for the focus on health care is the constantly increasing
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costs, which cannot be sustained. The costs of caring for the sick accounted for the
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majority of escalating health care dollars, which increased from 5.7% of the
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gross domestic product in 1965 to 17.8% in 2015. Politicians and the media both
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influence Americans‘ perceptions about health care; however, they are not the primary
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reason why Americans are concerned. The new health care system will change the
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health care access and availability, but will not necessarily be offering any free
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services to Americans.
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DIF: Cognitive Level: Understand (Comprehension) nn nn nn
2. A nurse has begun to lobby with politicians for changes to the health care system.
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Why is 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 e d iNa . nn nn nn n
b. Nurses are primarily responsible for m nn nn nn nn nn the various units in our
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health care system.
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c. Nurses are the largest segment of health care providers.
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d. Nurses are the only group that is employed both inside and outside of hospitals.
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ANS: C nn
As the largest segment of health care providers, nurses are informed about the current
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health care system and all the problems that result from people not seeking
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care until they are desperately ill. Nurses, as the American Nurses
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Association (ANA) emphasize, usually believe that health care is a right, not a
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privilege. Therefore, nurses, whose work is central to our current health care
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delivery system, can also be instrumental in working politically to create a
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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
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other health care providers are as well. Nurses are often managers, but managers often
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, have other backgrounds, such as business administration.
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, DIF: Cognitive Level: Understand (Comprehension)
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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
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central medical centers.
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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
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, relations.
ANS: B nn
MCOs are employing nurses in many capacities. Although hospitals are closing and acute
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care is increasingly found in central medical centers, the same trend may be seen in an
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increase in neighborhood-based practice centers. While positions are cut in most
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industries, health care is recognized as an area where growth in employment is
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expected. However, nurses are increasingly employed in community settings as
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opposed to hospitals. This change reflects the move toward community-based care rather
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than hospital-based tertiary care. To help decrease the continued rise in health care
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costs, the increased emphasis is on disease prevention rather than high-cost treatment.
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DIF: Cognitive Level: Understand (Comprehension)
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4. Which ethical belief nn nn nn would be most helpful in the current health care crisis?
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a. Emphasis should nn nn be on individual and corporation freedom in the marketplace.
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b. Emphasis should nn nn be on individual autonomy and freedom of choice.
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c. Emphasis should nn nn be on social justice and collective responsibility.
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d. Emphasis should nn nn be on the effectiveness of technology in resolving problems.
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ANS: C nn
Public health recognizes the necessity of collective action in keeping the environment safe
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and in egalitarian tradition and vision. An overinvestment in technology and
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seeking of cures within the market justice system has stifled the evolution of a
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health system to protect and preserve the health of the population. Although individual
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autonomy and freedom of choice are important, so is the recognition of
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collective responsibility in ensuring social justice, which entitles all people to
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basic necessities.
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DIF: Cognitive Level: Apply (Application) nn nn nn
5. What is the primary problem seen in Healthy People 2020’s emphasis on
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choosing healthy lifestyle behaviors, such as daily exercise or healthy food
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choices?
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a. Emphasis on other lifestyle choices, such as not smoking and minimal
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use 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
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fruits and vegetables as opposed to quick and cheap fast-food
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choices.
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d. Public policy emphasizes personal responsibility but ignores social
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and environmental changes needed for well-being.
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ANS: D nn
Although all responses are accurate, the primary problem is the emphasis on personal
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choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores
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the need for community responsibility and action that addresses environmental
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