Test Bank For Community Public Health Nursing 7th Edition
by Mary A. Nies, Melanie McEwen chapter 1-34 | Complete
Guide Newest Version 2024
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 new public health nurse carefully assessed all the local mortality and morbidity data in
preparation for making appropriate planning suggestions at a meeting next week. What other
action is crucial before the nurse can feel prepared? a. Ask other nursing staff their perceptions
of the community s needs.
b. Assess the nurse s own assets, strengths, and ability to contribute.
c. Meet members of the community to determine their culture and values.
d. Review discussions and decisions from previous meetings.
ANS: C
pg. 1
, Community health nurses must work with the community. It is essential to assess an aggregate
s needs and resources and identify its values. The best way to do this is by meeting with the
members of the community to determine their culture and values. Assessing one s own assets,
asking other nursing staff, and reviewing previous discussions will not allow the nurse to
assess the needs of the community.
DIF: Cognitive Level: Apply (Application)
3. Why are high-risk and vulnerable subpopulations identified by public health nurses before
deciding on appropriate interventions?
a. It is easiest to make improvements among these groups.
b. Populations are not homogeneous, and resources are limited.
c. Such groups are most vocal about their needs and wants.
d. These groups are often recipients of special funding.
ANS: B
Populations are not all the same. The needs of subpopulations must be assessed. The high-risk
and vulnerable subpopulations must be identified early. Those individuals who do not receive
service early become very expensive high-cost users later. DIF: Cognitive Level: Understand
(Comprehension)
4. A nurse works hard to develop alliances among various community organizations toward
improving health in the community. What are actions such as this called?
a. Building coalitions
b. Collaboration
c. Communication
d. Community cooperation
ANS: A
By definition, the nurse s actions are coalition building. Although collaboration has a very
similar meaning, Table 1.4 stresses that collaboration is focused more on enhancing the
capacity of an individual or a group. The nurse is establishing cooperative alliances, but not
yet working with them toward a goal.
DIF: Cognitive Level: Understand (Comprehension)
5. After completing a master s degree, a nurse took a course in marketing. Should the agency
reimburse the nurse s tuition costs?
a. No, courses taken for personal enjoyment are not eligible.
b. No, courses taken outside the professional s responsibilities are not eligible.
c. Yes, the nurse is demonstrating professional commitment by continuing education.
pg. 2
, d. Yes, the nurse could use such information in social marketing for the agency.
ANS: D
Social marketing tools using marketing principles and technologies are designed to influence
the knowledge, attitudes, values, beliefs, and behaviors of populations. Such information
would be extremely helpful for agency personnel in improving community health and lifestyle
choices.
DIF: Cognitive Level: Apply (Application)
6. Which factor is most responsible for differences in an individual s health?
a. Culture of the majority of the community s citizens
b. Individual s education and income
c. Number of physicians and other health care providers in the community
d. Quality of the community health agency and hospital in the community
ANS: B
Factors that contribute to wide variations in health disparities are education, income, and
occupation. This is best addressed by looking at an individual s education and income. The
culture, number of physicians, and quality of agencies in the community do not play as
important of a role in individual health.
DIF: Cognitive Level: Understand (Comprehension)
7. 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.
b. Nurses are primarily responsible for managing the 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.
pg. 3
, DIF: Cognitive Level: Understand (Comprehension)
8. 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.
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)
9. 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.
DIF: Cognitive Level: Apply (Application)
10. 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.
pg. 4
