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COMPLETE Test Bank for Community Public Health Nursing 7th Edition by Mary A. Nies, Melanie McEwen Complete Guide All Chapters (1-34) Questions with Verified Answers Newest Edition

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complete test bank
7th edition
complete test bank for community public health nur
7th edition by mary a nies melanie mcewen
community public health nursing

Institution Community Public Health Nursing
Course Community Public Health Nursing

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,Chapter 01: Health: A Community View
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Nies: Community/Public Health Nursing, 7th Edition
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MULTIPLE CHOICE b

1. Which best describes the primary reason that Americans are concerned about health care?
b b b b b b b b b b b b

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, which
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cannot be sustained. The costs of caring for the sick accounted for the majority of escalating
b b b b b b b b b b b b b b b b

health care dollars, which increased from 5.7% of the gross domestic product in 1965 to
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17.8% in 2015. Politicians and the media both influence Americans’ perceptions about health
b b b b b b b b b b b b b

care; however, they are not the primary reason why Americans are concerned. The new health
b b b b b b b b b b b b b b b

care system will change the health care access and availability, but will not necessarily be
b b b b b b b b b b b b b b b

offering any free services to Americans.
b b b b b b

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 this
b b b b b b b b b b b b b b b b b

involvement important?
b b

a. Nurses, as central characters in several popular TV series, are currently very
b b b b b b b b b b b

visible in American media
b b b b

b. Nurses are primarily responsible for managing various units in our health care
b b b b b b b b b b b

system. 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.
b b b b b b b b b b b b b

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
b b b b b b b b b b b b b b b b

desperately ill. Nurses, as the American Nurses Association (ANA) emphasize, usually
b b b b b b b b b b b

believe that health care is a right, not a privilege. Therefore, nurses, whose work is central to
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our current health care delivery system, can also be instrumental in working politically to
b b b b b b b b b b b b b b

create a health care delivery system that will meet health needs. While nurses are in several
b b b b b b b b b b b b b b b b

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
b b b b b b b b b b b b b b b

backgrounds, such as business administration.
b b b b b

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 medical
b b b b b b b b b b b b

centers. b

b. There is an increased emphasis on community-based health care.
b b b b b b b b

c. There is an obvious need to decrease health care costs by cutting positions.
b b b b b b b b b b b b

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 care
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is 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
b b b b b b b b b b b b b

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
b b b b b b b b b b b b

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?
b b b b b b b b b b b b

a. Emphasis should be on individual and corporation freedom in the marketplace.
b b b b b b b b b b

b. Emphasis should be on individual autonomy and freedom of choice.
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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.
b b b b b b b b b b

ANS: C b

Public health recognizes the necessity of collective action in keeping the environment safe and
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in egalitarian tradition and vision. An overinvestment in technology and seeking of cures
b b b b b b b b b b b b b

within the market justice system has stifled the evolution of a health system to protect and
b b b b b b b b b b b b b b b b

preserve the health of the population. Although individual autonomy and freedom of choice
b b b b b b b b b b b b b

are important, so is the recognition of collective responsibility in ensuring social justice,
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bwhich entitles all people to basic necessities.
b b b b b b

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

5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy
b b b b b b b b b b b b b

b lifestyle behaviors, such as daily exercise or healthy food choices?
b b b b b b b b b

a. Emphasis on other lifestyle choices, such as not smoking and minimal use of
b b b b b b b b b b b b

b alcohol or drugs, is also needed. b b b b b

b. All of us must work together to make unhealthy behaviors socially unacceptable.
b b b b b b b b b b b

c. It costs more to make healthy choices, such as buying and eating fresh fruits and
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vegetables as opposed to quick and cheap fast-food choices.
b b b b b b b b b

d. Public policy emphasizes personal responsibility but ignores social and
b b b b b b b b

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 choices
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in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
b b b b b b b b b b b b b b

community responsibility and action that addresses environmental or cultural restraints to
b b b b b b b b b b b

health.
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?
b b b b b b b b

a. Accept longer work schedules to ensure that professional care is always available
b b b b b b b b b b b

, to clients. b

b. Recognize the need for experienced nurses to mentor new graduates to help
b b b b b b b b b b b

increase and expand the number of professionals available.
b b b b b b b b

c. Support health legislation to improve accessibility and cost of health care.
b b b b b b b b b b

d. Volunteer to work overtime as needed to ensure maximum quality of care.
b b b b b b b b b b b

ANS: C b

The ANA Code of Ethics promotes social reform by focusing on health policy and legislation
b b b b b b b b b b b b b b

to positively affect accessibility, quality, and cost of health care. The code does not directly
b b b b b b b b b b b b b b b

address workplace issues, such as work schedules or need for overtime.
b b b b b b b b b b b

DIF: Cognitive Level: Analyze (Analysis) b b b

7. What is the community health nursing definition of health?
b b b b b b b b

a. Health is a person’s goal-directed purposeful process toward well-being or
b b b b b b b b b

wholeness.
b

b. Health is an individual’s physical, mental, and social well-being, not merely the
b b b b b b b b b b b

absence of disease or infirmity.
b b b b b

c. Health is the mutual adaptation between a person and his or her environment in
b b b b b b b b b b b b b

meeting daily existence.
b b b

d. Health is families and aggregates choosing actions to ensure safety and well-being.
b b b b b b b b b b b

ANS: D b

The text stresses that health is not just the result of an individual’s choices, but choices and
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actions of individuals, families, groups, and communities that lead to better health.
b b b b b b b b b b b b

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

8. How does community health nursing define community?
b b b b b b

a. A group of persons living within specific geographic boundaries
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b. A group of persons who share a common identity and environment
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c. A group of persons who work together to meet common goals
b b b b b b b b b b

d. A group of persons who resolve a community concern
b b b b b b b b

ANS: B b

Community health nurses work with both geopolitical groups (within specific geographic
b b b b b b b b b b

boundaries) and phenomenological groups (who have a common identity based on culture,
b b b b b b b b b b b b

history, or goals). A particular phenomenological group may or may not have been a planned
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group—that is, a group that came together to resolve a recognized common problem or to
b b b b b b b b b b b b b b b

meet a common goal. However, of all the choices, a group of persons who share a common
b b b b b b b b b b b b b b b b b

identity (phenomenological group) and environment (which implies a specific geographic
b b b b b b b b b b

setting) is the broadest and most complete definition.
b b b b b b b b

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

9. Which variable has a major influence on a community’s health?
b b b b b b b b b

a. Behavior choices made by persons in the community b b b b b b b

b. Number of health care providers and hospitals in the community
b b b b b b b b b

c. Quality of the public safety officers (police officers, firefighters, etc.)
b b b b b b b b b

d. The number and credentials of public health officials in the community
b b b b b b b b b b

ANS: A b

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COMPLETE Test Bank for Community Public Health Nursing 7th Edition by Mary A. Nies, Melanie McEwen Complete Guide All Chapters (1-34) Questions with Verified Answers Newest Edition

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