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Community1Public1Health1Nursing18th1Edition1by1Nies,1Melanie1McEwen1Test1Bank




Community Public Health Nursing 8th Edition by Ni
1 1 1 1 1 1 1




es, Melanie McEwen Test Bank
1 1 1 1




TABLE OF CONTENT
1 1




Unit11:1Introduction1to1Community1Health1Nursing
Chapter11.1Health:1A1Community1View
Chapter12.1Historical1Factors:1Public1Health1Nursing1in1Context
Chapter13.1Thinking1Upstream:1Nursing1Theories1and1Population-
Focused1Nursing1Practice1Chapter14.1Health1Promotion1and1Risk1Reduction


Unit12:1The1Art1and1Science1of1Community1Health1Nursing
Chapter15.1Epidemiology
Chapter16.1Community1Assessment
Chapter17.1Community1Health1Planning,1Implementation,1and1Evaluation1Chapter
1 8.1Community1Health1Education1and1Engagement19.1Case1Management


Unit13:1Factors1that1Influence1the1Health1of1the1Community
Chapter110.1Policy,1Politics,1Legislation,1and1Community1Health1Nursing1Chapte
r111.1The1Healthcare1System
Chapter112.1Economics1of1Health1Care
Chapter113.1Cultural1Diversity1and1Community1Health1Nursing1
Chapter114.1Environmental1Health
Chapter115.1Health1in1the1Global1Community


Unit14:1Aggregates1in1the1Community1
Chapter116.1Child1and1Adolescent1Health1
Chapter117.1Women’s1Health
Chapter1 18.1 Men’s1 Health

Test1Bank Page11

, Community1Public1Health1Nursing18th1Edition1by1Nies,1Melanie1McEwen1Test1Bank
Chapter119.1Senior1Health1Chapte
r120.1Family1Health


Unit15:1Vulnerable1Populations
Chapter121.1Populations1Affected1by1Disabilities1Chapte
r122.1Veterans’1Health
Chapter123.1Homeless1Populations1C
hapter124.1Rural1and1Migrant1Health
Chapter125.1Populations1Affected1by1Mental1Illness


Unit16:1Population1Health1Problems1
Chapter126.1Communicable1Disease1
Chapter127.1Substance1Abuse1Chapte
r128.1Violence
Chapter129.1Natural1and1Man-Made1Disasters


Unit17:1Community1Health1Settings
Chapter130.1School1Health1Chapt
er131.1Occupational1Health
Chapter132.1Forensic1and1Correctional1Nursing
1 Chapter133.1Faith1Community1Nursing1 Chapt
er134.1Home1Health1and1Hospice




Test1Bank Page12

, Community1Public1Health1Nursing18th1Edition1by1Nies,1Melanie1McEwen1Test1Bank
Chapter101:1Health:1A1Community1View
Nies:1Community/Public1Health1Nursing,18th1Edition


MULTIPLE1CHOICE


1. Which1best1describes1the1primary1reason1that1Americans1are1concerned1about1health
1 care?
a. Politicians1are1discussing1how1to1improve1health1care.
b. The1media1has1provided1mixed1messages1about1the1health1care1system.
c. Our1national1health1care1costs1keep1increasing.
d. The1new1health1care1system1offers1free1services1to1Americans.
1ANS:1 C

The1primary1reason1for1the1focus1on1health1care1is1the1constantly1increasing1costs,1which1can
not1be1sustained.1The1costs1of1caring1for1the1sick1accounted1for1the1majority1of1escalating1hea
lth1care1dollars,1which1increased1from15.7%1of1the1gross1domestic1product1in119651to117.8%1i
n12015.1Politicians1and1the1media1both1influence1Americans‘1perceptions1about1health1care;1ho
wever,1they1are1not1the1primary1reason1why1Americans1are1concerned.1The1new1health1care1sys
tem1will1change1the1health1care1access1and1availability,1but1will1not1necessarily1be1offering1an
y1free1services1to1Americans.


DIF:1 Cognitive1Level:1Understand1(Comprehension)


2. A1nurse1has1begun1to1lobby1with1politicians1for1changes1to1the1health1care1system.1Why1is1this
1 involvement1important?
a. Nurses,1as1central1characters1in1several1popular1TV1series,1are1currently1veryin1American
1visible1media
b. Nurses1are1primarilyresponsible1for1managingthe1various1units1in1our1health1care
system.
1


c. Nurses1are1the1largest1segment1of1health1care1providers.
d. Nurses1are1the1only1group1that1is1employed1both1inside1and1outside1of1hospitals.

ANS:1C
As1the1largest1segment1of1health1care1providers,1nurses1are1informed1about1the1current1health1
care1system1and1all1the1problems1that1result1from1people1not1seeking1care1until1they1are1despe
rately1ill.1Nurses,1as1the1American1Nurses1Association1(ANA)1emphasize,1usually1believe1tha
t1health1care1is1a1right,1not1a1privilege.1Therefore,1nurses,1whose1work1is1central1to

Test1Bank Page13

, Community1Public1Health1Nursing18th1Edition1by1Nies,1Melanie1McEwen1Test1Bank
our1current1health1care1delivery1system,1can1also1be1instrumental1in1working1politically1to1cre
ate1a1health1care1delivery1system1that1will1meet1health1needs.1While1nurses1are1in1several1curr
ent1TV1series1and1are1employed1both1inside1and1outside1of1hospitals,1physicians1and1other1healt
h1care1providers1are1as1well.1Nurses1are1often1managers,1but1managers1often1have1other1backg
rounds,1such1as1business1administration.


DIF:1 Cognitive1Level:1Understand1(Comprehension)


3. What1conclusion1can1be1drawn1from1examining1where1nurses1are1employed?
a. There1is1a1trend1toward1consolidation1of1health1care1into1large1central1medical
1centers.
b. There1is1an1increased1emphasis1on1community-based1health1care.
c. There1is1an1obvious1need1to1decrease1health1care1costs1by1cutting1positions.


d. Managed1care1organizations1(MCOs)1are1employing1nurses1to1improve1customer1relations.

ANS:1B
MCOs1are1employing1nurses1in1many1capacities.1Although1hospitals1are1closing1and1acute1care
1is1increasingly1found1in1central1medical1centers,1the1same1trend1may1be1seen1in1an1increase1i
n1neighborhood-
based1practice1centers.1While1positions1are1cut1in1most1industries,1health1care1is1recognized1as1
an1area1where1growth1in1employment1is1expected.1However,1nurses1are1increasingly1employe
d1in1community1settings1as1opposed1to1hospitals.1This1change1reflects1the1move1toward1comm
unity-based1care1rather1than1hospital-
based1tertiary1care.1To1help1decrease1the1continued1rise1in1health1care1costs,1the1increased1em
phasis1is1on1disease1prevention1rather1than1high-cost1treatment.


DIF:1 Cognitive1Level:1Understand1(Comprehension)


4. Which1ethical1belief1would1be1most1helpful1in1the1current1health1care1crisis?
a. Emphasis1should1be1on1individual1and1corporation1freedom1in1the1marketplace.
b. Emphasis1should1be1on1individual1autonomy1and1freedom1of1choice.
c. Emphasis1should1be1on1social1justice1and1collective1responsibility.
d. Emphasis1should1be1on1the1effectiveness1of1technology1in1resolving1problems.

ANS:1C
Public1health1recognizes1the1necessity1of1collective1action1in1keeping1the1environment1safe1and
1in1egalitarian1tradition1and1vision.1An1overinvestment1in1technology1and1seeking1of1cures1wit
hin1the1market1justice1system1has1stifled1the1evolution1of1a1health1system1to1protect1and1prese
Test1Bank Page14

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