Mary A. Nies; Melanie McEwenTEST BANK
Community/Public Health Nursing
8th Edition
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Table of Contents
Chapter 01 Health-A Community View 1
Chapter 02 Historical Factors-Community Health Nursing in Context 12
Chapter 03 Thinking Upstream-Nursing Theories and Population-Focused Nursing Practice 23
Chapter 04 Health Promotion and Risk Reduction 31
Chapter 05 Epidemiology 40
Chapter 06 Community Assessment 52
Chapter 07 Community Health Planning, Implementation, and Evaluation 60
Chapter 08 Community Health Education 71
Chapter 09 Case Management 81
Chapter 10 Policy, Politics, Legislation, and Community Health Nursing 88
Chapter 11 The Health Care System 101
Chapter 12 Economics of Health Care 110
Chapter 13 Cultural Diversity and Community Health Nursing 122
Chapter 14 Environmental Health 133
Chapter 15 Health in the Global Community 141
Chapter 16 Child and Adolescent Health 149
Chapter 17 Women’s Health 162
Chapter 18 Men’s Health 175
Chapter 19 Senior Health 181
Chapter 20 Family Health 193
Chapter 21 Populations Affected by Disabilities 204
Chapter 22 Veterans Health 213
Chapter 23 Homeless Populations 223
Chapter 24 Rural and Migrant Health 233
Chapter 25 Populations Affected by Mental Illness 246
Chapter 26 Communicable Disease 255
Chapter 27 Substance Abuse 265
Chapter 28 Violence 278
Chapter 29 Natural and Man-Made Disasters 287
Chapter 30 School Health 297
Chapter 31 Occupational Health 309
Chapter 32 Forensic and Correctional Nursing 320
Chapter 33 Faith Community Nursing 328
Chapter 34 Home Health and Hospice 335Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Chapter 01: Health: A Community View Nies: Community/Public Health Nursing, 8th Edition MULTIPLE CHOICE 1. Which statement best describes the primary reason tha t Americans are concerned about health care? a. Politicians are discussing how to improve health ca re. b. The media has provided mixed messages about the heal th 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 t he constantly increasing costs, which cannot be sustained. The costs of caring for the sic k accounted for the majority of escalating health care dollars, which increased from 5.7% of t he gross domestic product in 1965 to 18% in 2018. Politicians and the media both influence Am ericans’ perceptions about health care; however, they are not the primary reason why America ns are concerned. The new health care system will change the health care access and avail ability but will not necessarily be offering any free services to Americans. DIF: Cognitive Level: Understand (Comprehension) 2. Why is it important for nurses to lobby with politic ians for changes to the health care system? 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 va rious units in our health care system. c. Nurses are the largest segment of health care provi ders. d. Nurses are the only group that is employed both insi de and outside of hospitals. ANS: C Nurses constitute the largest segment of healthcare workers; therefore, they are instrumental in creating a healthcare delivery system that will meet the health-oriented needs of the people. As the largest segment of health care providers, nur ses are informed about the current health care system and all the problems that result from peo ple not seeking care until they are desperately ill. Nurses, as the American Nurses Asso ciation (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 o utside of hospitals, physicians and other health care providers are as well. Nurses are often m anagers, but managers often have other backgrounds, such as business administration. DIF: Cognitive Level: Understand (Comprehension) 3. What conclusion can be drawn from examining where nu rses are currently being employed? a. There is a trend toward consolidation of health car e into large central medical centers. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Community/Public Health Nursing, 8th Edition (Nies, 2024)
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b. There is an increased emphasis on health promotion a nd preventive care. c. There is an obvious need to decrease health care co sts by cutting positions. d. Managed care organizations (MCOs) are employing nur ses to improve customer relations. ANS: B The decline in the percentage of nurses employed in hospitals and the subsequent increase in nurses employed in community settings suggests a sh ift in focus from illness and institution- based care to health promotion and preventive care. T his shift will likely continue into the future as alternative delivery systems, such as amb ulatory, home care, and hospice employ more nurses. MCOs are employing nurses in many capa cities. Although hospitals are closing and acute care is increasingly found in central med ical 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 i n employment is expected. However, nurses are increasingly employed in community setti ngs as opposed to hospitals. This change reflects the move toward community-based care rathe r than hospital-based tertiary care. To help decrease the continued rise in health care cos ts, the increased emphasis is on disease prevention rather than high-cost treatment. DIF: Cognitive Level: Understand (Comprehension) 4. Which ethical belief is the basis of public health nur sing? a. Emphasis should be on individual and corporation fre edom in the marketplace. b. Emphasis should be on individual autonomy and freedo m of choice. c. Emphasis should be on social justice and collective r esponsibility. d. Emphasis should be on the effectiv eness of technology in resolving problems. ANS: C The mission of public health is social justice, which entitles all people to basic necessities such as adequate income and health protection and ac cepts collective burdens to make it possible. An overinvestment in technology and seeki ng 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 freedo m of choice are important, so is the recognition of collective responsibility in ensurin g social justice, which entitles all people to basic necessities. DIF: Cognitive Level: Understand (Comprehension) 5. What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healt hy food choices? a. Emphasis on other lifestyle choices, such as not sm oking and minimal use of alcohol or drugs, is also needed. b. All of us must work together to make unhealthy behav iors socially unacceptable. c. It costs more to make healthy choices, such as buyin g and eating fresh fruits and vegetables as opposed to quick and cheap fast -food choices. d. Public policy emphasizes personal responsibility but i gnores social and environmental changes needed for well -being. ANS: D ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Community/Public Health Nursing, 8th Edition (Nies, 2024)
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