Test Bank -
Community Public Health Nursing
By Mary A. Nies, Melaniemcewen
8th Edition
, Table Of Contents
Chapter 01: Health: A Community View
Chapter 02: Historical Factors: Community Health Nursing In Context
Chapter 03: Thinking Upstream: Nursing Theories And Population-Focused Nursing Practice
Chapter 04: Health Promotion And Risk Reduction
Chapter 05: Epidemiology
Chapter 06: Community Assessment
Chapter 07: Community Health Planning, Implementation, And Evaluation
Chapter 08: Community Health Education
Chapter 09: Case Management
Chapter 10: Policy, Politics, Legislation, And Community Health Nursing
Chapter 11: The Health Care System
Chapter 12: Economics Of Health Care
Chapter 13: Cultural Diversity And Community Health Nursing
Chapter 14: Environmental Health
Chapter 15: Health In The Global Community
Chapter 16: Child And Adolescent Health
Chapter 17: Women’s Health
Chapter 18: Men’s Health
Chapter 19: Senior Health
Chapter 20: Family Health
Chapter 21: Populations Affected By Disabilities
Chapter 22: Veterans Health
Chapter 23: Homeless Populations
Chapter 24: Rural And Migrant Health
Chapter 25: Populations Affected By Mental Illness
Chapter 26: Communicable Disease
Chapter 27: Substance Abuse
Chapter 28: Violence
Chapter 29: Natural And Man-Made Disasters
,Chapter 01: Health: A Community View
Nies: Community/Public Health Nursing, 8th 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.
SELECTED 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 Healthcare; However, They Are Not The Primary Reason Why
Americans Are Concerned. The New Healthcare 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 Nurse Has Begun To Lobby With Politicians For Changes To The Health Care
System. Why Is Thisinvolvement Important?
a. Nurses, As Central Characters In Several Popular Tv Series, Are Currently
Very Visible In American Med I A.
b. Nurses Are Primarily R e s p o nus i bs
l e Fonr Mtanagingothe 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.
SELECTED 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.
Dif: Cognitive Level: Understand (Comprehension)
3. What Conclusion Can Be Drawn From Examining Where Nurses Are Employed?
a. There Is A Trend Toward Consolidation Of Health Care Into Large
Central Medicalcenters.
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.
Managed Care Organizations (Mcos) Are Employing Nurses To Improve
Customer
, Relations.
SELECTED 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 Isrecognized 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)
4. 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.
SELECTED ANS: C
Public Health Recognizes The Necessity Of Collective Action In Keeping The Environment
Safe Andin 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)
5. What Is The Primary Problem Seen In Healthy People 2020’s Emphasis On Choosing
Healthylifestyle 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 Andvegetables As Opposed To Quick And Cheap Fast-Food
Choices.
d. Public Policy Emphasizes Personal Responsibility But Ignores Social
And Environmental Changes Needed For Well-Being.
SELECTED ANS: D
Although All Responses Are Accurate, The Primary Problem Is The Emphasis On Personal
Choices In The Healthy People 2020 Objectives. Emphasis On Personal Choices Ignores The
Need For Community Responsibility And Action That Addresses Environmental Or Cultural
Restraints To Health.
Dif: Cognitive Level: Apply (Application)
6. What Responsibility Does The American Nurses Association (Ana) Code Of Ethics Require
Of The Nurse Beyond Giving Excellent Care To Patients?
a. Accept Longer Work Schedules To Ensure That Professional Care Is Always Available
