Health: A Community View

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Question 1

Free

Multiple Choice

Which of the following best describes the primary reason that Americans are concerned about health care?

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Politicians are discussing how to improve health care.

The media has provided mixed messages about the health care system.

Our national health care costs keep increasing.

The new health care system offers free services to Americans.

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Question 2

Free

Multiple Choice

A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement important?

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Nurses, as central characters in several popular TV series, are currently very visible in American media.

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

Nurses are the largest group of health care providers.

Nurses are the only group that is employed both inside and outside of hospitals.

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Question 3

Free

Multiple Choice

What conclusion can be drawn from examining where nurses are employed?

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There is a trend toward consolidation of health care into large central medical centers.

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

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

Managed care organizations (MCOs) are employing nurses to improve customer relations.

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Question 4

Free

Multiple Choice

Which ethical belief would be most helpful in the current health care crisis?

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

Emphasis should be on individual autonomy and freedom of choice.

Emphasis should be on social justice and collective responsibility.

Emphasis should be on the effectiveness of technology in resolving problems.

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Question 5

Free

Multiple Choice

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?

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Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs, is also needed.

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

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.

Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.

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Question 6

Multiple Choice

What responsibility does the American Nurses Association (ANA) Code of Ethics require of the nurse beyond giving excellent care to patients?

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Accept longer work schedules to ensure that professional care is always available to clients

Recognize the need for experienced nurses to mentor new graduates to help increase and expand the number of professionals available

Support health legislation to improve accessibility and cost of health care

Volunteer to work overtime as needed to ensure maximum quality of care

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Question 7

Multiple Choice

What is the community health nursing definition of health?

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Health is a person's goal-directed purposeful process toward well-being or wholeness.

Health is an individual's physical, mental, and social well-being, not merely the absence of disease or infirmity.

Health is the mutual adaptation between a person and his or her environment in meeting daily existence.

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

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Question 8

Multiple Choice

How does community health nursing define community?

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A group of persons living within specific geographic boundaries

A group of persons who share a common identity and environment

A group of persons who work together to meet common goals

Persons who form a group to resolve a common concern

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Question 9

Multiple Choice

Which variable has a major influence on a community's health?

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Behavior choices made by persons in the community

Number of health care providers and hospitals in the community

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

The number and credentials of public health officials in the community

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Question 10

Multiple Choice

What change could most effectively lead to a longer life span in Americans?

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Parenting and sexual behavior classes in all public school systems

Legislation restricting alcohol and drug use

Notably reducing speed limits on all state and federal highways, and changing the age limit for driving to 21 years of age

The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm

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Question 11

Multiple Choice

What is the health issue causing the most concern in the United States today?

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Diabetes epidemic

Increase in cardiac disease

Increase in obesity

Rise in cancer rates

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Question 12

Multiple Choice

What factors are most responsible for the increasing length of life of Americans over the past 100 years?

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Better nutrition and family planning options

Education concerning the need to reduce salt and fat in the diet

Improved medical care, including exciting new technologies

More efficient cancer screenings and early intervention

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Question 13

Multiple Choice

Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?

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To be able to share current trends in health problems with the community

To be able to observe the community's statistics over time and compare the community with other communities

To justify local budgets and the need for increased income from citizens

To publicize current health issues and suggest appropriate actions to citizens

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Question 14

Multiple Choice

How do public health efforts differ from medical efforts in improving the health of our citizens?

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Medical care providers autonomously choose appropriate interventions, whereas public health care providers must engage in whatever actions legislation requires.

Medical care providers are self-employed or agency employed, whereas public health care providers are employed by and paid through the government.

Medical care providers focus only on individuals, whereas public health care providers focus only on aggregates.

Medical care providers focus on disease diagnosis and management, whereas public health care providers focus on health promotion and disease prevention.

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Question 15

Multiple Choice

Which primary prevention would the school nurse choose to address the school's number of unwed pregnancies?

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Create a class on parenting for both the moms-to-be and the dads-to-be

Convince the school board to allow sex education classes to include birth control measures

Employ the moms-to-be as 1-hour-a-day employees in the school day care center for children born to school students

Establish a class where all the unwed moms-to-be can learn infant care

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Question 16

Multiple Choice

What would be the proper term for the action of the school health nurse arranging for all the students in the elementary school to receive H1N1 immunizations?

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Health education

Secondary prevention

Specific protection

Tertiary prevention

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Question 17

Multiple Choice

Which action would probably result in the largest change in health care outcomes for Americans?

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Establish large numbers of scholarships for education of nurses, physicians, and other health care providers

Fund a one-time extremely large stimulus to allow all health care providers and agencies to create and integrate computer network systems for client health care records

Increase funding for hospitals and medical centers to expand their neighborhood clinics

Redirect a large portion of federal funding from acute care to health promotion activities

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Question 18

Multiple Choice

Which task will be most helpful in meeting the public health agency's goals?

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Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year

Actively participate in community agencies' collaborative action plan to meet the community's health goals for the year

Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester

Teach a free course in healthful living for community residents

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Question 19

Multiple Choice

A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

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Reviewing the most recent hospital patient data collected by the local college of nursing

Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community

Evaluating the results of the most recent community-wide screening program before planning for the next community health program

Giving testimony to the state legislature on a new health and safety bill

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Question 20

Multiple Choice

A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

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Acute care hospital nursing

Community-based nursing

Community health nursing

Public health nursing

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