CHAPTER1; HEALTH; COMMUNITY VIEW TEST BANK LATEST ACTUAL EXAM

CHAPTER1; HEALTH; COMMUNITY VIEW TEST
BANK LATEST ACTUAL EXAM
What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical centers.
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.
d. Managed care organizations (MCOs) are employing nurses to improve customer
relations. - ANSWER-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 is recognized 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) REF: p.
Which of the following 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. - ANSWER-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
17.6% in 2009. Politicians and the media both influence Americans' perceptions about
health care; however, they are not the primary reason why Americans are concerned. The
new health care 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) REF: p. 2
A nurse has begun to lobby with politicians for changes to the health care system. Why is
this involvement important?
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 various units in our health care
system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. -
ANSWER-ANS: C
As the largest group 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) REF: p. 2