Deck 11: A New Era of Health Care: The Ethics of Healthcare Reform

Question 1

According to the authors, a __________ healthcare system provides access to high-quality and affordable care for all those who need it.

Answer 1

just

Question 2

PPACA improved affordability and availability of healthcare insurance to approximately __________ of the uninsured.

Answer 2

half

Question 3

Despite its successes, there were approximately __________ people who remain uninsured under the PPACA.

Answer 3

20 million

Question 4

The withdrawal of major insurance corporations from the PPACA exchanges, __________ consumer choices in the PPACA marketplaces.

Question 5

Healthcare reform is driven by the conclusion that health care is a human __________

Question 6

If healthcare is a social good, the health of an individual is __________ for society as a whole.

Question 7

The Rawlsian __________ stresses that policy should improve the conditions for the worst off in a society.

Question 8

The refusal of some states to participate in exchanges expand Medicaid reflects the __________ view of social justice.

Question 9

Differences in the definition of __________ contribute to the political debate over health care reform.

Question 10

According to the authors, if society believes that health and health care is a social good, it has a __________ to provide it for all.

Question 11

Social justice has many different definitions for Americans. Discuss two ways that social justice is defined in terms of healthcare reform. How do these definitions affect change in legislation?

Question 12

Over the history of health care reform, physicians and their associations have not supported healthcare reform. Using the information in Chapter 11, and the principles of ethics, give two explanations why these groups did not support reform.

Question 13

PPACA required all citizens and legal immigrants to have healthcare insurance or pay a fine. Some people argued that this requirement was an infringement on their autonomy. Using information in Chapter 11 and your knowledge of ethics principles, discuss two reasons why they took this position.

Question 14

Which of the following is true about the difference between healthcare providers who believe in spiritual care and those who do not?

A) Healthcare providers who do believe in spiritual care work mainly in the southern part of the
United States.
B) Healthcare providers who do not believe in spiritual care would call it unethical and
Incompetence compared to evidence-based practice (EBP).
C) Offices of healthcare providers who include spiritual care are busier than those offices who do not include spiritual care.
D) Those healthcare providers who practice spiritual care are more selfless and compassionate.

Question 15

Which of the following is the commonality of the 6 practice models developed by the Clinical Practice Model Resource Center (CPMRC)?

A) All the models incorporate holistic care.
B) The models were developed based on spiritual care.
C) The models demonstrate that evidence-based practice (EBP) can meet the challenges of the 21^st century.
D) All the models were developed to avoid paternalistic medical care while an evidence-based practice (EBP) approach is implemented.

Question 16

Which of the following would apply to the Clinical Practice Model Resource Center's (CPMRC) belief that a healthcare system can maintain and improve its effectiveness?

A) Implementing patient satisfaction survey's, exit interviews and inservices for staff.
B) Encouraging registered nurses to have a bachelors degree not just an associates.
C) Promoting holistic, patient-centered care.
D) Utilizing evidence-based practice (EBP) and spiritual care.

Question 17

Carl Jung and Dr. Rachel Remen both stated that which of the following applies to the healthcare profession?

A) paternalistic insticts
B) scientific intelligence
C) integrity
D) spirituality

Question 18

The nurse is talking with a patient who asks, "Do you think spirituality has any effect on wellness?" Which of the following responses if made by the nurse can be justified by research?

A) "Wellness and spirituality is relative to each person."
B) "Spirituality can have a positive effect for people who are ill."
C) "Utilizing evidence-based practice (EBP) is the best way for a person to achieve wellness."
D) "Wellness cannot be measured, but if you believe in something that's makes you feel good
Than your belief does have an effect."

Question 19

During the admission process to a hospital the patient asks the nurse, "Why do you care if I have a
Religious affiliation?" Which of the following would be the most appropriate response by the nurse?

A) "Legally, we have to ask every patient."
B) "There is evidence that practicing holistic care including spirituality can increase recovery
Time."
C) "We have spiritual counselors that will pray with you, but we like to know what your faith is
Before doing so."
D) "We ask because if you do not have an affiliation we can give you information for one."

Question 20

In Sharon's story, the description of her experience in the dialysis clinic best demonstrates which of the following?

A) That Sharon is connected to her spiritual side.
B) That evidence-based practice (EBP) leaves patients feeling invisible.
C) A lack of advocacy.
D) A lack of holistic care.

Question 21

Using the word "consumer" instead of "patient" in the health care environment can most likely create which of the following?

A) More entitlement by patients to sue the health care system when they are unsatisfied with the
Care they received.
B) A more professional and business-like environment that will remind healthcare workers to treat
The person as an equal.
C) An impersonal relationship, making patients seem more like a client that must feel satisfied
With the products they are purchasing.
D) A more stable balance between health care providing compassionate care while continuing to
Make a profit.

Question 22

Which of the following is true regarding the comparison of Frederick W. Taylor's scientific management theory and evidence-based practice (EBP)?

A) Neither believe there is a need for spirituality.
B) They are both based on evidence.
C) Neither value an employee's ability to think.
D) They are both mainly interested in profit.

Question 23

In regards to the definition of spirituality in the workplace, which of the following applies to the suggestion that a person at work should be seen as more than just a person contributing to the success of the business?

A) Fry and Altman
B) Douglas McGregor
C) Frederick W. Taylor
D) Moore and Casper

Question 24

Which statement suggests the nature of the business of healthcare?

A) Organizations must remain profitable to serve patients.
B) Successful companies incorporate the spirit as a part of organizational structure.
C) A caring relationship exists between those who need healthcare and the providers.
D) Healthcare markets are expanding to areas of population health, prevention, and social health.

Question 25

Which reason best supports the need to incorporate spirituality into the workplace?

A) Providers must work within the best interests of their patients.
B) Medical facilities consider elements of spirituality as part of their mission and practice.
C) Healthcare systems often include elements like the spiritual well-being of employees as part of
Their business plan.
D) Providers are trusted with the most intimate secrets of patients' lives and with intrusive access
To their physical bodies.

Question 26

Which is a primary defining characteristic of the Planetree Movement?

A) The tenth revision of ICD-10.
B) A good healing environment for patients to thrive in.
C) Healthcare organizations must provide care to a wide variety of patient populations.
D) Humanity in health care and the need for patients to be participants in their own care.

Question 27

Which factor results in a reduction of medical errors?

A) Patient-centered care.
B) Increased employee retention.
C) Compliance with TJC standards.
D) Consistently high CAHPS scores.

Question 28

How is spirituality different from religion?

A) It focuses on a good quality of life
B) It promotes the ability to find meaning and purpose in work.
C) It easily integrates within non faith-based facilities.
D) Secular organizations cannot relate to concepts that are based on faith.

Question 29

From a patient's perspective, what is the most important aspect of spirituality?

A) Providing cost-effective care.
B) Implementing the most up-to-date procedures.
C) Compassionate behavior that respects individual dignity.
D) Being committed to purposeful work as evidenced by dedicated actions.

Question 30

How can leaders best promote spirituality in the workplace?

A) By conducting an employee assessment study.
B) By improving the bottom line of their health care facility.
C) By hiring appropriate workers to help fill the needs of the health care organization.
D) By demonstrating commitment to the organization in their own attitudes and behaviors.

Question 31

What is an effective method for facilitating workplace spirituality?

A) Adhering to a consistent schedule.
B) Employing effective listening strategies.
C) Eliminating the confusion between spirituality and religion.
D) Creating a vision for how workers can exhibit spirituality.

Question 32

Which is the best reason why a utilitarian-oriented person would support spirituality in the workplace?

A) Leaders should exemplify spirituality.
B) Adjusting so that patients are a part of the increasing spirituality.
C) To support the positive effect of worker creativity and organizational growth.
D) For increased productivity, decreased turnover, and increased patient confidence in the
Provider.

Question 33

Healing focuses on relieving and treating patients' sympotms?