Deck 3: The Us Health and Public Health Care Systems

Question 1

Which of the following principles has been used by the American Nurses Association (ANA) when encouraging health care reform?

A)High-technology interventions to reduce nursing time, effort, and medical errors must be expanded.
B)Nurses must be recognized and rewarded for health promotion efforts.
C)Nursing research into patient care outcomes must be expanded and funded.
D)Universal access to essential health services should be available for all citizens.

Answer 1

Universal access to essential health services should be available for all citizens.

Question 2

Which of the following best describes ideal primary health care?

A)Based on a multidisciplinary group of health care providers that work as a team
B)Essential care available to all community members, which encourages self-management
C)Focused on health promotion and disease prevention for everyone enrolled in the health center
D)Local efforts to meet the Declaration of Alma Ata principles

Answer 2

Essential care available to all community members, which encourages self-management

Question 3

Which of the following provides evidence that the U.S. health care system is in crisis? (Select all that apply.)

A)Full-time employees may not have health insurance as a benefit.
B)Incompetent or negligent nurses are an ongoing source of medical errors.
C)Long work hours and provider fatigue are a major factor in medical errors.
D)More punitive measures must be taken to decrease provider errors.

Answer 3

Full-time employees may not have health insurance as a benefit.
Long work hours and provider fatigue are a major factor in medical errors.

Question 4

A nurse is planning to conduct research on patient care outcomes. Which of the following agencies would the nurse use as a resource?

A)Agency for Health Care Research and Quality
B)Federal Agency for Patient Care Outcomes
C)National Center for Nursing Research
D)U.S. Agency for Patient Care Effectiveness

Question 5

A nurse is determining which health care services must be offered at a local public health clinic. Which of the following factors is most important for the nurse to consider?

A)Data available from the most recent community assessment
B)Suggestions from community members about what is needed
C)Recommendations of Healthy People 2020
D)Services mandated by the state government

Question 6

A nurse is explaining the health care system in the United States to a group of physicians visiting from South America. How would the nurse best describe the current health care system?

A)"It is a logical, rational approach to meeting expressed needs while still trying to control costs."
B)"It is a system in the process of reform as problems have become increasingly apparent."
C)"It is divided primarily into two components: private health care and public health care."
D)"It is the best in the world with outstanding research and high-technology care available to all."

Question 7

African-American females have a higher mortality rate from breast cancer than White females. This is an example of:

A)Projection
B)Disparity
C)Racism
D)A sentinel event

Question 8

How does managed care attempt to control costs of care?

A)By encouraging families to use the point of service list of individual practice associates
B)By requiring families to choose a care provider from the MC network and not allowing access to other services without their provider's permission
C)By moving Medicaid-eligible families onto state Medicare enrollment
D)By refusing permission for families to use urgent care or emergency department services

Question 9

What do demographic figures suggest about the ways in which the population of the United States is changing? (Select all that apply.)

A)Approximately 12% of the U.S. population was born in a different country.
B)Hispanics are the largest minority group population.
C)Households consisting primarily of intact families continue to grow.
D)Mortality for both genders in all age groups declined.

Question 10

How does the Department of Agriculture promote the health of U.S. citizens?

A)By collecting surplus food left after mechanical harvests and distributing it to the poor
B)By inspecting food, so no foodborne illnesses can occur
C)By collaborating with others to provide food or food stamps to needy persons
D)By providing direct education and grants to dietitians and nutritionists

Question 11

A nurse is working at a state health department. Which of the following duties would most likely be completed in this setting? (Select all that apply.)

A)Administering the Medicaid program
B)Assessing the health needs of the state's citizens
C)Employing and supervising school health nurses
D)Establishing and maintaining free clinics for HIV-positive drug abusers

Question 12

Which of the following best describes why local, state, and federal governmental agencies have started to cooperate and collaborate more closely in the last few years?

A)Increased administrative pressures to demonstrate outcomes
B)Increased focus on emergency preparedness and response
C)Increased taxpayers' complaints and general unhappiness
D)Increased pressure to decrease overlap in services

Question 13

A community health nurse is trying to increase enrollment in SCHIP. Which of the following interventions would be most effective?

A)Explaining the program to children enrolled in public school systems
B)Handing out SCHIP applications to uninsured children seen in local hospital emergency departments
C)Having a newspaper campaign with information and applications printed in the newspaper
D)Sending literature about the SCHIP program home with schoolchildren each year

Question 14

Which of the following statements are accurate descriptions of current social and economic trends in the United States? (Select all that apply.)

A)Citizens are appreciating the quality of life enjoyed in the United States.
B)Enjoying life is not as important as the need to take care of oneself.
C)Many families are seeing decreases in family income.
D)Massive and unexpected social and economic changes have occurred.

Question 15

An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?

A)"Let's go through these medications and see which ones we can delete."
B)"You can get these medicines at this clinic for free."
C)"Let's see if we can get some help from Medicare to help you pay for these medications."
D)"These medications are important. Do your best to pay for them."

Question 16

A public health agency is planning to implement the electronic health record. Which of the following is a benefit of this choice?

A)Facilitation of interprofessional care
B)Improved client compliance with medical regimens
C)Cost savings to the agency
D)Compliance with JCAHO standards