Deck 3: Public Health and Primary Care Systems and Health Care Transformation

Question 1

The number of uninsured Americans has dramatically increased because:

A) Medicare took over payment of health care costs.
B) With a declining population, the costs for health care rose.
C) Nursing salaries greatly increased, causing health care costs to rise.
D) Health insurance coverage was dropped from employment-based health plans.

Answer 1

Health insurance coverage was dropped from employment-based health plans.

Question 2

An 80-year-old woman comes to the community health center 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 pay for these medications. I will refer you to our social worker."
D) "These medications are important. Do your best to pay for them."

Answer 2

"Let's see if we can get some help from Medicare to pay for these medications. I will refer you to our social worker."

Question 3

If a 25-year-old woman visits a community health center to obtain a gynecological examination and birth control pills,these activities are termed _____ care.

A) Tertiary health
B) Public health
C) Primary health
D) Specialized care

Answer 3

Primary health

Question 4

When researching advanced practice nursing options,a nursing student discovers that:

A) Nurse practitioners may work as independent practitioners.
B) Certified nurse midwives have limited prescriptive authority.
C) Clinical nurse specialists typically provide primary care services.
D) The Doctorate in Nursing Practice emphasizes the importance of research.

Question 5

A community health nurse utilizes telehealth because it:

A) Enables clients to get nursing care in their homes
B) Substitutes for health department delivered care
C) Improves access to care in rural areas
D) Replaces face-to-face care for those who cannot afford it

Question 6

A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community.Which goal would the nurse find in this document?

A) Promote healthy behaviors for children.
B) Cure cancer.
C) Eliminate health disparities.
D) Provide primary care to all citizens.

Question 7

The federal agency of the public health system that is most involved with the health and welfare of United States citizens is the:

A) Centers for Medicaid and Medicare Services
B) Department of Health and Human Services
C) Public Health Service
D) Secretary for Health

Question 8

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

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

Question 9

Residents of rural communities report that they must travel for long distances to obtain health care services.As a result,they seek health care only for emergencies and severe illnesses.Which aspect of the health care system in the United States is illustrated in this situation?

A) Access to care
B) Cost
C) Quality
D) Advances in technology

Question 10

According to the 1999 Institute of Medicine report,as many as 98,000 deaths each year are caused by:

A) Cardiovascular disease
B) Obesity
C) Medical error
D) Drug overdose

Question 11

A nurse exploring a job opportunity at a community health center would expect that the center:

A) Would be located in a large metropolitan area
B) Provides care only to the economically disadvantaged
C) Offers comprehensive primary care services and supportive services
D) Is used for preventive services such as flu shots

Question 12

The primary purpose of the World Health Organization is to:

A) Coordinate surveillance at the global level.
B) Prevent outbreaks of disease.
C) Prevent the transmittal of communicable disease among nations of the world.
D) Provide humanitarian support in times of disaster.

Question 13

A client who receives primary health care services would expect that:

A) The care would be provided by a physician.
B) Private insurance would be necessary to receive care.
C) The emphasis of care provided would be on prevention.
D) A referral would be made to a specialist after receiving services.

Question 14

Primary health care in the United States:

A) Has dramatically improved since the passage of the Declaration of Alma Ata
B) Focuses on the use of government-funded insurance programs
C) Lacks community participation and a multidisciplinary health care delivery team
D) Utilizes Preferred Provider Organizations to meet needs of the citizens

Question 15

In the United States,the majority of health care dollars are spent on:

A) Prescription drugs
B) Hospital care
C) Physician services
D) Public health services

Question 16

A nursing student interviews a member of the local congressional district to learn more about the health care system in the United States.Which statement made by the congressman would be accurate?

A) "Managed care was short-lived because too many consumer groups endorsed the plans."
B) "Under managed care, clients had unlimited access to providers of their choice."
C) "Managed care failed because Americans were used to free access to providers of their choice."
D) "Managed care in the United States has been replaced by the Affordable Health Care for America Act."

Question 17

A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program.The rationale for this campaign is that:

A) The number of minority versus non-minority nurses should be equal.
B) Minority health care professionals who share the same culture with the clients may provide more effective care.
C) The profession should be more diverse.
D) Minority nurses can mentor other nurses when providing care for diverse populations.

Question 18

What initiative began as a result of a resolution adopted by the World Health Organization (WHO)in 1977?

A) Declaration of Alma Ata
B) Medicare
C) Healthy People
D) Primary health care movement

Question 19

One of the benefits that a public health agency will experience by choosing to implement the electronic health record is:

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

Question 20

When compared to public health care,primary care is:

A) Focused on individuals
B) Provided by specialists
C) Self-reliant
D) Community focused

Question 21

What are some of the untoward events categorized in the Institute of Medicine (IOM)report about medical errors? Select all that apply.

A) Wrong-site surgery
B) Adverse drug events
C) Improper transfusions
D) Restraint related deaths
E) None of above

Question 22

Which program would typically be found in a state health department?

A) Senior health
B) Dental services
C) HIV/AIDS service
D) Mental health

Question 23

Which statement(s)about the health care workforce are true? Select all that apply.

A) There is a shortage of nurses in the United States.
B) Schools of nursing turn away qualified applicants due to lack of faculty and limitations of clinical sites.
C) More than one million nurses will be needed by 2012 to replace those who are retiring.
D) More students are choosing laboratory science, pharmacy technology, and radiology technology over nursing.

Question 24

An example of a public health law instituted to protect the health of the community is:

A) Requiring all persons to have health insurance coverage
B) Administering flu shots in the late fall and early winter
C) Mandating immunizations for all children entering kindergarten
D) Monitoring and licensing nuclear power plants

Question 25

An expected action by the Department of Homeland Security would be:

A) Prevention and protection against terrorist attacks
B) Regulation of licensure of medical personnel
C) Inspection of the safety of food and cosmetics
D) Regulation of managed care organizations