Deck 14: Health Care in the United States

Question 1

Which of the following is an example of diagnosis and treatment?

A) Attending smoking cessation classes
B) Computerized tomography (CT) scan to rule out gallbladder inflammation
C) Screening in the workplace for tuberculosis
D) Prenatal classes

Answer 1

Computerized tomography (CT) scan to rule out gallbladder inflammation

Question 2

A contributing factor to health care disparities may be

A) genetic factors.
B) provider bias.
C) standard treatment options.
D) diagnostic differences.

Answer 2

provider bias.

Question 3

Which of the following is characteristic of public agencies?

A) They are supported by donations from the public.
B) Most only provide primary care services.
C) They are not involved in the education of health care providers.
D) They provide health care services at the national, state, and local levels.

Answer 3

They provide health care services at the national, state, and local levels.

Question 4

Which of the following is not included as an overarching goal of Healthy People 2020?

A) Eliminating health disparities
B) Creating environments that promote good health
C) Lengthening the average lifespan by a decade
D) Attaining longer lives free of preventable diseases and injury

Question 5

Health promotion differs from illness prevention in that health promotion

A) addresses identified health problems.
B) occurs before the identification of disease risk factors.
C) identifies and ameliorates a health problem.
D) returns an individual to optimal functioning after an illness.

Question 6

Within a nursing shared governance model,the role of the clinical nursing staff is to

A) determine the expectations and goals for the unit.
B) manage the budget for the unit to be cost-effective.
C) focus on the unit activities related to nurses only.
D) adhere to standards and quality benchmarks to ensure professional practice.

Question 7

Which of the following is not a public agency?

A) National Institute of Nursing Research
B) American Red Cross
C) Centers for Disease Control and Prevention
D) State Board of Nursing

Question 8

Which of the following is a responsibility of many nurse executives (chief nursing officers)?

A) Recruiting, hiring, and training new staff
B) Managing day-to-day staff scheduling
C) Managing budget for assigned unit
D) Participating as a member of the board of directors

Question 9

An agency that provides inpatient care related to less complex conditions and does not require high-technology monitoring or complex diagnostic procedures is providing which level of care?

A) Subacute care
B) Primary care
C) Secondary care
D) Tertiary care

Question 10

Hospices that provide care to terminally ill patients and their families in hospitals,in the home,or in special hospice facilities provide which level of health care?

A) Subacute care
B) Primary care
C) Secondary care
D) Tertiary care

Question 11

The school health clinic treats common health problems,as well as conducting health promotion and illness prevention activities.The clinic provides which level of health care?

A) Subacute care
B) Primary care
C) Secondary care
D) Tertiary care

Question 12

Which of the following is an example of illness prevention?

A) Viewing a program on television about the increased incidence of heart disease
B) Speaking to a high school group about the value of exercise
C) Encouraging women at a health fair to have an annual mammogram
D) Counseling people recently experiencing death of a spouse about signs and symptoms of depression

Question 13

A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a

A) for-profit agency.
B) not-for-profit agency.
C) voluntary agency.
D) private agency.

Question 14

Which of the following is a responsibility of many health care agencies' chief executive officers (CEOs)?

A) Managing the budgets of each department in the agency
B) Recruiting and hiring of staff
C) Overall operation of the agency on a daily basis
D) Establishing policies governing the operation for the agency

Question 15

An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care?

A) Subacute care
B) Primary care
C) Secondary care
D) Tertiary care

Question 16

Which of the following is an example of rehabilitation and disease management?

A) Prompt treatment for hypertension
B) Attending weight loss classes
C) Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia
D) Taking an antibiotic for a sinus infection

Question 17

Differences between treatment outcomes for different populations are known as

A) health care outcomes.
B) population variability.
C) treatment choices.
D) health care disparities.

Question 18

Governmental agencies differ from voluntary agencies in which way?

A) Level of community served
B) Administrative structure
C) Funding source
D) How the profits are used

Question 19

Which of the following is an example of health promotion and maintenance?

A) Talking to a women's church group about having an annual mammogram
B) Establishing an exercise program for postmenopausal women to reduce bone loss
C) Providing colonoscopy examinations for high-risk individuals
D) Talking to a state legislator about supporting a motorcycle helmet law

Question 20

The purpose of continuous quality improvement (CQI)is to

A) monitor processes involved in the provision of safe, effective care for patients.
B) restructure hospital departments to initiate cost savings.
C) provide an opportunity for staff members to participate in self-governance.
D) deliver appropriate nursing care to patients.

Question 21

Which of the following is not recognized as part of the role of the nurse as a member of the health care team?

A) Patient advocate and educator
B) Collaborator and provider of care
C) Manager of care and resources for a group of patients
D) Performance of physician functions under direct supervision of a physician

Question 22

A nurse places high priority on working with patients and families,including them in planning care and in establishing goals.Which nursing role has this nurse assumed?

A) Patient advocate
B) Provider of care
C) Change agent
D) Collaborator

Question 23

What service is covered by Medicare,part D?

A) Home health care
B) Prescription drug costs
C) Inpatient hospital stays
D) Physician office visits

Question 24

A nurse caring for a preoperative patient is told by the patient,"The doctor just had me sign a paper.I wish I knew what it was all about." The nurse goes to report this to the physician.The nursing role adopted by the nurse is

A) provider of care.
B) counselor.
C) change agent.
D) patient advocate.

Question 25

To whom does the nurse provide information when working in the role of educator?

A) Families about illnesses and treatments
B) Community groups about injury prevention
C) Student nurses about nursing standards and ideals
D) Health care team members about the patient
E) Physician assistants about invasive procedures

Question 26

Which of the following is a characteristic of the patient-centered care model of nursing care delivery?

A) It is easily explained to patients because it is based on traditional models of nursing care.
B) Communication among team members is not required to make the model work.
C) A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care.
D) It decreases the number of registered nurses required to provide care.

Question 27

Which care delivery model uses critical pathways and continuous quality improvement to guide care practices?

A) Managed care
B) Primary care
C) Case management
D) Care redesign

Question 28

A nursing case manager requests a meeting with the nursing staff after discovering variances from critical pathways related to timely discharge of patients having hip replacement.Patients are not being discharged on time because they are refusing their physical therapy as a result of poor pain control.Meeting with the staff to discuss potential improvements in pain management is an example of

A) performance improvement.
B) continuous quality improvement.
C) team building.
D) Joint Commission compliance.

Question 29

Which of the following areas experience serious disparities in health care access and outcomes for minorities?

A) Infant mortality
B) Arthritis
C) Cardiovascular disease
D) Oral health
E) Immunizations

Question 30

An impact of health care cost-containment measures on nursing has been

A) adding more registered nurses to the skill mix of the nursing team.
B) the concern about the assurance of quality care.
C) large annual salary increases for nurses.
D) development of standards of nursing practice

Question 31

What is the relevance of the concepts of supply and demand,free market,and price sensitivity with regard to health care costs?

A) The undersupply of available health care has driven up costs.
B) In a free market, increased numbers of people are able to pay for health care.
C) Consumer insensitivity to costs has increased demand for health care services.
D) Third-party payers have demanded more health care services.

Question 32

A nurse recognizes that the strict visiting hours policy on the pediatric unit is outmoded and begins to gather data to support a new policy liberalizing visiting hours based on evidence of better patient care is taking on the role of

A) provider of care.
B) patient advocate.
C) counselor.
D) educator.

Question 33

Which of the following patients is likely to benefit most from referral for case management?

A) Child injured in a playground accident
B) Elderly patient with total hip replacement
C) A 49-year-old man in the emergency department with chest pain
D) A 20-year-old with appendectomy

Question 34

The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as

A) functional care.
B) team nursing.
C) primary care.
D) case management.

Question 35

How can staff nurses play an important role in controlling health care costs?

A) Becoming aware of cost of supplies
B) Questioning the need for unnecessary or repetitive tests
C) Suggesting the use of brand-name medications to support the economy
D) Handwashing to prevent infections
E) Assuring that the payment method is identified on admission

Question 36

Which of the following is a characteristic of the team model of nursing care delivery?

A) Each member of the team uses his or her abilities to the fullest in patient care.
B) Communication among the team saves time, so the model is cost-efficient.
C) Team nursing emphasizes holistic care for the patients and their families.
D) This model increases continuity of care for the patients.