Deck 6: Economic Influences on Population Health

Question 1

The population health nurse is explaining to a patient about the type of health services that are paid for by a third party such as private health insurance. What is the nurse explaining to this patient?

A) Capitation payment.
B) Deductible payment.
C) Prospective reimbursement.
D) Retrospective reimbursement.

Answer 1

Prospective reimbursement.

Question 2

The population health nurse is preparing material for an educational seminar on the differences between Medicare and Medicaid. What should the nurse include in this teaching?

A) Medicare only covers health care services for people over age
B) Medicare does not cover preventive services, but Medicaid provides such coverage.
C) Medicare funding is solely on the federal level and Medicaid has no federal funding.
D) Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent.
65)

Answer 2

Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent.
65)

Question 3

The population health nurse is reviewing the State Children's Health Insurance Programs (SCHIP) with a mother who has seven children. During this conversation the nurse explains that this program was established by Congress to provide health insurance coverage for low-income children whose parents did not have insurance coverage or who did not qualify for Medicaid benefits and is administered by the state. What process is the nurse reviewing that highlights the transfer of federal oversight and responsibility to the states for this program?

A) Devolution.
B) Shared responsibility.
C) Block grant funding.
D) Health care innovation.

Answer 3

Devolution.

Question 4

The population health nurse learns that the state of practice received a block grant to address a health problem. Which problem should the nurse advocate to receive this grant?

A) Developing public education programs to address smoking.
B) Developing a research program to address causes of poverty.
C) Increasing coverage for those meeting qualifications for Medicaid coverage.
D) Opening statewide immunization centers to provide childhood immunization coverage.

Question 5

The population health nurse providing care in an economically disadvantaged city is aware of many people receiving their health care through charity systems that are set up by local physicians. The nurse is concerned because this practice can contribute to rising health care costs by:

A) Utilizing hospital beds.
B) Affecting the consumer price index.
C) Increased use of technology in diagnostic tests.
D) Uncompensated care, which can lead to cost shifting.

Question 6

The population health nurse is attending a community town hall meeting where an elected official is discussing the importance of extending tax cuts for the upcoming fiscal year. What should the nurse consider as the impact of these cuts on health care? (Select all that apply.)

A) Scarcity of health resources.
B) Reduction in chronic diseases.
C) Increased number of care providers.
D) Improved access to health care services.
E) Negative effects on the health of the population.

Question 7

During a home visit the population nurse learns that the family's father has recently lost his job, and the mother continues to be unemployed but takes care of the family's five children. The mother is concerned because charitable organizations are not eager to provide resources to help the family as they have in the past. What should the nurse explain as the primary reason for charitable organizations to have less funds to distribute?

A) Charitable organizations are going out of business.
B) Charitable giving decreases during hard economic times.
C) The family is viewed as having received the maximum support.
D) The parents' ability to work is negatively impacting the response from charities.

Question 8

The population health nurse is reviewing information to include in a presentation on the economics of health care. Which statements should the nurse include in this presentation? (Select all that apply.)

A) Health insurance guarantees a healthy workforce.
B) Educational level is associated with health outcomes.
C) Society benefits from an employed and healthy workforce.
D) Chronic illness in a stable workforce does not impact productivity.
E) Lost productivity from illness has minimal effect on societal outcomes.

Question 9

A community member tells the population health nurse that a new health insurance program expects the patient to pay deductibles and other costs. What other type of cost sharing should the nurse explain to the individual?

A) Capitation system.
B) Co-payment made with each health service rendered.
C) Out-of-pocket payment for services not covered by the insurance plan.
D) Current Procedural Terminology (CPT) code utilized by the health service provider.

Question 10

The population health nurse is assisting with a booth at a health fair to help community members sign up for health insurance. For which reasons should the nurse promote the importance of having health insurance? (Select all that apply.)

A) Eliminates health disparities.
B) Means the individual has full-time employment.
C) Guarantees no difficulty in obtaining health care.
D) Ensures the individual has a regular source of care.
E) The individual has a greater likelihood of receiving health promotive services.

Question 11

The population health nurse is participating in a discussion about the number of physicians in the United States being able to meet health care needs. What should the nurse identify as the primary reason for physicians contributing to escalating health care costs?

A) Decreased hospital beds nationwide.
B) Increased numbers of uninsured citizens.
C) The higher number of specialists than generalists.
D) More expensive prescription medications being prescribed.

Question 12

An older community member is concerned about the rising cost of prescription medications. Which part of Medicare should the population health nurse review with this individual?

A) Part A.
B) Part B.
C) Part C.
D) Part D.

Question 13

The population health nurse is creating a tool to assess the economic status of a small rural neighborhood. What should the nurse include in this tool? (Select all that apply.)

A) Number of members who are unemployed.
B) Average income of neighborhood members.
C) Number of members who are at poverty level.
D) Average education level of neighborhood members.
E) Ways in which health care is funded by the members.

Question 14

The population nurse becomes aware of an increase in social instability in one neighborhood. This instability can affect societal health because it can lead to:

A) Poverty.
B) Social conflict.
C) Developing alternative methods of health care.
D) Ill health that results from disruptive economic conditions.