Deck 3: Health Policy and the Delivery System

Question 1

Which health care provider represents a primary care provider?

A) Psychiatric advanced practice nurse
B) Clinical nurse specialist
C) Pediatric nurse practitioner
D) Acute care nurse practitioner

Answer 1

Pediatric nurse practitioner

Question 2

Which addition to a community best demonstrates the concept of the Healthy People 2020 report?

A) New cardiothoracic intensive care unit at a major hospital
B) New rehabilitation center
C) New recreational health center
D) New children's hospital

Answer 2

New recreational health center

Question 3

An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

A) High deductible health insurance plan (HDHP)
B) Point-of-service plan (POS)
C) Health maintenance organization (HMO)
D) Preferred provider organization (PPO)

Answer 3

High deductible health insurance plan (HDHP)

Question 4

Which nurse is at risk of making a medical error?

A) Working overtime
B) Works in a hospital that advocates multidisciplinary care
C) Caring for four clients during the shift
D) Attends regular continuing education programs

Question 5

A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:

A) administering and reading the purified protein derivative (PPD) of all close contacts
B) providing direct observed therapy (DOT) for the individual with TB
C) isolating the person because it is likely drug resistant
D) telling the person to wear a mask when leaving the home

Question 6

Which form of managed care restricts providers to caring for individuals who are members of their organization?

A) Fee-for-service plan
B) Health maintenance organization (HMO)
C) Preferred provider organization (PPO)
D) Independent practice association (IPA)

Question 7

Which could result in a change in a nurse practitioner's practice?

A) Holding a master's degree or higher
B) Moving to another state when she gets married
C) Caring for Medicare clients
D) Changing to another office within the same practice

Question 8

The person known as the father of British and American public health is:

A) Lillian Wald.
B) Edwin Chadwick.
C) Lemuel Shattuck.
D) Paul Ehrlich.

Question 9

A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?

A) The individual must see a primary care provider before being referred to a specialist.
B) The focus of care is prevention and management of individuals with chronic disease.
C) The individual has paid a membership fee to be part of this organization.
D) The focus of care is to conserve money in a health savings account.

Question 10

Which is a violation of the Health Insurance Portability and Accountability Act of 1996?

A) Nurse reporting a case of TB to the health department
B) Nurse reporting a case of child abuse to the Department of Human Services
C) Nurse discussing the person's case with his or her physician
D) Nurse discussing the person's case with his or her school nurse

Question 11

A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:

A) Medicare Part A
B) Medicare Part B
C) Medicaid
D) State Children's Health Insurance Program (SCHIP)

Question 12

Which of the following is a major factor limiting health care services in the United States?

A) Lack of nurses
B) Lack of health care facilities
C) Lack of funding
D) Lack of client interest in health promotion

Question 13

A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:

A) Patient Self-Determination Act
B) Health Insurance Portability and Accountability Act of 1996
C) Americans with Disabilities Act
D) Civil Rights Act

Question 14

Which nurse is functioning as a care manager?

A) Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
B) Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
C) Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
D) Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation

Question 15

What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?

A) Forgo opportunities for continuing education so the unit is never understaffed.
B) Foster a collaborative working environment on the unit.
C) Check all medications a minimum of three times before administering them.
D) Develop a policy that mandates the firing of any nurse who commits an error.

Question 16

Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?

A) Medicare
B) Civilian Health Medical Program for Uniformed Services (CHAMPUS)
C) State Children's Health Insurance Program (SCHIP)
D) Veteran's Administration Program

Question 17

A nurse complies with the Patient Self-Determination Act when asking:

A) a person upon admission to the hospital if he or she has an advanced directive
B) the family in the recovery room if the client has an advanced directive
C) a person before discharge from the hospital if he or she has an advance directive
D) the family about an advanced directive after the person has been intubated

Question 18

A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?

A) Physician as medical director
B) Interdisciplinary staff
C) Nurse as chief manager
D) Partnership with an academic institution

Question 19

Considering the provider and client perspective, which of the following is the most autonomous form of insurance?

A) Fee-for-service plan
B) Health maintenance organization (HMO)
C) Preferred provider organization (PPO)
D) Independent practice association (IPA)

Question 20

Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?

A) Health maintenance organization (HMO)
B) Health savings account (HSA)
C) Preferred provider organization (PPO)
D) Independent practice association (IPA)

Question 21

Which person is at highest risk for being uninsured?

A) 68-year-old retired mailman
B) 48-year-old on renal dialysis
C) 2-year-old whose parents work but do not have benefits through their employers
D) 27-year-old who attends college and works part time in a small pizza parlor

Question 22

The country with the lowest infant mortality rate in 2011 was:

A) Canada
B) Mexico
C) Sweden
D) the United States

Question 23

Which of the following would be considered part of a vulnerable population? (select all that apply)

A) Deaf man
B) Cocaine-addicted teenage girl
C) Handicapped child
D) College graduate

Question 24

The country with the highest life expectancy for women in 2011 was:

A) France
B) Germany
C) Sweden
D) the United States

Question 25

A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation? (select all that apply)

A) Funding of public health programs has improved the health of the nation.
B) Provision of health care has improved the health of the nation.
C) Advances in technology have improved the health of the nation.
D) Consumer education has improved the health of the nation.

Question 26

Adoption of a Canadian-style health care system in the United States has the potential to:

A) decrease waiting times for tests and procedures.
B) create further health disparities.
C) increase the number of HMOs.
D) increase the amount of funding available for health care.

Question 27

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:

A) managed care
B) gate keeping
C) utilization review
D) capitation

Question 28

Which of the following statements about the financing of health care in the United States is accurate? (select all that apply)

A) Employee-sponsored health insurance premiums experienced minimal increases from 2001 to 2011.
B) State tax dollars must fund at least 50% of a state's Medicaid cost.
C) The largest percentage of health care dollars is spent on hospital care.
D) Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs).