Deck 3: The Changing Ushealth and Public Health Care Systems

Question 1

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 from Healthy People 2020
D) Services mandated by the state government

Answer 1

Services mandated by the state government

Question 2

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 centralized system that provides care in hospitals."
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."

Answer 2

"It is divided primarily into two components: private health care and public health care."

Question 3

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."

Answer 3

"Let's see if we can get some help from Medicare to help you pay for these medications."

Question 4

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 5

Which of the following best describes the cost of health care in the United States?

A) Health care costs are kept low, and the indicators of health are among the best worldwide.
B) Health care costs are low which has resulted in poor health outcomes.
C) Health care costs are the highest in the world, but the indicators of health are not the best worldwide.
D) Health care costs and indicators of health are the highest in the world.

Question 6

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 7

A public health agency is in the process of obtaining accreditation.Which of the following best describes why the agency would want to achieve accreditation?

A) To improve health programming and services
B) To improve community relationships
C) To improve performance and quality
D) To improve management

Question 8

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

Question 9

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 10

A public health nurse is working with a low-income population in Massachusetts.Which of the following assumptions can the nurse make about this population?

A) They have difficulty accessing health care due to a shortage of primary-care providers.
B) They most likely receive health insurance through Medicare.
C) They are unable to access health care due to the implementation of the Affordable Care Act.
D) They have access to affordable health care insurance.

Question 11

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

Question 12

Which of the following statements are accurate descriptions of current social and economic trends in the United States?

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) People often spend a considerable amount of their own money on complementary therapies.
D) The gap between the richest and poorest is widening.

Question 13

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

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 child immunization clinics

Question 14

A public health nurse is working with a client who does not have health insurance.Where will the nurse most likely direct the client to in order to receive care?

A) Managed care
B) Community health center
C) Emergency department
D) Physician office

Question 15

Which of the following provides evidence that the US health care system is in crisis?

A) Health insurance is an expensive benefit for employers to provide.
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.

Question 16

What do demographic figures suggest about the ways in which the population of the United States is changing?

A) Foreign-born immigrant population is increasing.
B) Hispanics are the largest minority group population.
C) Leading causes of death are from infectious diseases.
D) Mortality for both genders in all age groups declined.