Question 1

Which of the following reports state that nurses should practice to the full extent of their education and training?

Accepted Answer

A)  Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 
B)  Keeping Patients Safe: Transforming the Work Environment 
C)  Priority Areas for National Action 
D)  The Future of Nursing 
A)  Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 
B)  Keeping Patients Safe: Transforming the Work Environment 
C)  Priority Areas for National Action 
D)  The Future of Nursing D

Question 2

Which of the following best describes a major problem faced by the U. S. health care system?

Accepted Answer

A)  Inadequate number of licensed professional caregivers 
B)  Lack of sufficient clinics to serve all communities and neighborhoods 
C)  Ongoing increase in infections, such as nosocomial infections 
D)  Large number of underinsured and uninsured citizens 
A)  Inadequate number of licensed professional caregivers 
B)  Lack of sufficient clinics to serve all communities and neighborhoods 
C)  Ongoing increase in infections, such as nosocomial infections 
D)  Large number of underinsured and uninsured citizens D

Question 3

Which of the following best describes the principal factor behind ongoing legislation on the federal level related to health care?

Accepted Answer

A)  Change is needed to reflect differences in health needs today. 
B)  Efforts must be put in place to control constantly increasing costs. 
C)  There is a need to focus on the population as a whole. 
D)  Technological breakthroughs should be expanded. 
A)  Change is needed to reflect differences in health needs today. 
B)  Efforts must be put in place to control constantly increasing costs. 
C)  There is a need to focus on the population as a whole. 
D)  Technological breakthroughs should be expanded. B

Question 4

Which of the following best describes the primary conclusion of the report To Err Is Human: Building a Safer Health System?

Accepted Answer

A)  Hospital staffing must be improved to focus on safety rather than cost containment. 
B)  Quality of care and medical error are not easily defined. 
C)  Patients must recognize that care providers are human and errors will occasionally be made. 
D)  System failures are resulting in an incredible amount of harm from medical errors. 
A)  Hospital staffing must be improved to focus on safety rather than cost containment. 
B)  Quality of care and medical error are not easily defined. 
C)  Patients must recognize that care providers are human and errors will occasionally be made. 
D)  System failures are resulting in an incredible amount of harm from medical errors.

Question 5

Which of the following has led to the more recent focus on cooperation between the state and the federal level in relation to public health?

Accepted Answer

A)  The emphasis of Healthy People 2020 
B)  The ongoing continued restriction of financial resources 
C)  The new presidential administration's goals 
D)  The threat of bioterrorism 
A)  The emphasis of Healthy People 2020 
B)  The ongoing continued restriction of financial resources 
C)  The new presidential administration's goals 
D)  The threat of bioterrorism

Question 6

Which of the following best describes how voluntary health agencies fit into the overall health care system?

Accepted Answer

A)  They fill in the gaps between services offered by private and public health systems. 
B)  They primarily serve as sources of financial aid for the underserved. 
C)  They supplement the effort of the public health care system. 
D)  They support research, education, and services for particular groups of patients. 
A)  They fill in the gaps between services offered by private and public health systems. 
B)  They primarily serve as sources of financial aid for the underserved. 
C)  They supplement the effort of the public health care system. 
D)  They support research, education, and services for particular groups of patients.

Question 7

Which activities would be a responsibility of local health departments? (Select all that apply.)

Accepted Answer

A)  Ensuring quality of nursing education programs 
B)  Determining the safety of residents' wells 
C)  Establishing requirements for professionals to maintain their licensure 
D)  Providing free health screenings 
E)  Providing health education programs on proper nutrition
F) Inspecting restaurants 
A)  Ensuring quality of nursing education programs 
B)  Determining the safety of residents' wells 
C)  Establishing requirements for professionals to maintain their licensure 
D)  Providing free health screenings 
E)  Providing health education programs on proper nutrition
F) Inspecting restaurants

Question 8

Which of the following activities are consistent with the conclusions of the report Crossing the Quality Chasm? (Select all that apply.)

Accepted Answer

A)  Increased emphasis on evidence-based practice 
B)  Improved reimbursement schedules that allow primary care providers to spend more time with each individual client 
C)  Increased attention to patients' needs for health education and self-management 
D)  Increased communication, cooperation, and collaboration between various components of the health care system 
E)  Increased use of information technology (electronic medical records and data management)
F) Improved organization of the health care system 
A)  Increased emphasis on evidence-based practice 
B)  Improved reimbursement schedules that allow primary care providers to spend more time with each individual client 
C)  Increased attention to patients' needs for health education and self-management 
D)  Increased communication, cooperation, and collaboration between various components of the health care system 
E)  Increased use of information technology (electronic medical records and data management)
F) Improved organization of the health care system

Question 9

Which health care provider organization is seeing an increase in the demand for their services?

Accepted Answer

A)  Physician practice 
B)  Hospice service 
C)  Hospitals 
D)  Long-term care facilities 
A)  Physician practice 
B)  Hospice service 
C)  Hospitals 
D)  Long-term care facilities

Question 10

Which of the following federal agencies is responsible for the Women, Infants, and Children (WIC) program, food stamps, and school-based nutrition programs?

Accepted Answer

A)  Aid to Dependent Children Department 
B)  Department of Agriculture 
C)  Department of Education 
D)  Department of Health and Human Services 
A)  Aid to Dependent Children Department 
B)  Department of Agriculture 
C)  Department of Education 
D)  Department of Health and Human Services

Question 11

Who primarily provides care for military personnel, their families, and veterans, as well as Native Americans?

Accepted Answer

A)  Federal government 
B)  Local health departments 
C)  Regional health districts 
D)  State health departments 
A)  Federal government 
B)  Local health departments 
C)  Regional health districts 
D)  State health departments

Question 12

Which of the following best describes the approach to health care used by states?

Accepted Answer

A)  Federal funding encourages experimentation in creating new programs. 
B)  Insurance regulations concerning reimbursement cross state lines. 
C)  Information about successful programs is known to legislators. 
D)  States frequently develop new programs as federal funds become available to pay for them. 
A)  Federal funding encourages experimentation in creating new programs. 
B)  Insurance regulations concerning reimbursement cross state lines. 
C)  Information about successful programs is known to legislators. 
D)  States frequently develop new programs as federal funds become available to pay for them.

Question 13

Which of the following best describes the effect of President Clinton's Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999)?

Accepted Answer

A)  Created improvement in both physician and nurse educational programs 
B)  Demonstrated the incredible influence on health care made by the insurance industry 
C)  Increased national interest in improving health care and seeking reform 
D)  Stimulated the Institute of Medicine to explore quality in more depth 
A)  Created improvement in both physician and nurse educational programs 
B)  Demonstrated the incredible influence on health care made by the insurance industry 
C)  Increased national interest in improving health care and seeking reform 
D)  Stimulated the Institute of Medicine to explore quality in more depth

Question 14

Which of the following best describes the most common organization for receiving personal health care in the United States today?

Accepted Answer

A)  A group of physicians all in a particular specialty group who share an office 
B)  Community health center that includes educational and social services 
C)  Fee for service by a physician in practice by himself or herself 
D)  Managed care organization with capitated payments to providers, both professionals and organizations 
A)  A group of physicians all in a particular specialty group who share an office 
B)  Community health center that includes educational and social services 
C)  Fee for service by a physician in practice by himself or herself 
D)  Managed care organization with capitated payments to providers, both professionals and organizations

Question 15

Which of the following suggestions was made by the Health Professions Education report?

Accepted Answer

A)  Expand efforts to increase enrollment in nursing education programs. 
B)  Interdisciplinary teams should use informatics to provide patient-centered care. 
C)  Primary care should be emphasized over education for specialty practice. 
D)  All health professions should be required to communicate and collaborate in patient education. 
A)  Expand efforts to increase enrollment in nursing education programs. 
B)  Interdisciplinary teams should use informatics to provide patient-centered care. 
C)  Primary care should be emphasized over education for specialty practice. 
D)  All health professions should be required to communicate and collaborate in patient education.

Question 16

Which of the following levels of government primarily establishes regulations and provides funding for health care?

Accepted Answer

A)  Federal government 
B)  Local health departments 
C)  Regional health districts 
D)  State health departments 
A)  Federal government 
B)  Local health departments 
C)  Regional health districts 
D)  State health departments

Question 17

Which of the following federal agencies is responsible for administering most of the federal health-related activities?

Accepted Answer

A)  Centers for Disease Control and Prevention (CD
C)  
B)  Department of Health and Human Services (DHHS) 
C)  Health Resources and Services Administration (HRS
A)  
D)  National Institutes of Health (NIH) 
A)  Centers for Disease Control and Prevention (CD
C)  
B)  Department of Health and Human Services (DHHS) 
C)  Health Resources and Services Administration (HRS
A)  
D)  National Institutes of Health (NIH)

Question 18

Which of the following best describes a conclusion of the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care?

Accepted Answer

A)  Disparities are found only in particular disease categories. 
B)  Lack of access in some neighborhoods is a primary cause of inequities. 
C)  Provider bias and stereotyping contribute to inequalities. 
D)  Physiological racial and ethnic differences lead to disparities in outcomes. 
A)  Disparities are found only in particular disease categories. 
B)  Lack of access in some neighborhoods is a primary cause of inequities. 
C)  Provider bias and stereotyping contribute to inequalities. 
D)  Physiological racial and ethnic differences lead to disparities in outcomes.

Question 19

Which of the following statements best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?

Accepted Answer

A)  Data are publicized so consumers can make informed decisions about where to go for care. 
B)  Data are used to measure performance in the accreditation of managed care organizations (MCOs). 
C)  Obvious improvement in the provision of health care has resulted from requiring health care providers to collect and analyze such data. 
D)  Physicians and other health care providers can publicize the data to market their services to new clients. 
A)  Data are publicized so consumers can make informed decisions about where to go for care. 
B)  Data are used to measure performance in the accreditation of managed care organizations (MCOs). 
C)  Obvious improvement in the provision of health care has resulted from requiring health care providers to collect and analyze such data. 
D)  Physicians and other health care providers can publicize the data to market their services to new clients.

Question 20

Which of the following conclusions were made when Congress asked for a report on the federal government's quality enhancement process on the care the federal government gave? (Select all that apply.)

Accepted Answer

A)  A clear responsibility at the federal level is to lead by example. 
B)  Computerized clinical data have enabled practice guidelines to be written. 
C)  Federally sponsored education and training programs have a strong impact. 
D)  Quality assurance information has been consistent and useful in improvement. 
E)  The quality of federal health care was very good.
F) Writing regulations influences nonfederal health care providers and organizations. 
A)  A clear responsibility at the federal level is to lead by example. 
B)  Computerized clinical data have enabled practice guidelines to be written. 
C)  Federally sponsored education and training programs have a strong impact. 
D)  Quality assurance information has been consistent and useful in improvement. 
E)  The quality of federal health care was very good.
F) Writing regulations influences nonfederal health care providers and organizations.

Exam 11: The Health Care System

Which of the following reports state that nurses should practice to the full extent of their education and training?

Which of the following best describes a major problem faced by the U. S. health care system?

Which of the following best describes the principal factor behind ongoing legislation on the federal level related to health care?

Which of the following best describes the primary conclusion of the report To Err Is Human: Building a Safer Health System?

Which of the following has led to the more recent focus on cooperation between the state and the federal level in relation to public health?

Which of the following best describes how voluntary health agencies fit into the overall health care system?

Which activities would be a responsibility of local health departments? (Select all that apply.)

Which of the following activities are consistent with the conclusions of the report Crossing the Quality Chasm? (Select all that apply.)

Which health care provider organization is seeing an increase in the demand for their services?

Which of the following federal agencies is responsible for the Women, Infants, and Children (WIC) program, food stamps, and school-based nutrition programs?

Who primarily provides care for military personnel, their families, and veterans, as well as Native Americans?

Which of the following best describes the approach to health care used by states?

Which of the following best describes the effect of President Clinton's Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999)?

Which of the following best describes the most common organization for receiving personal health care in the United States today?

Which of the following suggestions was made by the Health Professions Education report?

Which of the following levels of government primarily establishes regulations and provides funding for health care?

Which of the following federal agencies is responsible for administering most of the federal health-related activities?

Which of the following best describes a conclusion of the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care?

Which of the following statements best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?

Which of the following conclusions were made when Congress asked for a report on the federal government's quality enhancement process on the care the federal government gave? (Select all that apply.)

Health: A Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Health Promotion and Risk Reduction

Epidemiology

Community Assessment

Community Health Planning, Implementation, and Evaluation

Community Health Education

Case Management

Policy, Politics, Legislation, and Community Health Nursing

Economics of Health Care

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Women’s Health

Men’s Health

Senior Health

Family Health

Populations Affected by Disabilities

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Forensic and Correctional Nursing

Faith Community Nursing

Home Health and Hospice

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