Question 1

Which person is most likely to be uninsured?

Accepted Answer

A)  An 82-year-old woman with chronic medical problems 
B)  A 2-year-old whose mother is on welfare 
C)  A 50-year-old business man who works for a large corporation 
D)  A 24-year-old man who works part-time at a small business 
A)  An 82-year-old woman with chronic medical problems 
B)  A 2-year-old whose mother is on welfare 
C)  A 50-year-old business man who works for a large corporation 
D)  A 24-year-old man who works part-time at a small business D

Question 2

Which of the following demographic factors is expected to have the greatest influence on national health care spending?

Accepted Answer

A)  The aging population 
B)  Use of diagnosis-related groups to determine reimbursement 
C)  Insurance reform 
D)  An increasing number of people without health insurance 
A)  The aging population 
B)  Use of diagnosis-related groups to determine reimbursement 
C)  Insurance reform 
D)  An increasing number of people without health insurance A

Question 3

Of the four main factors that affect health,which is the least important?

Accepted Answer

A)  Environment 
B)  Human biology 
C)  Lifestyle choices 
D)  Health care system 
A)  Environment 
B)  Human biology 
C)  Lifestyle choices 
D)  Health care system D

Question 4

A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and who do not have the financial resources to pay for health care out of pocket.Which of the following resources should the nurse recommend to the family?

Accepted Answer

A)  A managed care organization 
B)  An emergency department 
C)  Medicaid 
D)  Medicare 
A)  A managed care organization 
B)  An emergency department 
C)  Medicaid 
D)  Medicare

Question 5

A nurse is discussing how health care rationing occurs in the United States.Which of the following would most likely be discussed as the criterion that is used to ration health care?

Accepted Answer

A)  Clinic operating hours 
B)  Ability to pay for services 
C)  Availability of local provider services 
D)  Transportation availability 
A)  Clinic operating hours 
B)  Ability to pay for services 
C)  Availability of local provider services 
D)  Transportation availability

Question 6

Which of the following is most closely correlated with poor health?

Accepted Answer

A)  Age and gender (i.e., older males) 
B)  Low socioeconomic status 
C)  Minority race status 
D)  High-risk lifestyle behaviors 
A)  Age and gender (i.e., older males) 
B)  Low socioeconomic status 
C)  Minority race status 
D)  High-risk lifestyle behaviors

Question 7

A nurse is trying to maximize the quality of life of her clients while reducing health care costs.Which of the following actions would most likely be completed by the nurse?

Accepted Answer

A)  Assisting in cast application for a client who was injured in a skateboard incident 
B)  Irrigating the eyes of a client splashed with chemicals 
C)  Restoring a normal cardiac rhythm following cardiopulmonary resuscitation of a client with a heart condition 
D)  Teaching a high school boy about sexually transmitted infections and proper condom application 
A)  Assisting in cast application for a client who was injured in a skateboard incident 
B)  Irrigating the eyes of a client splashed with chemicals 
C)  Restoring a normal cardiac rhythm following cardiopulmonary resuscitation of a client with a heart condition 
D)  Teaching a high school boy about sexually transmitted infections and proper condom application

Question 8

Which of the following best explains why clients who have Medicaid have poor health outcomes?

Accepted Answer

A)  Clients may have preexisting conditions not covered by insurance. 
B)  Many physicians won't accept Medicaid clients. 
C)  Medicaid won't pay for certain medical interventions. 
D)  Medicaid recipients are noncompliant with their health care providers' recommendations. 
A)  Clients may have preexisting conditions not covered by insurance. 
B)  Many physicians won't accept Medicaid clients. 
C)  Medicaid won't pay for certain medical interventions. 
D)  Medicaid recipients are noncompliant with their health care providers' recommendations.

Question 9

Which of the following terms describes when a nurse practitioner receives a set monthly payment to take care of a group of clients regardless of the services needed and provided?

Accepted Answer

A)  Capitation 
B)  Fee for service 
C)  Rationing 
D)  Retrospective reimbursement 
A)  Capitation 
B)  Fee for service 
C)  Rationing 
D)  Retrospective reimbursement

Question 10

Which of the following are some major differences in health care today,as compared with the first half of the 20th century?

Accepted Answer

A)  Consumers are influenced by advertising for specific health care agents or procedures. 
B)  The emphasis is on the continued expansion of health care facilities, especially acute care hospitals. 
C)  Education and specialization of personnel have increased. 
D)  The need to create new ways to pay for health care is a central focus. 
A)  Consumers are influenced by advertising for specific health care agents or procedures. 
B)  The emphasis is on the continued expansion of health care facilities, especially acute care hospitals. 
C)  Education and specialization of personnel have increased. 
D)  The need to create new ways to pay for health care is a central focus.

Question 11

Which of the following services would be covered under Medicare Part A?

Accepted Answer

A)  Blood draw to assess PT/INR 
B)  Physical therapy visit 
C)  Stay in skilled nursing facility 
D)  Transportation by an ambulance 
A)  Blood draw to assess PT/INR 
B)  Physical therapy visit 
C)  Stay in skilled nursing facility 
D)  Transportation by an ambulance

Question 12

Which of the following accurately describes a challenge that will be faced by health care providers in the 21st century?

Accepted Answer

A)  Lack of available space to provide care for clients in hospitals 
B)  Emergence of new and old communicable and infectious diseases 
C)  New guidelines for chronic disease management 
D)  Increased use of technology leading to a decreased need for health care workers 
A)  Lack of available space to provide care for clients in hospitals 
B)  Emergence of new and old communicable and infectious diseases 
C)  New guidelines for chronic disease management 
D)  Increased use of technology leading to a decreased need for health care workers

Question 13

A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child.Which of the following statements would be most appropriate for the nurse to make?

Accepted Answer

A)  "Don't drop out of school." 
B)  "Sign up for childbirth classes." 
C)  "Sign up for the WIC program." 
D)  "Take your prenatal vitamins daily." 
A)  "Don't drop out of school." 
B)  "Sign up for childbirth classes." 
C)  "Sign up for the WIC program." 
D)  "Take your prenatal vitamins daily."

Question 14

Which of the following best explains how the government unintentionally encourages low-income persons to use emergency departments as their primary-care provider?

Accepted Answer

A)  A huge amount of paperwork is required when Medicaid clients go to a physician's office. 
B)  Government regulations require Medicaid clients to use emergency departments when their primary health care provider is unavailable. 
C)  Legally, emergency departments must see clients even if clients can't pay. 
D)  Physicians' limited office hours make them unavailable during evenings and weekends. 
A)  A huge amount of paperwork is required when Medicaid clients go to a physician's office. 
B)  Government regulations require Medicaid clients to use emergency departments when their primary health care provider is unavailable. 
C)  Legally, emergency departments must see clients even if clients can't pay. 
D)  Physicians' limited office hours make them unavailable during evenings and weekends.

Question 15

In which of the following situations would the federal government provide money through tax relief for private enterprise?

Accepted Answer

A)  A business pays for part of health insurance premiums for its employees 
B)  A business purchases gifts for its employees to award them for their service 
C)  An employer provides health screenings and immunizations 
D)  An employer requests reimbursement for employee transportation costs 
A)  A business pays for part of health insurance premiums for its employees 
B)  A business purchases gifts for its employees to award them for their service 
C)  An employer provides health screenings and immunizations 
D)  An employer requests reimbursement for employee transportation costs

Question 16

Which of the following individuals would most likely experience a barrier when accessing health care?

Accepted Answer

A)  A 40-year-old female who speaks English 
B)  A 25-year-old female with health insurance 
C)  A 50-year-old male with hypertension 
D)  A 30-year-old male who is unemployed 
A)  A 40-year-old female who speaks English 
B)  A 25-year-old female with health insurance 
C)  A 50-year-old male with hypertension 
D)  A 30-year-old male who is unemployed

Question 17

A nurse would like to help members of the community focus on receiving primary preventive health care services.Which of the following interventions should be implemented by the nurse?

Accepted Answer

A)  Publicize data on success of health promotion efforts, including cost savings. 
B)  Lobby for decreased reimbursement for secondary and tertiary care services. 
C)  Establish standards for appropriate screenings at specific intervals. 
D)  Encourage members of the military service to engage in appropriate healthy lifestyle behaviors. 
A)  Publicize data on success of health promotion efforts, including cost savings. 
B)  Lobby for decreased reimbursement for secondary and tertiary care services. 
C)  Establish standards for appropriate screenings at specific intervals. 
D)  Encourage members of the military service to engage in appropriate healthy lifestyle behaviors.

Question 18

Which of the following groups pays the largest amount for health care in the United States today?

Accepted Answer

A)  Consumers 
B)  Federal and state government 
C)  Insurance companies and other third-party payers 
D)  Hospitals and health care providers 
A)  Consumers 
B)  Federal and state government 
C)  Insurance companies and other third-party payers 
D)  Hospitals and health care providers

Question 19

Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-effective way to allocate health care resources?

Accepted Answer

A)  Insurance resources 
B)  Health care rationing 
C)  Health economics 
D)  Medical technology 
A)  Insurance resources 
B)  Health care rationing 
C)  Health economics 
D)  Medical technology

Question 20

Which of the following payment systems tries to keep clients healthy through education and health promotion,with the goal of reducing the need for professional health care intervention and therefore also lowering cost?

Accepted Answer

A)  Managed care plan 
B)  Fee-for-service payment 
C)  Prospective reimbursement 
D)  Retrospective reimbursement 
A)  Managed care plan 
B)  Fee-for-service payment 
C)  Prospective reimbursement 
D)  Retrospective reimbursement

Exam 8: Economic Influences

Which person is most likely to be uninsured?

Which of the following demographic factors is expected to have the greatest influence on national health care spending?

Of the four main factors that affect health,which is the least important?

A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and who do not have the financial resources to pay for health care out of pocket.Which of the following resources should the nurse recommend to the family?

A nurse is discussing how health care rationing occurs in the United States.Which of the following would most likely be discussed as the criterion that is used to ration health care?

Which of the following is most closely correlated with poor health?

A nurse is trying to maximize the quality of life of her clients while reducing health care costs.Which of the following actions would most likely be completed by the nurse?

Which of the following best explains why clients who have Medicaid have poor health outcomes?

Which of the following terms describes when a nurse practitioner receives a set monthly payment to take care of a group of clients regardless of the services needed and provided?

Which of the following are some major differences in health care today,as compared with the first half of the 20th century?

Which of the following services would be covered under Medicare Part A?

Which of the following accurately describes a challenge that will be faced by health care providers in the 21st century?

A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child.Which of the following statements would be most appropriate for the nurse to make?

Which of the following best explains how the government unintentionally encourages low-income persons to use emergency departments as their primary-care provider?

In which of the following situations would the federal government provide money through tax relief for private enterprise?

Which of the following individuals would most likely experience a barrier when accessing health care?

A nurse would like to help members of the community focus on receiving primary preventive health care services.Which of the following interventions should be implemented by the nurse?

Which of the following groups pays the largest amount for health care in the United States today?

Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-effective way to allocate health care resources?

Which of the following payment systems tries to keep clients healthy through education and health promotion,with the goal of reducing the need for professional health care intervention and therefore also lowering cost?

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, The Law, and Policy Activism

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: An Overview

Rural Health and Migrant Health

Poverty, Homelessness, Teen Pregnancy, and Mental Illness

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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