Question 1

The first phase of development of the health care system was characterized by:

Accepted Answer

A)  the rise in technology. 
B)  epidemics of infectious disease, such as typhoid, influenza, and malaria. 
C)  physicians and nurses who attained their skills in scientifically based programs. 
D)  an expansion of hospital clinics and long-term care facilities. 
A)  the rise in technology. 
B)  epidemics of infectious disease, such as typhoid, influenza, and malaria. 
C)  physicians and nurses who attained their skills in scientifically based programs. 
D)  an expansion of hospital clinics and long-term care facilities. B

Question 2

A nurse enrolls in a microeconomics course at a local college.Which of the following best describes the rationale for taking this course?

Accepted Answer

A)  Nurses are often the ones to allocate resources to solve a problem. 
B)  Nurses are often involved in federal policy making. 
C)  Health care policy can be influenced using these principles. 
D)  Health care supplies can be very costly and nurses must use them wisely. 
A)  Nurses are often the ones to allocate resources to solve a problem. 
B)  Nurses are often involved in federal policy making. 
C)  Health care policy can be influenced using these principles. 
D)  Health care supplies can be very costly and nurses must use them wisely. A

Question 3

Which statement about the reimbursement of health services for nurses is accurate?

Accepted Answer

A)  Reimbursement for health care services can be directed only to physicians. 
B)  Nurse practitioners and clinical nurse specialists are reimbursed for Medicare Part B services. 
C)  Nursing care is a separate budget item in determining hospital service costs. 
D)  Nursing care is reimbursed separately from medical care in outpatient settings. 
A)  Reimbursement for health care services can be directed only to physicians. 
B)  Nurse practitioners and clinical nurse specialists are reimbursed for Medicare Part B services. 
C)  Nursing care is a separate budget item in determining hospital service costs. 
D)  Nursing care is reimbursed separately from medical care in outpatient settings. B

Question 4

A nurse evaluates a smoking cessation program,the gained or increased financial income,the improvements in the community attributable to the program,and the costs that would result if the program was not offered.Which of the following best describes the action of the nurse?

Accepted Answer

A)  Cost-effectiveness analysis 
B)  Cost-benefit analysis 
C)  Supply and demand 
D)  Microeconomic theory 
A)  Cost-effectiveness analysis 
B)  Cost-benefit analysis 
C)  Supply and demand 
D)  Microeconomic theory

Question 5

A nurse is caring for a client who has end-stage kidney failure and is on dialysis.The nurse recognizes that this client is eligible for which of the following?

Accepted Answer

A)  Medicaid 
B)  Blue Cross 
C)  Medicare 
D)  HMO 
A)  Medicaid 
B)  Blue Cross 
C)  Medicare 
D)  HMO

Question 6

Public health economics focuses on the:

Accepted Answer

A)  use of resources. 
B)  availability and usage of goods and services related to public health. 
C)  scarcity of resources in the health care industry. 
D)  management and use of monies to improve the health of populations. 
A)  use of resources. 
B)  availability and usage of goods and services related to public health. 
C)  scarcity of resources in the health care industry. 
D)  management and use of monies to improve the health of populations.

Question 7

A nurse implements a teen pregnancy prevention program in a high school that has been shown to decrease the rate of teen pregnancy.Which of the following best describes the nurse's action?

Accepted Answer

A)  Effectiveness 
B)  Efficiency 
C)  Microeconomics 
D)  Production 
A)  Effectiveness 
B)  Efficiency 
C)  Microeconomics 
D)  Production

Question 8

A business offers wellness incentives to its employees and then notices a decrease in the frequency of physician visits among employees.Which of the following terms best describes what has happened?

Accepted Answer

A)  Macroeconomic theory 
B)  Efficiency 
C)  Supply and demand 
D)  Microeconomic theory 
A)  Macroeconomic theory 
B)  Efficiency 
C)  Supply and demand 
D)  Microeconomic theory

Question 9

A nurse is faced with a macroeconomics issue.Which of the following best describes what is happening?

Accepted Answer

A)  The evaluation of client access to services 
B)  A health policy that makes the development of a new program possible 
C)  Informing clients and others of the cost of service 
D)  The referral of clients to available services 
A)  The evaluation of client access to services 
B)  A health policy that makes the development of a new program possible 
C)  Informing clients and others of the cost of service 
D)  The referral of clients to available services

Question 10

A nurse is using the principles of supply and demand in daily practice.Which of the following best describes this phenomenon?

Accepted Answer

A)  The demand for nurses in public health is low, but the supply is high. 
B)  Few goods or services are available, the price tends to rise. 
C)  Supplies are low, nurses must find alternate resources. 
D)  Lesser-developed countries receive supplies from other countries. 
A)  The demand for nurses in public health is low, but the supply is high. 
B)  Few goods or services are available, the price tends to rise. 
C)  Supplies are low, nurses must find alternate resources. 
D)  Lesser-developed countries receive supplies from other countries.

Question 11

A physician receives a set amount of money to provide care to a given group of clients for a set period of time.Which of the following terms is being described?

Accepted Answer

A)  Retrospective reimbursement 
B)  Prospective reimbursement 
C)  Fee-for-service 
D)  Capitation 
A)  Retrospective reimbursement 
B)  Prospective reimbursement 
C)  Fee-for-service 
D)  Capitation

Question 12

A nurse is examining the characteristics that affect one's health.Which of the following would be of greatest concern to the nurse?

Accepted Answer

A)  Obesity 
B)  Marital status 
C)  Health insurance 
D)  Age 
A)  Obesity 
B)  Marital status 
C)  Health insurance 
D)  Age

Question 13

An employee is able to receive health insurance from a former employer after changing jobs.Which of the following best describes the legislation that makes this possible?

Accepted Answer

A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  Omnibus Budget Reconciliation Act 
C)  Balanced Budget Act of 1997 
D)  Social Security Act of 1935 
A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  Omnibus Budget Reconciliation Act 
C)  Balanced Budget Act of 1997 
D)  Social Security Act of 1935

Question 14

A nurse is working with a client who receives health insurance through a managed care organization.Which of the following best describes this insurance?

Accepted Answer

A)  Medicare 
B)  Medicaid 
C)  MSAs 
D)  Health maintenance organizations 
A)  Medicare 
B)  Medicaid 
C)  MSAs 
D)  Health maintenance organizations

Question 15

When a health care organization's fees for delivery of services are not decided until after they are provided,it is called:

Accepted Answer

A)  retrospective reimbursement. 
B)  prospective reimbursement. 
C)  fee-for-service. 
D)  capitation. 
A)  retrospective reimbursement. 
B)  prospective reimbursement. 
C)  fee-for-service. 
D)  capitation.

Question 16

A public health nurse applies the principles of the macroeconomics theory when working with a community.Which of the following best describes why this theory would be used?

Accepted Answer

A)  The nurse is concerned with factors that determine prices and affect resource allocation. 
B)  The nurse is concerned with the positive effect of competitiveness on health care costs. 
C)  The nurse is concerned with the supply, demand, and costs of services available to their clients. 
D)  The nurse is concerned with the policies to support programs to improve the health of the community. 
A)  The nurse is concerned with factors that determine prices and affect resource allocation. 
B)  The nurse is concerned with the positive effect of competitiveness on health care costs. 
C)  The nurse is concerned with the supply, demand, and costs of services available to their clients. 
D)  The nurse is concerned with the policies to support programs to improve the health of the community.

Question 17

Factors that influence health care costs include which of the following? (Select all that apply.)

Accepted Answer

A)  Technology and intensity 
B)  Demographics-the aging population 
C)  Chronic illness 
D)  Use of the health care system 
E)  Type of health care insurance 
A)  Technology and intensity 
B)  Demographics-the aging population 
C)  Chronic illness 
D)  Use of the health care system 
E)  Type of health care insurance

Question 18

A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses,such as laboratory services and equipment.Which of the following parts of Medicare is being described?

Accepted Answer

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

Question 19

A nurse is providing care to an individual who has Medicaid.Which of the following would most likely describe this individual?

Accepted Answer

A)  An 85-year-old female who has hypertension 
B)  A 25-year-old female who is pregnant 
C)  A 50-year-old male who is blind 
D)  A 70-year-old male who is hearing impaired 
A)  An 85-year-old female who has hypertension 
B)  A 25-year-old female who is pregnant 
C)  A 50-year-old male who is blind 
D)  A 70-year-old male who is hearing impaired

Question 20

A nurse conducts a class at a public health clinic on breast self-examination for a group of 50 women.Which of the following best describes the nurse's action?

Accepted Answer

A)  Supply and demand 
B)  Macroeconomics theory 
C)  Efficiency 
D)  Effectiveness 
A)  Supply and demand 
B)  Macroeconomics theory 
C)  Efficiency 
D)  Effectiveness

Exam 5: Economics of Health Care Delivery

The first phase of development of the health care system was characterized by:

A nurse enrolls in a microeconomics course at a local college.Which of the following best describes the rationale for taking this course?

Which statement about the reimbursement of health services for nurses is accurate?

A nurse evaluates a smoking cessation program,the gained or increased financial income,the improvements in the community attributable to the program,and the costs that would result if the program was not offered.Which of the following best describes the action of the nurse?

A nurse is caring for a client who has end-stage kidney failure and is on dialysis.The nurse recognizes that this client is eligible for which of the following?

Public health economics focuses on the:

A nurse implements a teen pregnancy prevention program in a high school that has been shown to decrease the rate of teen pregnancy.Which of the following best describes the nurse's action?

A business offers wellness incentives to its employees and then notices a decrease in the frequency of physician visits among employees.Which of the following terms best describes what has happened?

A nurse is faced with a macroeconomics issue.Which of the following best describes what is happening?

A nurse is using the principles of supply and demand in daily practice.Which of the following best describes this phenomenon?

A physician receives a set amount of money to provide care to a given group of clients for a set period of time.Which of the following terms is being described?

A nurse is examining the characteristics that affect one's health.Which of the following would be of greatest concern to the nurse?

An employee is able to receive health insurance from a former employer after changing jobs.Which of the following best describes the legislation that makes this possible?

A nurse is working with a client who receives health insurance through a managed care organization.Which of the following best describes this insurance?

When a health care organization's fees for delivery of services are not decided until after they are provided,it is called:

A public health nurse applies the principles of the macroeconomics theory when working with a community.Which of the following best describes why this theory would be used?

Factors that influence health care costs include which of the following? (Select all that apply.)

A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses,such as laboratory services and equipment.Which of the following parts of Medicare is being described?

A nurse is providing care to an individual who has Medicaid.Which of the following would most likely describe this individual?

A nurse conducts a class at a public health clinic on breast self-examination for a group of 50 women.Which of the following best describes the nurse's action?

Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Public and Community Health Nursing

The Changing U.S.Health and Public Health Care Systems

Perspectives in Global Health Care

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Population-Based Public Health Nursing Practice: The Intervention Wheel

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Changing Health Behavior Using Health Education with Individuals, Families, and Groups

Building a Culture of Health through Community Health Promotion

Community as Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nurse-led Health Center: A Model for Community Nursing Practice

Case Management

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Working with Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Disability Health Care Across the Life Span

Vulnerability and Vulnerable Populations: An Overview

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco, and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Home Health, Palliative Care, and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at Local, State, and National Levels

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