Question 1

A community health nurse is utilizing telehealth.Which of the following best describes the rationale for its use?

Accepted Answer

A)   Enables clients to get nursing care in their homes
B)   Substitutes for health department delivered care
C)   Improves access to care in rural areas
D)   Replaces face-to-face care for those who cannot afford it C

Question 2

According to the 1999 Institute of Medicine report,as many as 98,000 deaths each year could be attributed to:

Accepted Answer

A)   cardiovascular disease.
B)   obesity.
C)   medical error.
D)   drug overdose. C

Question 3

What initiative began as a result of a resolution adopted by the WHO in 1977?

Accepted Answer

A)   Declaration of Alma Ata
B)   Medicare
C)   Healthy People
D)   PHC movement D

Question 4

A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program.Which of the following best describes the rationale for this program?

Accepted Answer

A)   The number of minority versus non-minority nurses should be equal.
B)   Minority health care professionals who share the same culture with the clients may provide more effective care.
C)   The profession should be more diverse.
D)   Minority nurses can mentor other nurses when providing care for diverse populations.

Question 5

What are some of the untoward events categorized in the Institute of Medicine (IOM)report about medical errors? (Select all that apply.)

Accepted Answer

A)   Wrong-site surgery
B)   Adverse drug events
C)   Improper transfusions
D)   Restraint related deaths
E)   Poor staffing patterns

Question 6

In the United States,the majority of health care dollars are spent on:

Accepted Answer

A)   prescription drugs.
B)   hospital care.
C)   physician services.
D)   public health services (PHSs) .

Question 7

A nurse is entering the health care workforce.Which of the following expectations should the nurse have for the workforce? (Select all that apply.)

Accepted Answer

A)   There is a shortage of nurses in the United States.
B)   Schools of nursing turn away qualified applicants due to lack of faculty and limitations of clinical sites.
C)   By 2016 there are expected to be 527,000 new nursing positions.
D)   More students are choosing laboratory science, pharmacy technology, and radiology technology over nursing.
E)   There is a shortage of physician specialists in the United States.

Question 8

A nurse is working with a community to decrease the occurrence of influenza.Which of the following U.S.Department of Health and Human Services (USDHHS; or simply HHS)goals is being applied?

Accepted Answer

A)   Strengthen Health Care
B)   Advance the Health, Safety, and Well-being of the American People
C)   Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS Programs
D)   Advance Scientific Knowledge and Innovation

Question 9

One of the goals of the World Health Organization (WHO)is to:

Accepted Answer

A)   provide PHC services to everyone.
B)   prevent outbreaks of disease.
C)   prevent the transmittal of communicable disease among nations of the world.
D)   provide humanitarian support in times of disaster.

Question 10

A nursing student is researching advanced practice nursing options.Which of the following discoveries would most likely be made by the nursing student?

Accepted Answer

A)   Nurse practitioners may work independently depending on the state practice act.
B)   Certified nurse midwives have limited prescriptive authority.
C)   Clinical nurse specialists typically provide primary care services.
D)   The Doctorate in Nursing Practice emphasizes the importance of research.

Question 11

A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community.Which goal would the nurse find in this document?

Accepted Answer

A)   Promote healthy behaviors for children
B)   Cure cancer
C)   Eliminate health disparities
D)   Provide primary care to all citizens

Question 12

The federal agency of the public health system that is most involved with the health and welfare of United States citizens is the:

Accepted Answer

A)   Centers for Medicaid and Medicare Services.
B)   U. S. Department of Health and Human Services.
C)   U. S. Public Health Service (USPHS; or simply PHS) .
D)   Health Resources and Services Administration.

Question 13

A nurse is exploring a job opportunity at a community health center.Which of the following expectations would the nurse have about the center?

Accepted Answer

A)   Would be located in a large metropolitan area
B)   Provides care only to the economically disadvantaged
C)   Offers comprehensive primary care services and supportive services
D)   Is used for preventive services such as flu shots

Question 14

A nurse is employed by the Department of Homeland Security.Which of the following actions would be expected by this department?

Accepted Answer

A)   Prevention and protection against terrorist attacks
B)   Regulation of licensure of medical personnel
C)   Inspection of the safety of food and cosmetics
D)   Regulation of managed care organizations

Question 15

An 80-year-old woman comes to the community health center 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?

Accepted Answer

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 pay for these medications. I will refer you to our social worker."
D)   "These medications are important. Do your best to pay for them."

Question 16

A client is receiving PHC services.Which of the following expectations would the client have?

Accepted Answer

A)   The care would be provided by a physician.
B)   Private insurance would be necessary to receive care.
C)   The emphasis of care provided would be on prevention.
D)   A referral would be made to a specialist after receiving services.

Question 17

A nurse interacts with a 25-year-old woman at a community health center who is obtaining a gynecological examination and birth control pills.Which of the following types of care is the client receiving?

Accepted Answer

A)   Tertiary health care
B)   Public health care
C)   PHC
D)   Specialized care

Question 18

The number of uninsured Americans has dramatically increased because:

Accepted Answer

A)   Medicare took over payment of health care costs.
B)   with a declining population, the costs for health care rose.
C)   nursing salaries greatly increased, causing health care costs to rise.
D)   health insurance coverage was dropped from employment-based health plans.

Question 19

A nurse is working in a state health department.Which of the following programs would the nurse most likely be working with?

Accepted Answer

A)   Senior health
B)   Dental services
C)   HIV/AIDS service
D)   Mental health

Question 20

PHC in the United States:

Accepted Answer

A)   has dramatically improved since the passage of the Declaration of Alma Ata.
B)   focuses on the use of government-funded insurance programs.
C)   lacks community participation and a multidisciplinary health care delivery team.
D)   utilizes Preferred Provider Organizations to meet needs of the citizens.

Exam 3: The Changing U.S.Health and Public Health Care Systems