Question 1

The country with the highest life expectancy for women in 2011 was:

Accepted Answer

A)   France
B)   Germany
C)   Sweden
D)   the United StatesE) B) and C)
F) A) and B)

Question 2

Which nurse is at risk of making a medical error?

Accepted Answer

A)   Working overtime
B)   Works in a hospital that advocates multidisciplinary care
C)   Caring for four clients during the shift
D)   Attends regular continuing education programsE) B) and C)
F) A) and B)

Question 3

Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?

Accepted Answer

A)   Medicare
B)   Civilian Health Medical Program for Uniformed Services (CHAMPUS) 
C)   State Children's Health Insurance Program (SCHIP) 
D)   Veteran's Administration ProgramE) B) and D)
F) C) and D)

Question 4

A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation? (select all that apply)

Accepted Answer

A)   Funding of public health programs has improved the health of the nation.
B)   Provision of health care has improved the health of the nation.
C)   Advances in technology have improved the health of the nation.
D)   Consumer education has improved the health of the nation.E) A) and B)
F) A) and C)

Question 5

Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates)  in return for expedited claims payment?

Accepted Answer

A)   Health maintenance organization (HMO) 
B)   Health savings account (HS
A)  
C)   Preferred provider organization (PPO) 
D)   Independent practice association (IP
A)  E) All of the above
F) A) and D)

Question 6

A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:

Accepted Answer

A)   Patient Self-Determination Act
B)   Health Insurance Portability and Accountability Act of 1996
C)   Americans with Disabilities Act
D)   Civil Rights ActE) C) and D)
F) B) and C)

Question 7

Which person is at highest risk for being uninsured?

Accepted Answer

A)   68-year-old retired mailman
B)   48-year-old on renal dialysis
C)   2-year-old whose parents work but do not have benefits through their employers
D)   27-year-old who attends college and works part time in a small pizza parlorE) None of the above
F) A) and C)

Question 8

The country with the lowest infant mortality rate in 2011 was:

Accepted Answer

A)   Canada
B)   Mexico
C)   Sweden
D)   the United StatesE) A) and D)
F) A) and B)

Question 9

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:

Accepted Answer

A)   managed care
B)   gate keeping
C)   utilization review
D)   capitationE) All of the above
F) C) and D)

Question 10

Which of the following statements about the financing of health care in the United States is accurate? (select all that apply)

Accepted Answer

A)   Employee-sponsored health insurance premiums experienced minimal increases from 2001 to 2011.
B)   State tax dollars must fund at least 50% of a state's Medicaid cost.
C)   The largest percentage of health care dollars is spent on hospital care.
D)   Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs) .E) B) and D)
F) None of the above

Question 11

Which addition to a community best demonstrates the concept of the Healthy People 2020 report?

Accepted Answer

A)   New cardiothoracic intensive care unit at a major hospital
B)   New rehabilitation center
C)   New recreational health center
D)   New children's hospitalE) C) and D)
F) None of the above

Question 12

A community health nurse most effectively preserves the health of a person with tuberculosis (TB)  and the community by:

Accepted Answer

A)   administering and reading the purified protein derivative (PP
D)   of all close contacts
B)   providing direct observed therapy (DOT)  for the individual with TB
C)   isolating the person because it is likely drug resistant
D)   telling the person to wear a mask when leaving the homeE) B) and D)
F) B) and C)

Question 13

Which of the following would be considered part of a vulnerable population? (select all that apply)

Accepted Answer

A)   Deaf man
B)   Cocaine-addicted teenage girl
C)   Handicapped child
D)   College graduateE) All of the above
F) B) and C)

Question 14

Which could result in a change in a nurse practitioner's practice?

Accepted Answer

A)   Holding a master's degree or higher
B)   Moving to another state when she gets married
C)   Caring for Medicare clients
D)   Changing to another office within the same practiceE) B) and C)
F) All of the above B

Question 15

Adoption of a Canadian-style health care system in the United States has the potential to:

Accepted Answer

A)   decrease waiting times for tests and procedures.
B)   create further health disparities.
C)   increase the number of HMOs.
D)   increase the amount of funding available for health care.E) A) and B)
F) A) and C)

Question 16

What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?

Accepted Answer

A)   Forgo opportunities for continuing education so the unit is never understaffed.
B)   Foster a collaborative working environment on the unit.
C)   Check all medications a minimum of three times before administering them.
D)   Develop a policy that mandates the firing of any nurse who commits an error.E) B) and D)
F) B) and C)

Question 17

An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

Accepted Answer

A)   High deductible health insurance plan (HDHP) 
B)   Point-of-service plan (POS) 
C)   Health maintenance organization (HMO) 
D)   Preferred provider organization (PPO) E) B) and C)
F) None of the above A

Question 18

Considering the provider and client perspective, which of the following is the most autonomous form of insurance?

Accepted Answer

A)   Fee-for-service plan
B)   Health maintenance organization (HMO) 
C)   Preferred provider organization (PPO) 
D)   Independent practice association (IP
A)  E) A) and C)
F) A) and D)

Question 19

Which nurse is functioning as a care manager?

Accepted Answer

A)   Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
B)   Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
C)   Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
D)   Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbationE) None of the above
F) A) and B) A

Question 20

A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:

Accepted Answer

A)   Medicare Part A
B)   Medicare Part B
C)   Medicaid
D)   State Children's Health Insurance Program (SCHIP) E) All of the above
F) C) and D)

Exam 3: Health Policy and the Delivery System

The country with the highest life expectancy for women in 2011 was:

Correct AnswerverifiedShow Answer

Which nurse is at risk of making a medical error?

Correct AnswerverifiedShow Answer

Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?

Correct AnswerverifiedShow Answer

A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation? (select all that apply)

Correct AnswerverifiedShow Answer

Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?

Correct AnswerverifiedShow Answer

A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:

Correct AnswerverifiedShow Answer

Which person is at highest risk for being uninsured?

Correct AnswerverifiedShow Answer

The country with the lowest infant mortality rate in 2011 was:

Correct AnswerverifiedShow Answer

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:

Correct AnswerverifiedShow Answer

Which of the following statements about the financing of health care in the United States is accurate? (select all that apply)

Correct AnswerverifiedShow Answer

Which addition to a community best demonstrates the concept of the Healthy People 2020 report?

Correct AnswerverifiedShow Answer

A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:

Correct AnswerverifiedShow Answer

Which of the following would be considered part of a vulnerable population? (select all that apply)

Correct AnswerverifiedShow Answer

Which could result in a change in a nurse practitioner's practice?

Correct AnswerverifiedB

Adoption of a Canadian-style health care system in the United States has the potential to:

Correct AnswerverifiedShow Answer

What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?

Correct AnswerverifiedShow Answer

An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

Correct AnswerverifiedA

Considering the provider and client perspective, which of the following is the most autonomous form of insurance?

Correct AnswerverifiedShow Answer

Which nurse is functioning as a care manager?

Correct AnswerverifiedA

A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:

Correct AnswerverifiedShow Answer

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