Stanhope Chapter 3
1. A public health agency is planning to implement the electronic health record. Which of the
following is a benefit of this choice?
a. Facilitation of interprofessional care
b. Improved client compliance with medical regimens
c. Cost savings to the agency
d. Compliance with JCAHO standards - correct answer-ANS: A
The electronic medical record facilitates interprofessional care in chronic disease
management and coordination of referrals; 24-hour availability of records with downloaded
laboratory results and up-to-date assessments; incorporation of protocol reminders for
prevention, screening, and management of chronic disease; improvement of quality
measurement and monitoring; increased client safety; and decline in medication errors.
DIF: Cognitive Level: Apply (Application) REF: p. 37
2. A community health nurse is trying to increase enrollment in SCHIP. Which of the
following interventions would be most effective?
a. Explaining the program to children enrolled in public school systems
b. Handing out SCHIP applications to uninsured children seen in local hospital emergency
departments
c. Having a newspaper campaign with information and applications printed in the newspaper
d. Sending literature about the SCHIP program home with schoolchildren each year - correct
answer-ANS: B
SCHIP builds on Medicaid to provide insurance coverage to low-income, uninsured children
who are not eligible for Medicaid. Thus, the population that needs to be targeted for SCHIP
is those being seen for medical care who do not have insurance.
DIF: Cognitive Level: Apply (Application) REF: p. 37
3. A nurse is explaining the health care system in the United States to a group of physicians
visiting from South America. How would the nurse best describe the current health care
system?
a. "It is a logical, rational approach to meeting expressed needs while still trying to control
costs."
b. "It is a system in the process of reform as problems have become increasingly apparent."
c. "It is divided primarily into two components: private health care and public health care."
d. "It is the best in the world with outstanding research and high-technology care available to
all." - correct answer-ANS: C
Health care in the United States consists of a personal care system and a public health
system, with overlap between the two.
DIF: Cognitive Level: Apply (Application) REF: p. 39
4. Which of the following best describes ideal primary health care?
a. Based on a multidisciplinary group of health care providers that work as a team
b. Essential care available to all community members, which encourages self-management
c. Focused on health promotion and disease prevention for everyone enrolled in the health
center
, d. Local efforts to meet the Declaration of Alma Ata principles - correct answer-ANS: B
Primary health care is generally defined as essential care made universally accessible to
individuals and families in a community with their full participation and at a cost that the
community can afford.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 39
5. How does managed care attempt to control costs of care?
a. By encouraging families to use the point of service list of individual practice associates
b. By requiring families to choose a care provider from the MC network and not allowing
access to other services without their provider's permission
c. By moving Medicaid-eligible families onto state Medicare enrollment
d. By refusing permission for families to use urgent care or emergency department services -
correct answer-ANS: B
Managed care is a system in which care is delivered by a specific network of providers. Each
provider serves as a gatekeeper who controls access to other providers and services. Cost
is reduced because members cannot use specialists or seek hospital or other care without
permission from their primary care providers. Thus, those enrolled in Medicaid managed
care have restrictions that help keep costs down for government (and for taxpayers).
DIF: Cognitive Level: Remember (Knowledge) REF: p. 40
6. An 80-year-old woman comes to the community health care facility 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?
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 help you pay for these medications."
d. "These medications are important. Do your best to pay for them." - correct answer-ANS: C
This elderly patient probably is eligible for benefits through Medicare Part D. Medicare Part
D has been added to Medicare to help cover the cost of prescriptions.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 40
7. A nurse is determining which health care services must be offered at a local public health
clinic. Which of the following factors is most important for the nurse to consider?
a. Data available from the most recent community assessment
b. Suggestions from community members about what is needed
c. Recommendations of Healthy People 2020
d. Services mandated by the state government - correct answer-ANS: D
At the local level, health departments provide care that is mandated by state and federal
regulations.
DIF: Cognitive Level: Apply (Application) REF: p. 40
8. A nurse is planning to conduct research on patient care outcomes. Which of the following
agencies would the nurse use as a resource?
a. Agency for Health Care Research and Quality
b. Federal Agency for Patient Care Outcomes
c. National Center for Nursing Research
d. U.S. Agency for Patient Care Effectiveness - correct answer-ANS: A
1. A public health agency is planning to implement the electronic health record. Which of the
following is a benefit of this choice?
a. Facilitation of interprofessional care
b. Improved client compliance with medical regimens
c. Cost savings to the agency
d. Compliance with JCAHO standards - correct answer-ANS: A
The electronic medical record facilitates interprofessional care in chronic disease
management and coordination of referrals; 24-hour availability of records with downloaded
laboratory results and up-to-date assessments; incorporation of protocol reminders for
prevention, screening, and management of chronic disease; improvement of quality
measurement and monitoring; increased client safety; and decline in medication errors.
DIF: Cognitive Level: Apply (Application) REF: p. 37
2. A community health nurse is trying to increase enrollment in SCHIP. Which of the
following interventions would be most effective?
a. Explaining the program to children enrolled in public school systems
b. Handing out SCHIP applications to uninsured children seen in local hospital emergency
departments
c. Having a newspaper campaign with information and applications printed in the newspaper
d. Sending literature about the SCHIP program home with schoolchildren each year - correct
answer-ANS: B
SCHIP builds on Medicaid to provide insurance coverage to low-income, uninsured children
who are not eligible for Medicaid. Thus, the population that needs to be targeted for SCHIP
is those being seen for medical care who do not have insurance.
DIF: Cognitive Level: Apply (Application) REF: p. 37
3. A nurse is explaining the health care system in the United States to a group of physicians
visiting from South America. How would the nurse best describe the current health care
system?
a. "It is a logical, rational approach to meeting expressed needs while still trying to control
costs."
b. "It is a system in the process of reform as problems have become increasingly apparent."
c. "It is divided primarily into two components: private health care and public health care."
d. "It is the best in the world with outstanding research and high-technology care available to
all." - correct answer-ANS: C
Health care in the United States consists of a personal care system and a public health
system, with overlap between the two.
DIF: Cognitive Level: Apply (Application) REF: p. 39
4. Which of the following best describes ideal primary health care?
a. Based on a multidisciplinary group of health care providers that work as a team
b. Essential care available to all community members, which encourages self-management
c. Focused on health promotion and disease prevention for everyone enrolled in the health
center
, d. Local efforts to meet the Declaration of Alma Ata principles - correct answer-ANS: B
Primary health care is generally defined as essential care made universally accessible to
individuals and families in a community with their full participation and at a cost that the
community can afford.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 39
5. How does managed care attempt to control costs of care?
a. By encouraging families to use the point of service list of individual practice associates
b. By requiring families to choose a care provider from the MC network and not allowing
access to other services without their provider's permission
c. By moving Medicaid-eligible families onto state Medicare enrollment
d. By refusing permission for families to use urgent care or emergency department services -
correct answer-ANS: B
Managed care is a system in which care is delivered by a specific network of providers. Each
provider serves as a gatekeeper who controls access to other providers and services. Cost
is reduced because members cannot use specialists or seek hospital or other care without
permission from their primary care providers. Thus, those enrolled in Medicaid managed
care have restrictions that help keep costs down for government (and for taxpayers).
DIF: Cognitive Level: Remember (Knowledge) REF: p. 40
6. An 80-year-old woman comes to the community health care facility 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?
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 help you pay for these medications."
d. "These medications are important. Do your best to pay for them." - correct answer-ANS: C
This elderly patient probably is eligible for benefits through Medicare Part D. Medicare Part
D has been added to Medicare to help cover the cost of prescriptions.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 40
7. A nurse is determining which health care services must be offered at a local public health
clinic. Which of the following factors is most important for the nurse to consider?
a. Data available from the most recent community assessment
b. Suggestions from community members about what is needed
c. Recommendations of Healthy People 2020
d. Services mandated by the state government - correct answer-ANS: D
At the local level, health departments provide care that is mandated by state and federal
regulations.
DIF: Cognitive Level: Apply (Application) REF: p. 40
8. A nurse is planning to conduct research on patient care outcomes. Which of the following
agencies would the nurse use as a resource?
a. Agency for Health Care Research and Quality
b. Federal Agency for Patient Care Outcomes
c. National Center for Nursing Research
d. U.S. Agency for Patient Care Effectiveness - correct answer-ANS: A
