PM
COMMUNITY HEALTH NR442 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
-Federal assistance in construction of hospitals with stipulations about service for
Hill-Burton Act 1946 uninsured
-Hospitals went bankrupt, couldn't support themselves
-Prevent illness by influlencing environment
-Funding to support programs to improve health= inc. regulations
Federal Legislation for Health care -increased role of state and local gov.
-promoted similarities of services in all states
-standardized public health policy in U.S.
Social security act -welfare for high risk mothers, children, elderly and disabled
-restricted eligibility for AFDC (family and child), medicaid and welface
Welfare reform act -number w/welfare dropped many recipients causing problems
-people took low paying jobs, no insurance
-inpatient, care in hospoitals/skilled nursing facilities, hospice care, some
home health care
Medicare A -pay deductible
-does NOT pay for ALL health care costs of enrollees
-"gaps" in coverage
-type of "medigap" (privately purchased individual or group health insurance plan
designed to supplement Medicare coverage.) supplements type A Medicare
-purchased for monthly fee, have to pay deductible and coinsurance
Medicare B
-not mandatory
-helps pay for md services
-hospital out-patient, durable medical equipment & some home care
-very IMPORTANT, provides seniors and disabled w/some RX drug benefit
Medicare modernization act coverage
-more choices, better benefits
1. Specific diseases: American Diabetes Association, American Cancer Society
and National Multiple Sclerosis Society
2.Organ or body structures: National Kidney Foundation or the American Heart
Voluntary agency categories: Association
3.Health & welfare of special groups: National Council on Aging or March of
Dimes
4. Particular phases of health, such as the Planned parenthood
-focus on POPULATION
-prevention of disease and illness.
Federal Government- public health -mandated by US Constitution, promote general welfare on federal, state and
administration responsibilities local levels
-Public health and community health nurses are in a unique position to provide
leadership and facilitate change in the health care system
-U.S. Department of Health and Human Services
Federal level subsystem -ex: Surgeon General
-Targets: general population, special populations and international health
-State Health Departments
-responsibility: health of their citizens
State level subsystem
-Central authorities in public HC system
-establishes own STATE laws (state's rights)
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