Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th
Edition
MULTIPLE CHOICE
1. In the United States, what are most health care dollars spent on?
a. Prescription drugs
b. Hospital care
c. Physician services
d. Public health services (PHSs)
ANS: B
,Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
The largest share of health care expenditures goes to pay for hospital care, with physician
services the next largest item. The money spent for PHSs is significantly lower than the
other categories of expenditures. Other significant drivers of the increasingly high cost of
health care include prescription drugs, technology, and chronic and degenerative disease.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
2. What has caused the number of uninsured Americans to dramatically increase?
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.
O
d. Health insurance coverage was dropped from employmentNURSINGTB.C M -
based health plans.
ANS: D
Although most Americans continue to obtain health insurance from their employer as a
benefit, employment does not guarantee insurance. Employer-sponsored health insurance is
sensitive to both the general economy and changes in health insurance premiums. As costs
for insurance premiums rose, employers either shifted more of these costs to their
employees or declined to offer employment-based health coverage at all. Medicare provides
coverage only to the elderly and other special populations. The costs for health care are
continuing to rise regardless of the size of the population. There has not been a significant
change to nursing salaries, and a change in nursing salaries would not impact the number of
uninsured Americans.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
3. 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?
,Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
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.
ANS: B
One of the objectives of Advance the Health, Safety, and Well-being of the American
People is to reduce the occurrence of infectious diseases. The goal of Strengthen Health
Care focuses on improving health care services, quality, and coverage. The goal of
Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS Programs
focuses on improving programming and application of found data. The goal of Advance
Scientific
, Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
Knowledge and Innovation focuses on scientific discovery and application of the new
knowledge.
DIF: Cognitive level: Remembering TOP: Nursing process: Implementation MSC:
NCLEX: Health Promotion and Maintenance
4. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could
be attributed to what cause? a. Cardiovascular disease
b. Obesity
c. Medical error
d. Drug overdose
ANS: C
In 1999 it was thought that our health care system was expensive, and that access and
quality were not optimal, but we had not considered this important fact: many people die of
preventable medical errors in the United States. This number is not the correct statistic for
cardiovascular disease, obesity, or drug overdose.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Residents of rural communities report that they must travel for long distances to obtain
health care services. As a result, they seek health care only for emergencies and severe
illnesses. Which aspect of the health care system in the United States is illustrated in this
situation?
a. Access to care
b. Cost
c. Quality
d. Advances in technology
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th
Edition
MULTIPLE CHOICE
1. In the United States, what are most health care dollars spent on?
a. Prescription drugs
b. Hospital care
c. Physician services
d. Public health services (PHSs)
ANS: B
,Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
The largest share of health care expenditures goes to pay for hospital care, with physician
services the next largest item. The money spent for PHSs is significantly lower than the
other categories of expenditures. Other significant drivers of the increasingly high cost of
health care include prescription drugs, technology, and chronic and degenerative disease.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
2. What has caused the number of uninsured Americans to dramatically increase?
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.
O
d. Health insurance coverage was dropped from employmentNURSINGTB.C M -
based health plans.
ANS: D
Although most Americans continue to obtain health insurance from their employer as a
benefit, employment does not guarantee insurance. Employer-sponsored health insurance is
sensitive to both the general economy and changes in health insurance premiums. As costs
for insurance premiums rose, employers either shifted more of these costs to their
employees or declined to offer employment-based health coverage at all. Medicare provides
coverage only to the elderly and other special populations. The costs for health care are
continuing to rise regardless of the size of the population. There has not been a significant
change to nursing salaries, and a change in nursing salaries would not impact the number of
uninsured Americans.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
3. 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?
,Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
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.
ANS: B
One of the objectives of Advance the Health, Safety, and Well-being of the American
People is to reduce the occurrence of infectious diseases. The goal of Strengthen Health
Care focuses on improving health care services, quality, and coverage. The goal of
Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS Programs
focuses on improving programming and application of found data. The goal of Advance
Scientific
, Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
Knowledge and Innovation focuses on scientific discovery and application of the new
knowledge.
DIF: Cognitive level: Remembering TOP: Nursing process: Implementation MSC:
NCLEX: Health Promotion and Maintenance
4. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could
be attributed to what cause? a. Cardiovascular disease
b. Obesity
c. Medical error
d. Drug overdose
ANS: C
In 1999 it was thought that our health care system was expensive, and that access and
quality were not optimal, but we had not considered this important fact: many people die of
preventable medical errors in the United States. This number is not the correct statistic for
cardiovascular disease, obesity, or drug overdose.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Residents of rural communities report that they must travel for long distances to obtain
health care services. As a result, they seek health care only for emergencies and severe
illnesses. Which aspect of the health care system in the United States is illustrated in this
situation?
a. Access to care
b. Cost
c. Quality
d. Advances in technology
