Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
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Chapter 3: The U.S. Health and Public Health Care Systems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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 and self-reliance |
| 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 |
ANS:Â Â 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: Knowledge            REF:   p. 38
| a. | Cooperates fully with member World Health Organization nations in implementing the plan internationally |
| b. | Disagrees that the goal of health is for all citizens to live socially and economically productive lives |
| c. | Enthusiastically endorses and has attempted to implement the goals in every way possible |
| d. | Has focused primarily on disease prevention and health promotion in selected areas |
ANS:Â Â D
The primary health care movement, based on the assumption that all citizens of the world should be able to live socially and economically productive lives, is a political statement encouraging each country to interpret it according to its own culture, needs, resources, and government. The United States has endorsed primary health care as a strategy but focuses more on disease prevention and health promotion than the other strategies.
DIF:   Cognitive Level: Knowledge            REF:   p. 39
| a. | By requiring 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 |
ANS:Â Â 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, since members cannot use specialists or seek hospital or other care without permission from their primary care provider. Thus those enrolled in Medicaid managed care have restrictions that help keep costs down for government (and for taxpayers).
DIF:   Cognitive Level: Knowledge            REF:   p. 39
| a. | Local public health clinics are restricted to those services allowed by federal legislation. |
| b. | Local public health clinics may offer whatever services local taxpayers are willing to pay for. |
| c. | Local public health clinics must follow the recommendations of Healthy People 2010. |
| d. | Local public health clinics must offer whatever services the state mandates they offer. |
ANS:Â Â D
At the local level, health departments provide care that is mandated by state and federal regulations.
DIF:   Cognitive Level: Knowledge            REF:   p. 40
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