Foundations of Nursing in the Community 4e by Marcia Stanhope
Foundations of Nursing in the Community 4e by Marcia Stanhope
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Chapter 03: The U.S. Health and Public Health Care Systems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Facilitation of interprofessional care |
| b. | Improved client compliance with medical regimens |
| c. | Cost savings to the agency |
| d. | Compliance with JCAHO standards |
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
| 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 |
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
| 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.” |
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
| 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 |
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
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