Chapter 08: Economic Influences

Chapter 08: Economic Influences

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse is discussing how health care rationing occurs in the United States. Which of the following would most likely be discussed as the criterion that is used to ration health care?

ANS:  B

Because there are not enough health care services available to provide desired services to everyone, the focus has been on reducing costs by controlling the use of services. All of the factors listed affect health care access and therefore affect health care rationing (either directly or indirectly). The primary determinant, however, is the ability to pay for services. Without this ability, services are denied; therefore, those without insurance that is accepted by a provider or institution or who do not have the money to pay out of pocket are unable to obtain services.

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 132

2. Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-effective way to allocate health care resources?

ANS:  C

Economics is the science concerned with the use of resources; health economics is concerned with how scarce resources affect the health care industry. The other options are important components of health economics but by themselves do not provide the broad understanding called for in this question.

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 130

3. Which of the following individuals would most likely experience a barrier when accessing health care?

ANS:  D

Barriers to accessing care include the inability to afford health care, lack of transportation, physical barriers, communication problems, child care needs, lack of time or information, or refusal of services by providers. The unemployed male is most likely to experience a barrier because of not having a job, which may reduce his access to health insurance and limit his income.

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   p. 131

4. Which person is most likely to be uninsured?

ANS:  D

The typical uninsured person is one who works at a low-paying job, part-time or temporary, or at a small business. The elderly person would be eligible for Medicare, and the 2-year-old is probably eligible for Medicaid. The man who works at the large corporation probably has health insurance, because most large businesses provide it.

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   pp. 131-132