Ch6 Public Health A Transformation In The Verified Test Bank

Jonas & Kovner’s Health Care Delivery in the United States, 12^th Edition

Test Bank

Chapter 6, Public Health: A Transformation in the 21st Century

MULTIPLE CHOICE

1. What percent of national spending is accounted for by public health activity?

A. 1% to 3%

B. 5%

C. 8% to 10%

D. 12%

1. Which element of the Affordable Care Act (ACA) enabled public health departments to direct more of their resources to prevention?

A. The individual mandate

B. Medicaid expansion

C. The Prevention and Public Health Fund

D. The Health Insurance Marketplace

1. Which of the following is the goal of public health?

A. To improve the health status of individuals

B. To cure disease

C. To reduce the spiraling cost of health care

D. To improve the health status of entire populations

1. Which of the following best states the utilitarian argument for public health?

A. Public health is a human right

B. Public health is a means to achieve social justice

C. Public health provides the greatest good for the greatest number

D. Public health controls health care costs

1. Which of the following is a reason why government plays a necessary role in public health?

A. Without government there is no way to address health care’s market failures

B. Public health limits individual liberty

C. Public health policy and practice try to balance individual freedoms and collective benefits

D. Public health departments have police powers to control infectious disease

1. Which of the following best describes health promotion?

A. The balance between individual freedoms and collective benefits

B. The combination of educational and environmental supports for actions and conditions of living conducive to health

C. The search for social justice through the elimination of social and economic disparities that contribute to health inequities

D. Limitations on public health activities that infringe on individual liberty

1. Your local public health department is running a public service campaign about the importance of controlling blood pressure. This campaign is a form of which type of intervention?

A. Primary prevention

B. Secondary prevention

C. Tertiary prevention

D. Health promotion

1. Disease prevention and health promotion are rarely completely effective because of which of the following?

A. The utilitarian nature of public health

B. Political opposition

C. Our inability to protect 100% of people from illness or injury

D. Lack of funding

1. Walkable communities appeal not only to public health practitioners and advocates but also to real estate developers and city planners. Thus, they are an opportunity for which of the following to occur?

A. Multisector collaboration

B. Primary prevention

C. Health promotion

D. Individual health care

MULTIPLE RESPONSE

1. Which of the following are the key assumptions that distinguish public health from the health care delivery system? Select all that apply.

A. A healthy population is in the public interest

B. Community-based organizations should take responsibility for local issues

C. Professionals working at the social or community level can improve an entire population’s health

D. Laws, policies, and organizations should be problem-specific rather than general

1. Health today is most strongly determined by which of the following? Select all that apply.

A. Health care

B. Behavioral forces

C. Community factors

D. Environmental forces

E. Societal forces

1. Which of the following are among the great U.S. public health achievements of the twentieth century? Select all that apply.

A. Motor vehicle safety

B. Control of infectious diseases

C. Healthier mothers and babies

D. Cost savings at the community level

E. Recognition of tobacco use as a health hazard

1. Which of the following are core functions of public health? Select all that apply.

A. Assessment

B. Policy development

C. Assurance

D. Health care

1. Which of the following are formal policy development initiatives in public health? Select all that apply.

A. Funding services like childhood immunizations

B. Accessing data about births, deaths, and reportable diseases

C. Prohibiting smoking in public places

D. Setting guidelines for laboratory tests to diagnose infectious diseases

1. Which of the following are true of the nation’s 565 federally recognized American Indian tribes? Select all that apply.

A. Each tribe has a distinct language, culture, and governance structure

B. Each tribal government is a sovereign nation whose law supersedes all but federal laws

C. Each tribe has a government-to-government relationship with the federal government

D. State governments do not recognize any of the tribes

E. Tribes gave their land and natural resources to the federal government in exchange for education, health care, and other services

1. Future needs in the public health sector include which of the following? Select all that apply.

A. Consensus that the health of the individual is important to the community and society

B. Focus on the upstream social determinants that underlie disparities in health outcomes

C. Comprehensive approaches to addressing population health problems

D. Focus on treating people who are sick rather than on keeping people well

E. Strong multisectoral collaborations, because government cannot do it all

MULTIPLE CHOICE

1. Removing obstacles to health such as poverty, discrimination, and their consequences is the goal of which of the following?

A. Health equity

B. Health promotion

C. Secondary prevention

D. Utilitarian policy

1. Which of the following has primary authority for public health under the Tenth Amendment to the Constitution?

A. The federal government

B. The states

C. Municipalities and local government

D. The CDC

1. Which of the following is a minimum federal public health standard below which states are not permitted to go?

A. Floor preemption

B. Ceiling preemption

C. Assurance

D. Handshake agreement

1. One challenge for public health departments is that the general population believes public health provides only

A. Immunization services

B. Research facilities and think tanks

C. Programs for the poor

D. Emergency preparedness and response

SHORT ANSWER

1. Briefly describe the effects of the ACA provisions on public health departments and their role.
2. Briefly explain why the health of populations is in the public interest.
3. Identify the three categories with which the U.S. Preventive Services Task Force describes the full array of preventive interventions. Why are they public health issues?
4. Use examples to briefly describe the impact of public health activities on the everyday lives of Americans.
5. Using the problem of drunk drivers as an example, briefly contrast targeted prevention and universal prevention.

ESSAY

1. Using the examples of heart disease and stroke, contrast the roles of individual medical care and public health at the primary, secondary, and tertiary levels of prevention.
2. Discuss four factors that account for the complexity of and diffuse responsibility for public health in the United States.
3. Briefly cite and evaluate arguments for and against public health activities.