Federal Rural Health Organizations Test Bank Answers Ch5

Chapter 5: Federal Rural Health Organizations

Multiple Choice

1. Health policies from the federal government can originate from:

A) legislative branch only.

B) executive branch only.

C) judicial branch only.

D) All of these are correct.

E) None of these is correct.

2. Which of the following ranks organizational levels of federal rural offices from highest to lowest?

A) Federal Office of Rural Policy, Department of Health and Human Services, Health Resource and Service Administration

B) Health Resource and Service Administration, Department of Health and Human Services, Federal Office of Rural Policy

C) Department of Health and Human Services, Health Resource and Service Administration, Federal Office of Rural Policy

D) Federal Office of Rural Policy, Health Resource and Service Administration, Department of Health and Human Services

E) Department of Health and Human Services, Federal Office of Rural Policy, Health Resource and Service Administration

3. Five leading causes of death arranged from the top to the bottom is which of the following?

A) Stroke, chronic lower respiratory diseases, heart disease, cancer, unintentional injuries

B) Heart disease, cancer, unintentional injuries, chronic lower respiratory diseases, stroke

C) Heart disease, cancer, chronic lower respiratory diseases, stroke, unintentional injuries

D) Heart disease, unintentional injuries, cancer, stroke, chronic lower respiratory diseases

E) Heart disease, cancer, unintentional injuries, stroke, chronic lower respiratory diseases

4. Barriers to healthcare in the rural areas include all the following except:

A) shortage of nurses.

B) shortage of primary care physicians.

C) uninsured individuals.

D) fee for service.

E) low income for primary care physicians compared to medical school debt.

5. Prior to the turn of the century, average life expectancy was:

A) 40 years.

B) 70 years.

C) 60 years.

D) 50 years.

E) 80 years.

6. The ten essential public health services include all the following except:

A) enforce laws.

B) diagnose and investigate.

C) assure competent workforce.

D) ensure workplan monitoring.

E) mobilize partnerships.

7. Essential public health services under the umbrella of assessment include:

A) diagnose and investigate health problems.

B) assure competent workforce.

C) link people to health services.

D) develop policies.

E) inform, educate and empower people about health issues.

8. The ten essential public health services was developed during the administration of:

A) President Barack Obama.

B) President Bill Clinton.

C) President Ronald Regan.

D) President George Bush.

E) President Jimmy Carter.

9. Federal health policies take shape through:

A) regulations.

B) executive orders.

C) judicial decisions.

D) implementation decisions.

E) All of these are correct.

10. Health policies are made at the:

A) federal level only.

B) state level only.

C) local level only.

D) federal and state levels only.

E) federal, state, and local levels.

11. The HRSA’s Bureau of Health Professions addresses workforce shortages by:

A) identifying areas of need.

B) administering technical assistance.

C) giving grants toward uninsured populations.

D) funding for health professional education and training.

E) All of these are correct.

12. Essential public health services under the umbrella of assurance include all the following except:

A) evaluate effectiveness of health service.

B) assure competent workforce.

C) mobilize community partnerships.

D) enforce laws and regulations.

E) link people to health services.

13. Essential public health services under the umbrella of policy development include:

A) monitor health status.

B) diagnose and investigate health problems.

C) enforce laws and regulations.

D) inform, educate, and empower people about health issues.

E) evaluate effectiveness of health service.

14. Public health paradigm has shifted toward:

A) health disparities.

B) mitigation of chronic diseases.

C) social determinants of health.

D) health disparities and social determinants of health only.

E) All of these are correct.

15. Important advances that contributed to the decline of infectious disease include which of the following?

A) Improvement in sanitation only

B) Vaccinations only

C) Medical treatment only

D) Improvement in sanitation and vaccinations

E) All of these are correct.

True or False

1. True or False? The Patient Protection and Affordable Care Act ensures that the public receives healthcare equitably.

2. True or False? One of the main purposes of the Federal Government is to ensure that the rural population can receive affordable and high-quality care.

3. True or False? The Department of Health and Human Services has 13 operating divisions.

4. True or False? Functions of the government that are essential to public health are: Policy development, Assessment, and Attainment.

5. True or False? Elements of assessment include health statistics, community health needs, collection, and analysis of information.

6. True or False? Direct provision of health services is not an element of assurance.

7. True or False? Government involvement in the pursuit of health for its citizens revolves around increased quality, decreased costs, and increased access.

8. True or False? Health policies could be targeted toward different classes of people and organizations.

9. True or False? Policies always have a positive effect.

10. True or False? Growing healthcare expenditure is a continuing source of budgetary pressure.

11. True or False? The main purpose of public health institutions is to provide health promotion and disease prevention on a population scale.

12. True or False? The effects of infectious diseases are responsible for the ten leading causes of death.

13. True or False? Public health systems represent a lifeline to many communities especially in rural areas.

14. True or False? Public health agencies encounter difficulty in the delivery and finance of healthcare, and this is attributable to the same power structure of the government.

15. True or False? It is necessary that the federal, state, and local levels of government coordinate the growing need for healthcare services in rural areas.

Essay

1. Are the functions of government that are essential to public health (as recommended by the Institute of Medicine in 1988) still relevant today? Defend your answer.

2. What does the public health paradigm for the 21st century mean to you, and why do you think this paradigm was introduced?

3. What do you understand by the phrase “quality metric healthcare,” and how can this be measured?

4. Financing healthcare is a source of budgetary pressure. How do you suggest this pressure be addressed?

5. Are the current federal rural health organizations sufficient to address rural health needs? Defend your answer.