Health-Care Environment And Health Policy Full Test Bank Ch2

Chapter 2: Health-Care Environment and Health Policy

MULTIPLE CHOICE

1. The nurse in the newborn nursery is educating new parents about the scheduling of immunizations. Where should the nurse refer parents of limited income to obtain these immunizations at a free or reduced cost?

1. Return to the newborn nursery

2. Contact the county health department

3. Request reduced fees at a private pediatrician’s office

4. Defer immunizations until funds are available

ANS:

2. The nurse is discussing available health care with an individual who will turn 65 years of age in approximately 6 months. This individual is very concerned about the availability of benefits for prescription medication. What part of Medicare will the nurse discuss specifically with this patient in reference to prescription benefits?

1. Part A

2. Part B

3. Part C

4. Part D

ANS:

3. The nurse is discussing with a patient the types of services available at the local health department and knows that most health-care agencies in the public sector receive the majority of their funding from what source?

1. Private insurance

2. Private charities

3. Taxpayer dollars

4. Private pay

ANS:

4. The nurse is aware that the majority of individuals in the United States with private insurance obtain this insurance in what manner?

1. Employment

2. Government subsidy

3. Prior military service

4. Universal health care

ANS:

5. The nurse in the emergency department (ED) knows that many people come to the ED for seemingly minor problems and knows it is the result of what issues related to health-care access?

1. There are not enough health-care providers to see all the patients who need care.

2. Wait time is faster in the ED than in a private office.

3. Private practice clinics do not have to accept patients who are unable to pay.

4. Patients believe the care is better in EDs.

ANS:

6. The nurse manager of an ED that cares for many patients, many of whom are repeatedly seen for minor problems, is concerned over the negative mood of many of the nurses. What information could the nurse manager give to the staff that would improve the nurses’ perceptions of these patients?

1. Patients use the ED because of its excellent reputation.

2. Most of these patients are unable to afford private health-care practitioners.

3. Many of the patients come to the ED because they are not required to pay for services.

4. The ED is open 24 hours/day and patients can be seen after work.

ANS:

7. The nurse manager is discussing possible changes to staffing in the nursing unit and shares with the staff that what accounts for the largest expense of the total hospital budget?

1. Diagnostic imaging equipment

2. Food services

3. Nursing staff

4. Maintenance

ANS:

8. The nurse manager was reviewing incident reports for the unit and noted that patients most commonly reported what type of error?

1. Falls

2. Equipment failures

3. Incorrect medication dosage

4. Incorrect patient identification

ANS:

9. The nurse manager is aware that the number of medical errors can be reduced by what mechanism?

1. Evidence-based continuing education

2. Increased number of staff per patient ratio

3. Improved patient education

4. Personal caregivers at each patient’s bedside

ANS:

10. A group of nurses is discussing ways to improve the health of the local community. Which action would be an example of a local health policy?

1. Substituting diet beverages for drinks that have sugar in them at the local gym.

2. Building a children’s play area that incorporates healthy exercises in the equipment.

3. Teaching a class to high school juniors about eliminating fast foods from the diet.

4. Petitioning the local grocery store to carry locally grown vegetables.

ANS:

MULTIPLE RESPONSE

11. The nurse manager is aware that what situations exist for leaders and managers in nursing in relation to the cost and quality of health care? Select all that apply.

1. Health-care costs continue to rise.

2. Reimbursement rates for health-care services are slowly rising.

3. Existing health-care resources are limited.

4. There are increasing numbers of people with health insurance.

5. There are increasing numbers of health-care providers.

ANS:

12. The director of nurses is orienting a new nurse manager concerning the responsibilities related to nursing expenditures, budgets, and outcomes. The new nurse manager must learn to use which skills required of the position? Select all that apply.

1. Promoting a work environment that focuses on unit efficiency.

2. Managing annual operating budgets

3. Planning marketing campaigns for the health-care facility.

4. Developing educational activities related to the nursing budget for staff.

5. Ensuring compliance with legal and regulatory guidelines.

ANS: