Healthcare Reform And Global Issues Ch.18 Full Test Bank

Chapter 18. Healthcare Reform and Global Issues

Questions

Multiple Choice

1. In terms of the private and public healthcare sector, the model in the United States is:

1. Privileged

2. Collaborative

3. Differentiated

4. Strategic

Answer: _____

2. Which is considered a positive influence of market forces on American healthcare?

1. Outcomes are more important than processes.

2. Patients are described as consumers.

3. Nurses are considered a commodity.

4. Vendors provide health services.

Answer: _____

3. How does increased diversity impact nursing?

1. More health policy is developed providing support to nurses.

2. Nursing care becomes more complex with varied patient needs.

3. American-born nurses are becoming bilingual to assist patients.

4. Nurses are more ready for practice once graduating from school.

Answer: _____

4. American-style healthcare is expensive because it emphasizes which?

1. Nonprofit models over business systems

2. Patient care over business acumen

3. Acute care over preventive models

4. Patient safety and quality over cost

Answer: _____

5. Which was the first step the Affordable Care Act (ACA) took to decrease the number of uninsured?

1. Provided unlimited access to care for patients who used urgent care centers

2. Increased the number of people who would qualify for Medicaid coverage

3. Extended the age of eligibility so young adults remained on their parents’ insurance

4. Eliminated the insurance industry’s refusal to cover a patient’s preexisting conditions

Answer: _____

6. Which is considered the most controversial aspect of the Affordable Care Act (ACA)?

1. Caps on healthcare bill expenses were removed.

2. Individuals must purchase insurance or be fined.

3. It increased the poverty index under Medicaid to 133%.

4. State exchange programs provided access to insurance.

Answer: _____

7. How does the application of the social justice principle to cost-benefit-burden ratios impact healthcare?

1. This application puts patient well-being at the center of clinical decision-making.

2. This application encourages the sharing of information to track patient outcomes.

3. This application supports the implementation of best practices in patient care.

4. This application drives staffing ratios to ensure proper coverage in care centers.

Answer: _____

8. Which function do nurse practitioners serve in their role as hospitalists on hospital staffs?

1. As hospitalists, they are primary care providers to patients.

2. As hospitalists, they provide round-the-clock care to patients.

3. As hospitalists, they provide oversight for ambulatory clinics.

4. As hospitalists, they are searching for new outpatient centers.

Answer: _____

9. Which force has limited nurses’ engagement in health policy discussions?

1. Nurses’ level of education when entering practice

2. The impact global health issues have on communities

3. The implementation of best practices for patient care

4. An increase in the number of diverse nurses in practice

Answer: _____

10. Those who advocate for a public health system of national health insurance often state which as a reason to support this sector?

1. Poor healthcare in the United States

2. Hospitals are often the largest employers.

3. Nursing schools educate multinational students.

4. Innovative technology is exported to other countries.

Answer: _____

11. Which issue appears in the Healthy People goals for the first time in 2020?

1. Health policy issues

2. Global health issues

3. Social justice issues

4. Nursing shortage issues

Answer: _____

12. Which role is the Doctor of Nursing Practice (DNP) educated nurse expected to fulfill?

1. Manage and lead particularly in hospitals

2. Evaluate current practice and educate staff

3. Advanced practice nursing roles outside of research

4. Researcher to study nursing- and healthcare-related issues

Answer: _____

Multiple Response

13. Which problems are cited by critics of the public/private healthcare model? Select all that apply.

1. Costs are too high.

2. It fails to achieve outcomes.

3. Development of quality improvement

4. Healthcare entities are nonprofit.

5. The focus is on economic gain over patient care.

Answer: _____

14. Hospitals and groups of doctors have opened neighborhood clinics and surgi- or urgi-centers in which settings? Select all that apply.

1. Shopping malls

2. Pharmacies

3. Supermarkets

4. Big box stores

5. Corporate headquarters

Answer: _____

15. Which factors have influenced the rise of surgi- and urgicenters? Select all that apply.

1. Growth of shopping malls and other commercial venues

2. Need to provide care in less expensive settings

3. Expansion of goods found in supermarkets

4. Changes in the reimbursement system

5. Pressure to limit hospital admissions

Answer: _____