Test Bank for Primary Care Medicine Office
Evaluation and Management of the Adult
Patient 8th Edition | All Chapters with Answers
and Rationals
Which of the following best describes the primary reason that Americans are concerned about
health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans. - answer-ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which cannot
be sustained. The costs of caring for the sick accounted for the majority of escalating health
care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.6% in
2009. Politicians and the media both influence Americans' perceptions about health care;
however, they are not the primary reason why Americans are concerned. The new health care
system will change the health care access and availability, but will not necessarily be offering
any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
b. Nurses are primarily responsible for managing the various units in our health care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. - answer-
1
,ANS: C
As the largest group of health care providers, nurses are informed about the current health care
system and all the problems that result from people not seeking care until they are desperately
ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe that health
care is a right, not a privilege. Therefore, nurses, whose work is central to our current health
care delivery system, can also be instrumental in working politically to create a health care
delivery system that will meet health needs. While nurses are in several current TV series and
are employed both inside and outside of hospitals, physicians and other health care providers
are as well. Nurses are often managers, but managers often have other backgrounds, such as
business administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer relations. -
answer-ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care is
increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension) REF: p.
2
, Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems. - answer-ANS:
C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures within
the market justice system has stifled the evolution of a health system to protect and preserve
the health of the population. Although individual autonomy and freedom of choice are
important, so is the recognition of collective responsibility in ensuring social justice, which
entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application) REF: p. 2
What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs,
is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables
as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and environmental
changes needed for well-being. - answer-ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to
health.
3
Evaluation and Management of the Adult
Patient 8th Edition | All Chapters with Answers
and Rationals
Which of the following best describes the primary reason that Americans are concerned about
health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans. - answer-ANS: C
The primary reason for the focus on health care is the constantly increasing costs, which cannot
be sustained. The costs of caring for the sick accounted for the majority of escalating health
care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.6% in
2009. Politicians and the media both influence Americans' perceptions about health care;
however, they are not the primary reason why Americans are concerned. The new health care
system will change the health care access and availability, but will not necessarily be offering
any free services to Americans.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
a. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
b. Nurses are primarily responsible for managing the various units in our health care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. - answer-
1
,ANS: C
As the largest group of health care providers, nurses are informed about the current health care
system and all the problems that result from people not seeking care until they are desperately
ill. Nurses, as the American Nurses Association (ANA) emphasize, usually believe that health
care is a right, not a privilege. Therefore, nurses, whose work is central to our current health
care delivery system, can also be instrumental in working politically to create a health care
delivery system that will meet health needs. While nurses are in several current TV series and
are employed both inside and outside of hospitals, physicians and other health care providers
are as well. Nurses are often managers, but managers often have other backgrounds, such as
business administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer relations. -
answer-ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and acute care is
increasingly found in central medical centers, the same trend may be seen in an increase in
neighborhood-based practice centers. While positions are cut in most industries, health care is
recognized as an area where growth in employment is expected. However, nurses are
increasingly employed in community settings as opposed to hospitals. This change reflects the
move toward community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease prevention rather
than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension) REF: p.
2
, Which ethical belief would be most helpful in the current health care crisis?
a. Emphasis should be on individual and corporation freedom in the marketplace.
b. Emphasis should be on individual autonomy and freedom of choice.
c. Emphasis should be on social justice and collective responsibility.
d. Emphasis should be on the effectiveness of technology in resolving problems. - answer-ANS:
C
Public health recognizes the necessity of collective action in keeping the environment safe and
in egalitarian tradition and vision. An overinvestment in technology and seeking of cures within
the market justice system has stifled the evolution of a health system to protect and preserve
the health of the population. Although individual autonomy and freedom of choice are
important, so is the recognition of collective responsibility in ensuring social justice, which
entitles all people to basic necessities.
DIF: Cognitive Level: Apply (Application) REF: p. 2
What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy
lifestyle behaviors, such as daily exercise or healthy food choices?
a. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs,
is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables
as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and environmental
changes needed for well-being. - answer-ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices
in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for
community responsibility and action that addresses environmental or cultural restraints to
health.
3
