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NSG 441 Practice Questions (Exam 1) With Verified Answers

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NSG 441 Practice Questions (Exam 1) With Verified Answers ...

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NSG4074 SU01 Public Health Nursing Ch 3
Exam With 100% Correct Solutions


In the United States, the majority of health care dollars are spent on:

a. prescription drugs.

b. hospital care.

c. physician services.

d. public health services (PHSs). - ANSWER ANS: B

The largest share of health care expenditures goes to pay for hospital care, with
physician services the next largest item. The money spent for PHSs is significantly lower
than the other categories of expenditures. Other significant drivers of the increasingly
high cost of health care include prescription drugs, technology, and chronic and
degenerative disease.

DIF: Cognitive level: Remembering REF: p. 48

TOP: Nursing process: Assessment

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

The number of uninsured Americans has dramatically increased because:

a. Medicare took over payment of health care costs.

b. with a declining population, the costs for health care rose.

c. nursing salaries greatly increased, causing health care costs to rise.

d. health insurance coverage was dropped from employment-based health plans. -
ANSWER ANS: D

Although the majority of Americans continue to obtain health insurance from their
employer as a benefit, employment does not guarantee insurance. Employer-sponsored
health insurance is sensitive to both the general economy and changes in health
insurance premiums. As costs for insurance premiums rose, employers either shifted
more of these costs to their employees or declined to offer employment-based health
coverage at all. Medicare provides coverage only to the elderly and other special
populations. The costs for health care are continuing to rise regardless of the size of the
population. There has not been a significant change to nursing salaries, and a change in
nursing salaries would not impact the number of uninsured Americans.

, DIF: Cognitive level: Understanding REF: p. 49

TOP: Nursing process: Assessment

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

A nurse is working with a community to decrease the occurrence of influenza. Which of
the following U.S. Department of Health and Human Services (USDHHS; or simply HHS)
goals is being applied?

a. Strengthen Health Care

b. Advance the Health, Safety, and Well-being of the American People

c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs

d. Advance Scientific Knowledge and Innovation - ANSWER ANS: B

One of the objectives of Advance the Health, Safety, and Well-being of the American
People is to reduce the occurrence of infectious diseases. The goal of Strengthen
Health Care focuses on improving health care services, quality, and coverage. The goal
of Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs focuses on improving programming and application of found data. The goal of
Advance Scientific Knowledge and Innovation focuses on scientific discovery and
application of the new knowledge.

DIF: Cognitive level: Applying REF: p. 52 (Box 3-2)

TOP: Nursing process: Implementation

MSC: NCLEX: Health Promotion and Maintenance

According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year
could be attributed to:

a. cardiovascular disease.

b. obesity.

c. medical error.

d. drug overdose. - ANSWER ANS: C

In 1999 it was thought that our health care system was expensive and that access and
quality were not optimal, but we had not considered this important fact: many people die
of preventable medical errors in the United States. This number is not the correct
statistic for cardiovascular disease, obesity, or drug overdose.

DIF: Cognitive level: Remembering REF: p. 49

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