Community Nursing Chapter 3 Questions
and Answers correct
A public health agency is planning to implement the electronic health record. Which of
the following is a benefit of this choice?
a. Facilitation of interprofessional care
b. Improved client compliance with medical regimens
c. Cost savings to the agency
d. Compliance with JCAHO standards - answer ANS: A
The electronic medical record facilitates interprofessional care in chronic disease
management and coordination of referrals; 24-hour availability of records with
downloaded laboratory results and up-to-date assessments; incorporation of protocol
reminders for prevention, screening, and management of chronic disease; improvement
of quality measurement and monitoring; increased client safety; and decline in
medication errors.
DIF: Cognitive Level: Apply (Application) REF: p. 37
A community health nurse is trying to increase enrollment in SCHIP. Which of the
following interventions would be most effective?
a. Explaining the program to children enrolled in public school systems
b. Handing out SCHIP applications to uninsured children seen in local hospital
emergency departments
c. Having a newspaper campaign with information and applications printed in the
newspaper
d. Sending literature about the SCHIP program home with schoolchildren each year -
answer ANS: B
SCHIP builds on Medicaid to provide insurance coverage to low-income, uninsured
children who are not eligible for Medicaid. Thus, the population that needs to be
targeted for SCHIP is those being seen for medical care who do not have insurance.
DIF: Cognitive Level: Apply (Application) REF: p. 37
A nurse is explaining the health care system in the United States to a group of
physicians visiting from South America. How would the nurse best describe the current
health care system?
a. "It is a logical, rational approach to meeting expressed needs while still trying to
control costs."
b. "It is a system in the process of reform as problems have become increasingly
apparent."
c. "It is divided primarily into two components: private health care and public health
care."
, d. "It is the best in the world with outstanding research and high-technology care
available to all." - answer ANS: C
Health care in the United States consists of a personal care system and a public health
system, with overlap between the two.
DIF: Cognitive Level: Apply (Application) REF: p. 39
Which of the following best describes ideal primary health care?
a. Based on a multidisciplinary group of health care providers that work as a team
b. Essential care available to all community members, which encourages self-
management
c. Focused on health promotion and disease prevention for everyone enrolled in the
health center
d. Local efforts to meet the Declaration of Alma Ata principles - answer ANS: B
Primary health care is generally defined as essential care made universally accessible
to individuals and families in a community with their full participation and at a cost that
the community can afford.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 39
How does managed care attempt to control costs of care?
a. By encouraging families to use the point of service list of individual practice
associates
b. By requiring families to choose a care provider from the MC network and not allowing
access to other services without their provider's permission
c. By moving Medicaid-eligible families onto state Medicare enrollment
d. By refusing permission for families to use urgent care or emergency department
services - answer ANS: B
Managed care is a system in which care is delivered by a specific network of providers.
Each provider serves as a gatekeeper who controls access to other providers and
services. Cost is reduced because members cannot use specialists or seek hospital or
other care without permission from their primary care providers. Thus, those enrolled in
Medicaid managed care have restrictions that help keep costs down for government
(and for taxpayers).
An 80-year-old woman comes to the community health care facility with a large bag of
medications. She tells the nurse she can no longer afford these medications because
her only income is Social Security. Which statement is the best response by the nurse?
a. "Let's go through these medications and see which ones we can delete."
b. "You can get these medicines at this clinic for free."
c. "Let's see if we can get some help from Medicare to help you pay for these
medications."
d. "These medications are important. Do your best to pay for them." - answer ANS: C
This elderly patient probably is eligible for benefits through Medicare Part D. Medicare
Part D has been added to Medicare to help cover the cost of prescriptions.
and Answers correct
A public health agency is planning to implement the electronic health record. Which of
the following is a benefit of this choice?
a. Facilitation of interprofessional care
b. Improved client compliance with medical regimens
c. Cost savings to the agency
d. Compliance with JCAHO standards - answer ANS: A
The electronic medical record facilitates interprofessional care in chronic disease
management and coordination of referrals; 24-hour availability of records with
downloaded laboratory results and up-to-date assessments; incorporation of protocol
reminders for prevention, screening, and management of chronic disease; improvement
of quality measurement and monitoring; increased client safety; and decline in
medication errors.
DIF: Cognitive Level: Apply (Application) REF: p. 37
A community health nurse is trying to increase enrollment in SCHIP. Which of the
following interventions would be most effective?
a. Explaining the program to children enrolled in public school systems
b. Handing out SCHIP applications to uninsured children seen in local hospital
emergency departments
c. Having a newspaper campaign with information and applications printed in the
newspaper
d. Sending literature about the SCHIP program home with schoolchildren each year -
answer ANS: B
SCHIP builds on Medicaid to provide insurance coverage to low-income, uninsured
children who are not eligible for Medicaid. Thus, the population that needs to be
targeted for SCHIP is those being seen for medical care who do not have insurance.
DIF: Cognitive Level: Apply (Application) REF: p. 37
A nurse is explaining the health care system in the United States to a group of
physicians visiting from South America. How would the nurse best describe the current
health care system?
a. "It is a logical, rational approach to meeting expressed needs while still trying to
control costs."
b. "It is a system in the process of reform as problems have become increasingly
apparent."
c. "It is divided primarily into two components: private health care and public health
care."
, d. "It is the best in the world with outstanding research and high-technology care
available to all." - answer ANS: C
Health care in the United States consists of a personal care system and a public health
system, with overlap between the two.
DIF: Cognitive Level: Apply (Application) REF: p. 39
Which of the following best describes ideal primary health care?
a. Based on a multidisciplinary group of health care providers that work as a team
b. Essential care available to all community members, which encourages self-
management
c. Focused on health promotion and disease prevention for everyone enrolled in the
health center
d. Local efforts to meet the Declaration of Alma Ata principles - answer ANS: B
Primary health care is generally defined as essential care made universally accessible
to individuals and families in a community with their full participation and at a cost that
the community can afford.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 39
How does managed care attempt to control costs of care?
a. By encouraging families to use the point of service list of individual practice
associates
b. By requiring families to choose a care provider from the MC network and not allowing
access to other services without their provider's permission
c. By moving Medicaid-eligible families onto state Medicare enrollment
d. By refusing permission for families to use urgent care or emergency department
services - answer ANS: B
Managed care is a system in which care is delivered by a specific network of providers.
Each provider serves as a gatekeeper who controls access to other providers and
services. Cost is reduced because members cannot use specialists or seek hospital or
other care without permission from their primary care providers. Thus, those enrolled in
Medicaid managed care have restrictions that help keep costs down for government
(and for taxpayers).
An 80-year-old woman comes to the community health care facility with a large bag of
medications. She tells the nurse she can no longer afford these medications because
her only income is Social Security. Which statement is the best response by the nurse?
a. "Let's go through these medications and see which ones we can delete."
b. "You can get these medicines at this clinic for free."
c. "Let's see if we can get some help from Medicare to help you pay for these
medications."
d. "These medications are important. Do your best to pay for them." - answer ANS: C
This elderly patient probably is eligible for benefits through Medicare Part D. Medicare
Part D has been added to Medicare to help cover the cost of prescriptions.
