Chapter 2: Government In uences on
Health Care Test Bank
MULTIPLE CHOICE
1. Changes in health-care delivery systems have been in uenced primarily by:
a. ins tu on of various systems to provide cost-e ec ve health care.
b. governmental regula on of the cost of all health-care services.
c. the need to meet the health-care needs of an aging popula on.
d. development of medical technology that has reduced the incidence of illness.
ANS: A
Increasing health-care costs have led to ini a on of health-care delivery systems to contain cost
while providing care. Cost control addressing na onal health goals, en tlements, use of
available sources, and iden ca on of changing health-care needs is the basic goal of these
systems.
DIF: Cogni ve Level: Analysis REF: p. 23 OBJ: 3
TOP: Health-care reform KEY: Nursing Process Step: NA MSC: NCLEX: NA
2. The purpose of the state/na onal government program of Medicaid is to provide:
a. immuniza ons for preschool children.
b. prescrip on drugs at a lower cost.
c. medical care on the basis of need or poverty.
d.community clinics for womNeUn RanSdIcNhiGldTreBn.. COM
ANS: C
Medicaid is similar to a welfare program in which bene ts are provided on the basis of need or
poverty.
DIF: Cogni ve Level: Comprehension REF: p. 19, Box 2-3
OBJ: 3 TOP: Medicaid KEY: Nursing Process Step: NA MSC: NCLEX: NA
3. A student is preparing a report on the history of the Women, Infants, and Children (WIC)
program would acquire the most useful informa on from: a. Health, United States.
b. the Department of Health and Human Services.
c. the Federal Register.
d. the Centers for Disease Control and Preven on.
ANS: C
Federal legisla on related to health care is recorded and published in the Federal Register.
DIF: Cogni ve Level: Comprehension REF: p. 20 OBJ: 1
TOP: Department of Health and Human Services KEY: Nursing Process Step: NA MSC: NCLEX: NA
, 4. The Human Genome Project has the poten al to reduce health-care costs by assis ng
health-care providers to:
a. detect illnesses before they become chronic.
b. prevent chromosomal related illnesses.
c. iden fy the most e ec ve drugs for speci c diseases.
d. design low cost complementary and alterna ve medicine (CAM) remedies.
ANS: A
The Human Genome Project gives health-care providers the poten al to detect illnesses
before they become chronic.
DIF: Cogni ve Level: Applica on REF: p. 23 OBJ: 6
TOP: Human Genome Project KEY: Nursing Process Step: NA MSC: NCLEX: NA
5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development of:
a. diagnosis-related groups (DRGs).
b. Medicaid access for the poor.
c. aid to families with dependent children.
d. maternal and child health services block grants.
ANS: A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.
DIF: Cogni ve Level: Knowledge REF: p. 21, Table 2-1
OBJ: 2 TOP: Diagnosis-related groups KEY: Nursing Process Step: NA MSC: NCLEX: NA
6. The scope of prac ce for nursing is s pulated by the:
a.b. AmBoarderi cofan NurseNurse Examiners.s Associa NonU.RSINGTB.COM
c. Nursing Licensure Pact.
d. Nurse prac ce act.
ANS: D
Nurse prac ce acts of each state establish the scope of prac ce for nursing in that state.
DIF: Cogni ve Level: Comprehension REF: p. 15 OBJ: 4
TOP: Nurse Prac ce Acts KEY: Nursing Process Step: NA MSC: NCLEX: NA
7. The roles of the nurse have changed as a result of the na onal health-care focus on:
a. illness preven on and health maintenance.
b. increased accountability to professional codes and interna onal standards of care.
c. treatment of disease or disability.
d. planning for na onalized health care.
ANS: A
Preven on and early interven on appear to be cri cal to reducing health-care costs and are at
the heart of the objec ves of Healthy People 2020.
DIF: Cogni ve Level: Applica on REF: p. 24 OBJ: 6
, TOP: Illness preven on KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. An informed consent form requires that:
a. the pa ent is informed of all adverse problems of a procedure.
b. the nurse signs as a witness that the pa ent received the necessary informa on.
c. the nurse ques ons the pa ent to con rm that all aspects of treatment are understood.
d. the nurse documents that the consent has been signed.
ANS: B
The nurse is required to sign the informed consent form as witness that the pa ent received
per nent informa on. Extra documenta on is not required.
DIF: Cogni ve Level: Applica on REF: p. 16 OBJ: 2
TOP: Informed consent KEY: Nursing Process Step: NA MSC: NCLEX: NA
9. A diagnosis-related group (DRG) is:
a. a standard used by health-care facili es to determine charges for health-care
services.
b. a medical condi on classi ca on system that determines what Medicare will pay
for health-care services.
c. the method that health-care agencies use to decide what health-care services are
needed for pa ents.
d. a system used by all insurance companies to determine what health-care services
will be covered.
ANS: B
DRGs are a government-mandated program that radically changed the face of health care by
establishing strict rules for reimNbUuRrsSemIeNnGt.TB.COM
DIF: Cogni ve Level: Comprehension REF: p. 21, Table 2-1
OBJ: 2 TOP: Policy se ng KEY: Nursing Process Step: NA MSC: NCLEX: NA
10. Prospec ve payment systems for health-care services:
a. reimburse only preapproved treatments.
b. pay only health-care providers under contract with the system to provide the lowest-
priced services.
c. require that health care be provided by preapproved health professionals.
d. provide payment based on at predetermined rates regardless of actual cost.
ANS: D
Prospec ve payment systems are part of the e orts of managed care organiza ons to
standardize and control costs of health care.
DIF: Cogni ve Level: Comprehension REF: p. 23 OBJ: 5
TOP: Delivery of health care KEY: Nursing Process Step: NA MSC: NCLEX: NA
11. To conform to the na onal trend in health care, health-care agencies of the future may need
to depend on:
a. accountants to implement cost-saving measures.
b. legislators to set limits on health-care funding.
Health Care Test Bank
MULTIPLE CHOICE
1. Changes in health-care delivery systems have been in uenced primarily by:
a. ins tu on of various systems to provide cost-e ec ve health care.
b. governmental regula on of the cost of all health-care services.
c. the need to meet the health-care needs of an aging popula on.
d. development of medical technology that has reduced the incidence of illness.
ANS: A
Increasing health-care costs have led to ini a on of health-care delivery systems to contain cost
while providing care. Cost control addressing na onal health goals, en tlements, use of
available sources, and iden ca on of changing health-care needs is the basic goal of these
systems.
DIF: Cogni ve Level: Analysis REF: p. 23 OBJ: 3
TOP: Health-care reform KEY: Nursing Process Step: NA MSC: NCLEX: NA
2. The purpose of the state/na onal government program of Medicaid is to provide:
a. immuniza ons for preschool children.
b. prescrip on drugs at a lower cost.
c. medical care on the basis of need or poverty.
d.community clinics for womNeUn RanSdIcNhiGldTreBn.. COM
ANS: C
Medicaid is similar to a welfare program in which bene ts are provided on the basis of need or
poverty.
DIF: Cogni ve Level: Comprehension REF: p. 19, Box 2-3
OBJ: 3 TOP: Medicaid KEY: Nursing Process Step: NA MSC: NCLEX: NA
3. A student is preparing a report on the history of the Women, Infants, and Children (WIC)
program would acquire the most useful informa on from: a. Health, United States.
b. the Department of Health and Human Services.
c. the Federal Register.
d. the Centers for Disease Control and Preven on.
ANS: C
Federal legisla on related to health care is recorded and published in the Federal Register.
DIF: Cogni ve Level: Comprehension REF: p. 20 OBJ: 1
TOP: Department of Health and Human Services KEY: Nursing Process Step: NA MSC: NCLEX: NA
, 4. The Human Genome Project has the poten al to reduce health-care costs by assis ng
health-care providers to:
a. detect illnesses before they become chronic.
b. prevent chromosomal related illnesses.
c. iden fy the most e ec ve drugs for speci c diseases.
d. design low cost complementary and alterna ve medicine (CAM) remedies.
ANS: A
The Human Genome Project gives health-care providers the poten al to detect illnesses
before they become chronic.
DIF: Cogni ve Level: Applica on REF: p. 23 OBJ: 6
TOP: Human Genome Project KEY: Nursing Process Step: NA MSC: NCLEX: NA
5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development of:
a. diagnosis-related groups (DRGs).
b. Medicaid access for the poor.
c. aid to families with dependent children.
d. maternal and child health services block grants.
ANS: A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.
DIF: Cogni ve Level: Knowledge REF: p. 21, Table 2-1
OBJ: 2 TOP: Diagnosis-related groups KEY: Nursing Process Step: NA MSC: NCLEX: NA
6. The scope of prac ce for nursing is s pulated by the:
a.b. AmBoarderi cofan NurseNurse Examiners.s Associa NonU.RSINGTB.COM
c. Nursing Licensure Pact.
d. Nurse prac ce act.
ANS: D
Nurse prac ce acts of each state establish the scope of prac ce for nursing in that state.
DIF: Cogni ve Level: Comprehension REF: p. 15 OBJ: 4
TOP: Nurse Prac ce Acts KEY: Nursing Process Step: NA MSC: NCLEX: NA
7. The roles of the nurse have changed as a result of the na onal health-care focus on:
a. illness preven on and health maintenance.
b. increased accountability to professional codes and interna onal standards of care.
c. treatment of disease or disability.
d. planning for na onalized health care.
ANS: A
Preven on and early interven on appear to be cri cal to reducing health-care costs and are at
the heart of the objec ves of Healthy People 2020.
DIF: Cogni ve Level: Applica on REF: p. 24 OBJ: 6
, TOP: Illness preven on KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. An informed consent form requires that:
a. the pa ent is informed of all adverse problems of a procedure.
b. the nurse signs as a witness that the pa ent received the necessary informa on.
c. the nurse ques ons the pa ent to con rm that all aspects of treatment are understood.
d. the nurse documents that the consent has been signed.
ANS: B
The nurse is required to sign the informed consent form as witness that the pa ent received
per nent informa on. Extra documenta on is not required.
DIF: Cogni ve Level: Applica on REF: p. 16 OBJ: 2
TOP: Informed consent KEY: Nursing Process Step: NA MSC: NCLEX: NA
9. A diagnosis-related group (DRG) is:
a. a standard used by health-care facili es to determine charges for health-care
services.
b. a medical condi on classi ca on system that determines what Medicare will pay
for health-care services.
c. the method that health-care agencies use to decide what health-care services are
needed for pa ents.
d. a system used by all insurance companies to determine what health-care services
will be covered.
ANS: B
DRGs are a government-mandated program that radically changed the face of health care by
establishing strict rules for reimNbUuRrsSemIeNnGt.TB.COM
DIF: Cogni ve Level: Comprehension REF: p. 21, Table 2-1
OBJ: 2 TOP: Policy se ng KEY: Nursing Process Step: NA MSC: NCLEX: NA
10. Prospec ve payment systems for health-care services:
a. reimburse only preapproved treatments.
b. pay only health-care providers under contract with the system to provide the lowest-
priced services.
c. require that health care be provided by preapproved health professionals.
d. provide payment based on at predetermined rates regardless of actual cost.
ANS: D
Prospec ve payment systems are part of the e orts of managed care organiza ons to
standardize and control costs of health care.
DIF: Cogni ve Level: Comprehension REF: p. 23 OBJ: 5
TOP: Delivery of health care KEY: Nursing Process Step: NA MSC: NCLEX: NA
11. To conform to the na onal trend in health care, health-care agencies of the future may need
to depend on:
a. accountants to implement cost-saving measures.
b. legislators to set limits on health-care funding.
