TEST BANK FOR ESSENTIALS OF PUBLIC HEALTH 2ND EDITION BY BERNARD TURNOCK (ISBN 978-1449600228

TEST BANK FOR ESSENTIALS OF PUBLIC HEALTH 2ND EDITION BY BERNARD TURNOCK (ISBN 978-1449600228 1. File: chap03, Chapter 3. Multiple Choice 1. The total level of health expenditures for health and medical care services in the UnitedStates for 2010 is closest to which of these figures? 1. $750 million 2. $750 billion 3. $2.5 trillion 4. $7.5 trillion Ans: C 2. All of the following comparisons of the US and Canadian health care systems are true EXCEPT: 1. the percentage of the national GDP devoted to health care is higher in the US 2. the percentage of people who are uninsured is higher in the US. 3. fees for physician services are higher in the US. 4. life expectancy is greater in the US. Ans: D 3. What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior? 1. heath promotion 2. emergency medical services 3. health monitoring 4. environmental scanning Ans: A 4. Medical services (including clinical preventive services such as immunizations and screening tests) account for what share of the 30-year increased life expectancy achieved for Americans between 1900 and 2000? 1. 1 year 2. 5 years 3. 15 years 4. 25 years Ans: B 5. Which of the following were the two over-arching goals of Healthy People 2010? 1. increase access to preventive services and increase the span of healthy life 2. reduce health disparities and increase immunization rates for all age groups 3. increase the quality and years of healthy life and reduce health disparities 4. increase immunization rates for all age groups and increase access to preventive services Ans: C 6. Health care expenditures in the United States increased from $12.7 billion in 1950 to over $2.5 trillion in 2010. About what proportion of the gross national product was spent on health care in 2010? 1. 6 percent 2. 10 percent 3. 12 percent 4. 16 percent Ans: D 7. Appropriate considerations for implementation of a screening test include all the following EXCEPT: 1. cost of screening test 2. efficacy of treatment 3. the physician’s familiarity with the disease 4. potential adverse effects of screening test Ans: C 8. Early detection of disease and interventions to reverse, halt, or at least slow the progression of a condition, often performed when disease is not yet symptomatic, is a description of: 1. primary prevention 2. secondary prevention 3. tertiary prevention 4. none of the above Ans: B 9. Important factors shaping health policy in the United States include all of the following EXCEPT: 1. federalism 2. pluralism 3. socialism 4. incrementalism Ans: C 10. Immunizations fall into what category of disease prevention? 1. primary prevention 2. secondary prevention 3. tertiary prevention 4. none of the above Ans: A 11. The approximate percentage of all health and medical care expenditures in the United States spent on clinical preventive and public health services is: 1. 25-30 percent 2. 15-20 percent 3. 5-10 percent 4. less than 5 percent Ans: D 12. Principal findings of the United States Preventive Services (USPS) Task Force include all the following EXCEPT: 1. acute care visits are an appropriate setting for preventive services 2. interventions that address personal health behavior are among the most effective 3. more data and research are necessary to assess the effectiveness of various preventive services 4. screening tests should be applied uniformly Ans: D 13. The difference between primary and secondary prevention of disease is: 1. Primary prevention focuses on control of causal factors, while secondary prevention focuses on control of symptoms. 2. Primary prevention focuses on control of acute disease, while secondary prevention focuses on control of chronic disease. 3. Primary prevention focuses on control of causal factors, while secondary prevention focuses on early detection and treatment of disease. 4. Primary prevention focuses on increasing resistance to disease, while secondary prevention focuses on decreasing exposure to disease. Ans: C 14. The two largest categories of expenditures for national health expenditures in the US are: 1. Hospitals and nursing homes 2. Physicians and hospitals 3. Public health and physicians 4. Hospitals and pharmaceuticals Ans: B 15. Which of the following statements accurately describes the financing of health care in the US? 1. Public health services represent approximately one-half of the total expenditures for health care. 2. Health care expenditures as a percentage of GDP have remained stable within the range of 5%-8% since the 1970s. 3. Medicare funds most of the services received by the elderly living in institutional long term care facilities. 4. Medicaid is a Federal-State partnership which covers some health care and related services for low income individuals who are elderly, blind, or disabled. Ans: D 16. When a person is healthy, without signs and symptoms of disease, illness or injury, the level of prevention most appropriate would be: 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. No prevention is needed Ans: A 17. Public health authorities argue that the current focus of the US health system is on tertiary prevention. Such a focus would be most likely to produce which of the following outcomes: 1. Minimize overall prevalence of a disease or condition in the population. 2. Minimize overall financial expenditure for treatment of a disease or condition. 3. Minimize the cost of lost wages from a disease or condition. 4. Minimize or delay mortality from a disease or condition. Ans: D True or False 18. Private insurance in the US pays for more than one-half of all national expenditures. Ans: False 19. By the year 2025, non-Hispanic whites will comprise less than one-half of the of the total US population. Ans: False 20. The majority of the uninsured population in the US in 2010 fall below 100% of the federal poverty level. Ans: False File: chap04, Chapter 4. Multiple Choice 1. As a society, we endorse the delegation of executive, legislative, and judic