NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
NURS 415 Exam 1 – UPDATED Questions with
100% Verified Answers
Section 1: Trends, Disparities, Healthcare (Q1–Q13)
Question & Answer
Q1 Forces stimulating change in the demand for healthcare
A -Demographics -Social and economic trends -Health workforce trends (replacement of nursing staff
with medical assistants because it saves cost for the hospital) -Technology (telehealth)
Q2 Current demographic trends
A Aging baby boomer generation -77 million babies between 1946 and 1963 -Expected to live on
average 83 years of age, with many surviving into their 90s -Cost of Medicare expected to rise
astronomically -Fewer workers paying taxes into the Medicare system
Rise in the foreign-born population -Mexico largest source, followed by Asia -US more diverse than
ever
Q3 Social and economic trends
A -Changing lifestyles -Growing appreciation of quality of life (health seen as irreplacable commodity)
-Changing composition of families -Changing household incomes (growing gap between richest and
poorest) -Revised definition of quality health care (rise in complementary and alternative therapies)
Q4 Health workforce trends
A Nursing shortage (particularly minorities) Periodic shortages in primary care providers (esp in rural
or underserved areas) Growing number of nurse practitioners
Q5 Technological trends
A Ex. telehealth, EHR
Benefits: -24-hr availability -Increased coordination and quality of care -Improved quality
measurement and monitoring -Reduced medical errors
Drawbacks: -Privacy and security concerns -Inconsistent quality of online resources -Expensive
equipment that requires higher training
Q6 Cause of disparities in US healthcare system
A Cost Access Quality
Q7 Cost disparities
A Great recession (2008) -Weakening national, global economy -7 million US jobs lost -Steady growth
of national health spending -Cost of employer-sponsored insurance premiums has increased 119%
since 1999 -Inability of workers to pay increased cost = rise in percentage of uninsured working
families
Q8 Access disparities
A -Rise in uninsured people to 48 million in 2012 -Govt programs significant in meeting needs of
uninsured (some states struggling with budget) -Coverage = access to healthcare services -At-risk
groups: poor, working, or nonworking; minority group members; non-English speakers, including
illegal immigrants
Page 1 of 15
, NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q9 Primary care
A -Accessed in US through insurance (can be Medicare, Medicaid, or private insurance) -Managed care
Q10 HMO
A Health maintenance organization Gatekeeper controls access Must decide what doctor they want to
go to Has co-pay, but lower one than PPO
Q11 PPO
A Preferred Provider Organizations Can go to whatever doctor they want to Costs more
Q12 Medicare and Medicaid
A Both have gatekeeper Federal programs
Q13 Public health system
A National, state, or local laws/mandates Work together interdependently
Section 2: Health, System, Primary (Q14–Q26)
Question & Answer
Q14 Federal System
A -US Dept of Health and Human Services (USDHHS) -Office of Global Health Affairs -US Public Health
Service (USPHS) -Health Resources and Services Administration (HRSA) -National Institutes of
Health (NIH) -Food and Drug Administration (FDA) -Centers for Disease Control and Prevention
(CDC) -Centers for Medicare and Medicaid Services (CMS) -Department of Homeland Security (DHS)
Q15 State system
A -Disaster prevention and readiness -Healthcare financing and administration -Mental health and
professional education -Health codes and licensing -Insurance regulations -Direct assistance to local
health departments -Board of examiners of nurses
Q16 Local system
A -Direct reponsibility to citizens of its community or jurisdictions -Services may vary depending on
health codes, community needs, and funding/resources
Q17 Potential barriers to integration of public health and primary health care
A Different roles, functions and foci -Primary care: person-focused -Public health: community-focused
Differing funding models -Primary care: individual client payments and health insurance -Public
health: tax dollars, federal/state grants
Q18 Healthy People 2020 Objectives
A 1.) Attain high-quality longer lives, free of preventable disease, disability, injury, and premature
death
2.) Achieve health equity, eliminate disparities, and improve health of all groups
3.) Create healthy environments that promote good health for all
4.) Promote quality of life, healthy development, and healthy behaviors across all life stages
Page 2 of 15
NURS 415 Exam 1 – UPDATED Questions with
100% Verified Answers
Section 1: Trends, Disparities, Healthcare (Q1–Q13)
Question & Answer
Q1 Forces stimulating change in the demand for healthcare
A -Demographics -Social and economic trends -Health workforce trends (replacement of nursing staff
with medical assistants because it saves cost for the hospital) -Technology (telehealth)
Q2 Current demographic trends
A Aging baby boomer generation -77 million babies between 1946 and 1963 -Expected to live on
average 83 years of age, with many surviving into their 90s -Cost of Medicare expected to rise
astronomically -Fewer workers paying taxes into the Medicare system
Rise in the foreign-born population -Mexico largest source, followed by Asia -US more diverse than
ever
Q3 Social and economic trends
A -Changing lifestyles -Growing appreciation of quality of life (health seen as irreplacable commodity)
-Changing composition of families -Changing household incomes (growing gap between richest and
poorest) -Revised definition of quality health care (rise in complementary and alternative therapies)
Q4 Health workforce trends
A Nursing shortage (particularly minorities) Periodic shortages in primary care providers (esp in rural
or underserved areas) Growing number of nurse practitioners
Q5 Technological trends
A Ex. telehealth, EHR
Benefits: -24-hr availability -Increased coordination and quality of care -Improved quality
measurement and monitoring -Reduced medical errors
Drawbacks: -Privacy and security concerns -Inconsistent quality of online resources -Expensive
equipment that requires higher training
Q6 Cause of disparities in US healthcare system
A Cost Access Quality
Q7 Cost disparities
A Great recession (2008) -Weakening national, global economy -7 million US jobs lost -Steady growth
of national health spending -Cost of employer-sponsored insurance premiums has increased 119%
since 1999 -Inability of workers to pay increased cost = rise in percentage of uninsured working
families
Q8 Access disparities
A -Rise in uninsured people to 48 million in 2012 -Govt programs significant in meeting needs of
uninsured (some states struggling with budget) -Coverage = access to healthcare services -At-risk
groups: poor, working, or nonworking; minority group members; non-English speakers, including
illegal immigrants
Page 1 of 15
, NURS 415 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q9 Primary care
A -Accessed in US through insurance (can be Medicare, Medicaid, or private insurance) -Managed care
Q10 HMO
A Health maintenance organization Gatekeeper controls access Must decide what doctor they want to
go to Has co-pay, but lower one than PPO
Q11 PPO
A Preferred Provider Organizations Can go to whatever doctor they want to Costs more
Q12 Medicare and Medicaid
A Both have gatekeeper Federal programs
Q13 Public health system
A National, state, or local laws/mandates Work together interdependently
Section 2: Health, System, Primary (Q14–Q26)
Question & Answer
Q14 Federal System
A -US Dept of Health and Human Services (USDHHS) -Office of Global Health Affairs -US Public Health
Service (USPHS) -Health Resources and Services Administration (HRSA) -National Institutes of
Health (NIH) -Food and Drug Administration (FDA) -Centers for Disease Control and Prevention
(CDC) -Centers for Medicare and Medicaid Services (CMS) -Department of Homeland Security (DHS)
Q15 State system
A -Disaster prevention and readiness -Healthcare financing and administration -Mental health and
professional education -Health codes and licensing -Insurance regulations -Direct assistance to local
health departments -Board of examiners of nurses
Q16 Local system
A -Direct reponsibility to citizens of its community or jurisdictions -Services may vary depending on
health codes, community needs, and funding/resources
Q17 Potential barriers to integration of public health and primary health care
A Different roles, functions and foci -Primary care: person-focused -Public health: community-focused
Differing funding models -Primary care: individual client payments and health insurance -Public
health: tax dollars, federal/state grants
Q18 Healthy People 2020 Objectives
A 1.) Attain high-quality longer lives, free of preventable disease, disability, injury, and premature
death
2.) Achieve health equity, eliminate disparities, and improve health of all groups
3.) Create healthy environments that promote good health for all
4.) Promote quality of life, healthy development, and healthy behaviors across all life stages
Page 2 of 15
