Community Public Health Nursing 7th Edition Nies Test Bank
Chapter 11: The Health Care System
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which best describes the principal factor behind ongoing legislation on the federal level
related to health care?
a. Change is needed to reflect differences in health needs today.
b. Efforts must be put in place to control constantly increasing costs.
c. There is a need to focus on the population as a whole.
d. Technological breakthroughs should be expanded.
ANS: B
With the rapid growth of technology and increased demands on the private and public health
care subsystems, health care costs have become prohibitive. Cost-effectiveness and cost
containment have become critical driving forces as health care delivery system changes are
made; however, cost-effectiveness often conflicts with the provision of quality care.
DIF: Cognitive Level: Understand (Comprehension)
2. Which best describes the most common organization for receiving personal health care in the
United States today?
a. A group of physicians all in a particular specialty group who share an office
b. Community health center that includes educational and social services
c. Fee for service by a physician in practice by himself or herself
d. Managed care organization with capitated payments to providers, both
N R I G B.C M
professionals and organizatUionS
s
ANS: D
Managed care has become a dominant paradigm in health care. This model has replaced fee
for service by a physician in independent practice or physicians in a group practice, and care
in a community health center.
DIF: Cognitive Level: Understand (Comprehension)
3. Which best describes how voluntary health agencies fit into the overall health care system?
a. They fill in the gaps between services offered by private and public health systems.
b. They primarily serve as sources of financial aid for the underserved.
c. They supplement the effort of the public health care system.
d. They support research, education, and services for particular groups of patients.
ANS: D
Voluntary health agencies are committed to specific diseases, organ or body structures, health
and welfare of special groups, or particular phases of health. Philanthropic groups support
research and programs. These organizations provide major sources of help in preventing
disease, promoting health, treating illness, consumer education, and advocacy and research.
Unfortunately, there continue to be overlaps among private, voluntary, and public agencies,
but without voluntary agencies, fewer services would be available.
DIF: Cognitive Level: Understand (Comprehension)
, Community Public Health Nursing 7th Edition Nies Test Bank
4. Which level of government primarily establishes regulations and provides funding for health
care?
a. Federal government
b. Local health departments
c. Regional health districts
d. State health departments
ANS: A
The federal government has been assuming a larger role in the protection of the population
through regulation and funding. Local health departments establish local health codes, fund
public hospitals, and provide services to populations at risk who often lack health insurance.
State health departments are highly dependent on the federal level of resources and guidance.
Regional health districts are not used as a level of government in the United States.
DIF: Cognitive Level: Remember (Knowledge)
5. Which federal agency is responsible for administering most of the federal health-related
activities?
a. Centers for Disease Control and Prevention (CDC)
b. Department of Health and Human Services (HHS)
c. Health Resources and Services Administration (HRSA)
d. National Institutes of Health (NIH)
ANS: B
Most health-related activities at the federal level are implemented and administered by the
HHS. The responsibility of the CDC is to keep the public safe and healthy. The responsibility
of the HRSA is to improve acNcU esR toIhN
sS eaG hB
ltT ca.
reCsO
erM
vices for vulnerable groups in the
population. The main responsibility of the NIH is biomedical and health-related research.
DIF: Cognitive Level: Remember (Knowledge)
6. Which federal agency is responsible for the Women, Infants, and Children (WIC) program,
food stamps, and school-based nutrition programs?
a. Aid to Dependent Children Department
b. Department of Agriculture
c. Department of Education
d. Department of Health and Human Services
ANS: B
The Department of Agriculture administers the inspection of meat and milk and provides
funds for the WIC program (supplemental nutrition), the food stamp program, and the
school-based nutrition program. The Aid to Dependent Children is a program, not a
department, that provided financial assistance to families with limited financial resources. The
Department of Education administers and coordinates resources related to education. The
Department of Health and Human Services is responsible for protecting the health of all
Americans.
DIF: Cognitive Level: Remember (Knowledge)
7. Which best describes the approach to health care used by states?
Chapter 11: The Health Care System
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which best describes the principal factor behind ongoing legislation on the federal level
related to health care?
a. Change is needed to reflect differences in health needs today.
b. Efforts must be put in place to control constantly increasing costs.
c. There is a need to focus on the population as a whole.
d. Technological breakthroughs should be expanded.
ANS: B
With the rapid growth of technology and increased demands on the private and public health
care subsystems, health care costs have become prohibitive. Cost-effectiveness and cost
containment have become critical driving forces as health care delivery system changes are
made; however, cost-effectiveness often conflicts with the provision of quality care.
DIF: Cognitive Level: Understand (Comprehension)
2. Which best describes the most common organization for receiving personal health care in the
United States today?
a. A group of physicians all in a particular specialty group who share an office
b. Community health center that includes educational and social services
c. Fee for service by a physician in practice by himself or herself
d. Managed care organization with capitated payments to providers, both
N R I G B.C M
professionals and organizatUionS
s
ANS: D
Managed care has become a dominant paradigm in health care. This model has replaced fee
for service by a physician in independent practice or physicians in a group practice, and care
in a community health center.
DIF: Cognitive Level: Understand (Comprehension)
3. Which best describes how voluntary health agencies fit into the overall health care system?
a. They fill in the gaps between services offered by private and public health systems.
b. They primarily serve as sources of financial aid for the underserved.
c. They supplement the effort of the public health care system.
d. They support research, education, and services for particular groups of patients.
ANS: D
Voluntary health agencies are committed to specific diseases, organ or body structures, health
and welfare of special groups, or particular phases of health. Philanthropic groups support
research and programs. These organizations provide major sources of help in preventing
disease, promoting health, treating illness, consumer education, and advocacy and research.
Unfortunately, there continue to be overlaps among private, voluntary, and public agencies,
but without voluntary agencies, fewer services would be available.
DIF: Cognitive Level: Understand (Comprehension)
, Community Public Health Nursing 7th Edition Nies Test Bank
4. Which level of government primarily establishes regulations and provides funding for health
care?
a. Federal government
b. Local health departments
c. Regional health districts
d. State health departments
ANS: A
The federal government has been assuming a larger role in the protection of the population
through regulation and funding. Local health departments establish local health codes, fund
public hospitals, and provide services to populations at risk who often lack health insurance.
State health departments are highly dependent on the federal level of resources and guidance.
Regional health districts are not used as a level of government in the United States.
DIF: Cognitive Level: Remember (Knowledge)
5. Which federal agency is responsible for administering most of the federal health-related
activities?
a. Centers for Disease Control and Prevention (CDC)
b. Department of Health and Human Services (HHS)
c. Health Resources and Services Administration (HRSA)
d. National Institutes of Health (NIH)
ANS: B
Most health-related activities at the federal level are implemented and administered by the
HHS. The responsibility of the CDC is to keep the public safe and healthy. The responsibility
of the HRSA is to improve acNcU esR toIhN
sS eaG hB
ltT ca.
reCsO
erM
vices for vulnerable groups in the
population. The main responsibility of the NIH is biomedical and health-related research.
DIF: Cognitive Level: Remember (Knowledge)
6. Which federal agency is responsible for the Women, Infants, and Children (WIC) program,
food stamps, and school-based nutrition programs?
a. Aid to Dependent Children Department
b. Department of Agriculture
c. Department of Education
d. Department of Health and Human Services
ANS: B
The Department of Agriculture administers the inspection of meat and milk and provides
funds for the WIC program (supplemental nutrition), the food stamp program, and the
school-based nutrition program. The Aid to Dependent Children is a program, not a
department, that provided financial assistance to families with limited financial resources. The
Department of Education administers and coordinates resources related to education. The
Department of Health and Human Services is responsible for protecting the health of all
Americans.
DIF: Cognitive Level: Remember (Knowledge)
7. Which best describes the approach to health care used by states?
