Chapter 03: The Changing U.S. Health and
Public Health Care Systems UPDATED
ACTUAL Exam Questions and CORRECT
Answers
In the United States, the majority of health care dollars are spent on:
a. prescription drugs.
b. hospital care.
c. physician services.
d. public health services (PHSs). - CORRECT ANSWER -B
The largest share of health care expenditures goes to pay for hospital care, with physician
services the next largest item. The money spent for PHSs is significantly lower than the other
categories of expenditures. Other significant drivers of the increasingly high cost of health care
include prescription
drugs, technology, and chronic and degenerative disease.
The number of uninsured Americans has dramatically increased because:
a. Medicare took over payment of health care costs.
b. with a declining population, the costs for health care rose.
c. nursing salaries greatly increased, causing health care costs to rise.
d. health insurance coverage was dropped from employment-based health plans. - CORRECT
ANSWER -D
Although the majority of Americans continue to obtain health insurance from their employer as a
benefit, employment does not guarantee insurance. Employer-sponsored health insurance is
sensitive to both the general economy and changes in health insurance premiums. As costs for
insurance premiums rose, employers either shifted more of these costs to their employees or
declined to offer employment-based health coverage at all. Medicare provides coverage only to
the elderly and other special populations. The costs for health care are continuing to rise
regardless of the size of the population. There has not been a
, significant change to nursing salaries, and a change in nursing salaries would not impact the
number of uninsured Americans.
A nurse is working with a community to decrease the occurrence of influenza. Which of the
following U.S. Department of Health and Human Services (USDHHS; or simply HHS) goals is
being applied?
a. Strengthen Health Care
b. Advance the Health, Safety, and Well-being of the American People
c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs
d. Advance Scientific Knowledge and Innovation - CORRECT ANSWER -B
One of the objectives of Advance the Health, Safety, and Well-being of the American People is
to reduce the occurrence of infectious diseases. The goal of Strengthen Health Care focuses on
improving health care services, quality, and coverage. The goal of Increase Efficiency,
Transparency, Accountability, and
Effectiveness of HHS Programs focuses on improving programming and application of found
data. The goal of Advance Scientific Knowledge and Innovation focuses on scientific discovery
and application of the new knowledge.
According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could be
attributed to:
a. cardiovascular disease.
b. obesity.
c. medical error.
d. drug overdose. - CORRECT ANSWER -C
In 1999 it was thought that our health care system was expensive and that access and quality
were not optimal, but we had not considered this important fact: many people die of preventable
medical errors in the United States. This number is not the correct statistic for cardiovascular
disease, obesity, or drug overdose.
Public Health Care Systems UPDATED
ACTUAL Exam Questions and CORRECT
Answers
In the United States, the majority of health care dollars are spent on:
a. prescription drugs.
b. hospital care.
c. physician services.
d. public health services (PHSs). - CORRECT ANSWER -B
The largest share of health care expenditures goes to pay for hospital care, with physician
services the next largest item. The money spent for PHSs is significantly lower than the other
categories of expenditures. Other significant drivers of the increasingly high cost of health care
include prescription
drugs, technology, and chronic and degenerative disease.
The number of uninsured Americans has dramatically increased because:
a. Medicare took over payment of health care costs.
b. with a declining population, the costs for health care rose.
c. nursing salaries greatly increased, causing health care costs to rise.
d. health insurance coverage was dropped from employment-based health plans. - CORRECT
ANSWER -D
Although the majority of Americans continue to obtain health insurance from their employer as a
benefit, employment does not guarantee insurance. Employer-sponsored health insurance is
sensitive to both the general economy and changes in health insurance premiums. As costs for
insurance premiums rose, employers either shifted more of these costs to their employees or
declined to offer employment-based health coverage at all. Medicare provides coverage only to
the elderly and other special populations. The costs for health care are continuing to rise
regardless of the size of the population. There has not been a
, significant change to nursing salaries, and a change in nursing salaries would not impact the
number of uninsured Americans.
A nurse is working with a community to decrease the occurrence of influenza. Which of the
following U.S. Department of Health and Human Services (USDHHS; or simply HHS) goals is
being applied?
a. Strengthen Health Care
b. Advance the Health, Safety, and Well-being of the American People
c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs
d. Advance Scientific Knowledge and Innovation - CORRECT ANSWER -B
One of the objectives of Advance the Health, Safety, and Well-being of the American People is
to reduce the occurrence of infectious diseases. The goal of Strengthen Health Care focuses on
improving health care services, quality, and coverage. The goal of Increase Efficiency,
Transparency, Accountability, and
Effectiveness of HHS Programs focuses on improving programming and application of found
data. The goal of Advance Scientific Knowledge and Innovation focuses on scientific discovery
and application of the new knowledge.
According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could be
attributed to:
a. cardiovascular disease.
b. obesity.
c. medical error.
d. drug overdose. - CORRECT ANSWER -C
In 1999 it was thought that our health care system was expensive and that access and quality
were not optimal, but we had not considered this important fact: many people die of preventable
medical errors in the United States. This number is not the correct statistic for cardiovascular
disease, obesity, or drug overdose.
