CoursePoint Community

Which are examples of public-funded health care in the United States? (Select all that apply.)

Medicare Medicaid

what is the best description of an aggregate

a group of individuals who are loosely connected with one another

what is the national health insurance model

a mix of both bismarck and beveridge model no need for marketing because insurers cant deny citizens pay into a gov run insurance company

Which of the following visual analogies most closely resembles the family as a system?

a mobile

medicare advantage has....

a possible monthly premium (covered and managed by private insurance companies)

Which of the following is true regarding strengths-based nursing?

empowers patients to help themselves

T/F - the most important measure of a country's health is the amount of money spent on healthcare.

false

T/F - the terms community, aggregate, and population are interchangeable.

false

Which of the following is considered the core unit of service in public health nursing?

family

what is secondary level of prevention

focused on early detection of existing issues screening and testing phase

What is the Beveridge Model?

healthcare is provided and financed through the government you never get a bill doctors are government employees

what is done at a pre kindergarten assessment

hearing and vision screen fine motor screen speech and language screen assessment of cognitive development

The public health nurse is offering nutrition classes and developing a walking program for the community residents. Which of the ten essential public services is the nurse demonstrating?

inform

standard medicare has.....

no premium but may need supplemental care to cover 100% of expenses

The community/public health nurse is teaching a nursing student about factors that promote successful interprofessional collaboration. The nurse confirms appropriate understanding of interprofessional collaboration when the student states which of the following? (Select all that apply.)

"Each healthcare profession has information the others need to promote better outcomes." "Interprofessional collaboration requires mutual respect and trust."

A nurse is talking with a client about the current health care system and scheduling a wellness checkup. The client asks the nurse why people who now have insurance do not take advantage of preventative health measures. What is the nurse's best response to the client?

"Some people may not have transportation or easy access to a health care provider."

In the United States, what percentage of health care services is paid for with public funds?

47%

What characteristics define a community? (Select all that apply.)

A group that shares a common interest Interaction among a group of people Encompasses a sense of member belonging

According to Healthy People 2020, social determinants of health should include which of the following? (Select all that apply.)

Access to affordable transportation Air quality Exposure to crime and violence Quality of schools

In the role of clinician, how can the nurse demonstrate levels of prevention in the field? (Select all that apply.)

Administering immunizations Performing scoliosis measurements Screening children for depression

The community nurse is tending a booth at the county fair to provide informational brochures on how to apply insurance and subsidies related to the Affordable Care Act. What role is the community nurse demonstrating?

Advocate

What historical public health achievements have public health nurses contributed to? (Select all that apply.)

An increase in healthier mothers and babies Improvements in family planning and education A decrease in the spread of infectious diseases

During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being were born in Colombia. What is the best action for the nurse to take?

Apologize for the cultural insensitivity and make a mental note to be more careful in the future.

Which variables are characteristics of an aggregate? (Select all that apply.)

Are loosely associated with each other Are considered as a whole A group of distinct individuals

A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indention on the client's abdomen. The nurse is aware the client is not from the United States. What is the nurse's next best action in assessing this client?

Ask the client to describe usual health beliefs and practices when the client becomes sick.

The public health nurse has identified obesity as a health problem in the community. Which action taken by the nurse demonstrate the core policy development function of public health at the community level?

Attending a school board meeting to present current data

While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations?

Biological variations

Which model is an insurance system financed jointly by employers and employees through payroll deduction?

Bismarck

Which of the health care models have only one system for all people? (Select all that apply.)

Bismarck, Beveridge, Out-of Pocket

Health inequities often emerge among racial and ethnic groups. Which of the following races/ethnicities experience a higher prevalence of low birth weight babies?

Blacks

A home health nurse is creating a care plan for an individual who recently had surgery. Which tasks does the home health nurse understand as health responsibilities of the family? (Select all that apply.)

Care provision and management for the chronically ill, disabled, and aging family members, Emotional support for the client and guidance during life cycle transitions

A community nurse is preparing to develop a plan to work with families as the clients in a local community. What reasons would a family assessment need to be completed with the families prior to developing the plan? (Select all that apply.)

Community health nurses sometimes make visits to clients and their families Families often have unique values and needs Families are a significant building block of the local community

Which of the following are nursing actions that correlate with the assessment phase of the nursing process in community health settings? (Select all that apply.)

Conduct a windshield survey., Carry out focus group interviews., Mail community surveys to residents.

A public health nurse is assessing the community for health needs, health risks, and environmental problems that may affect health. How can the nurse best obtain this data? (Select all that apply.)

Conducting a windshield survey of the community environment Interviews of people in the community Searching public records for health statistics related to the community Survey state and national policy makers

Which publicly funded health care program is aimed to assist families with children who are living in poverty?

Medicaid

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution?

Decision grid

The federally funded program Medicare provides free health care for what groups of individuals? (Select all that apply.)

Eligible seniors over the age of 65 Individuals with kidney failure Legally disabled persons

Strengths-based nursing is focused on which of the following principles?

Empowerment, self-efficacy, and hope

Which are examples of tertiary levels of prevention? (Select all that apply.)

Encouraging a client with hypertension to continue a weight loss program Developing a post-mastectomy exercise program to preserve function

`A recently hired clinic nurse is providing intake on a new client at the clinic. The client states not having any insurance. When the client leaves, the new nurse makes the following comment; "I thought all people had insurance since the Affordable Care Act of 2011." What would be the nursing supervisor's best response to this comment?

Even though there is coverage available, many people in the United States cannot afford health care coverage."

A new client is inquiring about mental health services. The client has recently been discharged from the military. What reason would the client seek health care outside of the Veterans Affairs (VA) services offered post-military discharge? (Select all that apply.)

Extended wait times to be seen A person must apply for benefits

The community/public health nurse is a teaching nursing student about the definition of family in the context of family nursing. The nurse confirms good understanding of "family" in the context of family nursing when the student states which of the following? (Select all that apply.)

Family is 2 or more people joined by a common bond Family is who the family says they are.

The practice of family nursing includes which of the following levels of focus? (Select all that apply.)

Family members as context for individual health concerns Family members interacting with the environment Family members interacting with each other

Which of the following factors contribute to health disparities? (Select all that apply.)

Food deserts, Poverty, Discrimination

Which nations provide coverage for all of their citizens? (Select all that apply.)

France Germany United Kingdom Canada

Which of these accurately describes the Beveridge model of health care used by the United Kingdom, Spain, New Zealand, and Hong Kong? (Select all that apply.)

Health care is financed by the government by tax payments, Controls what providers can do and what they charge

In completing a developmental family assessment, what question would the community health nurse include?

How do family members cope with transitions and attachments within the family?

A community nurse is working with clients in the communicable disease clinic. A client seeking treatment confides to the nurse that she has sex for money sometimes to pay her rent. The nurse provides the client with education on how to protect herself from further infection and offers her free condoms. Which of the elements of the American Nurses Association Code of Ethics is the nurse practicing while taking care of this client? (Select all that apply.)

Respect, regardless of social status Dignity, regardless of personal attributes Compassion, regardless of the health problem

In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community

Sense of belonging Safety security

What are the three universal human needs of the community

Sense of belonging Safety security

Which of the following are common data sources for a community assessment? (Select all that apply.)

State health department statistics, School nurse interviews, Town hall meetings, Governmental data sets

A nurse manager is using the decision-making model "SWOT" to determine whether it is feasible to add another on-call team in perioperative services. What words does the acronym "SWOT" represent?

Strengths, Weaknesses, Opportunities, Threats

what is tertiary level of prevention

aimed at preserving and restoring function and reducing impairment

optional medicare has....

coverage of prescription drugs but has a monthly premium

what is part a of medicare

covers in-patient hospitalization, some skilled nursing services, short-term home health, and hospice services to eligible clients

Public and community health nursing interventions focus on:

decreasing inequities that affect population health

A senior client with Medicare for health care insurance is in the clinic for a checkup of a leg wound that does not seem to be getting better. The health care provider determines the client needs home health services for wound care. The client is concerned about the cost and asks what part of Medicare covers home health services. What would the nurse's best response be?

part a

what is part c of medicare

part of the Medicare policy and allows private insurance companies to provide Medicare benefits

what are biological variations

physical and biological traits that are unique to culture of a population. This can also include how they perceive pain and express pain.

what is primary level of prevention

prevent injuries and illness; this includes vaccinations to prevent communicable diseases

Which is the payer for the majority of health expenditures in the United States?

private coverage

What is the Bismarck Model?

ran similar to the us healthcare using insurance the only difference is that they have to cover everyone

ANA Code of Ethics

respect compassion dignity worth

The public health nurse is preparing a care plan for a client in the community. What factors in the community environment should the nurse consider that can impact a client's potential for health and wellness? (Select all that apply.)

Level of safety to walk or play outside Access to fresh foods and groceries Size of health care facilities Air quality and number of pollutants

A public health nurse has been assigned to develop and coordinate a community of solution group on the issue of childhood obesity. Who should the nurse contact first?

Local school nurses in the community and the surrounding areas

Research is an important part of the ten essentials of public health services. When the nurse uses research for community problems, what purpose does this serve?

Identification of new solutions

The public health nurse is providing CPR training to day care workers at the local community recreation center. What essential service is the public health nurse providing?

Inform, educate, and empower people about health issues.

A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate cultural sensitivity toward this new client population? (Select all that apply.)

Interview some of the new members and inquire about cultural values Demonstrate a genuine interest in the lives and culture of the new clients.

A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation?

Intuitive judgment

Which are the core functions of government in addressing the health of its citizens that are also the core public health functions? (Select all that apply.)

It assesses health care problems It ensures that services are delivered and outcomes achieved It intervenes by developing relevant health care policy.

When making a decision about using a prn pool for added staffing, what can the nurse manager do to make the best decision?

Make a decision with all of the facts

Which publicly funded health care program receives funding primarily through the state government?

Medicaid

What are included in the ten essential services of public health? (Select all that apply.)

Mobilize, Enforce, Inform

The community assessment process directly contributes data for development of community interventions that correlate best with which of the following interventions noted on the Public Health Interventions Wheel?

Outreach

What characteristic will the nurse consider when developing interventions for an aggregate group?

People may not interact with each other

A tornado has destroyed an area of the local community and destroyed the local water plant. The public health nurses in that area mobilize and coordinate care with the hospital, emergency medical services, and the fire department. What core public health function does this action represent?

Policy development

Which of the following are examples of inequities that may interfere with health? (Select all that apply.)

Political Social Economic

what is part d of medicare

Prescription drug coverage

The community nurse is educating seniors at the local senior center on home safety to prevent falls. What level of prevention is the nurse practicing?

Primary

A client who is employed at a local large manufacturing plant has an appointment at the clinic. What type of insurance plan would the intake nurse expect the client to have?

Privately funded health care

Which of the following best describes the primary purpose of a windshield survey?

Provide familiarity and context to the nurse who is new to a community and its members.

A public health nurse is working in the local public health department performing kindergarten screenings and administering immunizations required for school admission. The mother of a client reports reservations about giving her child a vaccination. What is the nurse's best action?

Provide the mother with information to review on the proposed immunizations for the child.

Which level of prevention is applied when working with a family that has suffered a crisis, such as the loss of their home to a fire or flood?

Tertiary prevention

During a family assessment, the community health nurse must examine both the internal and external structure of the family. What factors will be assessed to determine the internal structure of the family? (Select all that apply.)

The family composition, Each member's gender

A client is considering what options are available for her child's health insurance coverage in the free marketplace but is worried because of a preexisting diagnosis of diabetes. What should the nurse tell the client about preexisting conditions and the Affordable Care Act of 2011?

The insurance companies are required to cover an individual regardless of preexisting conditions.

A client has asked the nurse who qualifies to receive an income-based subsidy from the government to help with health care coverage. What should the nurse tell the client?

The subsidies are given based on incomes within the 100% to 400% poverty level.

How is Medicare funded by paid taxes?

Through employers and employees equally

A client will require dialysis. If the client lived in a country like Canada where the National Health Insurance Model was used, what would health care cost the family for the new treatment?

Treatment would be covered, as the employer and employee pay for insurance

The home health nurse is developing a treatment care plan for an elderly retired client with Medicare insurance. What factor will the nurse take into consideration as the plan is developed?

Treatments, if ordered by the provider, are usually covered by publicly funded health care plan.

Why is volunteering as a nurse in an at-risk community an important activity? Choose the best answer.

Volunteering as a nurse brings low-cost medical and nursing expertise to the at-risk community.

While taking a walk around the school at lunch, the school nurse notices the cafeteria dumpsters are next to the playground. The nurse goes over to the dumpster to investigate and finds the dumpsters leaking, which is attracting bees. Which of the ten essentials is the nurse demonstrating?

diagnosing

10 essentials to public health

monitoring health, diagnosing and investigating, informing, mobilizing, developing, enforcing, connecting, competency, evaluating, and researching

Which value is central to nursing and public health?

social justice

the community/public health nurse reviews the ecomap for the Stavros family. A line with hash marks (or a jagged line) is noted between the family and a circle that is labeled "housing." The community/public health nurse correctly interprets the relationship with housing as:

stressful

what is part b of medicare

supplemental and voluntary medical insurance program paid by the participants

Which of the following most closely describes the rationale for drawing a genogram?

to depict medical history of family members

T/F - Social justice is the fair and equitable distribution of social benefits and burdens and is tied to issues of human rights.

true

T/F - State Children's Health Insurance Plan (SCHIP) was put into place to provide coverage for children who were ineligible for Medicaid due to poverty requirements but unable to access health care with affordable private insurance.

true

Which nation pays the greatest amount of money and is among the worst performers for health care among the 15 nations that are members of the Organisation for Economic Co-operation and Development (OECD)?

united states

Of the following, which factor is least likely to contribute to mental health concerns related to teen mothering?

young age