module 6 quiz: economic influences

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A nurse in a community clinic is teaching a parent about the Children's Health Insurance Program (CHIP). Which of the following client statements indicates an understanding of the teaching? (Select all that apply.) - "My 18-year-old is eligible for CHIP." - "Medicaid is for elderly people only." - "My employer will withhold a portion of my pay for CHIP." - "We have to enroll in Medicaid to be eligible for CHIP." - "We can use CHIP for primary care and hospital care."

- "My 18-year-old is eligible for CHIP." - "We can use CHIP for primary care and hospital care."

A nurse is discussing eligibility for Medicare coverage with a newly licensed nurse. Which of the following should the nurse identify as an example of a client who would be eligible for Medicare coverage? (Select all that apply.) - A 60-year-old client who has a disability - A client who is 70 years old - A young adult client who has chronic kidney disease - A middle adult client who is the head of household and has income below poverty level - A 20-year-old client who is seeking asylum

- A 60-year-old client who has a disability - A client who is 70 years old - A young adult client who has chronic kidney disease

A nurse is reviewing the history of U.S. health care reforms. The nurse should identify that the following reforms were implemented in what order? Substance Abuse and Mental Health Services Administration (SAMHSA) Affordable Care Act (ACA) Medicare Children's Health Insurance Program (CHIP)

- Medicare - Substance Abuse and Mental Health Services Administration (SAMHSA) - Children's Health Insurance Program (CHIP) - Affordable Care Act (ACA)

A public health nurse is conducting research about the scope of practice for public health nurses. Which of the following is responsible for establishing the scope of practice for nurses? a. Lawmakers b. Code of Ethics c. The community d. The National Council of State Boards of Nursing (NCSBN)

a. Lawmakers

A community health nurse is researching health policy administration. The nurse should identify that which of the following is administered at the state government level? a. Medicaid b. Food and drug regulation c. The U.S. Department of Veterans Affairs d. The Bureau of Indian Affairs

a. Medicaid

A nurse is reviewing health coverage programs with a newly licensed nurse. Which of the following should the nurse identify as a public sector health care program that provides coverage to clients over 65 years old? a. Medicare b. Affordable Care Act (ACA) c. Health saving accounts (HSA) d. United States Health Resources and Services Administration (HRSA)

a. Medicare

An occupational health nurse is developing workplace wellness programs for which employees can use their health savings account as a form of payment. Which of the following programs should the nurse identify as an example of a secondary prevention intervention? a. Online nutrition education for employees who have new onset of hypertension b. Onsite exercise program for employees at risk for developing hypertension c. Online healthy cooking program for employees at risk for prevent chronic conditions d. Onsite rehabilitation for employees who have had cardiac surgery

a. Online nutrition education for employees who have new onset of hypertension

A nurse is using an electronic database to research government funding of health care. What percentage of public health care in the United States should the nurse identify as being funded by the gross domestic product (GDP)? a. 25% b. 17% c. 53% d. 11%

b. 17%

A nurse is reviewing the history of government-funded health programs in the U.S. Which of the following should the nurse identify as the president who enacted law to create the Medicare program in 1965? a. John F. Kennedy b. Lyndon B. Johnson c. Richard M. Nixon d. Dwight D. Eisenhower

b. Lyndon B. Johnson

An occupational health nurse is evaluating the cost-effectiveness of interventions that were implemented to decrease sick days during flu season. Which of the following actions should the nurse identify as a secondary prevention intervention? a. Provide onsite influenza vaccination clinics b. Provide testing for influenza at the employee health clinic c. Place handwashing posters throughout the workplace d. Offer discounted medications to manage influenza symptoms

b. Provide testing for influenza at the employee health clinic

A public health nurse is preparing a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the public sector? a. American Red Cross (ARC) b. The Department of Health and Human Services (HHS) c. Shriners Hospitals for Children d. Physician-owned outpatient surgery clinics

b. The Department of Health and Human Services (HHS)

A team of public health nurses is discussing a new health care law. The nurses should identify that which of the following entities is responsible for passing laws related to health care? a. The judicial branch b. The legislative branch c. The executive branch d. The U.S. Department of Health and Human Services (HHS)

b. The legislative branch

A team of public health nurses is delivering a presentation to community leaders about funding for health care programs. Which of the following organization's data should the team include during the presentation as having a direct effect on funding? a. Health care savings account b. U.S. Census Bureau c. U.S. Department of Health and Human Services d. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

b. U.S. Census Bureau

A community health nurse is reporting to community leaders about the effects of health policies that have been implemented. Which statement should the nurse make when describing the purpose of health policies? a. A health policy guarantees the protection of the health of community members. b. A health policy provides a theoretical framework for the protection of the health of vulnerable populations. c. A health policy involves intentional actions to influence health outcomes in the community. d. A health policy is categorized by the levels of prevention used by health care workers to achieve health outcomes.

c. A health policy involves intentional actions to influence health outcomes in the community.

A nurse is reviewing private sector health insurance options. Which of the following should the nurse identify as an example of private sector health insurance? a. TRICARE b. Medicaid c. Employer-sponsored health plan d. Medicare

c. Employer-sponsored health plan

A nurse is teaching about health insurance options with a young adult client who has recently become disabled. The nurse should identify that the client's disability might make them eligible for which of the following health insurance programs? a. Diagnosis-related group (DRG) b. United States Health Resources and Services Administration (HRSA) c. Medicare d. TRICARE

c. Medicare

A public health nurse is collaborating with city officials to implement community sponsored programs to decrease health care costs for all. Which of the following types of health program services should the nurse recommend? (Select all that apply.) a. Diagnosis-related groups b. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) c. Secondary prevention interventions d. Tertiary prevention interventions e. Primary prevention interventions

c. Secondary prevention interventions d. Tertiary prevention interventions e. Primary prevention interventions

A nurse is sharing information with a group of newly licensed nurses about public sector health programs. Which of the following should the nurse identify as the source of funding for Medicare? a. Office of the President b. Contributions from Congress c. Taxpayer contributions d. Accounts established by corporations

c. Taxpayer contributions

A home health nurse is preparing to make a referral to a diabetes educator for a client who has had several hospital readmissions regarding their diabetes and has developed a diabetic foot ulcer. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

c. Tertiary prevention

A nurse case manager is teaching a client about Health Savings Accounts (HSA). Which of the following client statements indicates an understanding of the teaching? a. "The HSA must be set up through my bank." b. "The HSA is funded by the government." c."The HSA will be funded after taxes are withdrawn from my paycheck." d. "The HSA can be used for out-of-pocket medical expenses."

d. "The HSA can be used for out-of-pocket medical expenses."

A nurse is teaching a client about Medicare Part D. The nurse should include that this program covers which of the following? a. Inpatient hospital stays b. Visits to primary care providers c. Home health visits d. Prescription medications

d. Prescription medications

A public health nurse is delivering a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the private sector? a. Department of Veterans Affairs b. Food and Drug Administration (FDA) c. National Institutes of Health (NIH) d. St. Jude Children's Network

d. St. Jude Children's Network

A community health nurse is educating a community group about regulation of health care in the public sector. Which of the following entities should the nurse describe as making the majority of decisions about health care regulation in the public sector? a. Large corporations b. Employer-based health plans c. Small businesses d. Federal government

d. Federal government

A nurse manager is discussing primary preventive measures to reduce infection rates with another nurse. Which of the following actions should the nurse identify as an example of a primary preventative measure? (Select all that apply.) - Ensure that hand sanitizer is located throughout the facility. - Promote social distancing during activities. - Educate about the use of personal protective equipment (PPE). - Isolate individuals who have illness. - Test individuals who have been exposed to the infection.

- Ensure that hand sanitizer is located throughout the facility. - Promote social distancing during activities. - Educate about the use of personal protective equipment (PPE).

A nurse is reviewing the impact of U.S. Census Bureau data on health care funding. The nurse should identify that which of the following are affected by census data? (Select all that apply.) - Health savings accounts - Medicaid - Children's Health Insurance Program (CHIP) - Medicare - Health Insurance Portability and Accountability Act (HIPAA)

- Medicaid - Children's Health Insurance Program (CHIP) - Medicare

A public health nurse is planning to obtain a grant to implement a community-wide nutrition program. To which of the following organizations should the nurse apply? (Select all that apply.) - National Institutes of Health (NIH) - A diagnosis-related group (DRG) - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - Health Insurance Portability and Accountability Act (HIPAA) - United States Health Resources and Services Administration (HRSA)

- National Institutes of Health (NIH) - United States Health Resources and Services Administration (HRSA)

A nurse is researching an electronic database for the cost of taxpayer funded Medicare expenses. Which of the following should the nurse identify as the amount of taxpayer funded Medicare expenses in 2019? a. 799.4 billion dollars b. 1.9 trillion dollars c. 229 million dollars d. 500 billion dollars

a. 799.4 billion dollars

A public health nurse is researching information from governmental organizations to guide evidence-based practice. Which of the following should the nurse identify as a governmental organization? a. Centers for Disease Control and Prevention (CDC) b. American Red Cross c. American Academy of Pediatric Dentistry d. United Health Group

a. Centers for Disease Control and Prevention (CDC)

A public health nurse is reviewing newly approved vaccines for prevention of a communicable disease. The nurse should identify that which of the following entities is responsible for the approval of manufactured pharmaceuticals? a. The Centers for Medicare and Medicaid Services (CMS) b. The American Medical Association (AMA) c. Pharmaceutical companies d. The Food and Drug Administration (FDA)

d. The Food and Drug Administration (FDA)

A public health nurse is reviewing characteristics common to health care organizations in both the public and private sector. Which of the following should the nurse identify as a similarity between public and private health care organizations? a. Their budgets are determined by federal law. b. Their funding is primarily generated by income from providing goods and services. c. They have no legal constraints on funding. d. They are subject to governmental oversight.

d. They are subject to governmental oversight.


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