Chapter 03 Health Policy and the Delivery System

Chapter 03  Health Policy and the Delivery System

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
a.
New cardiothoracic intensive care unit at a major hospital
b.
New rehabilitation center
c.
New recreational health center
d.
New children’s hospital

ANS: C
The Healthy People 2020 report promotes health care, not illness care. A hospital, ICU, and rehabilitation center emphasize episodic care after an illness. The recreation health center serves to preserve health in the community and helps meet the goals of the Healthy People 2020 report.

DIF: Cognitive Level: Apply (Application) REF: p. 47 | p. 47 (Box 3-1)

2. Which nurse is at risk of making a medical error?
a.
Working overtime
b.
Works in a hospital that advocates multidisciplinary care
c.
Caring for four clients during the shift
d.
Attends regular continuing education programs

ANS: A
Health care systems are the basic cause of medical errors. Organizational and workforce management, work design, and organizational culture are problem areas that contribute to medical errors. Poor management leads to increased nurse turnover, the need for increased client-to-nurse ratios, increased need for overtime, and decreased number of nurses, all of which can lead to medical errors. A nurse working overtime is at risk of making a medical error.

DIF: Cognitive Level: Apply (Application) REF: p. 50

3. What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
a.
Forgo opportunities for continuing education so the unit is never understaffed.
b.
Foster a collaborative working environment on the unit.
c.
Check all medications a minimum of three times before administering them.
d.
Develop a policy that mandates the firing of any nurse who commits an error.

ANS: B
Health care systems are the basic cause of medical errors. Organizational and workforce management, work design, and organizational culture are problem areas that contribute to medical errors. Creating a collaborative working environment helps improve organizational culture, thereby reducing the chance of medical errors.

DIF: Cognitive Level: Apply (Application) REF: p. 50

4. The person known as the father of British and American public health is:
a.
Lillian Wald.
b.
Edwin Chadwick.
c.
Lemuel Shattuck.
d.
Paul Ehrlich.

ANS: B
Edwin Chadwick is known as the father of British and American public health.

DIF: Cognitive Level: Remember (Knowledge) REF: p. 51

5. A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
a.
administering and reading the purified protein derivative (PPD) of all close contacts
b.
providing direct observed therapy (DOT) for the individual with TB
c.
isolating the person because it is likely drug resistant
d.
telling the person to wear a mask when leaving the home

ANS: B
Community health nursing practice promotes, preserves, and maintains the health of populations and the effect of their health status on that of the community as a whole through care provided to individuals, families, and groups. Thus, the most effective strategy of treating the individual and preventing the spread of TB is to provide DOT.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 52