Exam 2 Quizzes Flashcards

1
Q

A public health nurse is discussing the major effects of the Affordable Care Act (ACA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the major effects the ACA had on health inequities in their community?
A: The ACA allows for quality performance measures to be used to reimburse hospitals
B: The ACA allows hospitals to receive less reimbursements for preventable readmissions
C: The ACA has enabled clients with pre-existing conditions to obtain health insurance.
D: The ACA has improved quality and safety in hospitals

A

C: The ACA has enabled clients with pre-existing conditions to obtain health insurance

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2
Q

Which part of the Medicare program that is administered by the federal government would cover durable medical equipment?
A: This service is not covered by Medicare
B: Part A
C: Part B
C: Part C

A

C: Part B

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3
Q

An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?
A: “Let’s go through these medications and see which ones we can delete.”
B: “You can get these medicines at this clinic for free.”
C: “These medications are important. Do your best to pay for them.”
D: “Let’s see if we can get some help from Medicare to help you pay for these medications.”

A

D: “Let’s see if we can get some help from Medicare to help you pay for these medications.”

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4
Q

The federal agency most responsible for improving the health status of the American people is the:
A: U.S. Department of Health and Human Services
B: Office of health preparedness
C: FDA
D: Office of global affairs

A

A: U.S. Department of Health and Human Services

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5
Q

Which of the following actions would a nurse take when serving as an advocate for the community? (SELECT ALL THAT APPLY)
A: Serving as a source of information at public meetings
B: Asking questions related to health implications at policy meetings
C: Calling the local health department to report problems at the hospital
D: Volunteering to serve on health-related committees

A

A and D

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6
Q

Who would be ineligible for the Affordable Care Act?
A. Was not aware of coverage
B. Unable to afford coverage
C. Undocumented person
D. Non-elderly person

A

C

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7
Q

What is causing health care change so quickly?
A. Affordable Care Act
B. Economics
C. Medicare
D. Medicaid

A

B

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8
Q

Medicare Part A pays for?
A. Hospital
B. X-Rays
C. Physician visits
D. Physical therapy

A

A

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9
Q

Medicare Part B pays for?
A. Hospital
B. Hospice
C. Physician visits
D. Limited home care

A

C

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10
Q

What is Medicaid?
A. Care for the elderly
B. All people with end stage renal disease
C. Health program for poor individuals
D. Program for people with AL…

A

C

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11
Q

TRICARE is health insurance for what part of the population?
A. Indigenous people
B. Elderly
C. Active duty and retired military members and families
D. Undocumented individuals with chronic health needs

A

C

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12
Q

The insurance coverage regulated by the Federal & State government is:
A. Medicare
B. Both Medicare and Medicaid
C. Medicaid
D. Private health system

A

C

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13
Q

Medical services offered at a reduced rate through a network of providers is
called:
A. Premium care
B. DMO
C. Private health insurance
D. Managed care

A

D

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14
Q

Much of U.S. Healthcare is currently spent on which of the following?
A. Primary prevention
B. Secondary prevention
C. Disease prevention and health promotion
D. Tertiary prevention

A

D

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15
Q

Which statement is true regarding Medicaid?
A. It is available to any individual facing economic hardship
B. It covers all services for those who meet eligibility
C. It is a good option for those not eligible for Medicaid
D. Not all low-income individuals will qualify for Medicaid

A

D

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16
Q

A nurse is assigned to provide community outreach to a small town that was partially destroyed by a tornado 3 years earlier and has been rebuilt. The first client is a family who lost their home and their best friend in the tornado. The best intervention would include:
A: avoidance of discussion of the disaster of 3 years ago
B: consideration that the family will have worked through the emotional aftermath by now
C: assessment of the family’s home environment to rule out safety issues
D: support of the family in preparing a personal disaster response plan

A

D

17
Q

Developing disaster preparedness plans for what to do, where to go, or who to call for help in a disaster would be done in which phase of the disaster management cycle?
A: Response
B: Recovery
C: Mitigation
D: Preparedness

A

D

18
Q

Constructing levees or permanent barriers to control flooding would be done in what stage of disaster management?
A: Preparedness
B: Response
C: Mitigation
D: Recovery

A

C

19
Q

Disaster recovery efforts include:
A: strategies for reducing the impact of disasters
B: reconnecting displaced populations with essential health and social services
C: conducting a hazard vulnerability analysis
D: training responders to strengthen capabilities

A

B

20
Q

What is the purpose of triage in a disaster?
A: Assess the disaster plan for what to do first
B: Follow the assigned leadership to the command center
C: Assess injured patients to prioritize care
D: Let the families into the emergency department

A

C

21
Q

A “green” tag is considered:
A: To be transferred immediately to the hospital
B: Immediate
C: Walking wounded
D: Dead/expectant

A

C

22
Q

The nurse stops to assist at the site of a multi vehicle accident that caused multiple casualties. A young man is awake and alert, respirations are 28/min and radial pulses present. He has a fracture on his right tibia and several small lacerations on his face. How will the nurse triage him?
A: Priority 3–green tag
B: Priority 4–black tag
C: Priority 1–red tag
D: Priority 2–yellow tag

A

D

23
Q

Which of the following are types of anthrax? SELECT ALL THAT APPLY
A: Cutaneous
B: Droplet
C: Injection
D: Inhalation
E: GI

A

A, C, D, E

24
Q

What is the difference between chemical agents and radiological agents? (SELECT ALL THAT APPLY)
A: Some chemical agents can be seen and smelled
B: Chemical agents cannot be felt or tasted
C: Radiological agents cannot be seen or felt
D: Radiological agents can be tasted when inhaled

A

A, C

25
Q

Which of the following is a major cause of morbidity in school-age children in the United States?
A: Congenital anomalies
B: Cancer
C: Heart disease
D: Asthma

A

D

26
Q

Several small communities have applied for grant funding from the State Department of Health to help decrease their teenage pregnancy rate. Which of the following communities should the nurse suggest receiving funding first?
A: Community D with 90 single teenage pregnancies in a city of 1500.
B: Community B with 45 single teenage pregnancies in a city of 1000
C: Community A with 23 single teenage pregnancies in a city of 500.
D: Community C with 100 single teenage pregnancies in a city of 2000

A

A

27
Q

A community of 5,000 has 45 cases of TB on their registry in 2010 that remains in 2011. In 2011, an additional ten (10) new cases were reported. Calculate the incidence rate and prevalence per 1,000 population of TB for this community for 2011?
A: Incidence 11 per 1000 - Prevalence 2 per 1000
B: Incidence 9 per 1000 - Prevalence 11 per 1000
C: Incidence .002 per 1000 - Prevalence 9 per 1000
D: Incidence 2 per 1000 - Prevalence 11 per 1000

A

D

28
Q

An example of an attack rate is the:
A: Number of cases of cancer recorded at a medical center
B: Number of beef cattle inoculated against mad cow disease on a farm
C: Number of people who died of cholera in India in a given year
D: Proportion of people becoming ill after eating at a fast food restaurant

A

D

29
Q

So far this winter, the Winston Rest Home has had 20 residents diagnosed with the flu. During the week of December 1-7, 4 cases were identified. The flu statistics for this one week is known as:
A: Immunity status
B: Mortality
C: Prevalence
D: Incidence

A

D

30
Q

A nurse is assessing potential environmental health risks in the community. Which of the following would be the first step that the nurse should take?
A: Review facility permits and consumer confidence reports
B: Survey community members
C: Perform a windshield survey
D: Conduct health risk assessments of randomly selected individuals

A

C

31
Q

A mother of a 3-year-old diagnosed with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated with:
A: Chelating agents
B: Antiemetics
C: Gastric lavage
D: Activated charcoal

A

A

32
Q

A client who will be traveling to a malaria-infested country is receiving instruction on the prophylactic use of chloroquine (Aralen hydrochloride). What instruction is accurate for this client?
A: Start the medication before going on the trip
B: Take the medication for 4 weeks
C: Do not take the medication if you do not have the disease
D: After leaving the affected area, take the medication for a year

A

A

33
Q

The client who went mountain climbing was bitten by a rattlesnake. While waiting for the emergency rescue team, what is the most appropriate immediate action for the client?
A: Cover the area with clean clothing
B: Elevate the area above the level of the heart
C: Suck the venom from the area bitten by the rattlesnake
D: Apply tourniquet above the bitten area

A

A