Test bank for growth and development across the lifespan 2nd
edition by leifer fleck chapter 1- 16
,TEST BANK FOR GROWTH AND DEV'T ACROSS THE LIFESPAN
Chapter 2: Government Influences on Health Care
Test Bank
MULTIPLE CHOICE
1. Changes in health-care delivery systems have been influenced primarily by:
a. institution of various systems to provide cost-effective health care.
b. governmental regulation of the cost of all health-care services.
c. the need to meet the health-care needs of an aging population.
d. development of medical technology that has reduced the incidence of illness.
ANS: A
Increasing health-care costs have led to initiation of health-care delivery systems to contain
cost while providing care. Cost control addressing national health goals, entitlements, use of
available sources, and identification of changing health-care needs is the basic goal of these
systems.
DIF: Cognitive Level: Analysis REF: p. 23 OBJ: 3
TOP: Health-care reform KEY: Nursing Process Step: NA
MSC: NCLEX: NA
2. The purpose of the state/national government program of Medicaid is to provide:
a. immunizations for preschool children.
b. prescription drugs at a lower cost.
c. medical care on the basis of need or poverty.
d. community clinics for w o m e n and children.
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ANS: C
Medicaid is similar to a welfare program in which benefits are provided on the basis of need
or poverty.
DIF: Cognitive Level: Comprehension REF: p. 19, Box 2-3
OBJ: 3 TOP: Medicaid KEY: Nursing Process Step: NA
MSC: NCLEX: NA
3. A student is preparing a report on the history of the Women, Infants, and Children (WIC)
program would acquire the most useful information from:
a. Health, United States.
b. the Department of Health and Human Services.
c. the Federal Register.
d. the Centers for Disease Control and Prevention.
ANS: C
Federal legislation related to health care is recorded and published in the Federal Register.
DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: 1
TOP: Department of Health and Human Services KEY: Nursing Process Step: NA
MSC: NCLEX: NA
4. The Human Genome Project has the potential to reduce health-care costs by assisting
health-care providers to:
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, a. detect illnesses before they become chronic.
b. prevent chromosomal related illnesses.
c. identify the most effective drugs for specific diseases.
d. design low cost complementary and alternative medicine (CAM) remedies.
ANS: A
The Human Genome Project gives health-care providers the potential to detect illnesses
before they become chronic.
DIF: Cognitive Level: Application REF: p. 23 OBJ: 6
TOP: Human Genome Project KEY: Nursing Process Step: NA
MSC: NCLEX: NA
5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development of:
a. diagnosis-related groups (DRGs).
b. Medicaid access for the poor.
c. aid to families with dependent children.
d. maternal and child health services block grants.
ANS: A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.
DIF: Cognitive Level: Knowledge REF: p. 21, Table 2-1
OBJ: 2 TOP: Diagnosis-related groups KEY: Nursing Process Step: NA
MSC: NCLEX: NA
6. The scope of practice for nursing is stipulated by the:
a. American Nurses AssociatiN onU.RSINGTB.COM
b. Board of Nurse Examiners.
c. Nursing Licensure Pact.
d. Nurse practice act.
ANS: D
Nurse practice acts of each state establish the scope of practice for nursing in that state.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 4
TOP: Nurse Practice Acts KEY: Nursing Process Step: NA
MSC: NCLEX: NA
7. The roles of the nurse have changed as a result of the national health-care focus on:
a. illness prevention and health maintenance.
b. increased accountability to professional codes and international standards of care.
c. treatment of disease or disability.
d. planning for nationalized health care.
ANS: A
Prevention and early intervention appear to be critical to reducing health-care costs and are at
the heart of the objectives of Healthy People 2020.
DIF: Cognitive Level: Application REF: p. 24 OBJ: 6
TOP: Illness prevention KEY: Nursing Process Step: NA
MSC: NCLEX: NA
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