Chapter 03 - The U.S. Health and Public Health Care Systems

The federal agency most responsible for improving the health status of the American people is the:

U.S. Department of Health and Human Services. Rationale: The U.S. Department of Health and Human Services (USDHHS) is the federal agency most heavily involved with the health and welfare concerns of U.S. citizens. The department includes the Office of the

A nurse works in a free clinic for uninsured low-wage employees in the community. The free clinic setting operates in a primary health care (PHC) strategy. The nurse would most likely focus on:

Self-care/management. Rationale: Primary health care (PHC) is generally defined more broadly than is primary care. It includes a comprehensive range of services including public health; prevention; and diagnostic, therapeutic, and rehabilitative services.

Parents can expect their children to be immunized for communicable diseases before entering kindergarten in the local school system because:

the public health system has mandates for immunization. Rationale: Although the goal of the public health system is to ensure that the health of the community is protected, promoted, and ensured, overlap exists between this system and the primary care sys

A nurse who questions whether a particular activity in her job description is within her scope of practice would look to which government jurisdiction or agency to seek the clarification?

State system. Rationale: Every state has a board of examiners of nurses. The board may be in the department of licensing board of the health department or in an administrative agency of the governor's office. Created by legislation known as a state practi

A nurse in community health that administers a local WIC program for women, infants, and children is participating in a federal-state collaborative program that receives oversight from the:

Department of Agriculture (DOA). Rationale: The Department of Agriculture is involved in health care primarily through administering the Food and Nutrition Service, which oversees a variety of food assistance activities in collaboration with state and loc

Implementing a community-level program, such as walking for exercise, to assist citizens in improving health behaviors is an example of which level of prevention?

Primary prevention. Rationale: Implementation of a community level program like walking for exercise to assist citizens in improving health behaviors related to lifestyle is an example of primary prevention at the public health level. Implementation of a

What are some examples of programs which may be provided at the local health department level? (Select all that apply.)

- Immunization clinics.
- Health education.
- Family planning services.
Rationale: Some examples of programs that may be offered by local health departments include immunization clinics, health education, and family planning. The range of services varies

What are some of the effects of technology in the area of home health care? (Select all that apply.)

- High technology equipment increases expense.
- Technology quickly becomes outdated when newer developments occur.
- There is inconsistent quality of resources available on the Internet.
Rationale: Cost is the most significant negative aspect of advanced

What are some of the benefits of an electronic medical record in the public health setting? (Select all that apply.)

- Coordination of referrals and facilitation of chronic disease management.
- Improvement of quality measurement and monitoring.
- Incorporation of protocol reminders for prevention, screening, and management of chronic disease.
Rationale: The electronic

Primary care refers to personal health care for the most common needs of members of a community. Which of the following statements also differentiates primary care from primary health care? (Select all that apply.)

- Primary care is provided within the context of family and community.
- Primary care provides first-contact, continuous, comprehensive, and coordinated care.
Rationale: Primary care refers to personal health care that provides first-contact and continuou