Chapter 08- Economic Influences Stanhope- Foundations for Population Health in
Community-Public Health Nursing, 5th Edition Questions And Answers
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1. A nurse is discussing how health care rationing occurs in the United States. Which of
the following would most likely be discussed as the criterion that is used to ration health
care? a. Clinic operating hours
b. Ability to pay for services
c. Availability of local provider services
d. Transportation availability - ANS: B
Because there are not enough health care services available to provide desired
services to everyone, the focus has been on reducing costs by controlling the use of
services. All of the factors listed affect health care access and therefore affect health
care rationing (either directly or indirectly). The primary determinant, however, is the
ability to pay for services. Without this ability, services are denied; therefore, those
without insurance that is accepted by a provider or institution or who do not have the
money to pay out of pocket are unable to obtain services.
2. Which of the following must a nurse be knowledgeable about to make decisions
regarding the most cost-effective way to allocate health care resources?
a. Insurance resources
b. Health care rationing c. Health economics d. Medical technology - ANS: C
Economics is the science concerned with the use of resources; health economics is
concerned with how scarce resources affect the health care industry. Insurance
resources, health care rationing, and medical technology are important components of
health economics but by themselves do not provide the broad understanding called for
in this question.
3. Which of the following individuals would most likely experience a barrier when
accessing health care?
a. A 40-year-old female who speaks English
b. A 25-year-old female with health insurance
c. A 50-year-old male with hypertension
d. A 30-year-old male who is unemployed - ANS: D
Barriers to accessing care include the inability to afford health care, lack of
transportation, physical barriers, communication problems, childcare needs, lack of time
or information, or refusal of services by providers. The unemployed male is most likely
to experience a barrier because of not having a job, which may reduce his access to
health insurance and limit his income. Those who speak English and have health
insurance should both find it easier to access health insurance than someone who is
unemployed as communication problems and lack of insurance are barriers to receiving
care. Medical diagnoses, such as having hypertension, do not present a barrier to
accessing health care.
4. Which person is most likely to be uninsured? CONTINUES... [Show Less]