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Communities Exam 2
Communities Exam 2
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Answers
1
if they were 416 cases of varicella one year among the population of 32,000 what is the incidence rate per 1000 people?
42 incidences per 1000 people
26 incidences per 1000 people
14 incidences per 1000 people
13 incidences per 1000 people
2
What is the I in I-PREPARE
Investigate past work
Interpersonal relationships
Investigate potential exposure
Integration
3
What is the state government
Complication
Allows access to health care for all
Responsible for funding
Responsible for licensing
4
Sensitivity is the patients with a disease that test _____ and is a true ______ rules out a disease.
Positive, negative
Negative, negative
Positive, positive
5
Crude birth rate is the number of births in a year/total population size x K
False
True
6
Designed to provide more comprehensive care but lack enrollee freedom of choice preventive care covered and not special
POS
HDHP
HMO
PPO
7
The study of the amount and distribution of disease
Agents of disease
Host factors
Epidemiological triangle
descriptive epidemiology
8
The web of causation looks at all possible relationships in order to formulate cause for a disease/disorder
True
False
9
Skilled nursing will be billed under Medicare part
A
B
C
D
10
The R in I PREPARE is referrals and resources
False
True
11
Negotiated reimbursement and allows for cost of plan to be some what controlled is
HMO
IDC
POS
PPO
12
What is the p in I-PREPARE
Past work
Pest
Present work
Past medical history
13
How and why do community nurses use epidemiology ?
Infectious agents
The examine why a disease is occurring
Study of distribution
What measures will treat , prevent and promote health
14
Respecting and understanding the values and beliefs of certain cultural group so that one can function for caring for pt
Cultural perspective
Cultural competence
15
A bill starts with an
Hypothesis
Motive
Plan
Idea
16
A Process of where a local case manger notifies local health dept is
Community referral
Community duty
Acute care referral
17
Communal family is a group of men and women with or without children
True
False
18
The federal government influences health policy directly/ indirectly though financing, regulation activities & standards
False
True
19
Husband, wife alone, either childless or with no children is an example of
Single parent
Blended family
Medical home
Nuclear dyad
20
Case management is focused on
Quality of care
Cost effective outcomes
Patient safety
The community
21
Sick housing syndrome is a phenomenon in which public structures and homes cause occupants to experience symptoms like
Headache
Exacerbation of allergies
Death
Fatigue
22
Which Medicare is considered gap insurance and includes a Medicare advantage ?
A
C
D
B
23
Leinhgers theory of culture is concerned with describing, explaining and projecting nursing similarities & differences
On human care
And caring in human culture
24
Care management is focused on improving medical practice and is evidenced based and
Community based
Patient centered
Acute care settings
Clincal care focused
25
The local government creates a higher standard states are held to that standard
True
False
26
Who directs and coordinates international health efforts, disseminate global health standards and guidelines
CHN
United Nations
WHO
Carter center
27
The probability of an adverse event is a
Risk
Causality
28
accreditation is a way to assess the quality of services and care of an organization
False
True
29
The # of new cases of a disease reported during a specific period(1year) divided by the # of individuals in population
Incidence
Crude rate
Prevalence
30
The public health policy is maintaining public health and communication
True
False
31
An example of a federal sub system would be
Federal government building
White House
Twin towers
State health dept.
32
The biggest health threat in devolving countries is
Population growth
Population decline
33
Community areas with less access to healthy foods are known as
Food deserts
Food strain
34
Effective case managers should be knowledgeable about organization and community resources
False
True
35
Husband, wife and their children/child
Extended family
Nuclear home
Communal
Nuclear dyad
36
What is the E in I-PREPARE
Environmental concerns
Know
Educate
37
Methods used to control the cost of healthcare; capitated reimbursement, access limitation and rationing
Point of service
Cost containment
38
The CDC responds to health emergencies
False
True
39
What factors are in the epidemiological triangle?
Agent
Housing
Environment
Host
40
Prescriptions are covered under Medicare part
D
B
C
A
41
What is the role of nurses in political activities ?
Lobbyist
coalitions
Public office
Campaigning
42
Florence nightingale used Statistics in the Crimean war
False
True
43
Decisions are slow, deliberate and more reactive in
Health policy in a private sector
Public policy
Local level
Health policy in public sector
44
Analytic epidemiology investigates the causes of disease by determining why a disease rate is lower and uses
Cross sectional
Experimental studies
Collection
Observational studies
45
The built environment consist of connections among people communities and environmental conditions
True
False
46
Ongoing collection of community health information: long term monitoring disease frequency
Screening
Surveillance
47
Nursing shortage is a
Economic impact on positions
Not an issue
Crisis
We are all staffed and never have burnout
48
The study of distribution and determinants of health and disease in human populations
Community public health
Epidemiology
49
DRGs categorize patients by according to the similarity of the disease
True
False
50
Case management can be seen in
Public health clinic( antepartum clinic)
Occupational (screening for hypertension for employees)
High risk health clinic setting (diabetic clinic)
Home health/hospice
51
Survey for health conditions that can related to environmental expose and occupation exposure is
Secondary prevention
Tertiary prevention
Primary prevention
52
Pts are referred to follow up within 30 days of discharge to monitor recovery, improve outcomes and decrease readmissons
Case management
Care management
Transitional care management
Primary prevention
53
Public health structure in health care focuses on prevention of disease and illness with federal, local and state levels
True
False
54
Specificity is a proportion of the patients without a disease that test negative and it is a true negative. It Rules __
In a disease
Out a disease
55
Crude rate is the number of births in a
Country
Community
Population
County
56
Private structure of healthcare focuses on
Custodial care
Cure
Prevention of disease and illness
Rehabilitate / restorative care
57
The Most personal health care is provided under
Private health care sector
Public health sector
Government health sector
Community health care sector
58
Encouraged employees to select plans with lower premiums but more pronounced up front close sharing
A (HDHP)high deductible health plan
(PPO)preferred provider organization
Point of service (POS)
HMO-health maintenance organization