Which functions are responsibilities of the states? (Select one that does not appy.)

Correct Answer: C

Rationale: State governments focus particularly on financing and delivery of services and oversight of insurance. The state is responsible for addressing the mission of public health-assessment, policy development, and assurance - throughout the state. Tasks include assessment of health needs based on statewide data collection; establishment of statewide health objectives; and delegating power to localities as appropriate and holding them accountable. States license health professionals as part of the statewide effort to develop and maintain essential personnel. Creating managed health organizations and establishing and managing local health departments are not a main responsibility of the state.

Correct Answer: D

Rationale: Alternative or complementary therapies are expanding because of consumer demand although reimbursement for these services is lagging. The National Center for Complementary and Alternative Medicine is currently researching their effects on health and disease. Training and licensure requirements vary widely. Many nurses have incorporated alternative therapies into their practice and seek more continuing education on such care.

Correct Answer: B

Rationale: The local health department is responsible for monitoring the health status and meeting the health needs of their constituents. This includes identifying unmet needs and taking actions to meet these needs. Most services to groups and individuals are provided at the local level. These services fall into the following four major categories: Community health services include control of communicable disease such as surveillance and immunizations, maternal-child health programs, nutrition services, and education; environmental health services include food hygiene such as inspection of food-producing and food-processing plants and restaurants; protection from hazardous substances; control of waste, air, noise, and water pollution; and occupational health; personal health services provide care to individuals and families in clinics, schools, and correctional institutions; mental health services are provided through community-based mental health care.

Correct Answer: B

Rationale: Health care facilities often have a 'patients' bill of rights.' Typically, a patients' bill of rights is a list of guarantees or promises for those receiving care at that facility or by providers. Generally included are guarantees of confidentiality, promises of access to information, fair treatment, informed consent, and autonomy over decisions, among other rights. Other patients' rights issues that are vitally important that continue to be discussed and debated are information disclosure, physician and provider choice, direct access to specialists, reimbursement for emergency care, and reimbursement denial.

Correct Answer: D

Rationale: Accreditation is one means to assess the quality of services and care of the organization. Specific minimum standards must be met by an organization to obtain accreditation. Indeed, accreditation serves the purpose of instilling public confidence in a program, institution, or organization (IOM, 2016). Accrediting organizations require outcomes data, which they use to assess overall performance, but these data are collected by the agency, not the accrediting organization.