ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Which level of government primarily establishes regulations and provides funding for health care?
Correct Answer: A
Rationale: The federal government has been assuming a larger role in the protection of the population through regulation and funding. Local health departments establish local health codes, fund public hospitals, and provide services to populations at risk who often lack health insurance. State health departments are highly dependent on the federal level of resources and guidance. Regional health districts are not used as a level of government in the United States.
Question 2 of 5
Which federal agency is responsible for the Women, Infants, and Children (WIC) program, food stamps, and school-based nutrition programs?
Correct Answer: B
Rationale: The Department of Agriculture administers the inspection of meat and milk and provides funds for the WIC program (supplemental nutrition), the food stamp program, and the school-based nutrition program. The Aid to Dependent Children is a program, not a department, that provided financial assistance to families with limited financial resources. The Department of Education administers and coordinates resources related to education. The Department of Health and Human Services is responsible for protecting the health of all Americans.
Question 3 of 5
Which best describes the approach to health care used by states?
Correct Answer: D
Rationale: Many state and local government programs were developed on the basis of availability of federal funds. Funds are accompanied by regulations, which apply to all recipients. These have served to standardize health policy. Federal funding is limited, thus there is limited opportunity for experimentation. Legislators must be involved in ongoing education in order to keep up to date on what is happening with programs that have been implemented. Insurance regulations are monitored by individual states, so reimbursement concerns are unable to cross state lines.
Question 4 of 5
Which has led to the more recent focus on cooperation between the state and the federal level in relation to public health?
Correct Answer: D
Rationale: Cooperation between the state and federal levels has been brought to the forefront with efforts to plan for bioterrorism, an event that would necessitate cooperation and sharing. In addition, the state is highly dependent on the federal level for resources and guidance. The administrative goals of the president, emphasis of Healthy People 2020, and restriction of available financial resources have not been the main factor that has led to an increase in cooperation related to public health.
Question 5 of 5
Which health care provider organization is seeing an increase in the demand for their services?
Correct Answer: D
Rationale: Hospital stays have shortened and patients who are admitted are more acutely ill and require more intensive care. Consequently, decreased hospital stays result in more home care admissions and more discharges to long-term care facilities for short-term recovery and rehabilitation. Hospice services and physician practices have not been as impacted as greatly by this shift in where care is provided.