ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Who primarily provides care for military personnel, their families, and veterans, as well as Native Americans?
Correct Answer: A
Rationale: The federal government is responsible for the health care of specified populations including military personnel, their families, and veterans. The federal government also is responsible for health care for Native Americans. Local health departments and state health departments are not the primary provider of care for these populations. Regional health districts are not used to provide care for these populations.
Question 2 of 5
Which statement best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?
Correct Answer: B
Rationale: The National Committee for Quality Assurance accredits MCOs and uses HEDIS to measure performance and consumer satisfaction. Some outcome data are available to informed consumers on the Web, but the data are not widely available. To date, these efforts have not been successful to ensure quality care. Errors continue to be high and patients continue to be dissatisfied.
Question 3 of 5
Which statement about the Agency for Healthcare Research and Quality (AHRQ) is accurate?
Correct Answer: C
Rationale: The Agency for Healthcare Research and Quality (AHRQ) is the main federal organization that works to improve the safety and quality of the health care system. This was largely through funding research to make care safer and to improve quality by publishing materials to educate health care systems and professionals to put research into practice and through generation of measures and data to be used by providers and policymakers (AHRQ, 2017). AHRQ support efforts for clinicians and providers includes clinical guidelines and recommendations. AHRQ publishes research and reports specifically related to health care disparities, quality, and evidence-based practice but does not implement strategies.
Question 4 of 5
Which report states that nurses should practice to the full extent of their education and training?
Correct Answer: D
Rationale: The Future of Nursing report contains four key messages. One of the key messages is that nurses should practice to the full extent of their education and training. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care addresses potential causes of disparities in health care. Keeping Patients Safe: Transforming the Work Environment addresses critical quality and safety issues with a particular focus on nursing care and nurses, and examines these issues from the perspective of the work environment. Priority Areas for National Action identified 19 priority areas that should be addressed to improve quality.
Question 5 of 5
Which best describes a health disparity that exists in the United States?
Correct Answer: D
Rationale: Health disparities refer to observable or quantifiable differences in the presence of disease, health outcomes, or access to health care among different groups or populations. In the United States, health disparities have long been recognized as particularly problematic among ethnic minorities, including blacks, Native Americans, and Hispanics. Research indicates that often these groups have a higher prevalence of chronic conditions and higher rates of mortality and poorer health outcomes when compared with the white population.