Which of the following describes why the National Health Planning ...

[faduma]

Which of the following describes why the National Health Planning and Resources Development Act of 1974 was unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs?
 
  a. A new president forced the legislation's repeal.
  b. No federal financing was included to implement the law.
  c. The federal government made no effort to enforce the law.
  d. The law did not affect the current health care delivery system.

Question 2

A community health nurse found a very small number of families in the community who were desperately in need of basic preventive health services.
 
  Which of the following ethical approaches supports expending agency resources on these few, but needy, families?
  a.
  Beneficence suggests focusing on the most needy, so resources should be expended on these families.
  b.
  Deontological ethics suggest that the nurse must give priority to the intervention that would have the broadest impact.
  c.
  Utilitarianism (the most good for the largest number) would suggest continuing to focus on broader community needs.
  d.
  Virtue ethics would suggest focusing on these families to support the nurse's own character development.

[popopong]

Answer to Question 1

ANS: D
The 1974 Act was unsuccessful because it grandfathered in the entire health care system. In other words, nothing had to change.

Answer to Question 2

ANS: A
Each response is an accurate portrayal of a branch of ethics. Beneficence and social justice would give moral advantage to the most vulnerable. By caring for these families, the demands of utilitarianism (the most good for the largest number) would also be met as caring for the weakest supports the whole community.

[faduma]

Thank you

[popopong]

Happy to help you