A local senator has proposed changes to the health care delivery ...

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A local senator has proposed changes to the health care delivery system in the United States. Based on current trends, which of the following is most likely to occur?
 
  a. There will be new opportunities provided for public health specialists.
  b. It will result in isolated care being pro-vided to individuals.
  c. There will be an increased emphasis in specialty care.
  d. It will increase the utilization of acute care services.

Question 2

Which of the following are considered barriers to public health nursing? (Select all that apply.)
 
  a. The mindset that the only role for the nurse is at the bedside
  b. The structures within which nurses work and the process of role socialization within those structures
  c. Few nurses receive graduate-level prepara-tion in the concepts and strategies of the disciplines basic to public health
  d. The steady decline in the number of job opportunities in the area
  e. The inability to equally distribute the in-creasing funds

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Answer to Question 1

ANS: A
Proposed changes in the health care delivery system will provide new opportunities for public health specialists and result in the creation of new roles within the system. The proposed changes will build an integrated system (not isolated), decrease emphasis on acute care services, and focus on health promotion and disease prevention.

Answer to Question 2

ANS: A, B, C
Barriers exist in thinking that nurses only work in a hospital at the bedside, the process of role socialization in public health which can be a very autonomous profession, and that few nurses have had advanced education in public health. The number of job opportunities continues to in-crease, but the amount of funding allotted to public health continues to decline.

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