CH: The Health Care Delivery System

Question 0

Hospitals receive a set dollar amount based on an assigned group

Answer 0

Diagnosis-related groups (DRGs)

Question 1

Eliminated cost-based reimbursement

Answer 1

Prospective payment system (PPS)

Question 2

Providers receive a fixed amount per patient

Answer 2

Capitation

Question 3

Used in long-term care

Answer 3

Resource utilization groups (RUGs)

Question 4

Administrative control over primary health care services for a defined patient population

Answer 4

Managed care

Question 5

Explain what integrated delivery networks (IDNs) are.

Answer 5

IDNs include a set providers and services organized to deliver a continuum of care to a population of patients at a capitated cost in a particular setting

Question 6

Explain the difference between health promotion and preventative care.

Answer 6

• health promotion programs lower the overall costs of health care, reducing the incidence of disease, minimizing complications, and reducing the need to use more expensive health care resources
• preventative care is more disease oriented and focused on reducing and controlling risks factors for disease through activities

Question 7

More services are available on nursing units, thus minimizing the need to transfer patients across multiple areas because of?

Answer 7

Work redesign

Question 8

A centralized, coordinated, multidisciplinary process that ensures that the patient has a plan for continuing care after leaving the health care agency

Answer 8

Discharge planning

Question 9

Identify the instructions needed before patients leave health care facilities.

Answer 9

• safe and effective use of medications
• instruction and counseling on food-drug interactions, nutrition, and modified diets
• rehabilitation techniques
• access to appropriate community resources
• when and how to obtain further treatment
• the responsibilities of the patient and the families with ongoing health care needs

Question 10

The goal of restorative care is?

Answer 10

To help individuals regain maximal functional status and to enhance quality of life through promotion of independence and self-care

Question 11

Give some examples of home care services.

Answer 11

• monitoring of vital signs
• administration of parenteral or enteral nutrition and medications
• IV or blood therapy
• wound care
• respiratory care

Question 12

Restores a person to the fullest physical, mental, social,vocational, and economic potential possible

Answer 12

Rehabilitation

Question 13

At skilled nursing facilities, patients receive

Answer 13

Extensive supportive care until they are able to move back into the community or into a residential care facility

Question 14

The philosophy of care of a nursing center is?

Answer 14

To provide a planned, systematic, and interdisciplinary approach to nursing cars to help residents reach and maintain their highest level of function

Question 15

Long-term care setting with greater resident autonomy

Answer 15

Assisted living

Question 16

Provides short-term relief to the family members who care for the patient

Answer 16

Respite care

Question 17

Allows patients to retain more independence by living at home

Answer 17

Adult day care center

Question 18

Focus of care is palliative, mot curative, treatment

Answer 18

Hospice

Question 19

What is the basic focus of community-based nursing?

Answer 19

Meeting the health needs of the population

Question 20

True or False.

A community-based nursing center is an example of a traditional community-based nursing care setting

Answer 20

False. It is a newer form of community-based nursing care

Question 21

True or False.

Goal setting is a key element of discharge planning for the client.

Answer 21

True

Question 22

What is evidence-based practice?

Answer 22

A problem-solving approach to clinical practice that involves the conscientious use of best evidence along with clinical expertise and patient preferences and values in making decisions about patient care

Question 23

What is the goal for pay for performance programs?

Answer 23

To reward excellence through financial incentives to motivate change to achieve measurable improvements

Question 24

Uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making

Answer 24

Nursing informatics

Question 25

Focuses on improved health outcomes for an entire population

Answer 25

Primary health care

Question 26

• prenatal and well-baby care
• nutrition counseling
• family planning
• exercise classes

Answer 26

Primary care

Question 27

• emergency care

- acut medical-surgical care

Answer 27

Secondary Acute care

Question 28

Explain nurse sensitive outcomes.

Answer 28

Patient outcomes and select nursing workforce characteristics that are directly related to nursing.

Question 29

Health promotions programs are designed to help patients?

Answer 29

Reduce incidence of disease, minimize complications, and reduce the need to use more expensive health care resources

Question 30

Rehabilitation services begin?

Answer 30

Initially focuses on the prevention of complications relayed to illness or injury. After the condition stabilizes, rehabilitation helps to maximize the patients level of independence