Chapter 2 Practice Questions - The Health Care Delivery System Flashcards
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
A nurse is teaching the staff about integrated health care systems. Which model of care should the nurse include in the teaching about seam-less care delivery?
a. Affordable Care Act
b. Hospital Value–Based Purchasing
c. Bundled Payments for Care Improvements
d. The patient-centered medical home model
d. The patient-centered medical home model
A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
a. A family can choose whether to have health insurance with no consequences.
b. Primary care physician payments from Medicaid services can equal Medicare.
c. Adult children up to age 26 are allowed coverage on the parent’s plan.
d. Quality hospital outcome scores are tied directly to patient satisfaction.
c. Adult children up to age 26 are allowed coverage on the parent’s plan.
A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?
a. When the patient is ready.
b. Close to the time of discharge.
c. Upon admission to the hospital.
d. After an order is written/prescribed.
c. Upon admission to the hospital.
The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
a. Secondary acute
b. Continuing
c. Restorative
d. Tertiary
d. Tertiary
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
a. Primary care
b. Preventive care
c. Restorative care
d. Continuing care
b. Preventive care
In order to receive payment for care provided, nursing centers must comply with requirements outlined in what federal legislation?
a. Omnibus Budget Reconciliation Act
b. Medicare Act
c. Medicaid Act
d. Affordable Care Act
a. Omnibus Budget Reconciliation Act
The nurse is trying to determine risk factors unique to home care patients. What resource should the nurse access?
a. Pew Health Professions Commission
b. The Outcome and Assessment Information Set (OASIS)
c. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
d. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
b. The Outcome and Assessment Information Set (OASIS)
An older-adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing
d. Skilled nursing
A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?
a. Continuing care
b. Restorative care
c. Preventive care
d. Tertiary care
d. Tertiary care
A nurse is teaching about the primary focus of community wellness. Which information should the nurse include in the teaching session?
a. Coordination of health care services
b. Effective cost containment for services
c. Appropriate service delivery to service population
d. Identification of services needed to address individual needs
a. Coordination of health care services
A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees
a. Performance scores
Which finding indicates the best quality improvement process?
a. Staff identifies the wait time in the emergency department is too long.
b. Administration identifies the design of the facility’s lobby increases patient stress.
c. Director of the hospital identifies the payment schedule does not pay enough for overtime.
d. Health care providers identify the inconsistencies of some of the facility’s policy and procedures.
a. Staff identifies the wait time in the emergency department is too long.
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
a. Screening
b. Education
c. Dependence
d. Counseling
b. Education
A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response?
a. “Technology use has to be combined with nursing judgment.”
b. “The focus of effective nursing care is technology.”
c. “If it’s so easy, why don’t you do it?”
d. “That is true in the twentieth century.”
a. “Technology use has to be combined with nursing judgment.”
