chapter 3 Health Policy and the Delivery System Flashcards
According to the Institute of Medicine, now known as the Health and Medicine Division, nurses can play a key in helping realize the objectives set forth in the 2010 Affordable care Act. What are the key roles?
a. Nurses should practice to the full extent of their education and training.
b. Nurses must maintain their current level of education and training.
c. Nurses should independently redesign care within their institutions.
d. Effective workforce planning and policy making require better data collection and an improved information infrastructure.
e. Improved education systems should promote seamless academic progression.
a. Nurses should practice to the full extent of their education and training.
d. Effective workforce planning and policy making require better data collection and an improved information infrastructure.
e. Improved education systems should promote seamless academic progression
Nursing Centers are nurse-managed health centers, often situated in medically underserved rural and urban areas, which primarily serve vulnerable populations in the provision of primary care to individuals and families. What are the key components of a nursing center?
a. A nurse as chief executive officer
b. A nurse as chief manager
c. A nursing staff that is accountable and responsible for care and professional practice
d. Nurses as the primary providers of care
e. Nurses in a supporting role
b. A nurse as chief manager
c. A nursing staff that is accountable and responsible for care and professional practice
d. Nurses as the primary providers of care
What is the role of the gatekeeper in a managed care health plan
a. Control the delivery and financing of illness care
b. Approval of curative aspects of acute diseases
c. Coordinate and oversee an individual’s care
d. Short-term cost containment
c. Coordinate and oversee an individual’s care
Which of the following indicators is one of the most important determinants of the most important determinants of the health of a nation?
a. Infant mortality rates
b. Life expectancy
c. Mortality rates
d. Morbidity rates
a. Infant mortality rates
The Patient Self-Determination Act requires health care facilities to have which of the following?
a. Policies and procedures for advanced directives
b. Documentation of individual decisions about life-sustaining treatment
c. Documentation of health care coverage
d. Available education about advanced directives
e. Written prohibition of employment discrimination
f. Guidelines for provision of services to persons with disabilities
a. Policies and procedures for advanced directives
b. Documentation of individual decisions about life-sustaining treatment
d. Available education about advanced directives
The Health and Medicine Division (HDM), previously known as Institute if Medicine (IOM), has addressed the issues of prevention of medical errors. Such errors account for approximately 98,000 deaths in hospitals annually. Which of the following statements represents their findings?
a. The health care system, not bad practitioners, is the cause of errors
b. Nursing education fails to teach strategies to avoid errors
c. Most errors are due to improperly labeled medications
d. Twenty percent of errors are covered up by administrators
a. The health care system, not bad practitioners, is the cause of errors
The primary federal agency charged with providing health services to the public is the:
a. CDC
b. United States Department of Health and Human Services (USDHHS)
c. Local Department of Public Health
d. World Health Organization (WHO)
b. United States Department of Health and Human Services (USDHHS)
According to the Institute of Medicine (IOM), now known as the Health and Medicine Division (HMD) 2003 report Keeping Patients Safe: Transforming the Work Environment of Nurses, what are the four main problem areas in nurses’ work environments?
a. Organizational management
b. Time management
c. Workforce management
d. Work design
e. Organizational culture
a. Organizational management c. Workforce management d. Work design e. Organizational culture
- In the private sector, which organization provides health care insurance that includes independent prepayment plans?
a. Self-insurance
b. Health Maintenance Organizations (HMO)
c. Preferred Provider Organizations (PPOs)
d. Point-of-service (POS) plans
b. Health Maintenance Organizations (HMO)
Which of the following statements are true regarding advanced practice nurses (APNs)
a. APNs typically practice in the roles of nurse practitioners, clinical nurse specialists, nurse midwives, or nurse anesthetists.
b. APNs contribute to the high cost of health care because of their salary range
c. APNs are only utilized in a management or research role
d. APNs serve economically disadvantaged and vulnerable populations
e. APNs have specialized clinical knowledge and skills at the master’s or doctoral level
a. APNs typically practice in the roles of nurse practitioners, clinical nurse specialists, nurse midwives, or nurse anesthetists.
d. APNs serve economically disadvantaged and vulnerable populations
e. APNs have specialized clinical knowledge and skills at the master’s or doctoral level
