Exam A-2

Question 1

the best way to increase ‘consumer awareness’ in the healthcare industry

Answer 1

community member participation in established committees

Question 2

organization that approves/accredits healthcare institutions, such as hospitals, that meet specific quality criteria

Answer 2

JCAHO (the joint commission)

Question 3

CHAP - Community Health Accreditation Program

Answer 3

accredits home care and community health providers

Question 4

the federal agency responsible for human development services, public health services, social security and medicaid/medicare services

Answer 4

DHHS - Dept of Health and Human Services

Question 5

the process of answering for or being responsible for what occurs and carries legal implications for task performance

Answer 5

professional accountability

Question 6

a great way for nurses to increase well-being and actualize health potential of consumers is by…

Answer 6

involving pts in health promotion and illness prevention activities

Question 7

the best way for nurses to influence politicians and committees dealing with nursing issues is to…

Answer 7

write letters to elected officials

Question 8

organization that evaluates the policies, procedures and outcomes of care provided by hospitals for accreditation purposes

Answer 8

JCAHO (the joint commission)

Question 9

which is more costly, disease management and acute care or preventative care?

Answer 9

disease management and acute care are more costly than preventative care. This is why HMOs promote preventative care

Question 10

Health Maintenance Organizations (HMOs) reduce costs by focusing on

Answer 10

preventative care

Question 11

HMOs were the first type of care plans to focus on what type of care?

Answer 11

HMOs were the first to focus on preventative care. Traditional insurance companies only paid for care when pts became ill.

Question 12

third party payers

Answer 12

insurance companies and government programs that pay for health services provided to individuals.

Question 13

the term “managed care” includes…

Answer 13

HMOs and some insurance companies

Question 14

any system for financing and organizing the delivery of healthcare in which costs are contained by controlling the provision of services.

Answer 14

managed care

Question 15

in a managed care plan who decides if a referral or diagnostic services are necessary?

Answer 15

the PCP who acts as the “gatekeeper” to all other services to help control cost

Question 16

groups that lobby in support of or in opposition to bills

Answer 16

special interest groups

Question 17

a ___ is necessary to bring a bill to the house or the senate

Answer 17

sponsor

Question 18

before a bill is sent to the president for approval or veto, it must be approved by

Answer 18

both the house and the senate

Question 19

if the president vetoes a bill after it has been approved by both the house and the senate, how can congress override his veto?

Answer 19

the veto will be overridden if both the house and senate approve the bill again but this time with a 2/3 majority.

Question 20

the type of nurse that provides care to employees at the workplace or customers and others with an injury or illness. He also provides health education in the workplace and assesses the work environment to identify actual or potential health hazards

Answer 20

occupational health nurse

industrial nurse

Question 21

responsible for ensuring that the nursing division’s objectives and functions must be consistent with the mission and goals of the healthcare organization.

Answer 21

nurse manager

Question 22

a community-based agency that provides care at the end of life

Answer 22

hospice

Question 23

the part of the economy concerned with providing government services (military, police, public education, elected officials and healthcare)

Answer 23

public sector

Question 24

an official public sector agency responsible for creating, monitoring and administering a safe environment of health care delivery for the residents of the county

Answer 24

county health dept

Question 25

Lillian Wald founded the ___ ___ ___ in 1983.

Answer 25

visiting nurse association

Question 26

visiting nurse association

Answer 26

a national private sector organization that supports and advocates for non-profit home health, hospice and palliative care services

Question 27

the part of the economy that is not state controlled and is run by individuals and companies for profit

Answer 27

private sector

Question 28

organization where third party payers negotiate with providers to provide certain types of care at a lower, agreed-upon price in exchange for the increased business this provides for the providers

Answer 28

PPO (preferred provider organization)

Question 29

preferred providers

Answer 29

providers that have negotiated deals with PPOs. The PPOs then offer their clients incentives to use the preferred providers.

Question 30

type of health coverage that provides no incentive or rewards for careful use of resources. the more services are given, the more fees are generated.

Answer 30

fee-for-service

Question 31

the best way for nurses to take national initiative to improve pt advocacy

Answer 31

joining a professional nursing organization

this allows nurses to influence the profession at the national level

Question 32

the type of area with the largest problem in healthcare distribution

Answer 32

rural areas