Deck 2: Health-Care Delivery, Settings, and Economics

Question 1

The nurse reviews the purpose and functions of a skilled nursing facility (SNF)with a new nurse colleague.Which statement by the new nurse indicates that additional teaching about an SNF is required?

A)"Medicare will most likely pay for my client's care at the SNF."
B)"I hope that my client gets to return home after going to the SNF."
C)"My client will never get to go home again if he's transferred to an SNF."
D)"My client will receive skilled nursing care, such as physical therapy as needed."

Answer 1

"My client will never get to go home again if he's transferred to an SNF."

Question 2

A client has a federal government's health insurance program for people older than 65 years.Which type of health insurance should the nurse expect to see documented in the client's medical record?

A)Medicaid
B)Medicare
C)Social security
D)Private insurance

Answer 2

Medicare

Question 3

The nurse asks the case manager to explain the benefits a client on Medicaid has while hospitalized.What should the case manager explain about Medicaid?

A)It offers the same benefits in every state.
B)It is funded by the city health department.
C)It is a county government-matching funding program.
D)It offers assistance for poor and medically indigent individuals.

Answer 3

It offers assistance for poor and medically indigent individuals.

Question 4

The instructor reviews the delivery approach of client-centered care before taking the students to the clinical area.For which student statement should the instructor review the information again?

A)"It fosters a feeling of dependence."
B)"This type of care is often seen in a rehabilitation setting."
C)"It empowers the client to manage his or her care."
D)"This type of care empowers the client to have a voice in establishing goals."

Question 5

A client who comes into the community clinic is experiencing adverse effects from using heroin for several years.To which facility should the nurse expect this client will be transferred?

A)Acute care
B)Rehabilitation
C)Residential care
D)Outpatient mental health

Question 6

A client on Medicare asks which part of the program will cover hospitalization for surgery.Which program should the nurse review with the client?

A)Part A
B)Part B
C)Part C
D)Part D

Question 7

The nurse begins caring for clients who arrive at the health maintenance organization (HMO)office for an appointment.In which way will the care providers be reimbursed for the care provided?

A)Capitation
B)Medicaid
C)Medicare
D)Single payer

Question 8

The nurse manager is reviewing risk management data collected for the care area after the staff attended an educational program on health-care collaboration.Which outcome indicates that this program has been successful?

A)Number of client falls reduced by 85%
B)Two clients readmitted for wound infections
C)Same number of medication errors as the last month
D)Five clients delayed discharge because of catheter-related infections

Question 9

The health-care organization uses a system of health-care delivery aimed at managing the cost and quality of access to health care.Which type of delivery system should the nurse review prior to arriving for an interview for a position?

A)Medicaid
B)Medicare
C)Managed care
D)Private insurance

Question 10

The department of nursing within a large hospital implements Team STEPPS on all of the care areas.Which is an expected outcome from this program?

A)Reports of incivility
B)Enhanced teamwork
C)Increased absenteeism
D)Inappropriate delegation

Question 11

The instructor is reviewing the scope of practice for the licensed practical/vocational nurse (LPN/LVN)with a group of students.For which student statement should the instructor provide more information about the role?

A)"The LPN/LVN can practice independently."
B)"The LPN/LVN can practice under the supervision of a dentist."
C)"The LPN/LVN can practice under the supervision of a physician."
D)"The LPN/LVN can practice under the supervision of a registered nurse."

Question 12

An infant is brought into a medical center and diagnosed with measles, a communicable disease.Which action should the nurse take?

A)Refer to a rehabilitation facility
B)Notify the local police department
C)Prepare the client for hospice care
D)Notify the health department

Question 13

A case manager is giving an in-service about public health insurance to a group of nursing students.For which student comment should the case management provide more information?

A)"Aetna is an example of public health insurance."
B)"Medicaid is an example of public health insurance."
C)"Medicare is an example of public health insurance."
D)"Indian Health Service is an example of public health insurance."

Question 14

The nurse is preparing to transfer a client to a skilled nursing facility (SNF).For which reason will this client's Medicare policy pay for the care at the SNF?

A)The client stays longer than 100 days per year.
B)The client enters the SNF within 60 days of a hospitalization.
C)The client has been hospitalized for at least 1 day before admission.
D)The client makes regular progress as documented by medical professionals.

Question 15

The nurse is caring for a client with increasing difficulty breathing.With which health-care worker should the nurse collaborate to address this client's health problem?

A)Physical therapist
B)Respiratory therapist
C)Occupational therapist
D)Speech and language therapist

Question 16

The nurse is working in a critical care unit where the focus is on primary care nursing.Which action will the nurse take to demonstrate understanding of this care delivery approach?

A)Ask an unlicensed assistant to give a bed bath.
B)Ask another nurse to call the physician for orders.
C)Provide all aspects of nursing care for assigned patients.
D)Instruct the nursing assistant to take the client's vital signs.

Question 17

The spouse of a client with a terminal illness asks about hospice.Which information should the nurse include when responding to the spouse?

A)"It is a service that provides care to the terminally ill client only."
B)"This type of care is warranted when the client still seeks a cure for the terminal illness."
C)"It is a program that focuses on palliative treatment and emotional support."
D)"It is appropriate when the client is expected to live for fewer than 9 months."

Question 18

A client is concerned that the health insurance plan will not cover a diagnostic test.Which information should the nurse explain about medical necessity?

A)"The insurer will cover the test if they like the physician."
B)"Most tests are covered even if they have no connection to the health problem."
C)"If the test is found reasonable and necessary for your illness, it will be covered."
D)"There is no guarantee that any test will be covered.It depends upon the reviewer."

Question 19

The charge nurse observes a staff nurse prepare to transfer a client to a rehabilitation facility.For which statement will the charge nurse intervene when hearing the staff member explain about this type of care setting?

A)"You will receive intense therapy services while you're here."
B)"You must participate in at least 6 hours of therapy each day."
C)"You will be seen by a physician who specializes in rehabilitation."
D)"If you get sick while you're here, we can transfer you to the hospital."

Question 20

The nurse, who is working in a setting that has implemented interprofessional collaboration, asks the occupational therapist to adjust a client's device to promote self-care.Which response indicates that the care providers are practicing this approach to client care?

A)"Sure, how can I help?"
B)"I'll get to it after lunch."
C)"I'm busy now and I can't help you."
D)"Not now.I'll do it tomorrow."

Question 21

A client no longer needs care in an acute care facility.What should be considered to ensure this client continues to receive the most appropriate level of care? Select all that apply.

A)Cost
B)Safety
C)Location
D)Activities
E)Effectiveness

Question 22

The nurse manager is reviewing the unit budget to determine the number of new positions needed for the next fiscal year.Which will the manager use to help guide decisions about client care? Select all that apply.

A)Appropriate level of care
B)Type of health insurance
C)Medical necessity
D)Location of the facility
E)Education of the staff