Deck 6: Legal Implications of Nursing; and Healthcare Delivery Systems

Question 1

Which of the following statements accurately describe an aspect of managed care? Select all that apply.

A) Managed care systems control the cost of care with a lower quality of care.
B) The care of the patient is carefully planned and monitored by the primary care provider.
C) The nurse is considered the "gatekeeper" in the managed care system.
D) The managed care system expands the choice of care providers.
E) The managed care system may required approval for specialty care.
F) Planning and monitoring are conducted to ensure standards are followed.

Answer 1

B, E, F

Question 2

Which of the following is a characteristic of primary healthcare? Select all that apply.

A) It is essential healthcare based on sound methods and technology.
B) It is made universally accessible to individuals and families in the community.
C) It does not require the full participation of the individual and family.
D) It brings healthcare as close as possible to where people live and work.
E) It is the same concept as primary healthcare in that it refers to the delivery of healthcare.
F) The concept was developed based on an increase in illness and death in third-world countries.

Answer 2

A, B, D

Question 3

Which of the following phrases is characteristic of case management as a method of healthcare delivery?

A) brings healthcare to where people live and work
B) essentially the same method as primary care
C) planned and monitored by patients themselves
D) maximize positive outcomes and contain costs

Answer 3

D

Question 4

What is one responsibility of nurses who work in physicians' offices?

A) prescribing medications
B) conducting health assessments
C) performing minor surgery
D) making independent home visits

Question 5

An elderly woman has total care of her husband with Alzheimer's disease. What type of care might the nurse suggest to give her some much-needed time of her own?

A) primary care
B) respite care
C) bereavement care
D) palliative care

Question 6

In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Select all that apply.

A) The U.S. healthcare system has been experiencing a financial crisis.
B) The cost of healthcare in the United States has decreased dramatically.
C) Short- and long-term results of cost-containment measures are undetermined.
D) Historically, payment for healthcare services encouraged the use of expensive services.
E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance.
F) Competition among hospitals has further fueled the increase in health costs.

Question 7

A patient who requires treatment for breast cancer is referred to an oncologist. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. What is the confusion that might arise concerning her treatment and care is a problem known as?

A) cost containment
B) fragmentation of care
C) healthcare rationing
D) knowledgeable consumers

Question 8

Which of the following is a trend to watch in healthcare delivery?

A) decreasing diversity
B) lower costs of healthcare
C) uneducated consumers
D) current nursing shortage

Question 9

In comparison with licensure, which measures entry-level competence, what does certification validate?

A) innocence of any disciplinary violation
B) specialty knowledge and clinical judgment
C) more than 10 years of nursing practice
D) ability to practice in more than one area

Question 10

A nurse is accused of malpractice by a patient. Place all of the steps in the malpractice litigation listed below in the order in which they normally occur. Use all options.

A) All parties named as defendants work toward a fair settlement.
B) Trial takes place and a decision or verdict is reached.
C) Pretrial discovery activities occur including review of medical record.
D) The defendant contests allegations believing there is no basis for them.
E) The case is presented to a malpractice arbitration pane and is accepted or rejected.
F) If the verdict is not accepted by both sides, it may be appealed to an appellate court.

Question 11

A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the surgery?

A) a relative
B) the physician
C) a nurse
D) the patient