Deck 17: Nursing in an Evolving Health Care Delivery System

Question 1

How does the World Health Organization define health?

A)Physical fitness and positive self-concept
B)A state of complete physical,mental,and social well-being
C)Being well
D)The absence of disease

Answer 1

A state of complete physical,mental,and social well-being

Question 2

What has shaped many of the changes in health care affecting nurses?

A)The American Medical Association
B)The U.S.Congress
C)Nursing Agenda for Health Care Reform
D)Third-party payers

Answer 2

Third-party payers

Question 3

Hospitals in the United States have what forms of ownership? (Select all that apply. )

A)Sick fund hospitals
B)Public
C)Socialized
D)Private for-profit
E)Private nonprofit

Answer 3

Public
Private for-profit
Private nonprofit

Question 4

To what does resource management for nurses refer?

A)Licensure of RNs
B)Hiring of personnel
C)Evidence-based practice
D)Cost-effective approaches to quality care

Question 5

What has been one of the major changes in health care?

A)More care delivered by physicians
B)Fewer nurse practitioners
C)The emphasis on health promotion and wellness
D)Hospital administrators who are nurses

Question 6

What are three main types of healthcare services billing methods?

A)Fee-for-diagnosis,capitation,accrual
B)Capitation,full costing,actual outflow
C)Fee-for service,capitation,fee-for-diagnosis
D)Fee-for service,accrual,fee-for-health

Question 7

What should a nurse working in a public nonprofit hospital understand?

A)The hospital is publicly traded on the New York Stock Exchange.
B)The hospital provides care only if the patient has the ability to pay.
C)Federal,state,or local governments govern this type of hospital.
D)The hospital is owned by a voluntary board of trustees.

Question 8

Which are considered barriers to the access of health care by Americans?

A)Cost of care
B)Community health centers
C)Lack of research for evidence-based practice
D)The use of nurse practitioners

Question 9

What health care shift from centralized biomedical centers did the American Nurses Association identify to address cost containment?

A)Academic health centers
B)HMOs
C)Community nursing centers
D)Case management

Question 10

While discharging a patient from the hospital,the case manager should be concerned with what kind of follow-up care?

A)Provision of intensive care
B)Linking the patient to appropriate resources
C)Direct provision of primary care
D)Billing for DRGs

Question 11

When accepting a position in a Swedish hospital,a nurse would need to understand that physicians work under contracts dictated by standards of which system?

A)Socialized medicine
B)Capitalism
C)Communism
D)Free enterprise

Question 12

Which resource management strategies have hospitals utilized?

A)The use of clinical nursing assistants (CNAs)
B)The hiring of medical librarians
C)Certification in a specialty area
D)Clinical ladders

Question 13

Nurses practicing holistic nursing usually subscribe to which concept(s)of wellness? (Select all that apply. )

A)Wellness is a choice.
B)Wellness can be achieved with a single change in lifestyle.
C)Wellness is the integration of body,mind,and spirit.
D)Wellness requires medical intervention.
E)Wellness can only be achieved through maturation.

Question 14

Which document called for a restructured healthcare system ensuring universal access to a standard package of essential healthcare services for all U.S.citizens and residents? It also specified that this access should be affordable,available,and acceptable.

A)AMA's Happy and Healthy People
B)ANA's Health System Reform Agenda
C)WHO's Future of Health Care
D)ANA's Have a Good Day Policy

Question 15

What can an imbalance in health care supply and demand cause?

A)National health insurance
B)Lower insurance rates
C)Rationing of health care
D)Customer satisfaction

Question 16

When comparing healthcare systems,the United States is an example of which type of system?

A)Socialized insurance
B)Voluntary insurance
C)Mandatory health insurance
D)Socialized medicine

Question 17

What does capitation funding provide?

A)Admission criteria
B)Prospective payment
C)Retrospective payment
D)Personal payment

Question 18

In which way would an office nurse setting up a patient's appointment and operating in a rationing of healthcare environment accept appointments?

A)The patient's ability to pay
B)The lottery system
C)Referrals
D)Recommendations from case managers

Question 19

What do diagnosis-related groups (DRGs)establish?

A)The nursing care plan
B)Pretreatment diagnosis billing categories and fee schedule
C)Private health insurance premiums
D)The need for the primary care physician to be consulted

Question 20

What does fee-for-service payment mean?

A)The patient has a healthcare card that must be presented at the point of care.
B)Patients pay the practitioner for each service they receive.
C)Healthcare providers are paid a fixed amount per person to provide care.
D)Charges are waived by the government.

Question 21

A nurse working with a hospital's public relations department would use which marketing strategies? (Select all that apply. )

A)Advertisement of high nurse to patient ratio
B)Product and place
C)Promotion
D)Patient classification system
E)Price

Question 22

What is true about cost accounting? (Select all that apply. )

A)It is a method of accounting for total business costs
B)It provides fee-for-service billing
C)It tracks and allocates total business costs to the specific service
D)It is used by hospitals and other organizations.
E)It tracks utilization of nursing care per patient