Question 1

The nurse would identify which action as a strategy that represents a fiscal responsibility in clinical nursing practice?

Accepted Answer

Documenting the current status of the patient is important in ensuring that treatments and interventions are necessary and effective, which can help to prevent unnecessary spending. Accurate documentation can also help to identify potential cost-saving measures and opportunities for improved efficiency in healthcare delivery. While the other options may have potential benefits, they do not necessarily represent the best strategies for promoting fiscal responsibility in clinical nursing practice. For example, beginning discharge planning as soon as there is an order is important for patient safety and quality care, but it may not necessarily reduce costs. Similarly, admitting patients the evening before a major surgical procedure may be necessary for optimal outcomes, but it may not be the most cost-effective approach. Providing care delivered by LPNs whenever possible may also be important for patient care but may not directly address fiscal responsibility.

Question 2

In caring for patients in nursing homes or extended care facilities,the nurse recognizes that some patients' care is being funded by Medicare.Which of the following patients is most likely to be covered under Medicare?

Accepted Answer

Medicare is a federal health insurance program for people who are 65 or older or have certain disabilities. It covers inpatient care in hospitals, rehabilitation centers, and nursing homes for eligible beneficiaries. A 70-year-old patient recovering from a hip replacement is most likely to be covered under Medicare. The other options do not meet the age or disability requirement for Medicare coverage.

Question 3

The nurse understands that which of the following patients would be covered under the federal Medicare program? Select all that apply.

Accepted Answer

A,B,F

Question 4

The World Health Organization (WHO)is an agency of the United Nations that coordinates international public health care.Which are examples of care delivered internationally as a result of the work of WHO? Select all that apply.

Accepted Answer

The WHO works to coordinate the global response to public health issues such as the distribution of HIV/AIDS medications and vaccinations in Third World countries, as well as responding to outbreaks such as cholera epidemics. Doctors Without Borders and Red Cross are independent organizations that also provide international health care but are not directly affiliated with the WHO.

Question 5

Which of the following is the best example of the nurse's fiscal responsibility to the patient?

Accepted Answer

The nurse's fiscal responsibility to the patient involves using cost-efficient resources to provide the necessary care. This ensures that the patient is not burdened with unnecessary costs and can receive quality care within their financial means. Providing health care based on the ability to pay or insurance coverage, as in options A and B, does not prioritize the patient's best interest or ensure effective use of resources. Using new-age practices may not necessarily be cost-efficient or effective, and should not be prioritized over providing appropriate care to the patient.

Question 6

The impact of spiraling health care costs on the nursing profession is demonstrated by the fact that:

Accepted Answer

The use of nurse practitioners as primary caregivers for routine health problems is a cost-effective measure in response to rising healthcare costs, as they can provide quality care at a lower cost compared to physicians.

Question 7

In caring for patients in nursing homes or extended care facilities,the nurse recognizes that some patients' care is being funded by Medicaid.Which of the following patients is most likely to be covered under Medicaid?

Accepted Answer

Medicaid is a federal and state-funded health insurance program for individuals and families with low incomes and limited resources. The elderly patient who can no longer care for herself and has no appreciable assets is most likely to be covered under Medicaid. The other options may be covered by other insurance plans, but Medicaid is specifically designed for low-income individuals and families.

Question 8

The use of diagnosis-related groups (DRGs)was initiated by federal Medicare and private insurers to reduce health care costs.Which situations demonstrate the potential effect this initiative has had on clinical nursing practice?

Accepted Answer

The implementation of DRGs encourages hospitals to reduce costs by minimizing the length of stay and resources used. This can lead to situations where patients are discharged earlier, sometimes with limited opportunities for supervised care, such as changing dressings.

Question 9

As a manager,the nurse must make decisions based on the guidelines of regulatory and certifying agencies.In addition to those regulatory bodies,what must also be considered when delivering care to patients?

Accepted Answer

The answer of As a manager,the nurse must make decisions...

Question 10

As a result of the spiraling costs of health care delivery,patients admitted to the hospitals are much sicker than were patients even a decade ago.The nurse understands that patients with which conditions or disease would most likely be admitted to the hospital in today's health care climate?

Accepted Answer

The answer of As a result of the spiraling costs...

Question 11

Which factor has occurred as a result of the current health care delivery system?

Accepted Answer

Spiraling health care costs have occurred as a result of the current health care delivery system, which is characterized by a fee-for-service model that incentivizes providers to order more tests and procedures, and a lack of transparency around pricing and outcomes. This has led to unsustainable growth in healthcare expenditures, putting strain on individuals, employers, and the government.

Question 12

The impact on the U.S.economy from the disproportionate number of uninsured or underinsured people is predicted to continue for many years to come.Which of the following is a potential result of this situation? Select all that apply.

Accepted Answer

When people are uninsured or underinsured, they often delay seeking medical care until it becomes an emergency, leading to increased emergency room visits. Hospitals may also have to provide more charity care to those who cannot afford to pay for their medical expenses.

Question 13

Medicare Part B covers services and products not covered by Medicare Part A.Which of the following patients would the nurse expect Medicare Part B to cover?

Accepted Answer

The answer of Medicare Part B covers services and products...

Question 14

The nurse understands that the patient who would most likely not qualify for admission to the hospital in today's health care climate is the patient with a(n):

Accepted Answer

In today's health care climate, patients with wrist fractures are often treated on an outpatient basis and do not require hospital admission. The other options (DKA, dehydration, acute myocardial infarction) are more serious conditions that may require hospitalization.

Question 15

A new employee asks about reducing health care costs to the hospital.What would help to reduce health care costs in the clinical setting? Select all that apply.

Accepted Answer

Frequent handwashing can reduce the transmission of infections, leading to fewer hospital-acquired infections and associated costs. Turning at-risk patients frequently can prevent the development of pressure ulcers, which are expensive to treat. Instituting early ambulation can prevent complications such as deep vein thrombosis and pneumonia, which can also increase costs. Delegating vital sign taking to an unlicensed assistive personnel (UAP) may not be appropriate as they may not be trained to recognize and report abnormal findings, leading to delayed interventions and potentially higher costs. Discharging patients before their lab results are back can lead to missed diagnoses and complications, which can also increase costs in the long run.

Question 16

In some circumstances,nurses care for patients whose outcome is predictable but,due to family dynamics,for whom advance directives are not available and therefore the patient's lives are extended without realistic outcomes.This presents an ethical dilemma for many nurses.Which of the following actions by the nurse is most appropriate when the patient's outcome is unpredictable and no advance directive is available?

Accepted Answer

It is important for the nurse to advocate for the patient's best interest, which may include discussing end-of-life options with the family if appropriate. In situations where the patient's outcome is unpredictable and no advance directive is available, continuing life-sustaining measures may not be in the best interest of the patient. It is important to have open and honest communication with the family, providing them with all necessary information to make an informed decision. Option A may not be appropriate as it may come across as confrontational and not effective in changing the family's perception. Option B may not be appropriate as it may not be helpful to the patient's care and may not reflect evidence-based practice. Option C may not be appropriate as it may give the family false hope and may not be based on the individual patient's situation.

Question 17

Which factors have influenced the U.S.health care delivery system? Select all that apply.

Accepted Answer

The answer of Which factors have influenced the U.S.health care...

Question 18

Which of the following is an example of the changes seen in health care delivery as a result of the introduction of managed care?

Accepted Answer

Managed care has led to a shift towards utilizing more non-licensed healthcare workers, such as UAPs, as a cost-saving measure. Additionally, UAPs may be given a wider scope of responsibilities. The other choices do not relate to the changes seen in health care delivery as a result of managed care.

Question 19

As a case manager,the nurse is aware of the many types of organizations that fund health care,including PPOs and HMOs.The nurse understands that they all function under the philosophy of:

Accepted Answer

PPOs (Preferred Provider Organizations) and HMOs (Health Maintenance Organizations) both operate under the philosophy of managing healthcare costs. PPOs negotiate with healthcare providers to offer discounted rates for services, and HMOs provide healthcare services to members within a network of providers, reducing costs by eliminating out-of-network expenses. The primary goal of both types of organizations is to manage healthcare costs without compromising the quality of care.

Question 20

In the clinical setting,the nurse understands that certain practice standards are implemented to ensure fiscal responsibility.What would be the best example of fiscal responsibility to the institution?

Accepted Answer

The answer of In the clinical setting,the nurse understands that...

Quiz 6: Health Care