Question 1

The nursing student is preparing a presentation on the NAM. How should this student characterize the IOM's view of the patient?

Accepted Answer

1. The basic, foundational construct of the NAM is that the patient is the reason healthcare is provided and should be viewed as an active member of the interprofessional team.
2. The NAM views the patient as an active part of care delivery.
3. The NAM does not view the patient as a liability, but rather as the reason care is delivered.
4. The NAM does not seek to manage patients, but rather seeks to help patients participate in the management of their own care.

Question 2

Which statement, made by a nursing student, reflects accurate knowledge of the NAM?

Accepted Answer

1. The NAM is a non-governmental agency.
2. Healthy People is a project of the U. S. Department of Health and Human Services.
3. The NAM is patient-centered.
4. This statement is the best description of the NAM.

Question 3

Which consumer group makes the majority of decisions about healthcare services that directly affect care?

Accepted Answer

1. All consumers, whether micro or macro, make decisions about the purchase of healthcare coverage, but the microconsumer is involved in more decisions about healthcare services that directly affect them.
2. Macroconsumers make more decisions about the healthcare of others.
3. Microconsumers make more healthcare decisions that directly affect them.
4. Microconsumers make more healthcare decisions that directly affect them.

Question 4

Consumers are entitled to expect what competencies from nurses in health education roles?

Accepted Answer

1. A nurse health educator should be able to use a variety of teaching strategies to meet the needs of a range of patients, including their needs for assistance with negotiating the healthcare and insurance systems, increasing technology, and complicated health and illness facts.
2. The nurse health educator is not qualified to question medical diagnoses.
3. The nurse health educator is not qualified to prescribe medications.
4. The nurse health educator can educate patients about health risks, preventive measures, and treatment compliance, whether or not this has been addressed by the patient's physician.

Question 5

A woman has become very interested in healthcare policy after her father died of complications of diabetes. Which actions would help this woman become involved in the development of healthcare public policy regarding this disorder? Select all that apply.

Accepted Answer

1. In order to be of maximal influence, this woman should think nationally, not locally.
2. While her father's physician may be supportive of this woman's concerns, the physician alone cannot change policy.
3. Letters to the editor may get local coverage of the situation, but will be unlikely to result in national policy change.
4. In order to be of maximal influence, this woman should think nationally, not locally.
5. In order to be of maximal influence, this woman should think nationally, not locally.

Question 6

For the nurse interested in impacting public policy regarding healthcare consumerism, which involvement and activity is recommended?

Accepted Answer

1. Large professional organizations, such as nursing associations have programs, data, consultants, and lobbyists that can impact public policy most effectively and powerfully.
2. The general Internet tends to be unreliable as a source of information and the multitude of websites is scattered and chaotic in its effect on the public and upon political figures.
3. Popular magazines and newspapers would not support this nurse's need to become politically active as much as joining a professional organization.
4. Nurses can best advocate for their patients in public and political arenas by direct and concerted involvement and action.

Question 7

The patient states, "I don't want to take this new medication. I looked it up on the Internet and there are so many side effects." How can the nurse best assist this patient?

Accepted Answer

1. This strategy demeans the patient and the patient's attempts at self-care.
2. This patient has taken the initiative to read about the medication, but may not understand the information or the implications of the information. The nurse should take this as an opportunity to educate the patient about the medication and about the way medications are written about in the literature. Accessing the site would also allow the nurse to determine if the site was reputable and, if not, help the patient to find reputable sites.
3. This would be appropriate if no Internet access was available, but it would be best to view the information that the patient has daily access to and is using.
4. The nurse can help the patient with this decision and can educate the patient in this scenario.

Question 8

Select the groups that are classified as macroconsumers of healthcare. Select all that apply.

Accepted Answer

1. A macroconsumer is a large purchaser of healthcare services such as employers and the government.
2. Microconsumers are the users of healthcare services, such as employees, employee families, and individual purchasers of healthcare services.
3. Microconsumers are the users of healthcare services, such as employees, employee families, and individual purchasers of healthcare services.
4. A macroconsumer is a large purchaser of healthcare services such as employers and the government.
5. Microconsumers are the users of healthcare services, such as employees, employee families, and individual purchasers of healthcare services.

Question 9

A nurse administrator is planning for the expected increase in healthcare needed for the baby boomer generation. Which attributes of this generation should be considered in this planning? Select all that apply.

Accepted Answer

1. This generation has experience and a history of being outspoken.
2. Managed care has been met with consumer complaints and opposition from this generation.
3. Previous generations were more passive and respectful of healthcare professionals.
4. Previous generations were more passive and submissive toward healthcare professionals.
5. This generation has been very politically active on numerous issues, including healthcare.

Question 10

A public health team is conducting strategic planning for the next five years of service to the community. The group is reviewing the Healthy People initiative. What help will this be to strategic planning?

Accepted Answer

1. This is not a part of the Healthy People initiative.
2. This is not a part of the Healthy People initiative.
3. This is not a part of the Healthy People initiative.
4. The Healthy People initiatives list specific objectives for health and longevity by age and population.

Question 11

Managed care has lost much of its influence in healthcare. Why is managed care still of concern?

Accepted Answer

1. Not all of the systems developed increased the quality of care provided.
2. Many of today's third-party payers are continuing to use strategies initiated by managed care.
3. In many cases, patient satisfaction levels went down.
4. There was no great reduction in the cost of healthcare.

Question 12

Which organizations must comply with the Patient Self-Determination Act of 1990?

Accepted Answer

1. It is not a requirement that all hospitals comply with this act.
2. Technically, only facilities that accept funds from the government, such as Medicare or Medicaid, must comply with this act.
3. If the agency is private pay and does not accept government funds, compliance is not required.
4. It is not a requirement that all healthcare organizations comply with this act.

Question 13

The healthcare consumer has become increasingly concerned about retaining health expenditures. What is the nurse's best advice to this patient?

Accepted Answer

1. Additional health insurance will not necessarily result in reduced spending.
2. Maintenance of one's personal health and involvement with health providers help reduce health expenditures.
3. In order not to incur additional expense, second opinions, when needed, must be obtained within the insurance system.
4. Active participation, rather than passive compliance, with health providers is recommended as a means of containing costs.

Question 14

What are the goals of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program? Select all that apply.

Accepted Answer

1. This is not a goal of the CAHPS.
2. The three goals of the CAHPS are to assess patient-centeredness, to compare and contrast provider performance, and to improve quality of care.
3. The three goals of the CAHPS are to assess patient-centeredness, to compare and contrast provider performance, and to improve quality of care.
4. The three goals of the CAHPS are to assess patient-centeredness, to compare and contrast provider performance, and to improve quality of care.
5. This is not a goal of the CAHPS.

Question 15

A patient asks the nurse about the use of information from websites for verifying diagnostic and treatment decisions made by a primary health provider. Which response, made by the nurse, would be most helpful to this patient?

Accepted Answer

1. Websites can be very misleading if taken at face value.
2. While this information may be more accurate, misunderstanding or misapplying the information can still occur.
3. Healthcare providers generally appreciate a patient who is involved in his or her own care and who is trying to learn more about his or her illness and health.
4. The Internet offers an extensive array of professional information and amateur opinion that can serve as a starting point for discussion of diagnosis and treatment with one's primary health provider.

Question 16

A committee of hospice nurses at a managed care organization is trying to determine what consumers want and need most. What is the best source of relevant information?

Accepted Answer

1. The human resources officer is involved in obtaining persons to provide care, but is not as central a consumer as are families and patients.
2. Since hospice care is directed toward patients and their families, and family most often survive the patient, they together constitute the best source of consumer data.
3. Nurses plan and provide care, but are not as central a consumer as are families and patients.
4. Representatives of managed care are involved in obtaining and planning care, but are not as central a consumer as are families and patients.

Question 17

Which options reflect the foundational goals of the Healthy People initiative? Select all that apply.

Accepted Answer

1. Interwoven into the goals and objectives of the Healthy People initiative is the need for consumer education, advocacy, and self-management of illness via health promotion and disease and illness prevention.
2. Interwoven into the goals and objectives of the Healthy People initiative is the need for consumer education, advocacy, and self-management of illness via health promotion and disease and illness prevention.
3. This is not a primary goal of the Healthy People initiative.
4. Interwoven into the goals and objectives of the Healthy People initiative is the need for consumer education, advocacy, and self-management of illness via health promotion and disease and illness prevention.
5. This is not a primary goal of the Healthy People initiative.

Question 18

A nurse is being hired to assist patients to navigate the complexities of the healthcare system. What is the most pertinent experience and skill background for this nurse?

Accepted Answer

1. Skills required to assist patients to understand and effectively use the healthcare and payment systems include excellent personal, team, and technological communication abilities. The abilities to interact with and explain the services of various health professions and case management services are necessary.
2. This traditional skill and experience would be helpful, but is not essential to this role.
3. This traditional skill and experience would be helpful, but is not essential to this role.
4. This traditional skill and experience would be helpful, but is not essential to this role.

Question 19

The nurse has been asked to develop content for the Patient Education section of the hospital's website. What skills are essential for this nurse? Select all that apply.

Accepted Answer

1. The nurse is developing educational materials and must have knowledge of the subject matter and how to best deliver it to the intended audience.
2. The nurse is developing educational materials and must have knowledge of the subject matter and how to best deliver it to the intended audience.
3. Computer skills will probably be necessary for this assignment, but the nurse will not need programming skills.
4. The nurse is developing educational materials and must have knowledge of the subject matter and how to best deliver it to the intended audience.
5. Computer skills will probably be necessary for this assignment, but the nurse will not need software development skills.

Question 20

A consumer complains about the lack of change in an aspect of the health plan that the consumer noted as negative in an earlier patient satisfaction survey. What is the nurse's best response to this complaint?

Accepted Answer

1. Patient satisfaction surveys alone do not provide adequate data.
2. The consumer should not be discouraged regarding his or her role in offering feedback.
3. Rather than encouraging high-level complaints, the nurse should direct the patient to the plan's representatives.
4. It is important to acknowledge the consumer's role in evaluation, but also to educate about the multifaceted aspects of this process.

Quiz 11: Consumers and Nurses