Question 1

The nurse explains that skilled nursing facilities are mandated to staff their facility with:

Accepted Answer

A skilled facility must have licensed health care professionals around the clock.Licensed practical nurses (LPNs)may supervise nursing assistants (NAs)who are the major caregivers.LPNs can provide wound care,ostomy care,and monitor intravenous (IV)therapies.

Question 2

The Balanced Budget Act of 1997 was the cause of closures of many proprietary home health care agencies because the Act:

Accepted Answer

The Balanced Budget Act of 1997 placed a limit on the amount of money that could be spent on a patient's home health care,regardless of diagnosis or needs.

Question 3

A 2003 report from the Institute of Medicine (IOM),"Health Professions Education: A Bridge to Quality," outlined:

Accepted Answer

The 2003 IOM report,"Health Professions Education: A Bridge to Quality," stressed the need for health professionals to be proficient in five areas: (1)providing patient-centered care,(2)working as a member of a team,(3)using evidence-based medicine,(4)focusing on quality improvement,and (5)using information technology.

Question 4

A 76-year-old man,who is hospitalized for treatment after a stroke,asks the nurse how long he can expect Medicare to cover his treatment.The nurse's most informative response is:

Accepted Answer

Persons hospitalized for skilled nursing care receive 100 days of Medicare coverage.

Question 5

A 50-year-old woman with terminal lung cancer with extensive metastasis is requesting a hospice transfer.The requirements for this transfer include which criteria?

Accepted Answer

The four criteria for trAnswerfer to hospice care are (1)diagnosis of any terminal illness,(2)prognosis of less than 6 months of life,(3)informed consent of patient,and (4)written physician's order.

Question 6

The nurse assessing a 65-year-old patient who is scheduled for outpatient surgery for the removal of cataracts in 10 days will stress the need to:

Accepted Answer

Outpatient surgical patients are at great risk for postoperative complications in the absence of professional monitoring.This risk emphasizes the need for preoperative teaching and the provision of postoperative support in the home.

Question 7

An 89-year-old man,who was recently discharged from a rehabilitation hospital because of an inability to concentrate and frequent memory lapses,cannot be left alone while his family works.What options can the discharge planning team suggest that will satisfy safety concerns and give the greatest quality of life to the patient?

Accepted Answer

Day care centers provide supervision,safety,nutritious meals,and socialization while the care-giving family works.

Question 8

The nurse clarifies to the patient who is applying for Medicaid that the receipt of benefits requires:

Accepted Answer

The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility.Nonenrollment may cause the loss of all health care benefits.

Question 9

The person who is considered the forerunner of modern public health nursing in the United States is:

Accepted Answer

Lillian Wald is recognized as the forerunner of modern public health nursing.

Question 10

A resident in a long-term care facility has difficulty swallowing and frequently chokes on food and liquids.Because of the threat of aspiration,the nurse initiates a referral for a swallowing evaluation to a:

Accepted Answer

Speech therapists are qualified to evaluate swallowing disorders.

Question 11

The nurse clarifies the difference between a health maintenance organization (HMO)and a fee-for-service plan by pointing out that an HMO: (Select all that apply.)

Accepted Answer

HMOs require a set fee from each client to use health care providers specified or hired by each HMO.Inpatient and outpatient care are provided in specified facilities.HMOs have a large group of specialists to whom it refers clients.Fee-for-service plAnswer are more expensive,but they allow clients to choose the health care provider and facility.

Question 12

The purpose of a long-term care facility is to:

Accepted Answer

Long-term care facilities care for patients who do not need to be hospitalized but who cannot care for themselves.Although many patients with dementia are residents in a long-term care facility,the purpose of such facilities is not to provide their care exclusively.

Question 13

A voluntary health care agency is one that:

Accepted Answer

Voluntary agencies are governed by boards made up of community members and are supported by a variety of sources.They are not supported by tax dollars.

Question 14

In discussing the discharge to a transitional subacute facility with a 72-year-old patient with diabetes who has had both legs amputated,the nurse informs the patient that his stay in the new facility will be limited to:

Accepted Answer

Medicare limitations are waived for patients who have undergone amputations.

Question 15

Which is true concerning proprietary agencies?

Accepted Answer

These agencies are usually owned by large corporations and established for the purpose of making a profit.Although most such agencies do participate in Medicare,it is not required.

Question 16

A nurse could best refer an unemployed 42-year-old patient with renal failure who has lost his job-related private insurance to which health care plan for his medical care?

Accepted Answer

Medicaid is available to needy low-income persons under 65 years of age who have a permanent disability.Medicare is for persons 65 years and older.Public health services are involved with prevention more often than with chronic care.

Question 17

A 42-year-old patient admitted yesterday with a diagnosis-related group (DRG)diagnosis of abdominal pain of an unknown cause is being discharged this afternoon because all diagnostic tests have been negative.This scenario is an example of:

Accepted Answer

Cost containment is a meAnswer by which the cost of hospitalization time is reduced when the need for acute hospital care is no longer necessary.

Question 18

A 66-year-old hospitalized patient is anxious about how the physician will be paid now that he is on Medicare-Parts A and B,instead of his previous privately funded insurance plan.The nurse explains that the physician will be paid by:

Accepted Answer

Part A pays skilled care facilities.Part B pays for physician's services.The previously held insurance is no longer available because of the patient's age.The family or patient is not responsible,because Part B is in effect.

Question 19

Which patient would the nurse recognize as eligible for a referral to Medicaid?

Accepted Answer

Medicaid covers medication and health care services for welfare recipients for child health and long-term care.

Question 20

The nurse clarifies that health care benefits supported by both federal and state funding are exemplified in:

Accepted Answer

Federal and state cooperation are involved in home skilled care issues.

Quiz 1: The Health Care System