Deck 3: The Health Care Delivery System

Question 1

Which patient will be treated in a Critical Access Hospital (CAH)?

A) The cancer patient who requires a bone marrow transplant
B) The victim of a serious car accident that occurred in a remote area
C) The pregnant patient whose baby will require neonatal intensive care
D) The patient who requires minimally invasive heart valve replacement

Answer 1

The victim of a serious car accident that occurred in a remote area

Question 2

Which is the expected action of the nurse who is caring for a patient in a hospice agency?

A) The nurse teaches the patient how to administer home IV antibiotics through an intravenous line.
B) The nurse educates the patient's family about what to expect as the patient progresses through the dying process.
C) The nurse reviews the patient's daily laboratory results before preparing to administer the next dose of chemotherapy.
D) The nurse teaches the patient about the importance of swallow precautions to avoid the development of aspiration pneumonia.

Answer 2

The nurse educates the patient's family about what to expect as the patient progresses through the dying process.

Question 3

Which is a responsibility of the Centers for Medicare and Medicaid (CMS)?

A) Create teaching materials to educate health care professionals.
B) Research evidenced-based practices to improve health care for patients.
C) Accredit and certify hospitals in order to ensure safe health care for patients.
D) Manage health insurance coverage for elderly,disabled,and low-income patients.

Answer 3

Manage health insurance coverage for elderly,disabled,and low-income patients.

Question 4

Which is an example of a tertiary health care provider?

A) An outpatient rehabilitation center
B) A nurse-managed urgent care clinic
C) A university-based research hospital
D) A community center offering adult day care services

Question 5

The nurse has taught the patient about how to perform sterile dressing changes.Which action by the nurse best assesses whether or not the patient's discharge teaching was effective?

A) The nurse watches the patient perform the sterile dressing change and provides feedback as needed.
B) The nurse provides additional written instructions as a reminder of how to correctly perform the procedure.
C) The nurse includes the patient's spouse when teaching the patient how to perform the sterile procedure.
D) The nurse asks the patient and spouse if they have any further questions about how to perform the procedure.

Question 6

The patient is nauseated and vomiting when the nurse attempts to provide discharge teaching.Which is the most appropriate action of the nurse?

A) Administer antinausea medication and provide discharge teaching later.
B) Provide written materials to the patient to read when the nausea has subsided.
C) Provide discharge teaching to the family members while the patient rests.
D) Assist the patient with mouth care and proceed with the discharge teaching.

Question 7

Which agency would be most appropriate for a patient who requires rehabilitation services for right-sided hemiplegia after a stroke?

A) Respite center
B) Primary care center
C) Restorative care center
D) Assisted-living center

Question 8

Which patient is the highest priority for the discharge planner?

A) A patient who will require home IV antibiotics for the next 6 weeks
B) A patient who will be taking antihypertensive medications after discharge
C) A patient who will be discharged after routine tonsillectomy surgery
D) A patient who will be returning to a local skilled nursing facility

Question 9

Which is an example of tertiary care?

A) The patient has annual mammograms to screen for breast cancer.
B) The patient sees the podiatrist monthly to prevent diabetic foot ulcers.
C) The patient is seen at an urgent care clinic to treat a badly sprained wrist.
D) The patient is treated in the intensive care unit following a gunshot injury.

Question 10

Which type of patient is an appropriate candidate for restorative care services?

A) A patient who uses supplemental oxygen for emphysema
B) A patient who is actively dying of metastatic cancer
C) A patient with right-sided hemiplegia after a recent stroke
D) A patient with depression who tried to commit suicide

Question 11

Which patient is appropriate for an assisted-living agency?

A) A patient who requires tube feeding and frequent tracheostomy suctioning after a massive stroke
B) A patient with dementia who requires supervision during the day when family members are at work
C) A patient with severe depression who has made three suicide attempts in the last 6 months
D) A patient who can perform activities of daily living independently but requires assistance with daily medications

Question 12

Which information is included in the Minimum Data Set?

A) The patient has a history of gout and macular degeneration.
B) The average length of stay for pneumonia is 3 days in the hospital.
C) The hospital has a 14% nosocomial urinary tract infection rate.
D) Approximately 40% of American adults exercise at least 30 minutes daily.

Question 13

Which is an example of respite care?

A) A patient with dementia attends an adult day care center so that the patient's family can go to work.
B) The respiratory therapist comes to the patient's house to ensure that the oxygen equipment is functioning correctly.
C) The nurse teaches the patient's spouse how to check blood sugar levels and administer insulin to the patient.
D) The patient is seen in an urgent care clinic for stitches and wound care after being bitten by a dog.

Question 14

A single mother with three children uses the public health department services in the county to immunize her children.Which level of health care did the mother use?

A) Continuing care
B) Preventative care
C) Secondary acute care
D) Restorative care

Question 15

Which is an example of a diagnosis-related group (DRG)?

A) Patients recovering from orthopedic surgery are placed on the same nursing unit.
B) Specialty hospitals are utilized to treat patients with life-threatening illnesses.
C) The speech therapist is consulted to see every patient admitted with dysphagia.
D) Hospitals will be paid $4500 to care for patients with uncomplicated pneumonia

Question 16

Which assessment question allows an administrator to determine the level of patient satisfaction after hospitalization?

A) "Did the nursing staff treat you with respect and maintain your privacy?"
B) "Were you able to keep the follow-up appointment with your physician?"
C) "Did you have any difficulty filling your prescriptions after discharge?"
D) "Has the occupational therapist come to your home to start therapy yet?"

Question 17

Which is an example of capitation in health care?

A) The patient's rheumatologist is reimbursed for services provided at each consultation appointment with the patient.
B) The discharge planner arranges for a home respiratory care company to deliver home oxygen supplies before the patient leaves the hospital.
C) The patient's care is managed by a nurse practitioner rather than an attending physician.
D) The patient's primary care physician is paid a flat monthly fee no matter how many appointments are scheduled with the patient.

Question 18

Which is an example of a patient-centered medical home team?

A) Occupational and physical therapists come to the patient's home to provide rehabilitation services.
B) The patient's primary care physician coordinates care with the patient's social worker and respiratory therapist.
C) The nurse assesses the patient's home environment for irritants that can worsen the patient's respiratory status.
D) A home care company is employed to provide the patient with a nebulizer and supplemental oxygen equipment.

Question 19

Which form of insurance is appropriate for a single mother who is unable to work and her three children?

A) State Medicaid
B) Federal Medicare
C) Private insurance
D) Managed care program

Question 20

How will the hospital be reimbursed by Medicare for an elderly patient admitted with pneumonia?

A) Based upon the DRG for pneumonia
B) Based upon the cost of the patient's care
C) Based upon the patient's length of stay
D) Based upon the types of therapies required

Question 21

The patient uses a special telephone connection to allow the cardiologist to assess the patient's pacemaker function while the patient stays at home.Which term is used to describe this type of health care?

A) Capitation
B) Telemedicine
C) Magnet Recognition Program
D) Utilization review

Question 22

Which feature of the hospital enables it to qualify for Magnet Recognition Program?

A) The hospital cafeteria is open 24 hours to accommodate staff on every shift.
B) The nurses utilize evidence-based practice and flexible staffing plans.
C) The hospital radiology technicians have received additional certifications.
D) The hospital physicians provide mentoring services for interns and residents.

Question 23

Which goals are appropriate for a patient in a restorative care agency?

A) The patient will be able to transfer to the wheelchair with one person assist.
B) The patient's family will verbalize understanding of the dying process.
C) The patient will be able to eat independently using specially molded utensils.
D) The patient will be transferred to a trauma hospital within 1 hour of arrival.
E) The patient's family will verbalize feeling of relief from strains of caregiving.

Question 24

Which is an example of health care disparity?

A) The physician treats cardiac patients with insurance more aggressively than noninsured patients.
B) The patient takes longer to recover from surgery due to a history of aggressive rheumatoid arthritis.
C) The nurse prioritizes care so that additional time is spent with patients who require more intensive interventions.
D) The registered nurse is able perform more advanced interventions than the licensed practical nurse.

Question 25

Which is an example of a Bundled Payment for Care Improvement?

A) The insurance company combines services for several patients into one single payment.
B) The hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.
C) The hospital is paid an additional bonus if the patient's surgical outcome exceeds national standards.
D) The insurance company will withhold all payments for the patient until accreditation is achieved.

Question 26

Which action by the nurse helps to achieve the goals of the Hospital Readmissions Reduction Program?

A) The nurse ensures that the patient understands how to take prescribed medications correctly.
B) The nurse develops a close therapeutic relationship with the patient and provides privacy when care is provided.
C) The nurse uses therapeutic touch to promote relaxation,reduce anxiety,and promote healing.
D) The nurse elevates the head of the patient's bed and administers oxygen when the patient feels short of breath.

Question 27

Which health care professionals will participate in discharge planning for the patient?

A) Registered nurse
B) Radiology technician
C) Social worker
D) Physical therapist
E) Laboratory technician

Question 28

Which type of health care agency is appropriate for a patient who sustained a back injury while at work?

A) Respite care center
B) Skilled nursing facility
C) Occupational health clinic
D) Outpatient surgical center