Deck 2: Health Care Delivery and Economics

Question 1

A patient is considering moving to an assisted living facility. When providing education about assisted living facilities, the nurse states:

A) "An assisted living facility provides a homelike atmosphere."
B) "An assisted living facility provides a hospital-like atmosphere."
C) "Your physician will make daily visits while you're at an assisted living facility."
D) "You should move to an assisted living facility when you can no longer care for yourself."

Answer 1

"An assisted living facility provides a homelike atmosphere."

Question 2

The Affordable Care Act was designed to address all of the following issues in the existing health-care system with the exception of

A) The cost containment of health care.
B) The expansion of Medicaid programs to cover everyone.
C) The treatment of patients with pre-existing conditions.
D) The removal of lifetime benefit caps.

Answer 2

The expansion of Medicaid programs to cover everyone.

Question 3

When the economics of care is a foremost consideration, which of the following factors is used to help guide decisions about patient care?

A) Appropriate level of care
B) Type of health insurance
C) Medical necessity
D) Both 1 and 3

Answer 3

Both 1 and 3

Question 4

A student nurse is caring for a patient at a rehabilitation facility. The student nurse educates the patient about the rehabilitation facility. A nurse intervenes when the student states:

A) "You will receive intense therapy services while you're here."
B) "You must participate in at least 6 hours of therapy each day."
C) "You will be seen by a physician who specializes in rehabilitation."
D) "If you get sick while you're here, we can transfer you to the hospital."

Question 5

When working in a health clinic, a nurse recognizes that a communicable disease that should be reported to the health department is

A) Hepatitis.
B) Rubella.
C) Tuberculosis.
D) All of the above.

Question 6

A student nurse is caring for a patient who is covered by Medicaid. When speaking with the case manager about Medicaid, the case manager tells the student nurse that Medicaid

A) Offers the same benefits in every state.
B) Is funded by the city health department.
C) Is a county government matching funding program.
D) Offers assistance for poor and medically indigent individuals.

Question 7

A nurse recognizes that a system of health-care delivery aimed at managing the cost and quality of access to health care is known as

A) Medicaid.
B) Medicare.
C) Managed care.
D) Private insurance.

Question 8

The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient:

A) "Would you like some more pain medication?"
B) "Would you like some fresh sheets?"
C) "When would you like your bath?"
D) "Is it okay if I take your vital signs?"

Question 9

While supervising a home health-care aide, a nurse intervenes when observing the home health-care aide

A) Braiding a patient's hair.
B) Driving a patient to a medical appointment.
C) Giving a patient a bed bath.
D) Teaching a patient about nutrition.

Question 10

A student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When educating the student nurse about an SNF, the nurse recognizes that further instruction is needed when the student nurse states:

A) "Medicare will most likely pay for my patient's care at the SNF."
B) "I hope that my patient gets to return home after going to the SNF."
C) "My patient will never get to go home again if he's transferred to an SNF."
D) "My patient will receive skilled nursing care such as physical therapy as needed."

Question 11

A case manager is giving an in-service about public health insurance to a group of nursing students. The case manager recognizes that additional instruction is warranted when a nursing student states:

A) "Aetna is an example of public health insurance."
B) "Medicaid is an example of public health insurance."
C) "Medicare is an example of public health insurance."
D) "Indian Health Service is an example of public health insurance."

Question 12

A home health-care nurse delegates to a home health-care aide the responsibility of

A) Administering the patient's intravenous (IV) medications.
B) Assisting the patient in the shower.
C) Communicating the patient's condition with the physician.
D) Assessing the patient for any changes from baseline.

Question 13

An infant is brought into a medical center and diagnosed with measles, a communicable disease. The correct course of action in this situation would be to

A) Refer the patient to a rehabilitation facility.
B) Notify the local police department.
C) Prepare the patient for hospice care.
D) Notify the health department.

Question 14

The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions is known as

A) Medicaid.
B) Medicare.
C) Social security.
D) Private insurance.

Question 15

A nursing instructor recognizes that further teaching is needed if a nursing student states:

A) "Client-centered care fosters a feeling of dependence."
B) "Client-centered care is often seen in a rehabilitation setting."
C) "Client-centered care empowers the patient to manage his or her care."
D) "Client-centered care empowers the patient to take control of his or her care."

Question 16

A patient's spouse asks a nurse about hospice. The nurse educates that hospice is

A) A service that provides care to the terminally ill patient only.
B) Warranted when the patient still seeks a cure for his or her terminal illness.
C) A program that focuses on palliative treatment and emotional support.
D) Appropriate when the patient is expected to live for fewer than 9 months.

Question 17

A student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When collaborating with the case manager about transferring the patient to an SNF, the case manager tells the student that the SNF will most likely be covered by Medicare if

A) The patient stays longer than 100 days per year.
B) The patient enters the SNF within 60 days of a hospitalization.
C) The patient has been hospitalized for at least 1 day before admission.
D) The patient makes regular progress as documented by medical professionals.

Question 18

A nurse is working in a critical care unit where the focus is on primary care nursing. The nurse demonstrates understanding of primary care nursing when

A) Asking an unlicensed assistant to give a bed bath.
B) Asking another nurse to call the physician for orders.
C) Providing all aspects of nursing care for assigned patients.
D) Instructing the nursing assistant to take the patient's vital signs.

Question 19

The payment system that is used by health maintenance organizations (HMOs) is known as

A) Capitation.
B) Medicaid.
C) Medicare.
D) Single payer.

Question 20

While supervising a home health-care aide, a nurse intervenes when observing the home health-care aide

A) Giving the patient a back massage.
B) Preparing the patient's favorite meal.
C) Changing the dressing on a patient's wound.
D) Transporting the patient to a medical appointment.

Question 21

A nurse is caring for a patient with increasing difficulty breathing. The nurse recognizes that the most appropriate health-care worker to collaborate with is a(n)

A) Physical therapist.
B) Respiratory therapist.
C) Occupational therapist.
D) Speech and language therapist.

Question 22

A nurse has determined that a patient is suffering from chemical dependency and mental health issues. The patient is sent to a type of rehabilitation facility that will provide medical care in the form of ____________________, or the removal of drugs and alcohol from the person's body, which generally takes several days.

Question 23

Once a nurse has evaluated and treated a patient's injuries, arrangements are made to transfer the patient to a(n) ____________________ facility where the patient can receive intense physical, occupational, and speech therapy services.

Question 24

A patient has exhausted all possible treatments to arrest or cure their illness and is not expected to live for longer than 6 months. The nurse determines that this is the appropriate time to arrange for ____________________ care for the patient.

Question 25

When teaching a class of nursing students about advanced practice nursing, a nursing instructor states:

A) "A nurse practitioner cannot diagnose illnesses."
B) "A nurse practitioner is not able to prescribe medications."
C) "A nurse practitioner must be supervised by a registered nurse."
D) "A nurse practitioner can diagnose illnesses and prescribe medications for them."

Question 26

A nurse is caring for a patient with a repaired fractured hip. The nurse recognizes that the most appropriate health-care worker to collaborate with is a(n)

A) Physical therapist.
B) Respiratory therapist.
C) Occupational therapist.
D) Speech and language therapist.

Question 27

A patient enrolled in a health maintenance organization (HMO) arrives at an appointment with a specialist. The nurse explains to the patient that without a(n) ____________________ from their primary care physician (PCP), the insurance company may deny the claim.

Question 28

A veteran is expressing to the nurse that he is having difficulty finding insurance. The nurse explains that ____________________ is an insurance plan specifically for active and retired military service members and their families.

Question 29

When teaching a student nurse about the scope of practice for the licensed practical/vocational nurse (LPN/LVN), the nursing instructor notes that additional teaching is needed when the student nurse states:

A) "The LPN/LVN can practice independently."
B) "The LPN/LVN can practice under the supervision of a dentist."
C) "The LPN/LVN can practice under the supervision of a physician."
D) "The LPN/LVN can practice under the supervision of a registered nurse."