NURSING AND HEALTH CARE EXAM 3 REVIEW QUESTIONS AND CORRECT ANSWERS

NURSING AND HEALTH CARE EXAM 3
REVIEW QUESTIONS AND CORRECT
ANSWERS
WhichA2responseA2isA2bestA2whenA2theA2nurseA2isA2askedA2byA2aA2patient,A2"WhyA2isA2itA2n
ecessaryA2toA2haveA2deductiblesA2andA2copaymentsA2whenA2IA2alreadyA2haveA2healthA2in
surance?"A2-A2Ans---
TheyA2areA2aA2wayA2toA2improveA2theA2marginA2ofA2profitA2inA2theA2fee-for-
serviceA2methodA2ofA2payingA2forA2healthA2care

WhichA2responseA2byA2theA2nurseA2bestA2explainsA2theA2advantageA2ofA2healthA2insuranc
eA2whenA2aA2patientA2states,A2"IA2didn'tA2signA2upA2forA2healthA2insuranceA2atA2myA2jobA2be
causeA2I'mA2youngA2andA2healthyA2andA2canA2useA2theA2moneyA2inA2otherA2ways."A2-
A2Ans---
A2WithA2insuranceA2youA2areA2spreadingA2theA2riskA2inA2caseA2youA2haveA2aA2seriousA2hea
lthA2event,A2suchA2asA2cancerA2orA2majorA2trauma

AA2patientA2asksA2theA2nurse,A2"WhatA2doA2healthA2maintenanceA2organizationsA2(HMOs)
A2doA2toA2reduceA2healthA2careA2costs?"A2TheA2responseA2-A2Ans---
A2"HMOsA2provideA2servicesA2aimedA2atA2keepingA2membersA2healthy."


WhichA2ofA2theA2followingA2constitutesA2aA2problemA2thatA2affectsA2dataA2collectedA2byA2th
eA2nurseA2interviewingA2aA2chronicallyA2illA2olderA2adultA2patient?
A2ManyA2olderA2adultsA2whoA2areA2coveredA2onlyA2byA2MedicareA2PartsA2AA2andA2BA2findA2
itA2difficultA2toA2payA2theA2costA2ofA2-A2Ans---A2PrescriptionA2drugsA2whileA2livingA2atA2home

WhenA2involvedA2withA2dischargeA2planningA2forA2aA2patientA2recoveringA2fromA2aA2mildA2
cerebrovascularA2accident,A2theA2nurseA2shouldA2understandA2thatA2MedicareA2providesA2
-A2Ans---A2IncreasedA2useA2ofA2extendedA2careA2unitsA2forA2rehabilitationA2needs

Diagnosis-
relatedA2groupsA2(DRGs)A2andA2prospectiveA2paymentA2systemsA2areA2mostA2clearlyA2the
A2reasonA2forA2-A2Ans---A2CriticalA2pathwaysA2andA2managedA2care


AA2patientA2tellsA2theA2nurse,A2"IA2receivedA2aA2questionnaireA2thatA2saidA2myA2answersA2
wouldA2beA2usedA2forA2purposesA2ofA2continuousA2qualityA2improvement.A2IA2wonderA2ifA2it
'sA2worthA2myA2timeA2toA2fillA2itA2out?"A2WhichA2responseA2bestA2explainsA2continuousA2qu
alityA2improvementA2-A2Ans---
A2"ContinuousA2qualityA2improvementA2activitiesA2areA2usedA2toA2monitorA2andA2improveA2
processesA2involvedA2inA2providingA2safe,A2effectiveA2careA2forA2patients"

AA270-year-
oldA2patientA2tellsA2theA2nurse,A2"A2IA2can'tA2goA2toA2theA2hospitalA2forA2treatmentA2because

, I haveA2noA2hospitalA2insurance.A2MyA2socialA2securityA2andA2myA2pensionA2payA2myA2li
A2 A2
vingA2expenses,A2butA2IA2don'tA2haveA2anyA2savings."A2TheA2nurse'sA2responseA2shouldA2
beA2focusedA2onA2-A2Ans---A2ProvidingA2informationA2aboutA2Medicare

AA2motherA2andA2herA2threeA2childrenA2oftenA2seekA2medicalA2servicesA2atA2theA2emergen
cyA2room.A2TheA2nurseA2realizesA2thatA2theyA2haveA2noA2insuranceA2andA2areA2unableA2to
A2payA2forA2services.A2WhichA2actionA2shouldA2theA2nurseA2takeA2toA2provideA2theA2greate
stA2assistanceA2toA2theA2family?A2-A2Ans---
A2ContactA2aA2socialA2workerA2toA2discussA2MedicaidA2withA2theA2mother


WhichA2programA2offersA2anA2incentiveA2toA2hospitalsA2toA2dischargeA2patientsA2asA2quickl
yA2asA2possible?A2-A2Ans---A2ProspectiveA2paymentA2system

WhichA2trendA2inA2healthA2careA2mayA2negativelyA2affectA2theA2numberA2ofA2practicalA2nur
sesA2hiredA2byA2anA2agency?A2-A2Ans---
A2TheA2increasedA2useA2ofA2unlicensedA2personnel


WhichA2qualityA2improvementA2activityA2routinelyA2engagesA2theA2LPN/LVN?A2-A2Ans---
A2CollectingA2dataA2forA2careA2planA2development


WhichA2LPN/LVNA2willA2beA2mostA2successfulA2inA2dealingA2withA2change?A2-A2Ans---
A2NurseA2U,A2whoA2seesA2changeA2asA2anA2opportunityA2toA2improveA2conditions


WhichA2skillA2willA2beA2mostA2helpfulA2toA2anA2LPN/
LVNA2inA2navigatingA2healthA2careA2systemA2changes?A2-A2Ans---A2Problem-
solvingA2andA2criticalA2thinkingA2abilities

AA2setA2monthlyA2feeA2chargedA2byA2theA2providerA2ofA2theA2healthA2careA2servicesA2forA2e
achA2memberA2ofA2theA2insuranceA2groupA2forA2aA2specificA2setA2ofA2servicesA2isA2knownA2
asA2-A2Ans---A2Capitation

AA2methodA2ofA2financingA2healthA2careA2costsA2inA2whichA2physiciansA2areA2paidA2aA2feeA
2byA2theA2patientA2forA2eachA2serviceA2theyA2provideA2isA2knownA2asA2-A2Ans---A2Fee-for-
service

TheA2monthlyA2feeA2aA2personA2mustA2payA2forA2healthA2careA2insuranceA2coverageA2isA2k
nownA2asA2theA2-A2Ans---A2Premium

TheA2yearlyA2amountA2insuredA2personA2mustA2spendA2out-of-
pocketA2forA2healthA2careA2servicesA2beforeA2aA2healthA2insuranceA2policyA2willA2beginA2to
A2payA2itsA2shareA2isA2knownA2asA2theA2-A2Ans---A2Deductible


(SATA)
WhichA2typesA2ofA2servicesA2areA2currentlyA2providedA2inA2theA2U.S.A2healthA2careA2delive
ryA2system?A2-A2Ans---A2HealthA2promotion
-A2DiagnosisA2andA2treatment