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What approach have nurses historically used when providing care and
paying attention to costs?
a. Giving the best possible nursing care regardless of ability to pay
b. Giving whatever care the nurse has the expertise to give
c. Giving whatever care the patient could afford
d. Giving whatever care the patient desired and for which he or she was
willing to pay Ans✓✓✓a. Giving the best possible nursing care
regardless of ability to pay
Historically, cost was not considered relevant to the practice of nursing.
The topic of cost was ignored by both clinicians and educators.
Which of the following is true about access to care?
a. Care providers have always donated necessary services to make sure
everyone received care.
b. Health care is rationed by the ability to pay.
c. Poverty-stricken patients received care from medical and nursing
school students in teaching hospitals.
d. Universal access has always been a component of health care in
America Ans✓✓✓b. Health care is rationed by the ability to pay.
,Health care is rationed by the ability to pay. A persons financial status
affects the quality and quantity of care that he or she receives.
A nurse educator teaches community/public health nursing students
about how health care is financed in the United States. Why is it
important that nursing students receive this information?
a. Nurses are expected to help patients find funding sources to pay for
their care.
b. Nurses have to restrict their care to services that are financially
reimbursed.
c. Health care organizations must charge patients for all supplies
consumed while care is given.
d. Health care organizations must notify patients of the exact cost of the
nursing services rendered. Ans✓✓✓b. Nurses have to restrict their care
to services that are financially reimbursed.
Nurses do have to charge for supplies used but can do so without
understanding health care financing. In a position dealing with
community/public health, advocating for a client may include making
referrals to agencies that may be able to meet their needs on the basis of
patient finances. All nurses have to focus on is giving care consistent
,with agency deadlines, which in turn must focus on reimbursement
regulations in order to continue to be able to exist and provide care.
A nurse has chosen to provide home care services to a needy client even
though there is no source of reimbursement for this care. What problem
may result?
a. The nurse will be expected to provide this care to other clients.
b. The nurse may not be covered in case of a malpractice claim.
c. The agencys clients will start demanding that the staff provide free
care.
d. The agencys clients will be at risk for being billed for the services
provided. Ans✓✓✓b. The nurse may not be covered in case of a
malpractice claim.
The real danger that exists is that the nurse will not be covered in case of
a malpractice claim because the service was not first sanctioned by the
agency. The nurse should not be expected to provide free care to other
clients because of the legal risks involved. Because it is stated there is no
source of reimbursement for this client, the client is not at risk for being
billed for the services provided. It is doubtful that other clients would
start demanding free care as a result of this incident.
A community/public health nurse is providing home care services to an
elderly couple. They report that they believe they are spending more and
more money on health care services and have limited funds available to
, meet their everyday living expenses. Which of the following offers the
best explanation for their situation?
a. The proportion of the gross domestic product devoted to health care is
increasing.
b. The health care costs are increasing for the elderly population.
c. The cost of living is increasing because of recent rapid inflation.
d. The cost of health care is increasing because more people are insured.
Ans✓✓✓a. The proportion of the gross domestic product devoted to
health care is increasing.
As a result of the increasing proportion of the gross domestic product
(GDP) devoted to health care, individuals and families spend more on
health care and have less to spend on food, clothing, housing, schooling,
leisure, and other needs or interests. The number of elderly persons in
the population has increased, but the health care costs are increasing for
everyone, not just this population. Both the cost of living and the cost of
health care are increasing because of inflation. Higher numbers of
uninsured and underinsured clients have also increased the cost of health
care.
Which of the following was true concerning the amounts paid by private
funds and governmental funds in 2009?
a. Government spent 49%, and private funding accounted for 51%.
b. Government spent 75%, whereas private funding accounted for 25%.
c. Government spent 40%, whereas private funding accounted for 60%.