NSG 505 EXAM 2 QUESTIONS AND
CORRECT ANSWERS!!
What do healthcare payments refer to?
Healthcare payments refer to the methods by which healthcare providers receive reimbursement
for services.
What are the two primary payment models in the U.S. healthcare system?
Retrospective payment and prospective payment.
How does retrospective payment work?
Providers are reimbursed after services are rendered based on the cost of services provided.
What is a potential downside of the retrospective payment model?
It can encourage unnecessary testing or treatments to increase payment and promotes a focus on
sickness care rather than preventive care.
Provide an example of retrospective payment in practice.
A patient visits the doctor for flu symptoms, and the doctor orders multiple tests, with the
insurance company reimbursing the provider for each test.
What defines prospective payment?
Payment rates are determined before services are provided based on a fixed amount.
Who typically sets the payment rates in the prospective payment model?
An external authority, such as Medicare.
What is a key risk for providers under the prospective payment model?
Providers may face losses or surpluses depending on the amount of care the patient requires.
How does the prospective payment model encourage healthcare practices?
It encourages cost control and promotes preventive care to keep patients healthier.
, Give an example of prospective payment in a healthcare setting.
Medicare pays hospitals a set amount for a hip replacement surgery, regardless of actual costs.
What is the focus of the Interactional Family Nursing Framework?
It views the family as a unit of interacting personalities, focusing on internal relationships and
communication patterns.
What are key elements of the Interactional Family Nursing Framework?
Communication styles, family roles, conflict resolution, coping patterns, and decision-making
processes.
What does the Structural-Functional Family Nursing Framework emphasize?
It highlights how families function as part of a larger social system.
What are important aspects of the Structural-Functional Family Nursing Framework?
Family structure, roles of each family member, and how the family supports the health and well-
being of its members.
What does the Developmental Family Nursing Framework examine?
It uses a life-cycle perspective to examine how families evolve through different stages of life.
What are predictable transitions families face according to the Developmental Family
Nursing Framework?
Changing roles/tasks of family members at each stage, such as the birth of a child or children
leaving home.
What are family assessment tools used for in nursing?
They help nurses understand family dynamics, relationships, and external influences that impact
health.
What is an ecomap?
A diagram that visually represents a family's connections with their external environment,
showing the strength and quality of relationships.
CORRECT ANSWERS!!
What do healthcare payments refer to?
Healthcare payments refer to the methods by which healthcare providers receive reimbursement
for services.
What are the two primary payment models in the U.S. healthcare system?
Retrospective payment and prospective payment.
How does retrospective payment work?
Providers are reimbursed after services are rendered based on the cost of services provided.
What is a potential downside of the retrospective payment model?
It can encourage unnecessary testing or treatments to increase payment and promotes a focus on
sickness care rather than preventive care.
Provide an example of retrospective payment in practice.
A patient visits the doctor for flu symptoms, and the doctor orders multiple tests, with the
insurance company reimbursing the provider for each test.
What defines prospective payment?
Payment rates are determined before services are provided based on a fixed amount.
Who typically sets the payment rates in the prospective payment model?
An external authority, such as Medicare.
What is a key risk for providers under the prospective payment model?
Providers may face losses or surpluses depending on the amount of care the patient requires.
How does the prospective payment model encourage healthcare practices?
It encourages cost control and promotes preventive care to keep patients healthier.
, Give an example of prospective payment in a healthcare setting.
Medicare pays hospitals a set amount for a hip replacement surgery, regardless of actual costs.
What is the focus of the Interactional Family Nursing Framework?
It views the family as a unit of interacting personalities, focusing on internal relationships and
communication patterns.
What are key elements of the Interactional Family Nursing Framework?
Communication styles, family roles, conflict resolution, coping patterns, and decision-making
processes.
What does the Structural-Functional Family Nursing Framework emphasize?
It highlights how families function as part of a larger social system.
What are important aspects of the Structural-Functional Family Nursing Framework?
Family structure, roles of each family member, and how the family supports the health and well-
being of its members.
What does the Developmental Family Nursing Framework examine?
It uses a life-cycle perspective to examine how families evolve through different stages of life.
What are predictable transitions families face according to the Developmental Family
Nursing Framework?
Changing roles/tasks of family members at each stage, such as the birth of a child or children
leaving home.
What are family assessment tools used for in nursing?
They help nurses understand family dynamics, relationships, and external influences that impact
health.
What is an ecomap?
A diagram that visually represents a family's connections with their external environment,
showing the strength and quality of relationships.
