NURA 303 EXAM 1
QUESTIONS VERIFIED ANSWERS
Most Updated Questions With 100% Correct Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
Nursing students are reviewing information about health care delivery systems in
preparation for a quiz the next day. Which statements describe current U.S. health care
delivery practices? Select all that apply.
A. Access to care depends only on the ability to pay, not the availability of services.
B. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
D. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
E. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
F. Quality of care can be defined as the right care for the right person at the right time.
ANSWER - c, e, f. The Health Insurance Marketplace is designed to help people more
easily find health insurance that fits their budget. Every health insurance plan in the
Marketplace offers comprehensive coverage, from doctors to medications to hospital visits.
Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do. Quality is the right care for the right person at the right time.
Access to care depends on both the ability to pay and the availability of services. The
Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to
qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one
third of their care out of pocket and are often charged higher amounts for their care than
the insured pay.
A nurse is providing health care to patients in a health care facility. Which of these patients
are receiving secondary health care? Select all that apply.
A. A patient enters a community clinic with signs of strep throat.
B. A patient is admitted to the hospital following a myocardial infarction.
C. A mother brings her son to the emergency department following a seizure.
D. A patient with osteogenesis imperfecta is being treated in a medical center.
E. A mother brings her son to a specialist to correct a congenital heart defect.
F. A woman has a hernia repair in an ambulatory care center. ANSWER - b, c, f. Secondary
health care treats problems that require specialized clinical expertise, such as an MI, a
seizure, and a hernia repair. Treating strep throat is primary health care. Tertiary health
care involves management of rare and complex disorders, such as osteogenesis imperfecta
and congenital heart malformations.
,A nurse working in a primary care facility prepares insurance forms in which the provider is
given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
A. Capitation
B. Prospective payment system
C. Bundled payment
D. Rate setting ANSWER - a. Capitation plans give providers a fixed amount per enrollee
in the health plan in an effort to build a payment plan that consists of the best standards of
care at the lowest cost. The prospective payment system groups inpatient hospital services
for Medicare patients into DRGs. With bundled payments, providers receive a fixed sum of
money to provide a range of services. Rate setting means that the government could set
targets or caps for spending on health care services.
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party
payer who pays all or most of the care. This is an example of what mode of health care
payment?
A. Out-of-pocket payment
B. Individual private insurance
C. Employer-based group private insurance
D. Government financing ANSWER - b. The four basic modes of paying for health care are
out-of-pocket payment, individual private insurance, employer-based group private
insurance, and government financing. With individual private insurance, members pay
monthly premiums either by themselves or in combination with employer payments. These
plans are called third-party payers because the insurance company pays all or most of the
cost of care. Out-of-pocket payment is paying for health care with cash payments.
Employer-based private insurance is employer-sponsored coverage and government
financing is provided through Medicare and Medicaid, and other federally funded programs.
A nurse researcher keeps current on the trends to watch in health care delivery. What
trends are likely included? Select all that apply.
A. Globalization of the economy and society
B. Slowdown in technology development
C. Decreasing diversity
D. Increasing complexity of patient care
E. Changing demographics
F. Shortages of key health care professionals and educators ANSWER - a, d, e, f. Trends to
watch in health care delivery include globalization of the economy and society, increasing
complexity of patient care, changing demographics, shortages of key health care
professionals and educators, technology explosion, and increasing diversity.
, A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date ANSWER - b. Performing patient
health assessments is a common role of the nurse in a primary care center. Assisting with
major surgery is a role of the nurse in the hospital setting. Maintaining patients' function
and independence is a role of the nurse in an extended-care facility, and keeping student
immunization records up to date is a role of the school nurse.
A caregiver asks a nurse to explain respite care. How would the nurse respond?
A. "Respite care is a service that allows time away for caregivers."
B. "Respite care is a special service for the terminally ill and their family."
C. "Respite care is direct care provided to people in a long-term care facility."
D. "Respite care provides living units for people without regular shelter." ANSWER - a.
Respite care is provided to enable a primary caregiver time away from the day-to-day
responsibilities of homebound patients.
A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed
care as a framework for health care?
A. A design to control the cost of care while maintaining the quality of care
B. Care coordination to maximize positive outcomes to contain costs
C. The delivery of services from initial contact through ongoing care
D. Based on a philosophy of ensuring death in comfort and dignity ANSWER - a. Managed
care is a way of providing care designed to control costs while maintaining the quality of
care.
A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. What type of care is the nurse
providing?
A. Respite care
B. Palliative care
C. Hospice care
QUESTIONS VERIFIED ANSWERS
Most Updated Questions With 100% Correct Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
Nursing students are reviewing information about health care delivery systems in
preparation for a quiz the next day. Which statements describe current U.S. health care
delivery practices? Select all that apply.
A. Access to care depends only on the ability to pay, not the availability of services.
B. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
D. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
E. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
F. Quality of care can be defined as the right care for the right person at the right time.
ANSWER - c, e, f. The Health Insurance Marketplace is designed to help people more
easily find health insurance that fits their budget. Every health insurance plan in the
Marketplace offers comprehensive coverage, from doctors to medications to hospital visits.
Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do. Quality is the right care for the right person at the right time.
Access to care depends on both the ability to pay and the availability of services. The
Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to
qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one
third of their care out of pocket and are often charged higher amounts for their care than
the insured pay.
A nurse is providing health care to patients in a health care facility. Which of these patients
are receiving secondary health care? Select all that apply.
A. A patient enters a community clinic with signs of strep throat.
B. A patient is admitted to the hospital following a myocardial infarction.
C. A mother brings her son to the emergency department following a seizure.
D. A patient with osteogenesis imperfecta is being treated in a medical center.
E. A mother brings her son to a specialist to correct a congenital heart defect.
F. A woman has a hernia repair in an ambulatory care center. ANSWER - b, c, f. Secondary
health care treats problems that require specialized clinical expertise, such as an MI, a
seizure, and a hernia repair. Treating strep throat is primary health care. Tertiary health
care involves management of rare and complex disorders, such as osteogenesis imperfecta
and congenital heart malformations.
,A nurse working in a primary care facility prepares insurance forms in which the provider is
given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
A. Capitation
B. Prospective payment system
C. Bundled payment
D. Rate setting ANSWER - a. Capitation plans give providers a fixed amount per enrollee
in the health plan in an effort to build a payment plan that consists of the best standards of
care at the lowest cost. The prospective payment system groups inpatient hospital services
for Medicare patients into DRGs. With bundled payments, providers receive a fixed sum of
money to provide a range of services. Rate setting means that the government could set
targets or caps for spending on health care services.
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party
payer who pays all or most of the care. This is an example of what mode of health care
payment?
A. Out-of-pocket payment
B. Individual private insurance
C. Employer-based group private insurance
D. Government financing ANSWER - b. The four basic modes of paying for health care are
out-of-pocket payment, individual private insurance, employer-based group private
insurance, and government financing. With individual private insurance, members pay
monthly premiums either by themselves or in combination with employer payments. These
plans are called third-party payers because the insurance company pays all or most of the
cost of care. Out-of-pocket payment is paying for health care with cash payments.
Employer-based private insurance is employer-sponsored coverage and government
financing is provided through Medicare and Medicaid, and other federally funded programs.
A nurse researcher keeps current on the trends to watch in health care delivery. What
trends are likely included? Select all that apply.
A. Globalization of the economy and society
B. Slowdown in technology development
C. Decreasing diversity
D. Increasing complexity of patient care
E. Changing demographics
F. Shortages of key health care professionals and educators ANSWER - a, d, e, f. Trends to
watch in health care delivery include globalization of the economy and society, increasing
complexity of patient care, changing demographics, shortages of key health care
professionals and educators, technology explosion, and increasing diversity.
, A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date ANSWER - b. Performing patient
health assessments is a common role of the nurse in a primary care center. Assisting with
major surgery is a role of the nurse in the hospital setting. Maintaining patients' function
and independence is a role of the nurse in an extended-care facility, and keeping student
immunization records up to date is a role of the school nurse.
A caregiver asks a nurse to explain respite care. How would the nurse respond?
A. "Respite care is a service that allows time away for caregivers."
B. "Respite care is a special service for the terminally ill and their family."
C. "Respite care is direct care provided to people in a long-term care facility."
D. "Respite care provides living units for people without regular shelter." ANSWER - a.
Respite care is provided to enable a primary caregiver time away from the day-to-day
responsibilities of homebound patients.
A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed
care as a framework for health care?
A. A design to control the cost of care while maintaining the quality of care
B. Care coordination to maximize positive outcomes to contain costs
C. The delivery of services from initial contact through ongoing care
D. Based on a philosophy of ensuring death in comfort and dignity ANSWER - a. Managed
care is a way of providing care designed to control costs while maintaining the quality of
care.
A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. What type of care is the nurse
providing?
A. Respite care
B. Palliative care
C. Hospice care
