QUESTIONS & ANSWERS RATED 100% CORRECT.
Which response is best when the nurse is asked by a patient, "Why is it
necessary to have deductibles and copayments when I already have health
insurance?" Answer - -They are a way to improve the margin of profit in the
fee-for-service method of paying for health care
Which response by the nurse best explains the advantage of health insurance
when a patient states, "I didn't sign up for health insurance at my job because
I'm young and healthy and can use the money in other ways." Answer - - With
insurance you are spreading the risk in case you have a serious health event,
such as cancer or major trauma
A patient asks the nurse, "What do health maintenance organizations (HMOs)
do to reduce health care costs?" The response Answer - - "HMOs provide
services aimed at keeping members healthy."
Which of the following constitutes a problem that affects data collected by the
nurse interviewing a chronically ill older adult patient? Many older adults who
are covered only by Medicare Parts A and B find it difficult to pay the cost of
Answer - - Prescription drugs while living at home
When involved with discharge planning for a patient recovering from a mild
cerebrovascular accident, the nurse should understand that Medicare provides
Answer - - Increased use of extended care units for rehabilitation needs
, Diagnosis-related groups (DRGs) and prospective payment systems are most
clearly the reason for Answer - - Critical pathways and managed care
A patient tells the nurse, "I received a questionnaire that said my answers
would be used for purposes of continuous quality improvement. I wonder if it's
worth my time to fill it out?" Which response best explains continuous quality
improvement Answer - - "Continuous quality improvement activities are used
to monitor and improve processes involved in providing safe, effective care for
patients"
A 70-year-old patient tells the nurse, " I can't go to the hospital for treatment
because I have no hospital insurance. My social security and my pension pay
my living expenses, but I don't have any savings." The nurse's response should
be focused on Answer - - Providing information about Medicare
A mother and her three children often seek medical services at the emergency
room. The nurse realizes that they have no insurance and are unable to pay for
services. Which action should the nurse take to provide the greatest assistance
to the family? Answer - - Contact a social worker to discuss Medicaid with the
mother
Which program offers an incentive to hospitals to discharge patients as quickly
as possible? Answer - - Prospective payment system
Which trend in health care may negatively affect the number of practical
nurses hired by an agency? Answer - - The increased use of unlicensed
personnel
Which quality improvement activity routinely engages the LPN/LVN? Answer -
- Collecting data for care plan development