and Answers 2025
Medicare - CORRECT ANSWERS-
for clients over age 65 and/or with permanent disabilities. premiums applied as
insurance program reimburses providers based on DRGs. Premiums applied as
Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care
overseen by a primary care provider. Is federally funded.
Medicaid - CORRECT ANSWERS-
for clients with low income. is federally funded and individual states determine eligibility
requirements.
Traditional Insurance - CORRECT ANSWERS-reimburses for services on fee-for-
service basis.
Managed Care Organizations (MCOs) - CORRECT ANSWERS-
comprehensive care is overseen by a primary care provider & focuses on prevention an
d health promotion
Preferred Provider Organizations (PPOs) - CORRECT ANSWERS-
client chooses from a list of contracted providers. using non-
contracted providers increases the client's outAof pocketAcosts
Exclusive Provider Organizations (EPOs) - CORRECT ANSWERS-
the client chooses from a list of providers within a contracted organization
Long-Term Care Insurance - CORRECT ANSWERS-provides for long-
term care expenses not covered by Medicare
Preventive health care - CORRECT ANSWERS-
focuses on educating and equipping clients to reduce and control risk factors of disease
. Examples include immunizations, stress management programs, and seat belt use
Primary health care - CORRECT ANSWERS-
emphasizes health promotion, and includes prenatal and well-
baby care, nutrition counseling, and disease control. is based on a sustained partnershi
p between client and provider. examples include office or clinic visits and scheduled sch
ool/work centered screenings (vision, hearing, obesity)
Secondary health care - CORRECT ANSWERS-
includes the diagnosis and treatment of emergency, acute illness, or injury. examples in
clude care given in hospital settings (inpatient and EDs), diagnostic centers, or emergen
t care centers
Tertiary health care - CORRECT ANSWERS-
involves the provision of specialized highly technical care. examples include oncology c
enters and burn centers
Restorative health care - CORRECT ANSWERS-involves intermediate follow-
up care for restoring health. examples include home health care, rehab centers, and skil
led nursing facilities
,Continuing health care - CORRECT ANSWERS-designed to address long-
term or chronic health care needs. examples include hospice, adult day care, and in-
home respite care
Health care regulatory agencies include: - CORRECT ANSWERS--
US Dept of Health and Human Srvcs
-US FDA
-State and local public health agencies
-State licensing boards (to ensure providers & agencies comply with state regulations)
-
the Joint Commission/JCAHO (setAquality standards for accreditation of health care facil
ities)
-Professional Standards Review Organizations (PSROs)
-
Utilization review committees (monitor for appropriate diagnosis and treatment of hospit
alized clients)
Clergy - CORRECT ANSWERS-
Job: provide spiritual care to client (pastors, rabbis, priests)
Refer to when: the client requests communication or the family asks for prayer prior to cl
ient undergoing a procedure
Registered dietitian - CORRECT ANSWERS-
Job: assess, plan for, and educate the clientAreg. nutritional needs; direct care of nutritio
nal aids
Refer to when: ex-
the client has low nutrient levels and/or experienced a recent unexplained weight loss
Lab tech - CORRECT ANSWERS-
Job: obtain specimens of the client's body fluids and perform the necessary diagnostic t
ests
Refer to when: ex- the provider orders a CBC to be performed immediately
Occupational therapist - CORRECT ANSWERS-
Job: assess and plan for the client to regain ADLs, esp motor skills of the upper extremit
ies; direct care of occupational therapy assistants
Refer to when: ex-
client has difficulties using an eating utensil with dominate hand following a stroke
Pharmacist - CORRECT ANSWERS-
Job: provide & monitor meds for the client as prescribed by the provider; supervises pha
rm techs in states in which the practice is allowed
Refer to when: client concerns over meds; dosage concerns; etc
Physical Therapist - CORRECT ANSWERS-
Job: assess and plan for client to increase musculoskeletal functions, esp of lower extre
mities, to maintain mobility; direct care of physical therapy assistants
,Refer to when: ex-
following a hip replacement, a client requires assistance learning to ambulate and regai
n strength
Provider - CORRECT ANSWERS-
Job: assess, diagnose, and treat cllient for disease and/or injury; includes MDs, DOs, A
PNs, and PAs
Refer to when: ex- client experiences change in vital signs
Rad Tech - CORRECT ANSWERS-Job: position client and perform x-
rays and other imaging procedures for providers to review for diagnosis of disorders of v
arious body parts
Refer to when: ex- provider orders x-ray of client's hip after a fall
Respiratory therapist - CORRECT ANSWERS-
Job: evaluate resp status and provide prescribed resp treatments including O2 therapy,
chest physiotherapy, inhalation therapy, and artificial mechanical ventilation
Refer to when: ex-
client with resp disease experiences SOB and requests nebulizer treatment that is orde
red PRN
Social Worker - CORRECT ANSWERS-
Job: work with client and client's family by coordinating inpatient and community resourc
es to meet psychosocial and environmental needs that are necessary for recovery and/
or discharge
Refer to when: ex-
client dying of cancer wishes to go home but is unable to perform ADLs; the spouse ne
eds med equipment in the home to care for client
Speech therapistA- CORRECT ANSWERS-
Job: evaluate and make recommendations regarding the functions of speech, language,
and swallowing impacted by various client disorders or injuries; teach client techniques
and exercises to improve function when possible
Refer to when: ex-
a client is having difficulty swallowing a regular diet after trauma to the head and neck
Registered Nurse (RN) - CORRECT ANSWERS--
Functions under state nurse practice laws
-
Perform assessments; establish nursing diagnoses, goals, and interventions; conducts
ongoing client evaluations
-Participate in developing interdisciplinary plans for client care
-Share best practices; continuing education
Licensed Practical Nurse (LPN) - CORRECT ANSWERS--
Works under supervision of the RN
-Collaborate with other team members
-Possess technical knowledge and skills
, -Participate in the delivery of nursing care, using the nursing process as a framework
Unlicensed Assistive Personnel (UAP) - CORRECT ANSWERS--
Includes CNAs, CMAs, and non-nursing personnel
-WorkAunder direct supervision of an RN or LPN
-Specific tasks usually outlined in position description
-
Tasks may including feeding clients, preparing meals, lifting, basic care, measuring & re
cording vital signs, and ambulating clients
The foundation of ethics is based on: - CORRECT ANSWERS-
an expected behavior of a certain group in relation to what is considered right and wron
g; it is the study of conduct and character
Morals are: - CORRECT ANSWERS-
the values and beliefs held by people that guide their behaviors and decision making
Ethical theory examines: - CORRECT ANSWERS-
the different principles, ideas, systems, and philosophies used to make judgments about
what is right/wrong and good/bad
Ethical principles - CORRECT ANSWERS-
standards of what is right/wrong with regard to important social values and norms
Autonomy - CORRECT ANSWERS-
ability of client to make personal decisions, even when those decisions may not be in th
e client's best interest
Beneficence - CORRECT ANSWERS-
agreement that the care given is in the best interest of the client; taking positive actions
to help others
Fidelity - CORRECT ANSWERS-
agreement to keep one's promise to the client about care that was offered
Justice - CORRECT ANSWERS-
fair treatment in matters related to physical and psychosocial care and use of resources
Nonmaleficence - CORRECT ANSWERS-
avoidance of harm or pain as much as possible when giving treatments
Hospital's ethics committee - CORRECT ANSWERS-
may meet to discuss/resolve unusual or complex ethical issues; not a legal entity
Ethical dilemmas are: - CORRECT ANSWERS-
problems about which more than one choice can be made and the choice made is influe
nced by the values and beliefs of the decision makers
A problem is an ethical dilemma if: - CORRECT ANSWERS--
it cannot be solved solely by a review of scientific data
-it involves a conflict between two moral imperatives
-the answer will have a profound effect on the situation/client
Steps in ethical decision making - CORRECT ANSWERS--
identify whether or not the issue is indeed an ethical dilemma
-state the ethical dilemma including all surrounding issues and individuals involved
-
list and analyze all possible options for resolving the dilemma and review implications of
each option