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CHAPTER 2: HEALTH CARE DELIVERY SYSTEM {Fundamentals of Nursing 10th Edition; Potter Perry}

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MULTIPLE CHOICE 1. The payment mechanism that Medicare uses within its health care financing is: A). Capitation B). Fixed payments C). Direct contracting D). Prospective payment ANS: B Inpatient hospital services for Medicare clients are reimbursed a set amount for each DRG, regardless of the clients length of stay or use of services in the hospital. Capitation is the payment mechanism in which providers receive a fixed amount per enrollee of a health care plan. The payment mechanism that Medicare uses is not direct contracting. Medicare is not based on fixed payments, but rather on a set dollar amount according to the DRG. DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care 2. A student nurse visiting a nurse-managed clinic should expect to see which of the following services offered? A). Physical therapy B). Same-day surgery C). Family support services D). Ongoing psychiatric therapy ANS: C Nurse-managed clinics focus on health promotion and health education, disease prevention, chronic disease management, and support for self-care and caregivers. Physical therapy is not typically offered in a nurse-managed clinic. Same-day surgery is not offered in a nurse-managed clinic. Psychiatric therapy is not offered in a nurse-managed clinic. DIF: A REF: 21 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care 3. A disabled client requiring restorative care should be referred to a(n): A). Nursing home B). Subacute care unit C). Home health care agency D). Ambulatory health center

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C HAPTER 2: H EALTH C ARE D ELIVERY
S YSTEM
Fundamentals of Nursing 10th Edition; Potter Perry



MULTIPLE CHOICE


1. The payment mechanism that Medicare uses within its health care
financing is:
A). Capitation
B).Fixed payments
C).Direct contracting
D). Prospective payment



ANS: B



Inpatient hospital services for Medicare clients are reimbursed a set
amount for each DRG, regardless of the clients length of stay or use of
services in the hospital.

Capitation is the payment mechanism in which providers receive a
fixed amount per enrollee of a health care plan.

The payment mechanism that Medicare uses is not direct contracting.

Medicare is not based on fixed payments, but rather on a set dollar
amount according to the DRG.

, DIF: A REF: 27 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Safe, Effective Care Environme nt/Management of Care



2. A student nurse visiting a nurse -managed clinic should expect to see
which of the following services offered?
A). Physical therapy
B).Same-day surgery
C).Famil y support services
D). Ongoing psychiatric therapy



ANS: C



Nurse-managed clinics focus on health promotion and health education,
disease prevention, chronic disease management, and support for self -
care and caregivers.

Physical therapy is not t ypicall y offered in a nurse -managed clinic.

Same-day surgery is not offered in a nurse -managed clinic.

Ps ychiatric therapy is not offered in a nurse -managed clinic.



DIF: A REF: 21 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Safe, Effective Care Environment/Management of Care



3. A disabled client requiring rest orative care should be referred to a(n):
A). Nursing home
B).Subacute care unit
C).Home health care agency
D). Ambulatory health center

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