NUR 167 Unit 1 exam CHP 2, 4,5, 6 questions with answers.

NUR 167 Unit 1 exam CHP 2, 4,5, 6
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questions with answers |\ |\




Define Case Management: - CORRECT ANSWERS ✔✔Type
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of Nursing Care System that sees each Patient as an
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"Individual & Each Situation as Unique."
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What is the Responsibility of the
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Third-Party-Payer? - CORRECT ANSWERS ✔✔Pays the |\ |\ |\ |\ |\ |\



BILLS of "Beneficiary" covered for by a "Physician or
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Hospital."


Name two Reasons the ACA was Created: - CORRECT
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ANSWERS ✔✔1. Lack of Health Insurance |\ |\ |\ |\ |\




2. Lifetime limits of Coverage
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What is the Role of the Health Care Exchange? - CORRECT
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ANSWERS ✔✔- New provision.
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- "Decrease" Costs of "Premiums" for
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|\ Consumers

,- Allows for clear, Fair Competition for Consumers to buy
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Insurance..


Name one Factor that Guides Patients Care Decisions: -
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CORRECT ANSWERS ✔✔1. Medical Necessity |\ |\ |\ |\




2. Approve level of Care
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3. Navigating the Continuum care
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4. Services Viewed as Reasonable & Necessary by the
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Professional.


Define Medicare: - CORRECT ANSWERS ✔✔A Government
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program to help Retirees, Elderly, "65" or older with their
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health needs. |\




What does "Part A" of "Medicare" cover for the Patient? -
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CORRECT ANSWERS ✔✔Insurance for Hospitalization /
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Home Health/ Skilled Nursing Facility.
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What Population uses the "benefits of Medicaid"? -
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CORRECT ANSWERS ✔✔Poor / Poverty /Low Income /
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Pregnant Women with income Below the Poverty Level.
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, Name three Members of the Health Care Team: -
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CORRECT ANSWERS ✔✔1. Medical Staff|\ |\ |\ |\




2. Nursing Staff
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3. Therapy Staff
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Define Team Nursing: - CORRECT ANSWERS ✔✔Consists
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of "Nurses" & "Nursing Assistants (UAPs)"
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Acute Care Hospital, Rehabilitation setting, & Long term
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Care Setting.
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What is the Goal of Client-Centered Care? - CORRECT
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ANSWERS ✔✔"Empowers" the Client to Manage own Care.
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Define Primary Nursing Care: - CORRECT ANSWERS
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✔✔One Nurse is Responsible for all ASPECTS of Nursing
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care for an assigned Patient. ( Used in INTENSIVE CARE
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UNIT).


What is Managed Care? - CORRECT ANSWERS ✔✔Any
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Method of FINANCING & Organizing the Delivery of Health
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