CCBC Nursing 129 Exam 1 Questions and Correct
Answers – Verified 2026/2027
1. types of care: primary, secondary, tertiary
2. describe primary care: first contact with the Health Care Delivery System focuses on
person/population, education, and prevention
3. describe secondary care: Dx & Tx of illness: Focus on acute health problems & diseases
4. describe tertiary care: Patient care in a specialized medical facility
5. cost shifting: Providers basically raise prices on insured people and public and private insurers in order to
compensate for people who can't pay
6. 5 parts of PPACA: 1: provide coverage for the underserved
2: includes "guaranteed issue" for everyone, regardless of any preexisting condition or health status
3: includes "individual mandate", which requires any American under the age of 65 to purchase insurance, however maḳing sure
that Medicaid was still available to those Americans who needed it.
4: financing the added expense of the act 5:
7. How to obtain health insurance: through government programs as Medicare or Medicaid, through
employer, or through private insurance company
8. Pay for Performance (P4P): performance-oriented incentives for hospitals and physicians to improve the
quality of patient healthcare
9. never events: Serious but preventable errors that should never occur, and insurance will not pay for
10. Value-based purchasing (VBP): *CMS (Centers for Medicare & Medicaid Services) reimbursement rewards
hospitals for providing quality care to include patient satisfaction.
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, 11. Patient Centered Care: providing care that is respectful of and responsive to individual pt. preferences, needs and
values and ensuring that pt. values guide all clinical decisions
12. Factors in lacḳ of access to healthcare: -geographic area-financial/insurance
-lacḳ of PCP
-Transportation
-out of pocḳet expense
-lacḳ of education
13. primary objectives of a healthcare delivery system: -to enable all citizens to receive healthcare
services whenever needed - universal access
-to deliver services that are cost-ettective and meet certain pre-established standards of quality
14. The Joint Commission: a not-for-profit organization that evaluates and accredits ditterent types of
healthcare facilities.
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Answers – Verified 2026/2027
1. types of care: primary, secondary, tertiary
2. describe primary care: first contact with the Health Care Delivery System focuses on
person/population, education, and prevention
3. describe secondary care: Dx & Tx of illness: Focus on acute health problems & diseases
4. describe tertiary care: Patient care in a specialized medical facility
5. cost shifting: Providers basically raise prices on insured people and public and private insurers in order to
compensate for people who can't pay
6. 5 parts of PPACA: 1: provide coverage for the underserved
2: includes "guaranteed issue" for everyone, regardless of any preexisting condition or health status
3: includes "individual mandate", which requires any American under the age of 65 to purchase insurance, however maḳing sure
that Medicaid was still available to those Americans who needed it.
4: financing the added expense of the act 5:
7. How to obtain health insurance: through government programs as Medicare or Medicaid, through
employer, or through private insurance company
8. Pay for Performance (P4P): performance-oriented incentives for hospitals and physicians to improve the
quality of patient healthcare
9. never events: Serious but preventable errors that should never occur, and insurance will not pay for
10. Value-based purchasing (VBP): *CMS (Centers for Medicare & Medicaid Services) reimbursement rewards
hospitals for providing quality care to include patient satisfaction.
1/9
, 11. Patient Centered Care: providing care that is respectful of and responsive to individual pt. preferences, needs and
values and ensuring that pt. values guide all clinical decisions
12. Factors in lacḳ of access to healthcare: -geographic area-financial/insurance
-lacḳ of PCP
-Transportation
-out of pocḳet expense
-lacḳ of education
13. primary objectives of a healthcare delivery system: -to enable all citizens to receive healthcare
services whenever needed - universal access
-to deliver services that are cost-ettective and meet certain pre-established standards of quality
14. The Joint Commission: a not-for-profit organization that evaluates and accredits ditterent types of
healthcare facilities.
2/9
