Nursing and Health Care Exam 3 – Comprehensive Review Questions and
Answers Study Guide
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?" - correct 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." - correct 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 - correct 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 - correct 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 - correct answer ✔✔- Increased
use of extended care units for rehabilitation needs
Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason
for - correct 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 - correct 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 - correct 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? - correct 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? -
correct answer ✔✔- Prospective payment system
Which trend in health care may negatively affect the number of practical nurses hired by an
agency? - correct answer ✔✔- The increased use of unlicensed personnel
Which quality improvement activity routinely engages the LPN/LVN? - correct answer ✔✔-
Collecting data for care plan development
Which LPN/LVN will be most successful in dealing with change? - correct answer ✔✔- Nurse U,
who sees change as an opportunity to improve conditions
Which skill will be most helpful to an LPN/LVN in navigating health care system changes? -
correct answer ✔✔- Problem-solving and critical thinking abilities
A set monthly fee charged by the provider of the health care services for each member of the
insurance group for a specific set of services is known as - correct answer ✔✔- Capitation
Answers Study Guide
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?" - correct 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." - correct 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 - correct 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 - correct 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 - correct answer ✔✔- Increased
use of extended care units for rehabilitation needs
Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason
for - correct 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 - correct 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 - correct 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? - correct 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? -
correct answer ✔✔- Prospective payment system
Which trend in health care may negatively affect the number of practical nurses hired by an
agency? - correct answer ✔✔- The increased use of unlicensed personnel
Which quality improvement activity routinely engages the LPN/LVN? - correct answer ✔✔-
Collecting data for care plan development
Which LPN/LVN will be most successful in dealing with change? - correct answer ✔✔- Nurse U,
who sees change as an opportunity to improve conditions
Which skill will be most helpful to an LPN/LVN in navigating health care system changes? -
correct answer ✔✔- Problem-solving and critical thinking abilities
A set monthly fee charged by the provider of the health care services for each member of the
insurance group for a specific set of services is known as - correct answer ✔✔- Capitation
