NUR 100 CHAPTER 11 THE HEALTH CARE DELIVERY SYSTEM | COMPREHENSIVE
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Which six trends in health care reflect the Institute of Medicine's (IOM) focus? - correct answer
✔✔Correct response:
"The system should be safe, effective, efficient, patient centered, timely, and equitable."
Explanation:
A safe, effective, efficient, patient-centered, timely, and equitable system is what the IOM envisions. A
bureaucratic, government-driven, illness-focused system is not advocated by the IOM. (page.237)
Which statement is true when comparing home care with acute care? - correct answer ✔✔An essential
difference in home care versus acute care is that the home care nurse is a "guest" in the client's home. In
the home, clients and families retain the power and control that they give to providers in other settings.
Nurses in the home usually work as members of a therapeutic team that includes the client and other
members of the health care team working collaboratively. The client does not direct the education of the
caregivers.
When conducting an education program for a group preparing for retirement, the nurse would include
information about applying for Social Security benefits and Medicare insurance. The nurse would include
in the education that Medicare is a federally funded insurance program which bases the fee for payment
on what? - correct answer ✔✔Correct response:
A prospective payment plan based on a predetermined fixed cost
Explanation:
The nurse must understand that Medicare is a federal insurance program for older adults. It is based on a
prospective payment plan that pays a predetermined fixed amount for in-hospital costs. Medicare does
not pay physician groups and is not for indigent older adults. Retrospective payment plans pay for
services after they have been received.
What types of services are provided in primary health care? Select all that apply. - correct answer
✔✔Correct response:
Health risk screenings
Administration of immunizations to children and adults
Education related to sexually transmitted disease
Explanation:
Screening, health promotion, and prevention (e.g., immunizations and education on sexually transmitted
diseases) are components of primary health care; emergency care is a component of secondary health
care, and complex disease management and treatment are components of tertiary health care.
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Which six trends in health care reflect the Institute of Medicine's (IOM) focus? - correct answer
✔✔Correct response:
"The system should be safe, effective, efficient, patient centered, timely, and equitable."
Explanation:
A safe, effective, efficient, patient-centered, timely, and equitable system is what the IOM envisions. A
bureaucratic, government-driven, illness-focused system is not advocated by the IOM. (page.237)
Which statement is true when comparing home care with acute care? - correct answer ✔✔An essential
difference in home care versus acute care is that the home care nurse is a "guest" in the client's home. In
the home, clients and families retain the power and control that they give to providers in other settings.
Nurses in the home usually work as members of a therapeutic team that includes the client and other
members of the health care team working collaboratively. The client does not direct the education of the
caregivers.
When conducting an education program for a group preparing for retirement, the nurse would include
information about applying for Social Security benefits and Medicare insurance. The nurse would include
in the education that Medicare is a federally funded insurance program which bases the fee for payment
on what? - correct answer ✔✔Correct response:
A prospective payment plan based on a predetermined fixed cost
Explanation:
The nurse must understand that Medicare is a federal insurance program for older adults. It is based on a
prospective payment plan that pays a predetermined fixed amount for in-hospital costs. Medicare does
not pay physician groups and is not for indigent older adults. Retrospective payment plans pay for
services after they have been received.
What types of services are provided in primary health care? Select all that apply. - correct answer
✔✔Correct response:
Health risk screenings
Administration of immunizations to children and adults
Education related to sexually transmitted disease
Explanation:
Screening, health promotion, and prevention (e.g., immunizations and education on sexually transmitted
diseases) are components of primary health care; emergency care is a component of secondary health
care, and complex disease management and treatment are components of tertiary health care.
