Nur 166 Chap 11-13 Exam Review
HMO - ANS A nurse is helping a patient choose a new health care plan. The patient states that
he would prefer to be able to choose his own health care provider. Which plan would be the
least appropriate for this patient based on the stated preferences?
Cost effectiveness - ANS A nurse is caring for a patient who has a PPO health care plan. What
is the greatest advantage of this type of plan?
Aging in place - ANS A home health care nurse is providing visits for a 65 yo widower who
needs some assistance with ADLs but is living independently. What option might the nurse
recommend that would enable the patient to maintain independence for as long as possible?
Parrish nursing - ANS A nurse is discharging a patient who was admitted for observation
following a motor vehicle accident. The patient is a single parent who is living in a new
community. What service would be the appropriate referral for this patient?
Communication and counseling skills - ANS A nurse works with patients in a crisis intervention
center. What ability would be the most important for this nurse to develop?
Relief from physical, mental, and spiritual distress - ANS A nurse recommends palliative care for
a patient who is being discharged following a diagnosis of cancer. What is the chief focus of this
type of care?
Care coordinator - ANS Nurses in various health care settings provide services to prevent the
fragmentation of care that is occurring as a health care trend in today's society. What role of the
nurse is most important in preventing this effect?
Providing direct patient care - ANS A nurse is a manager of an ambulatory care facility. What
nursing function would be most commonly found in this type of facility?
A 66 yo pt with diabetes - ANS Which patient would a nurse correctly refer to Medicare
services?
Comparison of available health care plans - ANS A nurse is helping patients access the health
insurance marketplace. What is the goal of this health insurance coverage concept?
Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits; Fifty years ago, half of the doctors in
the US practiced primary care, but today fewer than 1 in 3 do; Quality of care can be defined as
the right care for the right person at the right time. - ANS Nursing students are reviewing
, information about health care delivery systems in preparation for a quiz the next day. Which
statements describe current US healthcare deliver practices?
A patient is admitted to the hospital following an MI; A mother brings her son to the ED following
a seizure; A woman has a hernia repair in an ambulatory care center. - ANS A nurse is
providing health care to patients in a healthcare facility. Which of these patients are receiving
secondary care?
Capitation - ANS A nurse working in a primary care facility prepares insurance forms in which
the provider is given a fixed amount per enrollee of the health plan. What is the term for this
reimbursement?
Individual private insurance - ANS A nurse working in a pediatric clinic provides codes for a
patient's services to a third-party payer who pays all or most of the care. This is an example pf
what mode of health care payment?
Globalization of the economy and society; Increasing complexity of patient care; Changing
demographics; Shortages of key health care professionals and educators - ANS A nurse
researcher keeps current on the trends to watch in health care delivery. What trends are likely
included?
Performing a health assessment - ANS A nurse is caring for patients in a primary care center.
What is the most likely role of this nurse based on the setting?
"Respite care is a service that allows time away for caregivers" - ANS A caregiver asks a nurse
to explain respite care. How would the nurse respond?
A design to control the cost of care while maintaining the quality of care. - ANS A nurse caring
for patients in a primary care setting submits paperwork for reimbursement from managed care
plans for services performed. Which purpose best describes managed care as a framework for
health care?
Hospice Care - ANS A nurse cares for dying patients by providing physical, psychological,
social, and spiritual care for the patients, their families, and other loved ones. What type of care
is the nurse performing?
PCP; Anesthetist; Midwife - ANS Nurses provide care to patients as collaborative members of
the health care team. Which roles may be performed by the advanced practice registered
nurse?
Coordinating future care for the patient - ANS A nurse is preparing to discharge a patient from
an acute care facility. Which action must be performed by the nurse upon discharge of the
patient?
HMO - ANS A nurse is helping a patient choose a new health care plan. The patient states that
he would prefer to be able to choose his own health care provider. Which plan would be the
least appropriate for this patient based on the stated preferences?
Cost effectiveness - ANS A nurse is caring for a patient who has a PPO health care plan. What
is the greatest advantage of this type of plan?
Aging in place - ANS A home health care nurse is providing visits for a 65 yo widower who
needs some assistance with ADLs but is living independently. What option might the nurse
recommend that would enable the patient to maintain independence for as long as possible?
Parrish nursing - ANS A nurse is discharging a patient who was admitted for observation
following a motor vehicle accident. The patient is a single parent who is living in a new
community. What service would be the appropriate referral for this patient?
Communication and counseling skills - ANS A nurse works with patients in a crisis intervention
center. What ability would be the most important for this nurse to develop?
Relief from physical, mental, and spiritual distress - ANS A nurse recommends palliative care for
a patient who is being discharged following a diagnosis of cancer. What is the chief focus of this
type of care?
Care coordinator - ANS Nurses in various health care settings provide services to prevent the
fragmentation of care that is occurring as a health care trend in today's society. What role of the
nurse is most important in preventing this effect?
Providing direct patient care - ANS A nurse is a manager of an ambulatory care facility. What
nursing function would be most commonly found in this type of facility?
A 66 yo pt with diabetes - ANS Which patient would a nurse correctly refer to Medicare
services?
Comparison of available health care plans - ANS A nurse is helping patients access the health
insurance marketplace. What is the goal of this health insurance coverage concept?
Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits; Fifty years ago, half of the doctors in
the US practiced primary care, but today fewer than 1 in 3 do; Quality of care can be defined as
the right care for the right person at the right time. - ANS Nursing students are reviewing
, information about health care delivery systems in preparation for a quiz the next day. Which
statements describe current US healthcare deliver practices?
A patient is admitted to the hospital following an MI; A mother brings her son to the ED following
a seizure; A woman has a hernia repair in an ambulatory care center. - ANS A nurse is
providing health care to patients in a healthcare facility. Which of these patients are receiving
secondary care?
Capitation - ANS A nurse working in a primary care facility prepares insurance forms in which
the provider is given a fixed amount per enrollee of the health plan. What is the term for this
reimbursement?
Individual private insurance - ANS A nurse working in a pediatric clinic provides codes for a
patient's services to a third-party payer who pays all or most of the care. This is an example pf
what mode of health care payment?
Globalization of the economy and society; Increasing complexity of patient care; Changing
demographics; Shortages of key health care professionals and educators - ANS A nurse
researcher keeps current on the trends to watch in health care delivery. What trends are likely
included?
Performing a health assessment - ANS A nurse is caring for patients in a primary care center.
What is the most likely role of this nurse based on the setting?
"Respite care is a service that allows time away for caregivers" - ANS A caregiver asks a nurse
to explain respite care. How would the nurse respond?
A design to control the cost of care while maintaining the quality of care. - ANS A nurse caring
for patients in a primary care setting submits paperwork for reimbursement from managed care
plans for services performed. Which purpose best describes managed care as a framework for
health care?
Hospice Care - ANS A nurse cares for dying patients by providing physical, psychological,
social, and spiritual care for the patients, their families, and other loved ones. What type of care
is the nurse performing?
PCP; Anesthetist; Midwife - ANS Nurses provide care to patients as collaborative members of
the health care team. Which roles may be performed by the advanced practice registered
nurse?
Coordinating future care for the patient - ANS A nurse is preparing to discharge a patient from
an acute care facility. Which action must be performed by the nurse upon discharge of the
patient?
