1.
Page 1
m
, CHAPTER 1 m
Managed care organizations are insurers that carefully plan and closely supervise the
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distribution of healthcare services. What is one of the goals of managed care?
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A) Preventing illness through screening and promotion of health activities m m m m m m m m
B) Improving training of healthcare professionals m m m m
C) Eliminating health disparities between segments of the population m m m m m m m
D) Providing hospice or home hospice m m m m
care Ans: A
m m m
Feedback:
Preventing illness through screening and promotion of health activities is one of the
m m m m m m m m m m m m
goals of managed care. Improved training of healthcare professionals is the priority
m m m m m m m m m m m m
for international health and not the goal of managed care. Eliminating health
m m m m m m m m m m m m
disparities between the segments of population is a goal of Healthy People 2020.
m m m m m m m m m m m m m
Providing hospice or home hospice care is only for terminally ill clients.
m m m m m m m m m m m m
2. In an effort to cut costs, hospitals have instituted many changes. Which of
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mthese cost-cutting factors is most likely to jeopardize the quality of care?
m m m m m m m m m m m
A) Using unlicensed assistive personnel m m m
B) Increasing numbers of clients in hospitals m m m m m
C) Not devoting enough time to the client
m m m m m m
D) The rise of medical care costs in healthcare
m m m m m m m
msystems Ans: A m m
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical
m m m m m m m m m m
mand registered nurses once provided. Many are concerned that the use of unlicensed
m m m m m m m m m m m m
massistive personnel will jeopardize the quality of care. Increasing numbers of clients
m m m m m m m m m m m
min hospitals, not devoting enough time to the client, or the rise of medical costs are
m m m m m m m m m m m m m m m
mless likely to jeopardize the quality of care.
m m m m m m m
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a
m m m m m m m m m m m m m m
community walking group to raise money for the homeless in his area. Which of
m m m m m m m m m m m m m m
the following has contributed to him being viewed as ―healthy‖?
m m m m m m m m m m
A) The client is married and is moving on.
m m m m m m m
B) The client is experiencing high quality of life within the limits of the
m m m m m m m m m m m m
physical condition.
m m
C) The client is facing various states of health and illness.
m m m m m m m m m
D) The client is physiologically and psychologically
m m m m m
stable. Ans: B
m m m
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
m m m m m m m m m m
stability, and self-expression. Clients with chronic illness can achieve a high level of
m m m m m m m m m m m m m
wellness and experience high quality of life. Marriage is an aspect of quality of life
m m m m m m m m m m m m m m m
but does not define the quality of the client's life. All clients experience various states
m m m m m m m m m m m m m m m
of health and illness.
m m m m
Page 2 m
,4. A 17-year-old client is having protected sex one to two times a week in a
m m m m m m m m m m m m m m
monogamous relationship. What is the client participating in?
m m m m m m m m
A) Health promotion m
B) Health maintenance m
C) Illness prevention m
D) Wellness
Ans: B
m m
mFeedback:
Protecting one's current level of health by practicing safe sex to prevent illness is an
m m m m m m m m m m m m m m
mexample of a health maintenance activity. Health promotion strategies are used to
m m m m m m m m m m m
menhance health, such as eating a diet high in fiber. Illness prevention includes
m m m m m m m m m m m m
midentifying risk factors such as hypertension. Wellness is the balance of total well-
m m m m m m m m m m m m
being.
5. A client complaining of bloody urine has scheduled an appointment with a
m m m m m m m m m m m
family practitioner. What type of care is the client receiving?
m m m m m m m m m m
A) Tertiary
B) Secondary
C) Skilled nursing care m m
D) Primary
Ans: D
m m
Feedback:
m
The first provider that clients contact about a health need provides primary care; this
m m m m m m m m m m m m m
person is typically a family practitioner or nurse practitioner. Secondary care includes
m m m m m m m m m m m m
referrals to facilities for additional testing. Tertiary care focuses on more complex
m m m m m m m m m m m m
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
m m m m m m m m m m m m m
offer prolonged health maintenance or rehabilitative services.
m m m m m m m
Page 3 m
, 6. The hospital is having a problem with healthcare-associated infections. A committee
m m m m m m m m m m
has been established to study the problem and make recommendations. The nurse
m m m m m m m m m m m m
mworking on the committee knows that this work addresses what?
m m m m m m m m m
A) Inpatient quality indicators m m
B) Prevention quality indicators m m
C) National Patient Safety Goals m m m
D) Patient safety indicators m m
mAns: C m
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
m m m m m m m m m m m
mannually. These safety goals have changed how patients are identified and prevent
m m m m m m m m m m m
madverse effects. Some of the 2012 goals include reducing the risk of
m m m m m m m m m m m
healthcare-associated infections. Patient safety indicators reflect the quality of care in
m m m m m m m m m m
mhospitals but focus on potentially avoidable complications. Prevention indicators
m m m m m m m m
midentify hospital admissions that could be avoided through high-quality outpatient
m m m m m m m m m
care. Inpatient indicators reflect quality of care inside the hospital.
m m m m m m m m m m
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care
m m m m m m m m m m m m m m
is the client receiving?
m m m m
A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
m m
Feedback:
m
Hospitals where specialized technology is available provide tertiary care. Primary
m m m m m m m m m
care is the initial contact that a client has, such as an appointment with a family
m m m m m m m m m m m m m m m m
practitioner. Secondary care includes referrals for additional testing. Rehabilitation is
m m m m m m m m m m
aimed at restoring a person to his or her fullest ability.
m m m m m m m m m m m
Page 4 m
Page 1
m
, CHAPTER 1 m
Managed care organizations are insurers that carefully plan and closely supervise the
m m m m m m m m m m m
distribution of healthcare services. What is one of the goals of managed care?
m m m m m m m m m m m m m
A) Preventing illness through screening and promotion of health activities m m m m m m m m
B) Improving training of healthcare professionals m m m m
C) Eliminating health disparities between segments of the population m m m m m m m
D) Providing hospice or home hospice m m m m
care Ans: A
m m m
Feedback:
Preventing illness through screening and promotion of health activities is one of the
m m m m m m m m m m m m
goals of managed care. Improved training of healthcare professionals is the priority
m m m m m m m m m m m m
for international health and not the goal of managed care. Eliminating health
m m m m m m m m m m m m
disparities between the segments of population is a goal of Healthy People 2020.
m m m m m m m m m m m m m
Providing hospice or home hospice care is only for terminally ill clients.
m m m m m m m m m m m m
2. In an effort to cut costs, hospitals have instituted many changes. Which of
m m m m m m m m m m m m
mthese cost-cutting factors is most likely to jeopardize the quality of care?
m m m m m m m m m m m
A) Using unlicensed assistive personnel m m m
B) Increasing numbers of clients in hospitals m m m m m
C) Not devoting enough time to the client
m m m m m m
D) The rise of medical care costs in healthcare
m m m m m m m
msystems Ans: A m m
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical
m m m m m m m m m m
mand registered nurses once provided. Many are concerned that the use of unlicensed
m m m m m m m m m m m m
massistive personnel will jeopardize the quality of care. Increasing numbers of clients
m m m m m m m m m m m
min hospitals, not devoting enough time to the client, or the rise of medical costs are
m m m m m m m m m m m m m m m
mless likely to jeopardize the quality of care.
m m m m m m m
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a
m m m m m m m m m m m m m m
community walking group to raise money for the homeless in his area. Which of
m m m m m m m m m m m m m m
the following has contributed to him being viewed as ―healthy‖?
m m m m m m m m m m
A) The client is married and is moving on.
m m m m m m m
B) The client is experiencing high quality of life within the limits of the
m m m m m m m m m m m m
physical condition.
m m
C) The client is facing various states of health and illness.
m m m m m m m m m
D) The client is physiologically and psychologically
m m m m m
stable. Ans: B
m m m
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
m m m m m m m m m m
stability, and self-expression. Clients with chronic illness can achieve a high level of
m m m m m m m m m m m m m
wellness and experience high quality of life. Marriage is an aspect of quality of life
m m m m m m m m m m m m m m m
but does not define the quality of the client's life. All clients experience various states
m m m m m m m m m m m m m m m
of health and illness.
m m m m
Page 2 m
,4. A 17-year-old client is having protected sex one to two times a week in a
m m m m m m m m m m m m m m
monogamous relationship. What is the client participating in?
m m m m m m m m
A) Health promotion m
B) Health maintenance m
C) Illness prevention m
D) Wellness
Ans: B
m m
mFeedback:
Protecting one's current level of health by practicing safe sex to prevent illness is an
m m m m m m m m m m m m m m
mexample of a health maintenance activity. Health promotion strategies are used to
m m m m m m m m m m m
menhance health, such as eating a diet high in fiber. Illness prevention includes
m m m m m m m m m m m m
midentifying risk factors such as hypertension. Wellness is the balance of total well-
m m m m m m m m m m m m
being.
5. A client complaining of bloody urine has scheduled an appointment with a
m m m m m m m m m m m
family practitioner. What type of care is the client receiving?
m m m m m m m m m m
A) Tertiary
B) Secondary
C) Skilled nursing care m m
D) Primary
Ans: D
m m
Feedback:
m
The first provider that clients contact about a health need provides primary care; this
m m m m m m m m m m m m m
person is typically a family practitioner or nurse practitioner. Secondary care includes
m m m m m m m m m m m m
referrals to facilities for additional testing. Tertiary care focuses on more complex
m m m m m m m m m m m m
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
m m m m m m m m m m m m m
offer prolonged health maintenance or rehabilitative services.
m m m m m m m
Page 3 m
, 6. The hospital is having a problem with healthcare-associated infections. A committee
m m m m m m m m m m
has been established to study the problem and make recommendations. The nurse
m m m m m m m m m m m m
mworking on the committee knows that this work addresses what?
m m m m m m m m m
A) Inpatient quality indicators m m
B) Prevention quality indicators m m
C) National Patient Safety Goals m m m
D) Patient safety indicators m m
mAns: C m
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
m m m m m m m m m m m
mannually. These safety goals have changed how patients are identified and prevent
m m m m m m m m m m m
madverse effects. Some of the 2012 goals include reducing the risk of
m m m m m m m m m m m
healthcare-associated infections. Patient safety indicators reflect the quality of care in
m m m m m m m m m m
mhospitals but focus on potentially avoidable complications. Prevention indicators
m m m m m m m m
midentify hospital admissions that could be avoided through high-quality outpatient
m m m m m m m m m
care. Inpatient indicators reflect quality of care inside the hospital.
m m m m m m m m m m
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care
m m m m m m m m m m m m m m
is the client receiving?
m m m m
A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
m m
Feedback:
m
Hospitals where specialized technology is available provide tertiary care. Primary
m m m m m m m m m
care is the initial contact that a client has, such as an appointment with a family
m m m m m m m m m m m m m m m m
practitioner. Secondary care includes referrals for additional testing. Rehabilitation is
m m m m m m m m m m
aimed at restoring a person to his or her fullest ability.
m m m m m m m m m m m
Page 4 m
