1. Who are the consumers of health care systems Ans: Clients
2. Who are the licensed providers of health care systems Ans: RN's, LPN's,
APRN's, medical doctors, pharmacists, etc.
3. What are some examples of regulatory agencies Ans: U.S. Department of Health and
Human Services, FDA, etc.
4. What is Medicare Ans: For clients 65 years of age or older and those who have
permanent disabilities.
5. What is Medicaid Ans: For clients who have low incomes.
6. What does the Patient Protection and Affordable Care Act Ans: Increases access to
health care, decreases health care costs, and provides opportunities for uninsured people to
become insured at an affordable cost.
7. What does the State Children's Health Insurance Program Ans: Provides cover- age
for uninsured children up to age 19 at a low cost to parents.
8. What are managed care organizations (MCOs) Ans: Primary care providers over-
see comprehensive care for enrolled clients and focus on prevention and health promotions
9. What are preferred provider organizations (PPOs) Ans: Clients choose from a list of
contracted providers and hospitals.
10. What are exclusive provider organizations (EPOs) Ans: Clients choose from a list
,of providers and hospitals within a contracted organization with no out-of-network coverage.
11. What is long-term care insurance Ans: A supplement for long-term care expens- es
Medicare does not cover.
12. What is preventative health care Ans: Focuses on educating and equipping
clients to reduce and control risk factors for disease.
13. What is primary health care Ans: Emphasizes health promotion and includes
prenatal and well-baby care, family planning, nutrition counseling, and disease control.
14. What is secondary health care Ans: Includes the diagnosis and treatment of
acute illness and injury.
15. What is tertiary health care/acute care Ans: Involves the provision of specialized
and highly technical care.
16. What is restorative health care Ans: Involves intermediate follow-up care for
restoring health and promoting self-care.
17. What is continuing health care Ans: Addresses long-term or chronic health care
needs over a period of time.
18. What are regulatory agencies Ans: Helps ensure the quality and quantity of health
care and the protection of health care consumers.
, 19. What does health care finance do Ans: Influences the quality and type of care by
setting parameters for cost containment and reimbursement.
20. What is safety Ans: The minimization of risk factors that could cause injury or harm
while promoting high-quality care and maintaining a secure environment for clients, self,
and others.
21. What is patient-centered care Ans: The provision of caring and compassionate,
culturally sensitive care that addresses clients' physiological, psychological, socio- logical,
spiritual, and cultural needs, preferences, and values.
22. What is evidence based practice Ans: The use of current knowledge from re-
search and other credible sources on which to base clinical judgment and client care.
23. What is informatics Ans: The use of information technology as a communication
and information-gathering tool that supports clinical decision-making and scientifi- cally-
based nursing practice.
24. What is quality improvement Ans: Care-related and organizational processes that
involve the development and implementation of a plan to improve health care services
and better meet clients' needs.
25. What is teamwork and collaboration Ans: The delivery of client care in partner-
ship with inter-professional members of the health care team to achieve continuity of care
and positive client outcomes.