1
ATI Fundamentals for Nursing ATI
Questions with Correct Answers for
Specific Exam Mail
Medicare
Ans: for clients over age 65 and/or with permanent
disabilities. premiums applied as insurance program
reimburses providers based on DRGs. Premiums applied as
Managed Care Organizations (MCOs) provide enrolled
clients with comprehensive care overseen by a primary
care provider. Is federally funded.
Medicaid
Ans: for clients with low income. is federally funded and
individual states determine eligibility requirements.
Traditional Insurance
Ans: reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs)
Pretest - Stuvia US
,2
Ans: comprehensive care is overseen by a primary care
provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs)
Ans: client chooses from a list of contracted providers.
using non-contracted providers increases the client's out
of pocket costs
Exclusive Provider Organizations (EPOs)
Ans: the client chooses from a list of providers within a
contracted organization
Long-Term Care Insurance
Ans: provides for long-term care expenses not covered
by Medicare
Preventive health care
Pretest - Stuvia US
,3
Ans: focuses on educating and equipping clients to
reduce and control risk factors of disease. Examples
include immunizations, stress management programs, and
seat belt use
Primary health care
Ans: emphasizes health promotion, and includes prenatal
and well-baby care, nutrition counseling, and disease
control. is based on a sustained partnership between
client and provider. examples include office or clinic visits
and scheduled school/work centered screenings (vision,
hearing, obesity)
Secondary health care
Ans: includes the diagnosis and treatment of emergency,
acute illness, or injury. examples include care given in
hospital settings (inpatient and EDs), diagnostic centers, or
emergent care centers
Tertiary health care
Pretest - Stuvia US
, 4
Ans: involves the provision of specialized highly technical
care. examples include oncology centers and burn
centers
Restorative health care
Ans: involves intermediate follow-up care for restoring
health. examples include home health care, rehab
centers, and skilled nursing facilities
Continuing health care
Ans: designed to address long-term or chronic health
care needs. examples include hospice, adult day care,
and in-home respite care
Health care regulatory agencies include:
Pretest - Stuvia US
ATI Fundamentals for Nursing ATI
Questions with Correct Answers for
Specific Exam Mail
Medicare
Ans: for clients over age 65 and/or with permanent
disabilities. premiums applied as insurance program
reimburses providers based on DRGs. Premiums applied as
Managed Care Organizations (MCOs) provide enrolled
clients with comprehensive care overseen by a primary
care provider. Is federally funded.
Medicaid
Ans: for clients with low income. is federally funded and
individual states determine eligibility requirements.
Traditional Insurance
Ans: reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs)
Pretest - Stuvia US
,2
Ans: comprehensive care is overseen by a primary care
provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs)
Ans: client chooses from a list of contracted providers.
using non-contracted providers increases the client's out
of pocket costs
Exclusive Provider Organizations (EPOs)
Ans: the client chooses from a list of providers within a
contracted organization
Long-Term Care Insurance
Ans: provides for long-term care expenses not covered
by Medicare
Preventive health care
Pretest - Stuvia US
,3
Ans: focuses on educating and equipping clients to
reduce and control risk factors of disease. Examples
include immunizations, stress management programs, and
seat belt use
Primary health care
Ans: emphasizes health promotion, and includes prenatal
and well-baby care, nutrition counseling, and disease
control. is based on a sustained partnership between
client and provider. examples include office or clinic visits
and scheduled school/work centered screenings (vision,
hearing, obesity)
Secondary health care
Ans: includes the diagnosis and treatment of emergency,
acute illness, or injury. examples include care given in
hospital settings (inpatient and EDs), diagnostic centers, or
emergent care centers
Tertiary health care
Pretest - Stuvia US
, 4
Ans: involves the provision of specialized highly technical
care. examples include oncology centers and burn
centers
Restorative health care
Ans: involves intermediate follow-up care for restoring
health. examples include home health care, rehab
centers, and skilled nursing facilities
Continuing health care
Ans: designed to address long-term or chronic health
care needs. examples include hospice, adult day care,
and in-home respite care
Health care regulatory agencies include:
Pretest - Stuvia US
