NURA 303 Exam 1 Questions With Correct
Answers
Nursing |students |are |reviewing |information |about |health |care |delivery |systems |in |preparation |
for |a |quiz |the |next |day. |Which |statements |describe |current |U.S. |health |care |delivery |practices?
|Select |all |that |apply.
A. |Access |to |care |depends |only |on |the |ability |to |pay, |not |the |availability |of |services.
B. |The |Patient |Protection |and |Affordable |Care |Act |provides |private |health |care |insurance |to |
underserved |populations.
C. |Every |health |insurance |plan |in |the |Health |Insurance |Marketplace |offers |comprehensive |
coverage, |from |doctors |to |medications |to |hospital |visits.
D. |The |uninsured |pay |for |more |than |one |third |of |their |care |out |of |pocket |and |are |usually |
charged |lower |amounts |for |their |care |than |the |insured |pay.
E. |Fifty |years |ago, |half |of |the |doctors |in |the |United |States |practiced |primary |care, |but |today |
fewer |than |one |in |three |do.
F. |Quality |of |care |can |be |defined |as |the |right |care |for |the |right |person |at |the |right |time. |- |
CORRECT |ANSWER✔✔-c, |e, |f. |The |Health |Insurance |Marketplace |is |designed |to |help |people |
more |easily |find |health |insurance |that |fits |their |budget. |Every |health |insurance |plan |in |the |
Marketplace |offers |comprehensive |coverage, |from |doctors |to |medications |to |hospital |visits. |
Fifty |years |ago, |half |of |the |doctors |in |the |United |States |practiced |primary |care, |but |today |
fewer |than |one |in |three |do. |Quality |is |the |right |care |for |the |right |person |at |the |right |time. |
Access |to |care |depends |on |both |the |ability |to |pay |and |the |availability |of |services. |The |Patient |
Protection |and |Affordable |Care |Act |provides |Medicaid |or |subsidized |coverage |to |qualifying |
people |with |incomes |up |to |400% |of |poverty. |The |uninsured |pay |for |more |than |one |third |of |
their |care |out |of |pocket |and |are |often |charged |higher |amounts |for |their |care |than |the |insured |
pay.
A |nurse |is |providing |health |care |to |patients |in |a |health |care |facility. |Which |of |these |patients |
are |receiving |secondary |health |care? |Select |all |that |apply.
A. |A |patient |enters |a |community |clinic |with |signs |of |strep |throat.
B. |A |patient |is |admitted |to |the |hospital |following |a |myocardial |infarction.
,C. |A |mother |brings |her |son |to |the |emergency |department |following |a |seizure.
D. |A |patient |with |osteogenesis |imperfecta |is |being |treated |in |a |medical |center.
E. |A |mother |brings |her |son |to |a |specialist |to |correct |a |congenital |heart |defect.
F. |A |woman |has |a |hernia |repair |in |an |ambulatory |care |center. |- |CORRECT |ANSWER✔✔-b, |c, |f. |
Secondary |health |care |treats |problems |that |require |specialized |clinical |expertise, |such |as |an |
MI, |a |seizure, |and |a |hernia |repair. |Treating |strep |throat |is |primary |health |care. |Tertiary |health |
care |involves |management |of |rare |and |complex |disorders, |such |as |osteogenesis |imperfecta |
and |congenital |heart |malformations.
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 |type |of |
reimbursement?
A. |Capitation
B. |Prospective |payment |system
C. |Bundled |payment
D. |Rate |setting |- |CORRECT |ANSWER✔✔-a. |Capitation |plans |give |providers |a |fixed |amount |per |
enrollee |in |the |health |plan |in |an |effort |to |build |a |payment |plan |that |consists |of |the |best |
standards |of |care |at |the |lowest |cost. |The |prospective |payment |system |groups |inpatient |
hospital |services |for |Medicare |patients |into |DRGs. |With |bundled |payments, |providers |receive |a
|fixed |sum |of |money |to |provide |a |range |of |services. |Rate |setting |means |that |the |government |
could |set |targets |or |caps |for |spending |on |health |care |services.
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 |of |what |mode |of |health |care |
payment?
A. |Out-of-pocket |payment
B. |Individual |private |insurance
C. |Employer-based |group |private |insurance
D. |Government |financing |- |CORRECT |ANSWER✔✔-b. |The |four |basic |modes |of |paying |for |
health |care |are |out-of-pocket |payment, |individual |private |insurance, |employer-based |group |
private |insurance, |and |government |financing. |With |individual |private |insurance, |members |pay |
,monthly |premiums |either |by |themselves |or |in |combination |with |employer |payments. |These |
plans |are |called |third-party |payers |because |the |insurance |company |pays |all |or |most |of |the |
cost |of |care. |Out-of-pocket |payment |is |paying |for |health |care |with |cash |payments. |Employer-
based |private |insurance |is |employer-sponsored |coverage |and |government |financing |is |
provided |through |Medicare |and |Medicaid, |and |other |federally |funded |programs.
A |nurse |researcher |keeps |current |on |the |trends |to |watch |in |health |care |delivery. |What |trends |
are |likely |included? |Select |all |that |apply.
A. |Globalization |of |the |economy |and |society
B. |Slowdown |in |technology |development
C. |Decreasing |diversity
D. |Increasing |complexity |of |patient |care
E. |Changing |demographics
F. |Shortages |of |key |health |care |professionals |and |educators |- |CORRECT |ANSWER✔✔-a, |d, |e, |f. |
Trends |to |watch |in |health |care |delivery |include |globalization |of |the |economy |and |society, |
increasing |complexity |of |patient |care, |changing |demographics, |shortages |of |key |health |care |
professionals |and |educators, |technology |explosion, |and |increasing |diversity.
A |nurse |is |caring |for |patients |in |a |primary |care |center. |What |is |the |most |likely |role |of |this |
nurse |based |on |the |setting?
A. |Assisting |with |major |surgery
B. |Performing |a |health |assessment
C. |Maintaining |patients' |function |and |independence
D. |Keeping |student |immunization |records |up |to |date |- |CORRECT |ANSWER✔✔-b. |Performing |
patient |health |assessments |is |a |common |role |of |the |nurse |in |a |primary |care |center. |Assisting |
with |major |surgery |is |a |role |of |the |nurse |in |the |hospital |setting. |Maintaining |patients' |function
|and |independence |is |a |role |of |the |nurse |in |an |extended-care |facility, |and |keeping |student |
immunization |records |up |to |date |is |a |role |of |the |school |nurse.
A |caregiver |asks |a |nurse |to |explain |respite |care. |How |would |the |nurse |respond?
, A. |"Respite |care |is |a |service |that |allows |time |away |for |caregivers."
B. |"Respite |care |is |a |special |service |for |the |terminally |ill |and |their |family."
C. |"Respite |care |is |direct |care |provided |to |people |in |a |long-term |care |facility."
D. |"Respite |care |provides |living |units |for |people |without |regular |shelter." |- |CORRECT |
ANSWER✔✔-a. |Respite |care |is |provided |to |enable |a |primary |caregiver |time |away |from |the |
day-to-day |responsibilities |of |homebound |patients.
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?
A. |A |design |to |control |the |cost |of |care |while |maintaining |the |quality |of |care
B. |Care |coordination |to |maximize |positive |outcomes |to |contain |costs
C. |The |delivery |of |services |from |initial |contact |through |ongoing |care
D. |Based |on |a |philosophy |of |ensuring |death |in |comfort |and |dignity |- |CORRECT |ANSWER✔✔-a. |
Managed |care |is |a |way |of |providing |care |designed |to |control |costs |while |maintaining |the |
quality |of |care.
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 |
providing?
A. |Respite |care
B. |Palliative |care
C. |Hospice |care
D. |Extended |care |- |CORRECT |ANSWER✔✔-c. |The |hospice |nurse |combines |the |skills |of |the |
home |care |nurse |with |the |ability |to |provide |daily |emotional |support |to |dying |patients |and |
their |families. |Respite |care |is |a |type |of |care |provided |for |caregivers |of |homebound |ill, |
disabled, |or |older |adults. |Palliative |care, |which |can |be |used |in |conjunction |with |medical |
treatment |and |in |all |types |of |health |care |settings, |is |focused |on |the |relief |of |physical, |mental, |
and |spiritual |distress. |Extended-care |facilities |include |transitional |subacute |care, |assisted-living
|facilities, |intermediate |and |long-term |care, |homes |for |medically |fragile |children, |retirement |
Answers
Nursing |students |are |reviewing |information |about |health |care |delivery |systems |in |preparation |
for |a |quiz |the |next |day. |Which |statements |describe |current |U.S. |health |care |delivery |practices?
|Select |all |that |apply.
A. |Access |to |care |depends |only |on |the |ability |to |pay, |not |the |availability |of |services.
B. |The |Patient |Protection |and |Affordable |Care |Act |provides |private |health |care |insurance |to |
underserved |populations.
C. |Every |health |insurance |plan |in |the |Health |Insurance |Marketplace |offers |comprehensive |
coverage, |from |doctors |to |medications |to |hospital |visits.
D. |The |uninsured |pay |for |more |than |one |third |of |their |care |out |of |pocket |and |are |usually |
charged |lower |amounts |for |their |care |than |the |insured |pay.
E. |Fifty |years |ago, |half |of |the |doctors |in |the |United |States |practiced |primary |care, |but |today |
fewer |than |one |in |three |do.
F. |Quality |of |care |can |be |defined |as |the |right |care |for |the |right |person |at |the |right |time. |- |
CORRECT |ANSWER✔✔-c, |e, |f. |The |Health |Insurance |Marketplace |is |designed |to |help |people |
more |easily |find |health |insurance |that |fits |their |budget. |Every |health |insurance |plan |in |the |
Marketplace |offers |comprehensive |coverage, |from |doctors |to |medications |to |hospital |visits. |
Fifty |years |ago, |half |of |the |doctors |in |the |United |States |practiced |primary |care, |but |today |
fewer |than |one |in |three |do. |Quality |is |the |right |care |for |the |right |person |at |the |right |time. |
Access |to |care |depends |on |both |the |ability |to |pay |and |the |availability |of |services. |The |Patient |
Protection |and |Affordable |Care |Act |provides |Medicaid |or |subsidized |coverage |to |qualifying |
people |with |incomes |up |to |400% |of |poverty. |The |uninsured |pay |for |more |than |one |third |of |
their |care |out |of |pocket |and |are |often |charged |higher |amounts |for |their |care |than |the |insured |
pay.
A |nurse |is |providing |health |care |to |patients |in |a |health |care |facility. |Which |of |these |patients |
are |receiving |secondary |health |care? |Select |all |that |apply.
A. |A |patient |enters |a |community |clinic |with |signs |of |strep |throat.
B. |A |patient |is |admitted |to |the |hospital |following |a |myocardial |infarction.
,C. |A |mother |brings |her |son |to |the |emergency |department |following |a |seizure.
D. |A |patient |with |osteogenesis |imperfecta |is |being |treated |in |a |medical |center.
E. |A |mother |brings |her |son |to |a |specialist |to |correct |a |congenital |heart |defect.
F. |A |woman |has |a |hernia |repair |in |an |ambulatory |care |center. |- |CORRECT |ANSWER✔✔-b, |c, |f. |
Secondary |health |care |treats |problems |that |require |specialized |clinical |expertise, |such |as |an |
MI, |a |seizure, |and |a |hernia |repair. |Treating |strep |throat |is |primary |health |care. |Tertiary |health |
care |involves |management |of |rare |and |complex |disorders, |such |as |osteogenesis |imperfecta |
and |congenital |heart |malformations.
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 |type |of |
reimbursement?
A. |Capitation
B. |Prospective |payment |system
C. |Bundled |payment
D. |Rate |setting |- |CORRECT |ANSWER✔✔-a. |Capitation |plans |give |providers |a |fixed |amount |per |
enrollee |in |the |health |plan |in |an |effort |to |build |a |payment |plan |that |consists |of |the |best |
standards |of |care |at |the |lowest |cost. |The |prospective |payment |system |groups |inpatient |
hospital |services |for |Medicare |patients |into |DRGs. |With |bundled |payments, |providers |receive |a
|fixed |sum |of |money |to |provide |a |range |of |services. |Rate |setting |means |that |the |government |
could |set |targets |or |caps |for |spending |on |health |care |services.
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 |of |what |mode |of |health |care |
payment?
A. |Out-of-pocket |payment
B. |Individual |private |insurance
C. |Employer-based |group |private |insurance
D. |Government |financing |- |CORRECT |ANSWER✔✔-b. |The |four |basic |modes |of |paying |for |
health |care |are |out-of-pocket |payment, |individual |private |insurance, |employer-based |group |
private |insurance, |and |government |financing. |With |individual |private |insurance, |members |pay |
,monthly |premiums |either |by |themselves |or |in |combination |with |employer |payments. |These |
plans |are |called |third-party |payers |because |the |insurance |company |pays |all |or |most |of |the |
cost |of |care. |Out-of-pocket |payment |is |paying |for |health |care |with |cash |payments. |Employer-
based |private |insurance |is |employer-sponsored |coverage |and |government |financing |is |
provided |through |Medicare |and |Medicaid, |and |other |federally |funded |programs.
A |nurse |researcher |keeps |current |on |the |trends |to |watch |in |health |care |delivery. |What |trends |
are |likely |included? |Select |all |that |apply.
A. |Globalization |of |the |economy |and |society
B. |Slowdown |in |technology |development
C. |Decreasing |diversity
D. |Increasing |complexity |of |patient |care
E. |Changing |demographics
F. |Shortages |of |key |health |care |professionals |and |educators |- |CORRECT |ANSWER✔✔-a, |d, |e, |f. |
Trends |to |watch |in |health |care |delivery |include |globalization |of |the |economy |and |society, |
increasing |complexity |of |patient |care, |changing |demographics, |shortages |of |key |health |care |
professionals |and |educators, |technology |explosion, |and |increasing |diversity.
A |nurse |is |caring |for |patients |in |a |primary |care |center. |What |is |the |most |likely |role |of |this |
nurse |based |on |the |setting?
A. |Assisting |with |major |surgery
B. |Performing |a |health |assessment
C. |Maintaining |patients' |function |and |independence
D. |Keeping |student |immunization |records |up |to |date |- |CORRECT |ANSWER✔✔-b. |Performing |
patient |health |assessments |is |a |common |role |of |the |nurse |in |a |primary |care |center. |Assisting |
with |major |surgery |is |a |role |of |the |nurse |in |the |hospital |setting. |Maintaining |patients' |function
|and |independence |is |a |role |of |the |nurse |in |an |extended-care |facility, |and |keeping |student |
immunization |records |up |to |date |is |a |role |of |the |school |nurse.
A |caregiver |asks |a |nurse |to |explain |respite |care. |How |would |the |nurse |respond?
, A. |"Respite |care |is |a |service |that |allows |time |away |for |caregivers."
B. |"Respite |care |is |a |special |service |for |the |terminally |ill |and |their |family."
C. |"Respite |care |is |direct |care |provided |to |people |in |a |long-term |care |facility."
D. |"Respite |care |provides |living |units |for |people |without |regular |shelter." |- |CORRECT |
ANSWER✔✔-a. |Respite |care |is |provided |to |enable |a |primary |caregiver |time |away |from |the |
day-to-day |responsibilities |of |homebound |patients.
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?
A. |A |design |to |control |the |cost |of |care |while |maintaining |the |quality |of |care
B. |Care |coordination |to |maximize |positive |outcomes |to |contain |costs
C. |The |delivery |of |services |from |initial |contact |through |ongoing |care
D. |Based |on |a |philosophy |of |ensuring |death |in |comfort |and |dignity |- |CORRECT |ANSWER✔✔-a. |
Managed |care |is |a |way |of |providing |care |designed |to |control |costs |while |maintaining |the |
quality |of |care.
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 |
providing?
A. |Respite |care
B. |Palliative |care
C. |Hospice |care
D. |Extended |care |- |CORRECT |ANSWER✔✔-c. |The |hospice |nurse |combines |the |skills |of |the |
home |care |nurse |with |the |ability |to |provide |daily |emotional |support |to |dying |patients |and |
their |families. |Respite |care |is |a |type |of |care |provided |for |caregivers |of |homebound |ill, |
disabled, |or |older |adults. |Palliative |care, |which |can |be |used |in |conjunction |with |medical |
treatment |and |in |all |types |of |health |care |settings, |is |focused |on |the |relief |of |physical, |mental, |
and |spiritual |distress. |Extended-care |facilities |include |transitional |subacute |care, |assisted-living
|facilities, |intermediate |and |long-term |care, |homes |for |medically |fragile |children, |retirement |
