Nursing and Health Care Exam 3 Review Questions And Correct Verified Answers Pass Guaranteed.

Which response is best when the nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" - correct answer-They are a way to improve the margin of profit in the fee-for-service method of paying for health care Which response by the nurse best explains the advantage of health insurance when a patient states, "I didn't sign up for health insurance at my job because I'm young and healthy and can use the money in other ways." - correct answer- With insurance you are spreading the risk in case you have a serious health event, such as cancer or major trauma A patient asks the nurse, "What do health maintenance organizations (HMOs) do to reduce health care costs?" The response - correct answer- "HMOs provide services aimed at keeping members healthy." Which of the following constitutes a problem that affects data collected by the nurse interviewing a chronically ill older adult patient? Many older adults who are covered only by Medicare Parts A and B find it difficult to pay the cost of - correct answer- Prescription drugs while living at home When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides - correct answer- Increased use of extended care units for rehabilitation needs Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for - correct answer- Critical pathways and managed care A patient tells the nurse, "I received a questionnaire that said my answers would be used for purposes of continuous quality improvement. I wonder if it's worth my time to fill it out?" Which response best explains continuous quality improvement - correct answer- "Continuous quality improvement activities are used to monitor and improve processes involved in providing safe, effective care for patients" A 70-year-old patient tells the nurse, " I can't go to the hospital for treatment because I have no hospital insurance. My social security and my pension pay my living expenses, but I don't have any savings." The nurse's response should be focused on - correct answer- Providing information about Medicare A mother and her three children often seek medical services at the emergency room. The nurse realizes that they have no insurance and are unable to pay for services. Which action should the nurse take to provide the greatest assistance to the family? - correct answer- Contact a social worker to discuss Medicaid with the mother Which program offers an incentive to hospitals to discharge patients as quickly as possible? - correct answer- Prospective payment system Which trend in health care may negatively affect the number of practical nurses hired by an agency? - correct answer- The increased use of unlicensed personnel Which quality improvement activity routinely engages the LPN/LVN? - correct answer- Collecting data for care plan development Which LPN/LVN will be most successful in dealing with change? - correct answer- Nurse U, who sees change as an opportunity to improve conditions Which skill will be most helpful to an LPN/LVN in navigating health care system changes? - correct answer- Problem-solving and critical thinking abilities A set monthly fee charged by the provider of the health care services for each member of the insurance group for a specific set of services is known as - correct answer- Capitation A method of financing health care costs in which physicians are paid a fee by the patient for each service they provide is known as - correct answer- Fee-for-service The monthly fee a person must pay for health care insurance coverage is known as the - correct answer- Premium The yearly amount insured person must spend out-of-pocket for health care services before a health insurance policy will begin to pay its share is known as the - correct answer- Deductible (SATA) Which types of services are currently provided in the U.S. health care delivery system? - correct answer- Health promotion - Diagnosis and treatment - Illness prevention (SATA) Which phrase could be used by a nurse to characterize the present health care delivery system in the United States? - correct answer- Responds to illness - Is fragmented and confusing - Is unsafe (SATA) Which problems are associated with the present health care delivery system? - correct answer- High cost - Widespread shortage of RNs (SATA) Which measures should the charge nurse mention when explaining cost-containment measures? - correct answer- Charge patients for all supplies used in their care - Document patient care according to the policy for reimbursement - Use time management principles to work efficiently - Use supplies carefully to avoid waste -Implement measures to prevent complications (True or False) Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the coinsurance - correct answer- True (True or False) The amount an insured person must pay at the time of the office visit, when picking up a prescription, or before a hospital service is known as the copayment - correct answer- True Which is an example of a public sector health care agency supported primarily by U.S. taxpayer dollars? - correct answer- U.S. Public Health Service A nurse is asked, "What does it mean if a health care agency is described as 'Proprietary'?" The nurse should respond - correct answer- "It operates for profit" Which is an example of a voluntary health agency that is focused on research and education of the public? - correct answer- American Heart Association Knowing that Alcoholics Anonymous is a nonprofit group that receives no taxpayer money and is aimed at meeting the needs of a selected population segment would help the nurse classify it as a - correct answer- Voluntary agency A nurse working in the emergency department must obtain data to identify the patient's primary care provider. Which information should the nurse obtain from the patient? - correct answer- The referring physician, nurse practitioner, or ambulatory care setting A patient tells the nurse, " I was treated for an asthma attack at a freestanding ambulatory services center." The nurse correctly identifies the treatment as taking place at a(n) - correct answer- Urgent care center An older adult patient is to be discharged from the acute care hospital with left-sided weakness, difficulty swallowing, and inability to independently perform ADLs, therefore requiring daily physical therapy. The patient has no family and lives in a high-rise building. Which level of long-term care would the nurse likely recommend at the care planning conference? - correct answer- Skilled nursing facility A patient who has had a cerebrovascular accident needs nursing care, physical therapy, and speech therapy. The patient's spouse would like to provide care at home but needs assistance. Which agency would be best to meet the patient's needs? - correct answer- Home health agency After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. Which is the best response by the nurse? - correct answer- "It will help you get back the function of your hand and will prevent further disability" Which individual is best served by receiving care at an adult day care center? - correct answer- Mr. D, who has first-stage Alzheimer disease and a working wife At a patient care planning conference, the nurse hears a remark, "We need to report this event to our official public health agency." Which agency does the nurse realize will be contacted? - correct answer- Local Health Department The U.S. Public Health Service (USPHS) is funded by - correct answer- Tax money Accountability of private health care agencies is assumed by the - correct answer- Owners of the agency (SATA) Which are types of health care agencies in which the LPN/LVN would most likely find work? - correct answer- Skilled nursing facility - Hospice (SATA) Which information would help the nurse frame a comprehensive response when asked about public health care agencies? - correct answer- There are two types of public health agencies: official and voluntary - Public health agencies emphasize disease prevention, wellness promotion, research, and education (SATA) Which agencies are considered part of the U.S. Public health service? - correct answer- National Institutes of Health - Food and Drug Administration