NSRG 2221 Chapter 10: Marquis Leadership: Fiscal Planning
Test Toolkit Questions and Approved for Credibility Nursing
Solutions Latest 2025/2026
What was the primary reason for the development of the prospective
payment system?
A) Skyrocketing health-care costs following the advent of Medicare and
Medicaid
B) The passage of the Health Maintenance Act of 1973
C) The introduction of the Health Security Act to Congress
D) A coalition held by the three largest private insurers in 1975 - correct
answer Ans: A
Feedback:
Prospective payment systems were the result of skyrocketing medical costs
in the
United States. That is not true of the other options.
What is capitation?
A) A reimbursement schema whereby health-care organizations receive a
Predetermined amount (based on a patient's diagnosis for services
provided)
B) The limited availability of services to patients in managed care
organizations
C) The use of a ìgatekeeperî to ensure appropriate utilization of services
D) A predetermined, negotiated payment to providers, per patient,
regardless of
Whether services are used - correct answer Ans: D
Feedback:
, Capitation is a predetermined, negotiated payment to providers, per
patient, regardless
Of whether services are used. None of the other options correctly describe
capitation.
Which use of limited resources would result in increased reimbursement
revenues?
A) Education on appropriate documentation on patient care records
B) Number of clinical nurse specialists
C) Educational paid days for licensed staff
D) Mix and number of clinical staff - correct answer Ans: A
Feedback:
Although options B, C, and D have the potential to improve patient care,
education on
Documentation would most likely increase revenues.
Which statement best describes critical pathways?
A) They determine justifiable differences among clients
B) They decrease the amount of paperwork required for reimbursement
C) They reduce administrative costs
D) They provide a means of standardizing care for clients with similar
diagnoses - correct answer Ans: D
Feedback:
Critical pathways are one means of standardizing care for clients with
similar diagnoses.
The other options are not true statements regarding critical pathways.
Test Toolkit Questions and Approved for Credibility Nursing
Solutions Latest 2025/2026
What was the primary reason for the development of the prospective
payment system?
A) Skyrocketing health-care costs following the advent of Medicare and
Medicaid
B) The passage of the Health Maintenance Act of 1973
C) The introduction of the Health Security Act to Congress
D) A coalition held by the three largest private insurers in 1975 - correct
answer Ans: A
Feedback:
Prospective payment systems were the result of skyrocketing medical costs
in the
United States. That is not true of the other options.
What is capitation?
A) A reimbursement schema whereby health-care organizations receive a
Predetermined amount (based on a patient's diagnosis for services
provided)
B) The limited availability of services to patients in managed care
organizations
C) The use of a ìgatekeeperî to ensure appropriate utilization of services
D) A predetermined, negotiated payment to providers, per patient,
regardless of
Whether services are used - correct answer Ans: D
Feedback:
, Capitation is a predetermined, negotiated payment to providers, per
patient, regardless
Of whether services are used. None of the other options correctly describe
capitation.
Which use of limited resources would result in increased reimbursement
revenues?
A) Education on appropriate documentation on patient care records
B) Number of clinical nurse specialists
C) Educational paid days for licensed staff
D) Mix and number of clinical staff - correct answer Ans: A
Feedback:
Although options B, C, and D have the potential to improve patient care,
education on
Documentation would most likely increase revenues.
Which statement best describes critical pathways?
A) They determine justifiable differences among clients
B) They decrease the amount of paperwork required for reimbursement
C) They reduce administrative costs
D) They provide a means of standardizing care for clients with similar
diagnoses - correct answer Ans: D
Feedback:
Critical pathways are one means of standardizing care for clients with
similar diagnoses.
The other options are not true statements regarding critical pathways.
