A nurse is teaching a newly licensed nurse about
the Hospital Consumer Assessment of Health
Care Providers and Systems (HCAHPS) tool. A nurse is teaching a newly licensed nurse about
Which of the following information should the Medicare reimbursement. Which of the following
nurse include? should the nurse include in the teaching?
-Diagnosis-related groups (DRGs) establish
-The HCAHPS tool is provided to clients upon reimbursement amounts based on the client's
admission to a facility. length of hospitalization
-The HCAHPS tool is issued to every client who -Reimbursement amounts will be adjusted for
is admitted to the facility. clients who contract hospital-acquired conditions
-The HCAHPS tool is issued to measure client (HAC)
satisfaction with the health care service. -Clients must recover before the facility can be
-The HCAHPS tool is emailed to clients. - - reimbursed
-The HCAHPS tool is issued to measure client -The Inpatient Prospective Payment System
satisfaction with the health care service. (IPPS) allows for facilities to be reimbursed in
advance for client care - - -Reimbursement
The HCAHPS tool is issued to measure client amounts will be adjusted for clients who contract
satisfaction with the health care service. The hospital-acquired conditions (HAC).
information is publicly reported and ensures the
accountability and transparency of the facilities To encourage hospitals to provide quality care to
that participate. The HCAHPS tool uses a broad their clients, Medicare requires payment
range of questions issued to the client regarding reduction to facilities that have poor outcomes
their care. This information is published publicly related to hospital-acquired infections.
to show how the facility is performing and their
accountability.
A nurse is discussing social determinants of
health with a newly licensed nurse. The nurse
A community health nurse is teaching a newly should include that which of the following factors
licensed nurse about social determinants of contribute to the neighborhood and built
health. Which of the following should the newly environment determinant category? (Select all
licensed nurse identify as a physical determinant that apply.)
of health?
-Access to foods that support healthy eating
-Limited income to purchase food patterns
-Poor quality school system -Access to health care
-Inability to read food labels -Crime and violence
-Poor air quality - - -Poor air quality -Environmental conditions
-Civic participation - - -Access to foods that
The nurse should identify that poor air quality is a support healthy eating patterns
physical determinant of health. Physical -Crime and violence
determinants of health are related to the client's -Environmental conditions
physical environment. Other physical
determinants of health can include leaky pipes,
lead paint, housing that requires maintenance, A nurse in a clinic is caring for a client who is
and living in a confined area with multiple going to require 7 days of IV antibiotics and
families. dressing changes for cellulitis. Which of the
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, ATI Health Care Delivery Test Questions and Answers Rated A
follow care facilities should the nurse anticipate
the client be admitted to? The nurse should recommend that the client's
partner consider placing the client in respite care.
-Skilled nursing facility Respite care is a benefit offered under hospice
-Long-term care hospital care that allows clients to receive up to 5 days of
-Acute care hospital care. This can help provide client caregivers relief
-Assisted living facility - - -Acute care and rest from the duties of caring for their loved
hospital. one.
Acute care facilities specialize in clients who
require short term treatment, such as IV A nurse in a provider's office is calling a client's
medications, diagnostic procedures, and insurance company to obtain permission prior to
dressing changes. scheduling a magnetic resonance imaging (MRI)
test. Which of the following is the nurse
obtaining?
A nurse is teaching a clients about the Affordable
Care Act (ACA). Which of the following -Fee-for-service
information should the nurse include? -Diagnosis-related group (DRG)
-Retrospective review
-The ACA does not provide coverage for pre- -Precertification - - -Precertification.
existing conditions
-The ACA enforces a lifetime limit to covered The nurse is obtaining precertification from the
benefits client's insurance company prior to scheduling
-Clients who have insurance pay a fee for the client's MRI. Before an elective surgery,
preventable screenings hospital admission, or procedure such as a
-A focus of the ACA is disease prevention - magnetic imaging study, a client needs to obtain
- -A focus of the ACA is disease precertification or authorization approval from the
prevention. insurance company, or the service can risk denial
of payment.
Aside from making insurance coverage more
affordable and available, a focus of the ACA is
disease prevention. Clients are encouraged to A nurse is reviewing a report by the Institute of
sign up for insurance and seek preventative care Medicine (IOM). Which of the following
before they get sick, so they can stay well. competencies should the nurse identify health
care professionals need in order to reduce
errors? (Select all that apply.)
A home health nurse is caring for a client who is
receiving hospice care. The client's partner -Competition
reports feeling overwhelmed from caring for the -Cooperation
client. Which of the following types of facilities -Communication
should the nurse recommend? -Resolution
-Coordination - - -Cooperation
-A skilled nursing facility (SNF) -Communication
-A long-term care hospital (LTCH) -Coordination
-Respite care
-Assisted living - - -Respite care.
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