NU 180 EXAM 3 REVIEW QUESTIONS AND ANSWERS
RATED 100% CORRECT.
Premium Answer - Monthly fee paid for health insurance coverage.
Deductible Answer - Annual out-of-pocket amount paid before insurance
covers expenses.
Copayment Answer - Set fee paid at the time of service (office visit,
medication).
Coinsurance Answer - Percentage of bill paid by the insured after deductible is
met.
Capitation Answer - A set monthly fee charged per patient for defined services
(cost-containment model).
Fee-for-service Answer - Traditional model where providers are paid for each
service.
Medicare Answer - Federal program for those 65+ or with qualifying
disabilities.
Medicare Part A Answer - Covers hospital and inpatient care.
, Medicare Part B Answer - Covers physician and outpatient care.
Medicaid Answer - State & federally funded program based on income need,
helping low-income families, pregnant women, and disabled individuals.
Diagnosis-Related Groups (DRGs) Answer - Predetermined payment amounts
for diagnoses, encouraging shorter hospital stays.
Prospective Payment System Answer - Hospital knows in advance what it will
be paid, creating an incentive to discharge early.
Continuous Quality Improvement (CQI) Answer - Ongoing monitoring to
improve safety, processes, and patient outcomes.
Cost-Containment Nursing Actions Answer - Actions include documenting
accurately for reimbursement, managing time efficiently, using supplies wisely,
and preventing complications.
Primary Care Answer - First entry into the healthcare system (referring MD, NP,
ambulatory clinic).
Ambulatory/Urgent Care Centers Answer - Walk-in services for non-
emergencies.
Acute Care Hospitals Answer - Short-term, intensive treatment facilities.
Skilled Nursing Facility (SNF) Answer - Long-term care for patients needing
daily medical/nursing services.
RATED 100% CORRECT.
Premium Answer - Monthly fee paid for health insurance coverage.
Deductible Answer - Annual out-of-pocket amount paid before insurance
covers expenses.
Copayment Answer - Set fee paid at the time of service (office visit,
medication).
Coinsurance Answer - Percentage of bill paid by the insured after deductible is
met.
Capitation Answer - A set monthly fee charged per patient for defined services
(cost-containment model).
Fee-for-service Answer - Traditional model where providers are paid for each
service.
Medicare Answer - Federal program for those 65+ or with qualifying
disabilities.
Medicare Part A Answer - Covers hospital and inpatient care.
, Medicare Part B Answer - Covers physician and outpatient care.
Medicaid Answer - State & federally funded program based on income need,
helping low-income families, pregnant women, and disabled individuals.
Diagnosis-Related Groups (DRGs) Answer - Predetermined payment amounts
for diagnoses, encouraging shorter hospital stays.
Prospective Payment System Answer - Hospital knows in advance what it will
be paid, creating an incentive to discharge early.
Continuous Quality Improvement (CQI) Answer - Ongoing monitoring to
improve safety, processes, and patient outcomes.
Cost-Containment Nursing Actions Answer - Actions include documenting
accurately for reimbursement, managing time efficiently, using supplies wisely,
and preventing complications.
Primary Care Answer - First entry into the healthcare system (referring MD, NP,
ambulatory clinic).
Ambulatory/Urgent Care Centers Answer - Walk-in services for non-
emergencies.
Acute Care Hospitals Answer - Short-term, intensive treatment facilities.
Skilled Nursing Facility (SNF) Answer - Long-term care for patients needing
daily medical/nursing services.
