Joel Adv Practice NSG, 4e CH09 TB Chapter 9: Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives : Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives

QUESTIONS 1. The nurse educator is presenting a lecture on health-care costs to a group of nursing students. Which statement indicates that the teaching has been effective? 1. “Fee-for-service is the primary source of pricing.” 2. “The approach to health-care delivery has undergone significant changes in health-care reimbursement.” 3. “Providers no longer take liability for service costs.” 4. “Financial risk to the provider has decreased.” Answer: 2. A nurse manager is working with a group of advanced practice nurses (APNs) in a busy surgical center. Which interpretation of the role of the APN is the most accurate? 1. APNs are important for the client to see, in addition to the physician. 2. Fewer APNs are needed now that the physician shortage is resolving. 3. APNs are somewhat cost-effective. 4. APNs are responsible for decreased hospital admission rates. Answer: 3. The nurse is listening to a lecture on the mechanisms of managed care costs. How should the nurse interpret the benefit of managed care costs? 1. Decreased beneficiary cost sharing helps manage costs. 2. Flexible hospital stays decrease costs. 3. The denial of high-cost care cases reduces care costs. 4. Economic incentives to physicians assist in managing care costs. Answer: 4. An advanced practice nurse (APN