D439 HEALTHCARE DELIVERY
SYSTEM EXAM QUESTIONS AND
CORRECT ANSWERS!!
What level of health care provides the following?
• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
primary care
For example, in your role within a ____________ setting, you will be extensively involved in
patient assessment. You will be expected to identify changes in chronic conditions or the
development of new acute conditions. You will educate patients on how to perform self-care
activities (e.g., teaching new mothers how to care for their babies, or young adults how to
use inhalers).
continuing care
In a _____________ setting, you will apply gerontological nursing principles to help patients
adapt to permanent health changes so that they can remain active and engaged.
health promotion and disease prevention (primary prevention), curing or managing disease
(secondary prevention), and reducing complications (tertiary prevention)
Levels of prevention describe the focus of health-related activities in a care setting.
These include _____________.
primary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by preventing pneumonia through repositioning a patient frequently.
secondary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _________ by
,administering antibiotics on time to treat the pneumonia
tertiary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by assessing the patient frequently for signs of antibiotic intolerance.
primary and preventive care
Health care reform has led to changes unique to each level of care. For example, the health care
industry now places greater emphasis on wellness. Thus, the industry directs more resources
toward _____________.
Wellness care
_____________ focuses on the health of populations and their communities. In ____________,
nurses can help lead communities and health care systems in coordinating resources to better
serve their populations.
Integrated health care delivery
_____________ (IHCD) came about as part of the U.S. health care reform movement in response
to the fragmented, costly, and varying quality of health care found in the United States at the
time. An ___________ IHCD system is a network of health care organizations that work
together to provide a continuum of health services to a defined population with intended
outcomes of better aligning resources, improving quality, and controlling costs.
Example: Accountable care organizations ACO, Patient-Centered Medical Home model
organizational structure
two types of IHCDs exist: an __________ that follows economic imperatives (such as combining
financing with all providers, from hospitals, clinics, and physicians to home care and long-term
care facilities).
organized care delivery approach
two types of IHCDs exist: a structure that supports an _____________ (coordinating care
,activities and services into seamless functioning).
Patient-Centered Medical Home
The _____________ strengthens the physician-patient relationship with coordinated, goal-
oriented, individualized care. In this approach, a patient's primary health care provider is the
coordinator/manager who enlists the skills and knowledge of health care professionals from
various services. These professionals include nurses, medical assistants, nutritionists, social
workers, pharmacists, hospice care providers, and other caregivers. Members of a Patient-
Centered Medical Home care team are linked by information technology, electronic health
records (EHRs), and system best practices to ensure that patients receive care how they want
it and when and where they need it.
Primary health care
_____________ focuses on improved health outcomes for an entire population by promoting
regular health care visits, health education, proper nutrition, maternal/child health care,
family planning, immunizations, and control of diseases.
Health promotion programs
__________ are designed to reduce the incidence of disease, minimizing complications and the
need to use more expensive health care resources. As a result, the overall costs of health care
are also reduced.
preventive care
______________ is more disease oriented and focused on reducing and controlling risk factors
for disease through activities such as immunization and occupational health programs.
Secondary health care
_____________ is provided by a specialist or agency on referral by a primary health care
provider. It requires more specialized knowledge, skill, or equipment than the primary care
physician or nurse practitioner can provide. For example, an individual sees a cardiologist
because of increasing shortness of breath with activity.
Tertiary health care
, _____________ is specialized consultative care, usually provided on referral from secondary
medical personnel. For example, the cardiac surgeon sees the patient referred from the
cardiologist for possible cardiac bypass surgery. However, changes in medical cost
reimbursement, improved technology, and less invasive treatments have often made secondary
and tertiary care available at the primary care level.
acute care
Secondary and tertiary care (also called ____________) typically are expensive, especially if the
patient has waited to seek care until after symptoms have developed.
secondary and tertiary health care
Hospitals provide comprehensive __________ to patients who are acutely ill.
evidence-based practice guidelines and clinical protocols
Hospitals use ___________ in the delivery of care to patients.
evidence-based practices
Current ___________ ensure safe, effective, state-of-the art care.
the nursing process
Throughout ____________, clinical judgment requires the continual evaluation of whether
patients achieve outcomes so plans of care can be revised as needed to meet patient
needs. patient-centered care
Hospitals are adopting models of _____________ that focus on care that is responsive to
individual patient and family preferences, needs, and values and ensuring that patient
values guide clinical decisions.
patient-centered care model
In a ___________, nurses partner with patients and families early in the decision-making process
to develop an individualized plan of care
Critical Access Hospital
A __________ CAH is located in a state that established a rural health plan as of February 2018,
SYSTEM EXAM QUESTIONS AND
CORRECT ANSWERS!!
What level of health care provides the following?
• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
primary care
For example, in your role within a ____________ setting, you will be extensively involved in
patient assessment. You will be expected to identify changes in chronic conditions or the
development of new acute conditions. You will educate patients on how to perform self-care
activities (e.g., teaching new mothers how to care for their babies, or young adults how to
use inhalers).
continuing care
In a _____________ setting, you will apply gerontological nursing principles to help patients
adapt to permanent health changes so that they can remain active and engaged.
health promotion and disease prevention (primary prevention), curing or managing disease
(secondary prevention), and reducing complications (tertiary prevention)
Levels of prevention describe the focus of health-related activities in a care setting.
These include _____________.
primary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by preventing pneumonia through repositioning a patient frequently.
secondary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _________ by
,administering antibiotics on time to treat the pneumonia
tertiary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by assessing the patient frequently for signs of antibiotic intolerance.
primary and preventive care
Health care reform has led to changes unique to each level of care. For example, the health care
industry now places greater emphasis on wellness. Thus, the industry directs more resources
toward _____________.
Wellness care
_____________ focuses on the health of populations and their communities. In ____________,
nurses can help lead communities and health care systems in coordinating resources to better
serve their populations.
Integrated health care delivery
_____________ (IHCD) came about as part of the U.S. health care reform movement in response
to the fragmented, costly, and varying quality of health care found in the United States at the
time. An ___________ IHCD system is a network of health care organizations that work
together to provide a continuum of health services to a defined population with intended
outcomes of better aligning resources, improving quality, and controlling costs.
Example: Accountable care organizations ACO, Patient-Centered Medical Home model
organizational structure
two types of IHCDs exist: an __________ that follows economic imperatives (such as combining
financing with all providers, from hospitals, clinics, and physicians to home care and long-term
care facilities).
organized care delivery approach
two types of IHCDs exist: a structure that supports an _____________ (coordinating care
,activities and services into seamless functioning).
Patient-Centered Medical Home
The _____________ strengthens the physician-patient relationship with coordinated, goal-
oriented, individualized care. In this approach, a patient's primary health care provider is the
coordinator/manager who enlists the skills and knowledge of health care professionals from
various services. These professionals include nurses, medical assistants, nutritionists, social
workers, pharmacists, hospice care providers, and other caregivers. Members of a Patient-
Centered Medical Home care team are linked by information technology, electronic health
records (EHRs), and system best practices to ensure that patients receive care how they want
it and when and where they need it.
Primary health care
_____________ focuses on improved health outcomes for an entire population by promoting
regular health care visits, health education, proper nutrition, maternal/child health care,
family planning, immunizations, and control of diseases.
Health promotion programs
__________ are designed to reduce the incidence of disease, minimizing complications and the
need to use more expensive health care resources. As a result, the overall costs of health care
are also reduced.
preventive care
______________ is more disease oriented and focused on reducing and controlling risk factors
for disease through activities such as immunization and occupational health programs.
Secondary health care
_____________ is provided by a specialist or agency on referral by a primary health care
provider. It requires more specialized knowledge, skill, or equipment than the primary care
physician or nurse practitioner can provide. For example, an individual sees a cardiologist
because of increasing shortness of breath with activity.
Tertiary health care
, _____________ is specialized consultative care, usually provided on referral from secondary
medical personnel. For example, the cardiac surgeon sees the patient referred from the
cardiologist for possible cardiac bypass surgery. However, changes in medical cost
reimbursement, improved technology, and less invasive treatments have often made secondary
and tertiary care available at the primary care level.
acute care
Secondary and tertiary care (also called ____________) typically are expensive, especially if the
patient has waited to seek care until after symptoms have developed.
secondary and tertiary health care
Hospitals provide comprehensive __________ to patients who are acutely ill.
evidence-based practice guidelines and clinical protocols
Hospitals use ___________ in the delivery of care to patients.
evidence-based practices
Current ___________ ensure safe, effective, state-of-the art care.
the nursing process
Throughout ____________, clinical judgment requires the continual evaluation of whether
patients achieve outcomes so plans of care can be revised as needed to meet patient
needs. patient-centered care
Hospitals are adopting models of _____________ that focus on care that is responsive to
individual patient and family preferences, needs, and values and ensuring that patient
values guide clinical decisions.
patient-centered care model
In a ___________, nurses partner with patients and families early in the decision-making process
to develop an individualized plan of care
Critical Access Hospital
A __________ CAH is located in a state that established a rural health plan as of February 2018,
