The Health Care Delivery System

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Question 1
Free
Multiple Choice

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?

Choose correct answer/s
A

Capitation provides the hospital with a means of recovering variable charges.

B

The hospital will be paid for the full cost of the patient's hospitalization.

C

Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.

D

Medicare will pay the national average for the patient's condition.

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Question 2
Free
Multiple Choice

A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?

Choose correct answer/s
A

Managed care insures full coverage of health care costs.

B

Managed care only assumes the financial risk involved.

C

Managed care allows providers to focus on illness care.

D

Managed care causes providers to focus on prevention.

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Question 3
Free
Multiple Choice

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?

Choose correct answer/s
A

A family can choose whether to have health insurance with no consequences.

B

Primary care physician payments from Medicaid services can equal Medicare.

C

Adult children up to age 26 are allowed coverage on the parent's plan.

D

Private insurance companies can deny coverage for any reason.

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Question 4
Free
Multiple Choice

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

Choose correct answer/s
A

When the patient is ready

B

Close to the time of discharge

C

Upon admission to the hospital

D

After an order is written/prescribed

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Question 5
Free
Multiple Choice

The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?

Choose correct answer/s
A

Secondary acute

B

Continuing

C

Restorative

D

Tertiary

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Question 6
Multiple Choice

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

Choose correct answer/s
A
Primary care
B
Preventive care
C
Restorative care
D
Continuing care
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Question 7
Multiple Choice

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"?

Choose correct answer/s
A
Act
B
Alter
C
Assess
D
Approach
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Question 8
Multiple Choice

The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?

Choose correct answer/s
A
Pew Health Professions Commission
B
Healthcare Effectiveness Data and Information Set (HEDIS)
C
American Nurses Credentialing Center (ANCC) Magnet Recognition Program
D
Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
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Question 9
Multiple Choice

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

Choose correct answer/s
A
Hospice
B
Respite care
C
Assisted living
D
Skilled nursing
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Question 10
Multiple Choice

A nurse working in a community hospital's emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?

Choose correct answer/s
A
Continuing care
B
Restorative care
C
Preventive care
D
Tertiary care
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Question 11
Multiple Choice

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

Choose correct answer/s
A
Increased spread of communicable diseases
B
Increased homogeneous mix of nursing staff
C
Decreased poverty and increased "health tourism"
D
Decreased urbanization as populations shift to the suburbs
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Question 12
Multiple Choice

A nurse is using research findings to improve clinical practice. Which technique is the nurse using?

Choose correct answer/s
A
Performance improvement
B
Integrated delivery networks
C
Nursing-sensitive outcomes
D
Utilization review committees
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Question 13
Multiple Choice

Which finding indicates the best quality improvement process?

Choose correct answer/s
A
Staff identifies the wait time in the emergency department is too long.
B
Administration identifies the design of the facility's lobby increases patient stress.
C
Director of the hospital identifies the payment schedule does not pay enough for overtime.
D
Health care providers identify the inconsistencies of some of the facility's policy and procedures.
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Question 14
Multiple Choice

A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse's primary objective?

Choose correct answer/s
A
Screening
B
Education
C
Dependence
D
Counseling
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Question 15
Multiple Choice

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response?

Choose correct answer/s
A
"Technology use has to be combined with nursing judgment."
B
"The focus of effective nursing care is technology."
C
"If it's so easy, why don't you do it?"
D
"That is true in the 20th century."
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Question 16
Multiple Choice

A nurse is completing a minimum data set. Which area is the nurse working?

Choose correct answer/s
A
Nursing center
B
Psychiatric facility
C
Rehabilitation center
D
Adult day care center
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Question 17
Multiple Choice

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

Choose correct answer/s
A
Professional standards review organizations
B
Prospective payment systems
C
Diagnosis-related groups
D
Third-party payers
E
"Never events"
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Question 18
Multiple Choice

A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.)

Choose correct answer/s
A
Use informatics.
B
Use transparency.
C
Apply globalization.
D
Apply quality improvement.
E
Use evidence-based practice.
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Question 19
Multiple Choice

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.)

Choose correct answer/s
A
Patient satisfaction level
B
Hospital readmission rates
C
Nursing hours per patient day
D
Patient falls/falls with injuries
E
Value stream analysis for quality
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Question 20
Multiple Choice

A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.)

Choose correct answer/s
A
Empirical quality results
B
Structural empowerment
C
Transformational leadership
D
Exemplary professional practice
E
Willingness to recommend the agency
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