Chapter 03 The Health Care Delivery System

Chapter 03  The Health Care Delivery System

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A nurse is teaching the importance of breast self-examination to a group of 20-year-old women. The nurse is promoting which type of care?
a.
Primary
b.
Secondary
c.
Tertiary
d.
Restorative

ANS: A
Primary care is centered on prevention of disease. Secondary and tertiary care is administered after an illness has been diagnosed. Restorative care occurs after a patient is recovering from an acute illness or for those who have chronic illnesses.

PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 34 OBJ: Describe the six levels of health care.
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance

2. A patient who needs nursing and rehabilitation after a stroke would benefit most by receiving care at which center?
a.
Primary care center
b.
Restorative care center
c.
Assisted living center
d.
Respite center

ANS: B
Restorative care centers provide rehabilitation and nursing care. In primary care centers, health promotion is the major theme. Assisted living centers offer long-term assistance with activities of daily living. Respite centers offer short-term relief to persons who provide full-time care to an older adult.

PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 33
OBJ: Explain the relationship between levels of health care and levels of prevention.
TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance

3. A patient states that he or she cannot afford health care insurance for the family because of a low income. What is the best form of insurance available for this patient?
a.
Medicaid
b.
Medicare
c.
Private insurance
d.
A managed care organization

ANS: A
Medicaid is a form of insurance for low-income families. Medicare is a federally funded health insurance program for people greater than 65 years of age. Private insurance is a fee-for-service plan. A managed care organization (MCO) provides care to a specific group of voluntarily enrolled patients.

PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 33 OBJ: Compare the various methods for financing health care.
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance

4. A nurse is teaching the staff about managed care. Which information should the nurse include?
a.
Managed care focuses on long-term care services for skilled nursing.
b.
Managed care focuses on hospital admissions and illnesses for a group of people.
c.
Managed care focuses on control over primary health services for a defined population.
d.
Managed care focuses on decreased access to care while increasing costs.

ANS: C
The term managed care describes systems in which the payer has control over primary health care services delivery for a defined patient population. Long-term care insurance focuses on skilled nursing, not managed care. Managed care focuses on health and staying out of the hospital. Managed care aims to increase access to care while decreasing costs.

PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 32
OBJ: Explain the advantages and disadvantages of managed health care.
TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care

5. A nurse admits an older adult patient who states that he or she has no living relatives and only two close friends. Upon admission to the hospital, which action should the nurse initiate first?
a.
Implement a process of payment.
b.
Implement a discharge plan.
c.
Implement a visit with the family.
d.
Implement a resource utilization group.

ANS: B
Discharge planning with coordination of services begins the moment a patient is admitted to a health care facility. A resource utilization group is used in long-term care settings to manage patient costs. A visit with the family is not possible because the patient has no living relatives. Upon admission, a process of payment is not a priority for a nurse.

PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 35
OBJ: Discuss the role of nurses in different health care delivery settings.
TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care