Chapter 2 Health Care Delivery and Economics

Chapter 2  Health Care Delivery and Economics

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The federal government’s health insurance program for people older than 65 years of age or those with certain disabilities or conditions is known as
A.
Medicaid.
B.
Medicare.
C.
Social Security.
D.
Private insurance.

____ 2. The nurse recognizes that a system of health care delivery aimed at managing the cost and quality of access to health care is known as
A.
Medicaid.
B.
Medicare.
C.
Managed care.
D.
Private insurance.

____ 3. The student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When educating the student nurse about an SNF, the nurse recognizes that further instruction is needed when the student nurse states,
A.
“Medicare will most likely pay for my patient’s care at the SNF.”
B.
“I hope that my patient gets to return home after going to the SNF.”
C.
“My patient will never get to go home again if he’s transferred to an SNF.”
D.
“My patient will receive skilled nursing care such as physical therapy as needed.”

____ 4. The student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When collaborating with the case manager about transferring the patient to an SNF, the case manager tells the student that the SNF will most likely be covered by Medicare if
A.
The patient stays longer than 100 days per year.
B.
The patient enters the SNF within 60 days of a hospitalization.
C.
The patient has been hospitalized for at least 1 day prior to admission.
D.
The patient makes regular progress as documented by the medical professionals.

____ 5. A student nurse is caring for a patient at a rehabilitation facility. The student nurse educates the patient about the rehabilitation facility. The nurse intervenes when the student states,
A.
“You will receive intense therapy services while you’re here.”
B.
“You must participate in at least 6 hours of therapy each day.”
C.
“You will be seen by a physician who specializes in rehabilitation.”
D.
“If you get sick while you’re here, we can transfer you to the hospital.”

Chapter 2. Health Care Delivery and Economics
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Medicare is the federal government’s health insurance program for people older than 65 years of age or those with certain disabilities or conditions.
B
Medicare is the federal government’s health insurance program for people older than 65 years of age or those with certain disabilities or conditions. Chapter Objective: Contrast Medicare and Medicaid.
C
Medicare is the federal government’s health insurance program for people older than 65 years of age or those with certain disabilities or conditions.
D
Medicare is the federal government’s health insurance program for people older than 65 years of age or those with certain disabilities or conditions.

PTS: 1 REF: Chapter: 2 | Page: 2 OBJ: Chapter Objective: 2-6
KEY: Content Area: Medicare | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

2. ANS: C

Feedback
A
Managed care is defined as a system of health care delivery aimed at managing the cost and quality of access to health care.
B
Managed care is defined as a system of health care delivery aimed at managing the cost and quality of access to health care.
C
Managed care is defined as a system of health care delivery aimed at managing the cost and quality of access to health care. Chapter Objective: Describe various types of private health insurance.
D
Managed care is defined as a system of health care delivery aimed at managing the cost and quality of access to health care.

PTS: 1 REF: Chapter: 2 | Page: 2 OBJ: Chapter Objective: 2-7
KEY: Content Area: Managed Care | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

3. ANS: C

Feedback
A
An SNF level of care is usually covered by Medicare and most private insurances.
B
Patients may stay in an SNF for a few days or as long as 100 days, but they eventually move to a rehabilitation facility, nursing home, or home setting.
C
Patients may stay in an SNF for a few days or as long as 100 days, but they eventually move to a rehabilitation facility, nursing home, or home setting. Chapter Objective: Describe inpatient health care settings and their services.
D
SNF care consists of skilled nursing care and physical, occupational, and speech therapy as needed.

PTS: 1 REF: Chapter: 2 | Page: 5 OBJ: Chapter Objective: 2-3
KEY: Content Area: Skilled Nursing Facility | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

4. ANS: D

Feedback
A
An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements: for example, there is a 100-day stay maximum per year related to any one hospitalization and diagnosis.
B
An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements: for example, the patient must enter the nursing home within 30 days of a hospitalization.
C
An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements: for example, the patient must have been hospitalized for at least 3 days prior to admission.
D
An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements: for example, the patient must be making regular progress as documented by the medical professionals. Chapter Objective: Describe inpatient health care settings and their services. Chapter Objective: Contrast Medicare and Medicaid.

PTS: 1 REF: Chapter: 2 | Page: 5
OBJ: Chapter Objectives: 2-3| Chapter Objectives: 2-6
KEY: Content Area: Skilled Nursing Facility | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

5. ANS: B

Feedback
A
Rehabilitation is a level of care in which the patient can receive intense physical, occupational, and speech therapy services.
B
As a rule of thumb, the patient must be capable of participating in at least 3 hours of therapy a day to be admitted to a rehabilitation facility. Chapter Objective: Explain two types of rehabilitation services.
C
A physician specialist in physical medicine and rehabilitation oversees the patient’s care during his or her stay.
D
If the patient becomes ill or has other medical problems while in rehabilitation, he or she may be transferred back to an acute care hospital.

PTS: 1 REF: Chapter: 2 | Page: 5 OBJ: Chapter Objective: 2-8
KEY: Content Area: Rehabilitation Facility | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis