Chapter 4 Health Care Delivery, Quality, And The Continuum Of Care

Chapter 4  Health Care Delivery, Quality, And The Continuum Of Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is working in a tertiary care environment. The purpose of tertiary care is to:
a.
restore a client to the state that existed before the development of an illness.
b.
treat an acute illness.
c.
promote wellness.
d.
prevent illness or disability.

ANS: A
The purpose of tertiary care is to restore a client to the state that existed before the development of an illness. Promoting wellness and preventing illness or disability are purposes of primary care. Treating an acute illness is the purpose of secondary care.

PTS: 1 DIF: Application REF: Continuum of Care

2. Which nurse is performing primary health care? The nurse who is:
a.
providing direct care.
b.
teaching a client who has had a stroke how to perform range of motion exercises.
c.
working at a mammography clinic.
d.
working in a smoking cessation program.

ANS: D
Services provided in primary health care include smoking cessation, immunizations, teaching, and promoting safe environments. Services provided in secondary health care include working at a mammography clinic and providing direct care. Services provided in tertiary health care include teaching a client who has had a stroke how to perform range of motion exercises.

PTS: 1 DIF: Application REF: Table 4-5 Types of Health Care Services

3. A client has a managed care health plan. The rationale for managed care is to:
a.
limit the amount of care a client receives for any one illness.
b.
give clients preventive services delivered by a primary care provider.
c.
allow clients a wider range of practitioners.
d.
improve client access to medical specialists.

ANS: B
The rationale for managed care is to give consumers preventive health services delivered by a primary care provider. The other choices do not describe the rationale for managed care and are incorrect.

PTS: 1 DIF: Analysis REF: Managed Care

4. A client tells the nurse that when he receives health care through an independent practice. Which of the following is a characteristic of independent practice?
a.
Capitated rates
c.
Limited access to specialists
b.
Single point of entry
d.
Fee-for-service

ANS: D
One characteristic of an independent practice is fee-for-service. The other choices are characteristics of a health maintenance organization.

PTS: 1 DIF: Application
REF: Table 4-4 Independent Practice and Managed Care Options

5. The nurse is providing care in a hospital with a high volume of clients with Medicare and HMO health plans. Which statement is true about the role of the nurse in this type of environment?
a.
Surveys indicate the public is opposed to prescriptive authority for advanced practice nurses.
b.
Nurses are seen as part of the problem in delivery of health care.
c.
The public accepts the role of nurses in performing physical examinations and managing minor acute illnesses.
d.
Nurses have many roles to fill to support the clients’ needs

ANS: D
Nursing roles include caregiver, teacher, advocate, manager, expert, case manager, and team member. Surveys do not indicate that the public is opposed to prescriptive authority for advanced practice nurses. Nurses are not seen as part of the problem in the delivery of health care. The public may or may not accept the role of nurses in performing physical examinations and managing minor acute illnesses.

PTS: 1 DIF: Analysis REF: Table 4-3 Nursing Roles