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Chapter 6 Arenas of Care
Complete Chapter Questions And Answers
Sample Questions
MULTIPLE CHOICE
1. In addition to providing care in traditional arenas such as health care providers’ offices and acute care hospitals, nurses provide care in nonacute arenas of health care such as:
a.
acupuncture clinics
c.
emergency departments
b.
suicide prevention services
d.
long-term care facilities
ANS: D
Long-term care has traditionally referred to a community-based nursing home licensed for skilled or intermediate care. There is still a great demand for this type of care, but there is also a need for other levels of health care. A long-term care facility may be licensed for either intermediate care or skilled nursing care. Clients are not acutely ill but have continuing health care needs and cannot function independently at home.
PTS: 1 DIF: Knowledge REF: White (2010)
2. When a specified state agency annually sends a team of surveyors to visit facilities and determine if they are in compliance with the rules and regulations of the state, the process is called:
a.
accreditation
c.
certification
b.
approval
d.
licensure
ANS: D
Licensure is a mandatory system of granting licenses according to specified standards. It is regulated by each state. All health care facilities must be licensed. Each state has an agency that sends a team to visit each facility annually to determine whether the facility is complying with the rules and regulations of the state. Noncompliance in any area results in severe sanctions and financial penalties to the institution.
PTS: 1 DIF: Comprehension REF: White (2010)
3. The required process for any health care facility that chooses to be reimbursed by the government through Medicare or Medicaid funds is called:
a.
accreditation
c.
certification
b.
approval
d.
licensure
ANS: C
Certification is a voluntary process establishing and evaluating compliance with rules and regulations. Certification is required for any provider who seeks reimbursement from government funds. Certification regulations are generated by the federal government. To receive Medicare and Medicaid funds, health care facilities must meet the regulations for certification. Sometimes, surveys for licensure and certification are performed concurrently.
PTS: 1 DIF: Comprehension REF: White (2010)
4. The following processes assure the health care consumer that a facility or agency meets minimal standards of care. Which process indicates additional confirmation of quality and higher-than-minimum standards in the delivery of care?
a.
accreditation
c.
certification
b.
approval
d.
licensure
ANS: A
Accreditation is purely voluntary. Accrediting agencies have minimum standards that must be met to receive accreditation. The Joint Commission accredits hospitals and skilled nursing facilities. The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits comprehensive inpatient rehabilitation programs.
PTS: 1 DIF: Comprehension REF: White (2010)
5. Rehabilitation goals for clients focus on preventing complications, increasing independence, and:
a.
returning the client to the previous place of employment
b.
modifying the effects of the disability
c.
assessing family dynamics
d.
restoring health and function to the pre-injury or pre-illness level
ANS: B
Rehabilitation helps clients reach their optimal level of physical, mental, and psychosocial functioning. This goal is established by preventing complications, modifying the effects of the disability, and increasing the client’s independence.
PTS: 1 DIF: Application REF: White (2010)
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