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20 Cards in this Set

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The purpose os a utilization review committee is to:
1)Review admissions, diagnositc, and treatments ordered by physicians
2)Review quality, quantity and cost of care
3)Review reimbursement fees and appropriation of funds
4)review the utilization of the payment mechanism
1)Review admissions, diagnositc, and treatments ordered by physicians
The client's health insurance changed from a limited number of physicians to choose from when the client voluntarily enrolled into the special group of caregivers. The coluntarily enrolled specific group of persons known as:
1)PPO: a preferred provider organization
2)Medicare
3)Private Insurance
4)a managed care organization(MCO)
4)MCO a managed care organization
which of the following was documented in recent research with evidence that a professional nursing staff affects health care financing? The results indicated that the positive benefit of a nursing professional nursing staff is a:
1. decreased rate of readmission
2. decreased length of stay
3. decreaded need to hire ancillary personnel
4. Increased rate of nosocomial infections
2. Decreased length of stay
The nurse is giving discharge instructions to a newly diagnosed diabetic. The nurse discusses with the client what the dietary intake should be. This is an example of which health care service?
1. illness prevention
2. restorative care
3. health promotion
4. tertiary care
3. health promotion
The nurse volunteers to take blood pressure measurements after church services. This is an example of which level of health care service?
1. health promotion
2. illness prevention
3. secondary care
4. restorative care
2. illness prevention
The nurse completes the standard orders on a clients first day postoperatively. The document that is used to coordinate the clients care is:
1. discharge plan
2. critical pathway
3. medicare plan
4. standard nursing care
2. critical pathway
The multidisciplinary care model used to move clients efficiently from admission to discharge is known as:
1. team nursing
2. nursing process
3. interdisciplinary care
4. case management
4. case management
a client discharged afte suffering a stroke is transferred from a teritiary care facility to another facility for additional care to recover and continue to regain function. The type of care facility is known as:
1. restorative care
2. home care
3. extended care
4. assisted care
1. restorative care
which of the following is an example of respite care?
1. nursing home
2. day care
3. home care
4. nurse extender
2. day care
The nurse found that tympanic thermometers were quick, easy, and as reliable as temperatures from oral thermometers. the finding is known as :
1. evidence-based practice
2. competency testing
3. critical thinking
4. primary care
1. evidence-based practice
which example of delegation from a professional nurse to the assistive personnel is not appropriate?
1. ambulate a client
2. complete bed bath
3. obtain a sterile urine specimen
4. complete the intake and output I&O record
3. obtain a sterile urine specimen
The professional standards review organization (psro's) function to:
1. review the quality, quantity, and cost of hospital care provided through medicare
2. review admission, diagnostic testing, and treatments provided by physician to client
3. find incentives for controlling health care costs
4. identify and eliminate oveuse of diagnostic and treatment service
1. review the quality, quantity, and cost of hospital care provided through medicare
This payment mechanism is one in which health care networks or managed care organizations receive a fixed amount per client or enrollee of health care plan.
1. prospective payment system
2. diagnosis-related groups
3. capitation
4. managed care
3. capitation
In this type of managed care organization (MCO), the physicians are salaried employees of the MCO.
1. group model
2. network model
3. independent practice association
4. staff model
4. staff model
The nurse organizes a blood perssure screening program. This is an example of which health care service?
1. health promotion
2. illness prevention
3. restorative care
4. continuing care
3. restorative care
Recurring issues that nurses face in the this type of nursing are drug testing, right-to-know issues, concerns related to acquired immunodeficiency syndrome (AIDS), and exposure to enviromental hazards
1. occupational health nursing
2. school health nursing
3. office nursing
4. hospital nursing
2. school health nursing
This type of nursing has a nontraditional setting in which preventive and primary care can be found
1. community health nursing
2. office nursing
3. occupational nursing
4. parish nursing
1. community health nursing
This site provides secondary and tertiary health care
1. home care organization
2. rehabilitation facility
3. extend care facility
4. hospital
4 hospital
Medicare covers stays at this type of facility for 100 days but at a decreasing dollar amount after the first 20 days
1. extend care facility
2. skilled nursing facility
3. rehabilitation facility
4. hospital
4 hospital
The following develops as a result of a nurse's experience in a specific clinical area, the time the nurse has been in practice and the quality of relationships the nurse has formed with clients
1. ability to delegate care
2. personal ethics
3. knowing clients
4. leaderships
2. personal ethics