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14 Cards in this Set
- Front
- Back
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In which of the following health insurance plans is the patient most limited in choice of health care provider.
a. HMO b. PPO c. POS D. LTS |
a.
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Which of the following types of health plans allows a third party payer to contract with a group of health care providers to provide services at a lower fee in return for prompt payment.
a. HMO b. PPO c. POS d. LTS |
b
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In which of the following types of care can patients move to a living space such as an apartment while they are still physically able to care for themselves and then have access to progressively more healthcare services an needed as long as they live?
a. Aging in place b. Rest homes c. Nursing home d. Aging gracefully |
a
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Diagnosis related groups were implemented by the federal government to meet what health care problem?
a. Increasing numbers of ill elderly b. Increasing fragmentation of care c. increasing consumer complaints d. Increasing health care costs. |
d
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Which of the following abilities would be most important for a nurse who works in a crisis intervention center?
a. Well developed technical skills b. Low tolerance for fustration c. Strong communication and counseling skills. d. Ability to relate to coworkers on a professional level |
c
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Which of the following programs illustrates a focus on health in our society?
a. Research on the treatment of AIDS b. Incarceration of drug addicts c. Antismoking ads on television d. Aggressive therapy for cancer |
c
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What does the term fragmentation of care mean?
a. Care is provided only on certain days such as Monday through Friday b. Care is provided only to those with the resources to pay for it. c. The healthcare provider performs total care. d. Care is given by man different providers. |
d
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Which of the following nursing functions would most likely be found in an ambulatory care facility?
a. Serving as an administrator or manager b. Providing direct patient care c. Educating individuals or groups d. Assessing the home environment. |
b
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Which of the following patients would be covered by Medicare?
a. People who have kidney failure. b. Infants of low income families needing immunizations. c. All peoples with disabilites d. Dependents of people who are 65 yrs or older. |
a
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Which of the following statements describes a characteristic of case management?
a. The primary object is to identify specific protocols and timetables for care and treatment. b. In many of these cases the cost of services has skyrocketed. c. Nurses who are case managers give direct care to patients d. Continuity of care is sacrificed under the case management system. |
a
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Which of the following are methods used to ensure continuity of care and cost effective care as a patient moves through the healthcare system?
a. Managed care b. Case management c. Rural health care center d. Parish nursing e. Primary health care f. Primary care centers. |
a, b, e
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Which of the following would get a typical role of a nurse in a primary care center? (select all that apply)
a. Managing member of the healthcare team b. Performing in service education c. Making health assessments d. Performing technical procedures e. Researching nursing issues f. Providing health education |
c, d, f
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Which of the following statements accurately describe home health care in the health care system? (select all that apply)
a. Nurses who provide care in the home provide physical care but are unable to administer medications. b. The importance of home health care is evidence be the growing number of older people with chronic illness. c. Providing for a dignified death at home is not within the realm of home healthcare. d. Home healthcare agencies provide many different health related services including nursing assessment teaching and support of patients and family and direct care. e. One disadvantage of home healthcare is the nurses inability to collaborate with other healthcare providers. f. Home Healthcare is one of the most rapidly growing areas of the healthcare system, owing in part to systems of reimbursement. |
b, d, f
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Which of the following statements accurately describe types of payments plans for healthcare services? (select all that apply)
a. Medicare is federally funded public assistance program for people of any age who have low incomes. b. HOM's are prepaid managed care plans that allow subscribers to receive medical services through a group of affiliated providers. c. Private insurance is always financed through for profit organizations. d. PPOs insurance allow third party payer to contract with a group of healthcare providers to provide services at a lower fee in return for prompt payment and guaranteed volume of patients. e. Most long term insurance is paid for by Medicare. f. The premiums of private insurance plan tend to be higher than those for managed care plans, but members can choose their own physician and services. |
b, d, f
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