Exam 7: Paying for Health Care in America: Rising Costs and Challenges

When reviewing the literature on the effects of Medicaid on health care for the poor,what common problem would the nurse researcher find?

A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer.The surgeon removed the left kidney.Medicare will no longer pay for preventable medical errors known as ____________.

At a local health fair,an individual asks about the difference between universal health care and a single-payer system.The nurse explains the difference based on what fact?

Medicare would be responsible for fulfilling which client need? (Select all that apply. )

Lack of insurance,uninsured populations,and uncompensated care are covered by charging more to those who can pay.What term is used to refer to this practice?

A patient is eligible to change health care providers and insurance and asks,"I am interested in health promotion activities;I walk,swim,and eat healthy.Which health insurance plan would support these activities rather than just pay for services when I am sick?" Which,if any,health insurance plan would best meet the needs of this patient?

An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement for care was based on a predetermined fixed price.What is this classification system referred to as?

A client who is reading a newspaper asks,"This article about health care states that many providers of health care lack effectiveness.What is the difference between effectiveness and efficiency?" The nurse best responses with what statement?

The largest single payer of hospital charges in the United States is ___________.

A nurse is offered several health care plans as part of employee benefits.Which plan is based on a monthly fee per participant and offers a range of preventive,diagnostic,and treatment services?

An elderly person,age 80,is finding it difficult to live alone and the family is considering long-term care.The elderly person is reasonably healthy,with only normal aging declines,and maintains a healthy appetite.All medications are administered orally and require only minimal assistance.She is financially secure with an income based on retirement from both the military and factory from her deceased husband and herself.The family contacts long-term care and is given what information,based on this patient's situation?

A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is referred to as which type of arrangement?

In the triad of health care,which would be considered the third-party payer?

Health care is one of the major stories in newspaper and television and a group of nurses are interested in how the economy impacts their nursing practice.When the group critiques the relationship between contemporary economic trends and professional nursing practice,what fact will they discover?

Diagnosis-related groups (DRGs)have attempted to reduce health care costs by decreasing what component of care?

A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with most of the premium cost covered by the employer.The insurance provided to the nurse is referred to by what term?

Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA)based on religious beliefs that prohibit circumcision and blood transfusions.These individuals believe the PPACA is unconstitutional bases on what premise?

A physician bills the insurance company for a computed tomography (CT)scan,laboratory tests,chest x-ray,and an extended visit and receives revenue for each procedure billed.This type of payment system is a _____ payment system.

A patient wants to reduce health care costs by being a model for making wise decisions that both promote health and reduce cost.Which statement by the patient would indicate a need for further teaching?

A young mother has detected a lump in her breast,and because she lives at the poverty level,she is covered under Medicaid.What is the most likely consequence of this woman's situation?