Question 1

The nurse clarifies that health care benefits supported by both federal and state funding are exemplified in:

Accepted Answer

A)  Cost-containment prospective funding 
B)  Department of Health and Human Services (DHHS) Social Security benefits for dentures 
C)  Centers for Disease Control and Prevention (CD
C)  surveillance of persons at risk for acquired immunodeficiency syndrome (AIDS) 
D)  Medicaid provision for skilled care in the home 
A)  Cost-containment prospective funding 
B)  Department of Health and Human Services (DHHS) Social Security benefits for dentures 
C)  Centers for Disease Control and Prevention (CD
C)  surveillance of persons at risk for acquired immunodeficiency syndrome (AIDS) 
D)  Medicaid provision for skilled care in the home D

Question 2

A 42-year-old patient admitted yesterday with a diagnosis-related group (DRG)diagnosis of abdominal pain of an unknown cause is being discharged this afternoon because all diagnostic tests have been negative.This scenario is an example of:

Accepted Answer

A)  Effective laboratory response 
B)  Medicare guidelines limiting hospital stay 
C)  Cost containment related to a DRG diagnosis 
D)  Patient who should not have been admitted in the first place 
A)  Effective laboratory response 
B)  Medicare guidelines limiting hospital stay 
C)  Cost containment related to a DRG diagnosis 
D)  Patient who should not have been admitted in the first place C

Question 3

The nurse outlines the benefits of using a home health aide for the ability to assist a home-bound patient with:

Accepted Answer

A)  Bathing 
B)  Doing laundry 
C)  Shopping for groceries 
D)  Administering medications 
E)  Ambulating 
A)  Bathing 
B)  Doing laundry 
C)  Shopping for groceries 
D)  Administering medications 
E)  Ambulating A,E

Question 4

The nurse explains that the Medicare Prescription Drug Plan will:

Accepted Answer

A)  Be included in Medicare, Part A. 
B)  Charge a $250 deductible. 
C)  Pay approximately 25% of prescription drug expenses. 
D)  Cover only prescriptions written by a medical physician. 
E)  Reimburse 95% of out-of-pocket expenses over $3600. 
A)  Be included in Medicare, Part A. 
B)  Charge a $250 deductible. 
C)  Pay approximately 25% of prescription drug expenses. 
D)  Cover only prescriptions written by a medical physician. 
E)  Reimburse 95% of out-of-pocket expenses over $3600.

Question 5

A 2003 report from the Institute of Medicine (IOM),"Health Professions Education: A Bridge to Quality," outlined:

Accepted Answer

A)  Specific software technology to increase efficiency in health care 
B)  Evaluation tool to evaluate the quality of health care 
C)  Recommendations for curriculum changes in professional health care schools 
D)  Five core competencies for health care professionals 
A)  Specific software technology to increase efficiency in health care 
B)  Evaluation tool to evaluate the quality of health care 
C)  Recommendations for curriculum changes in professional health care schools 
D)  Five core competencies for health care professionals

Question 6

A 66-year-old hospitalized patient is anxious about how the physician will be paid now that he is on Medicare-Parts A and B,instead of his previous privately funded insurance plan.The nurse explains that the physician will be paid by:

Accepted Answer

A)  Previous privately funded insurance plan 
B)  Medicare Part A 
C)  Medicare Part B 
D)  Patient or patient's family 
A)  Previous privately funded insurance plan 
B)  Medicare Part A 
C)  Medicare Part B 
D)  Patient or patient's family

Question 7

The nurse explains that physicians prefer to use e-prescription systems to:

Accepted Answer

A)  Process drug request more efficiently. 
B)  Prevent drug duplications. 
C)  Use less expensive drugs. 
D)  Identify contraindications for a drug. 
E)  Label both the generic and trade names. 
A)  Process drug request more efficiently. 
B)  Prevent drug duplications. 
C)  Use less expensive drugs. 
D)  Identify contraindications for a drug. 
E)  Label both the generic and trade names.

Question 8

A resident in a long-term care facility has difficulty swallowing and frequently chokes on food and liquids.Because of the threat of aspiration,the nurse initiates a referral for a swallowing evaluation to a:

Accepted Answer

A)  Physician who specializes in throat disorders 
B)  Dietitian 
C)  Nutritionist 
D)  Speech therapist 
A)  Physician who specializes in throat disorders 
B)  Dietitian 
C)  Nutritionist 
D)  Speech therapist

Question 9

A nurse could best refer an unemployed 42-year-old patient with renal failure who has lost his job-related private insurance to which health care plan for his medical care?

Accepted Answer

A)  Medicare 
B)  Medicaid 
C)  Public health facility 
D)  Community-based outpatient clinic 
A)  Medicare 
B)  Medicaid 
C)  Public health facility 
D)  Community-based outpatient clinic

Question 10

An 89-year-old man,who was recently discharged from a rehabilitation hospital because of an inability to concentrate and frequent memory lapses,cannot be left alone while his family works.What options can the discharge planning team suggest that will satisfy safety concerns and give the greatest quality of life to the patient?

Accepted Answer

A)  Placement in a day care center from 8 AM to 5 PM daily 
B)  Placement in a long-term psychiatric facility 
C)  Placement in a high-security nursing home 
D)  Admission to a general hospital for evaluation 
A)  Placement in a day care center from 8 AM to 5 PM daily 
B)  Placement in a long-term psychiatric facility 
C)  Placement in a high-security nursing home 
D)  Admission to a general hospital for evaluation

Question 11

A voluntary health care agency is one that:

Accepted Answer

A)  Is supported by tax dollars. 
B)  Is governed by boards made up of community members. 
C)  Receives no fee for its services. 
D)  Uses volunteers as health care providers. 
A)  Is supported by tax dollars. 
B)  Is governed by boards made up of community members. 
C)  Receives no fee for its services. 
D)  Uses volunteers as health care providers.

Question 12

The nurse clarifies the difference between a health maintenance organization (HMO)and a fee-for-service plan by pointing out that an HMO:

Accepted Answer

A)  Requires a set fee from each client. 
B)  Allows clients to select their own health care provider. 
C)  Permits admission to any inpatient facility. 
D)  Offers limited referral options. 
E)  Provides both inpatient and outpatient care. 
A)  Requires a set fee from each client. 
B)  Allows clients to select their own health care provider. 
C)  Permits admission to any inpatient facility. 
D)  Offers limited referral options. 
E)  Provides both inpatient and outpatient care.

Question 13

When the patient inquires about eligibility for home health care,the nurse states that the criteria for skilled home health care are:

Accepted Answer

A)  Annual income less than $20,000 
B)  Need for physical or speech therapy 
C)  Nonavailability of transportation 
D)  Must be homebound 
E)  Need for wound dressing changes 
A)  Annual income less than $20,000 
B)  Need for physical or speech therapy 
C)  Nonavailability of transportation 
D)  Must be homebound 
E)  Need for wound dressing changes

Question 14

The nurse clarifies to the patient who is applying for Medicaid that the receipt of benefits requires:

Accepted Answer

A)  Following a supervised health maintenance plan 
B)  Enrolling in the Medicare-Preferred Drug Plan 
C)  Qualifying for the food stamp program 
D)  Having an annual income of less than $10,000 
A)  Following a supervised health maintenance plan 
B)  Enrolling in the Medicare-Preferred Drug Plan 
C)  Qualifying for the food stamp program 
D)  Having an annual income of less than $10,000

Question 15

The person who is considered the forerunner of modern public health nursing in the United States is:

Accepted Answer

A)  Vincent DePaul 
B)  William Rathbone 
C)  Florence Nightingale 
D)  Lillian Wald 
A)  Vincent DePaul 
B)  William Rathbone 
C)  Florence Nightingale 
D)  Lillian Wald

Question 16

The nurse clarifies that the insurance plan that pays the physician in advance each month for each enrolled patient,whether or not the patient is treated by the physician,is a strategy known as ____________________.

Accepted Answer

Capitation
Capitation is the system of p

Question 17

A 50-year-old woman with terminal lung cancer with extensive metastasis is requesting a hospice transfer.The requirements for this transfer include which criteria?

Accepted Answer

A)  Patient requests and agrees to the guidelines of hospice care without requiring a physician's order. 
B)  Physician confirms that the patient has 6 months or less of life remaining and has provided a written order for hospice care. 
C)  Proof confirms that the family can no longer care for the patient at home. 
D)  Patient's specific diagnosis is included on a list of accepted diseases that qualifies the patient for hospice care. 
A)  Patient requests and agrees to the guidelines of hospice care without requiring a physician's order. 
B)  Physician confirms that the patient has 6 months or less of life remaining and has provided a written order for hospice care. 
C)  Proof confirms that the family can no longer care for the patient at home. 
D)  Patient's specific diagnosis is included on a list of accepted diseases that qualifies the patient for hospice care.

Question 18

Which patient would the nurse recognize as eligible for a referral to Medicaid?

Accepted Answer

A)  Military automobile mechanic with severe asthma 
B)  Pregnant unmarried young woman employed at a discount retail store for 3 years 
C)  College student on scholarship who works part-time at the college library and who needs medication for arthritis 
D)  Unemployed young mother on welfare who needs diabetic medication for one of her children 
A)  Military automobile mechanic with severe asthma 
B)  Pregnant unmarried young woman employed at a discount retail store for 3 years 
C)  College student on scholarship who works part-time at the college library and who needs medication for arthritis 
D)  Unemployed young mother on welfare who needs diabetic medication for one of her children

Question 19

The DHHS is administered by:

Accepted Answer

A)  PHS 
B)  Administration for Children and Families 
C)  Administration on Aging 
D)  American Medical Association 
E)  Centers for Medicare and Medicaid 
A)  PHS 
B)  Administration for Children and Families 
C)  Administration on Aging 
D)  American Medical Association 
E)  Centers for Medicare and Medicaid

Question 20

The nurse assessing a 65-year-old patient who is scheduled for outpatient surgery for the removal of cataracts in 10 days will stress the need to:

Accepted Answer

A)  Have adequate insurance 
B)  Provide adequate postoperative care at home 
C)  Acquire specialized glasses 
D)  Preserve and protect his vision 
A)  Have adequate insurance 
B)  Provide adequate postoperative care at home 
C)  Acquire specialized glasses 
D)  Preserve and protect his vision

Exam 1: The Health Care System

The nurse clarifies that health care benefits supported by both federal and state funding are exemplified in:

A 42-year-old patient admitted yesterday with a diagnosis-related group (DRG)diagnosis of abdominal pain of an unknown cause is being discharged this afternoon because all diagnostic tests have been negative.This scenario is an example of:

The nurse outlines the benefits of using a home health aide for the ability to assist a home-bound patient with:

The nurse explains that the Medicare Prescription Drug Plan will:

A 2003 report from the Institute of Medicine (IOM),"Health Professions Education: A Bridge to Quality," outlined:

A 66-year-old hospitalized patient is anxious about how the physician will be paid now that he is on Medicare-Parts A and B,instead of his previous privately funded insurance plan.The nurse explains that the physician will be paid by:

The nurse explains that physicians prefer to use e-prescription systems to:

A resident in a long-term care facility has difficulty swallowing and frequently chokes on food and liquids.Because of the threat of aspiration,the nurse initiates a referral for a swallowing evaluation to a:

A nurse could best refer an unemployed 42-year-old patient with renal failure who has lost his job-related private insurance to which health care plan for his medical care?

A voluntary health care agency is one that:

The nurse clarifies the difference between a health maintenance organization (HMO)and a fee-for-service plan by pointing out that an HMO:

When the patient inquires about eligibility for home health care,the nurse states that the criteria for skilled home health care are:

The nurse clarifies to the patient who is applying for Medicaid that the receipt of benefits requires:

The person who is considered the forerunner of modern public health nursing in the United States is:

The nurse clarifies that the insurance plan that pays the physician in advance each month for each enrolled patient,whether or not the patient is treated by the physician,is a strategy known as ____________________.

A 50-year-old woman with terminal lung cancer with extensive metastasis is requesting a hospice transfer.The requirements for this transfer include which criteria?

Which patient would the nurse recognize as eligible for a referral to Medicaid?

The DHHS is administered by:

The nurse assessing a 65-year-old patient who is scheduled for outpatient surgery for the removal of cataracts in 10 days will stress the need to:

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

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