Exam 16: The Health Care System: Financing, Issues, and Trends

A student nurse asked to identify the types of services currently provided in the U.S. health care delivery system should mention which of the following? (Select all that apply.)

When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides

The monthly fee a person must pay for health care insurance coverage is known as the

A patient tells the nurse, "I received a questionnaire that said my answers would be used for purposes of continuous quality improvement. I wonder if it's worth my time to fill it out?" The response that best explains continuous quality improvement is:

A set monthly fee charged by the provider of health care services for each member of the insurance group for a specific set of services is known as

Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for

Which of the following constitutes a problem that affects data collected by the nurse interviewing a chronically ill older adult patient? Many older adults who are covered only by Medicare Parts A and B find it difficult to pay the cost of

When the nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" The best response would be:

A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be

Which program offers an incentive to hospitals to discharge patients as quickly as possible?

A trend in health care that may negatively affect the number of practical nurses hired by an agency is

Which of the following are problems associated with the present health care delivery system that could be identified by a nursing student who is writing an essay? (Select all that apply.)

A patient asks the nurse, "What do health maintenance organizations (HMOs) do to reduce health care costs?" The response giving the best example of an HMO cost-containment method would be:

A mother and her three children often seek medical services at the emergency room. The nurse realizes that they have no insurance and are unable to pay for services. The action the nurse should take that would provide the greatest assistance to the family would be to

The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is

Which of the following phrases could be used by a nurse to characterize the present health care delivery system in the United States? (Select all that apply.)

Which LPN/LVN will be most successful in dealing with change?

A method of financing health care costs in which physicians are paid a fee by the patient for each service they provide is known as

Which of the following is a quality improvement activity in which the LPN/LVN engages routinely?

The yearly amount an insured person must spend out-of-pocket for health care services before a health insurance policy will begin to pay its share is known as the