Exam 19: 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?

A 70-year-old patient tells the nurse,"I can't go to the hospital for treatment,because I have no hospital insurance.My Social Security and my pension pay my living expenses,but I don't have any savings." The nurse's response should be focused on

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,"Continuous quality improvement activities are used to"

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

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

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?

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

The amount an insured person must pay at the time of an office visit,when picking up a prescription,or before a hospital service is known as the

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

Once a deductible has been met,the percentage of the total bill paid by the insured person is known as the

The LPN/LVN charge nurse has been designated to participate in the orientation of a new LPN/LVN by explaining cost-containment measures.Measures the charge nurse should mention include which of the following?

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

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

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,"With insurance

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

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

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

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

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