Question 1

As a nurse manager,you have been asked to assist in designing a subacute facility for open heart patients who require further complex care after hospitalization.In setting up the facility,what would require reassessment?

Accepted Answer

A)   Patients admitted to the facility must have adequate health insurance to cover the services provided.
B)   A local nurse education program asks you if nursing students can gain clinical experience with recovering surgical patients in the facility.
C)   Public funding will be provided to enable care of patients who have an ordinary course of recovery.
D)   The facility is an older house that is more than 30 minutes away from the acute care center. D

Question 2

What would be the most appropriate focus in developing a business plan for a nurse-owned home healthcare service?

Accepted Answer

A)   Programs to educate the community on preparing healthy meals for a limited cost
B)   Reduction of injuries from alcohol-related accidents
C)   Pain management for patients with low back pain
D)   Reduction of falls among seniors C

Question 3

To prepare for the orientation of newly hired nurses,the nurse manager plans a presentation outlining the concept of healthcare networks.Healthcare networks are:

Accepted Answer

A)   units that provide only primary care services.
B)   owned by the institutions.
C)   a feature of all public institutions.
D)   units that serve large populations. D

Question 4

The local health department nurse manager has developed and implemented a disaster readiness plan as part of a community service.Community services:

Accepted Answer

A)   care for the specific needs of individual families in the community.
B)   focus on the treatment of community-wide problems rather than on individual health problems.
C)   do not include services provided by public health departments.
D)   provide personal health follow-up for all acute care hospitalizations.

Question 5

You are a nurse manager in a facility that is part of a national system of specialized hospitals that provide services to children and that is funded and managed through a religious charity organization.This system emphasizes compassionate,faith-based care.What level of consolidated system is represented in this example?

Accepted Answer

A)   First level
B)   Second level
C)   Fourth level
D)   Fifth level

Question 6

A nurse manager in a for-profit environment finds it difficult to recruit staff.This difficulty may be most related to aggressive profit goals and:

Accepted Answer

A)   lower salary compensation for staff.
B)   rising expectations of impoverished and indigent individuals for services.
C)   poor orientation and retention practices for staff.
D)   an overwhelming emphasis on accepting learners from health disciplines.

Question 7

What is an example of an HMO?

Accepted Answer

A)   Nurse practitioners are paid promptly at discounted fees for each service rendered at a women's health clinic.
B)   Physicians in a large urban center are reimbursed for visits made to their clients.
C)   Physicians are paid for each service delivered to enrolled patients through a prepaid plan.
D)   Patients pay fixed annual fees for ambulatory care services, regardless of actual utilization of health services.

Question 8

You are the nurse manager for a not-for-profit health service for the homeless and for drug users in an impoverished neighborhood.As the manager,your concern about sustainability is related to:

Accepted Answer

A)   the possibility of violence.
B)   an increase in prescription drugs available for abuse.
C)   decisions of the public board.
D)   an increase in uncompensated care events.

Question 9

A merger has occurred between a hospital and a local home health agency,creating new roles for the nursing staff in both agencies.The nurse managers of both systems begin to evaluate and revise patient care processes and systems.With the merger,the healthcare organization's changes are:

Accepted Answer

A)   creating more jobs in the community for registered nurses.
B)   resulting in an overall loss of jobs for registered nurses.
C)   controlled by the federal and state governments.
D)   controlled by the insurance agency.

Question 10

As a nurse manager,you have been offered a position at a Veterans Administration hospital.In accepting the position,it is important for you to understand that Veterans hospitals provide:

Accepted Answer

A)   primary care and are privately funded.
B)   a range of services and are responsible to government and taxpayers.
C)   secondary care only and are publicly administered and funded.
D)   services to Veterans under an HMO.

Question 11

A nursing informatics specialist hired by Blue Cross/Blue Shield Insurance System (a form of third-party payers benefit package for a prepaid fee that uses specific standards to approve a period of time for the use of inpatient and community health services)is participating in:

Accepted Answer

A)   critical pathways.
B)   healthcare networks.
C)   health maintenance organizations.
D)   managed care.

Question 12

In reviewing the current delivery model,the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:

Accepted Answer

A)   changes in staffing patterns.
B)   increasing reports of violence in the workplace.
C)   the increasing percentage of the population that will be over age 65.
D)   escalations in the cost of health care.

Question 13

A local hospital has formed a corporate partnership with a reputable HMO (health maintenance organization).The nurse manager has had to educate staff and personnel about the financial implications of this partnership.An HMO:

Accepted Answer

A)   provides more expensive care than other types of insurance plans.
B)   has a centralized administration that directs and compensates physician services.
C)   pays physicians on a fee-for-service basis.
D)   does not pay as much for acute care as other practice plans.

Question 14

As a nurse manager,you have been asked to be part of a design team for health services that have vertical integration.In planning for these services,your team will design a proposal that will:

Accepted Answer

A)   cluster like services together, such as outpatient clinics for the care of children with various developmental and medical needs.
B)   plan for the smooth transition of patients from the emergency services department to other units in the hospital.
C)   ensure that funding follows the patient from acute care to long-term care services.
D)   bring together acute care, ambulatory, home care, and palliative care services for the management of patients diagnosed with cancer.

Question 15

Tracy is an RN case manager who interfaces between the Centers for Medicare & Medicaid.Tracy's responsibilities most likely would include:

Accepted Answer

A)   managing physician-led research.
B)   monitoring physician documentation of the need for medical care.
C)   determining which services are designated fee-for-service.
D)   identifying errors in physician diagnoses.

Question 16

A group of patients with early Alzheimer disease and their spouses approach you regarding help with the establishment of a local Alzheimer Society for the support and education of affected individuals and their families.As a manager in an ambulatory care clinic,what suggestion or advice would you offer this group?

Accepted Answer

A)   Self-help groups are, by nature, directed, funded, and led by those requiring help, and therefore, the patients and families should need no help from your clinic.
B)   Your healthcare organization would be pleased to help as long as your organization financially takes over responsibility for direction, leadership, and management.
C)   Through partnership, you will provide supports, if possible, that the patients and spouses themselves identify as necessary in the establishment of the group.
D)   The services that the patients and spouses are proposing are likely being offered somewhere else already.

Question 17

The Wellington Mental Health Institute is fully accredited by the AOA and not directly by the CMS.This means that the Wellington facility:

Accepted Answer

A)   cannot accept mental health patients who are Medicare beneficiaries.
B)   can care for only Medicaid and not Medicare beneficiaries.
C)   has not met the standards set by the CMS as determined by an external review panel.
D)   has been reviewed and accredited by the AOA, which is a deeming authority for CMS.

Question 18

A nurse manager working for a not-for-profit organization should be familiar with the regulations that impact the organization.Not-for-profit organizations:

Accepted Answer

A)   pay dividends to stockholders.
B)   can refuse clients who are unable to pay.
C)   have no paid employees.
D)   pay no taxes.

Question 19

A nurse manager at a home healthcare service has resigned to take a position at a local ambulatory care center.She has been hired because of her expertise in TJC accreditation.To initiate the changes,the nurse manager has to be knowledgeable about the differences between a home healthcare institution and an ambulatory care center,which is a primary care institution.Primary care institutions are facilities that provide:

Accepted Answer

A)   rehabilitative or long-term care.
B)   disease-restorative care.
C)   first access to care.
D)   only outpatient services.

Question 20

With the help of a federal grant,the local school nurse has established a spreadsheet that contains relevant nursing data so that she can analyze children's health.School health programs are:

Accepted Answer

A)   increasingly seen as primary care sites for children.
B)   providing only health education programs for children and their parents.
C)   capable only of providing referrals for health problems to primary care providers.
D)   funded exclusively by local authorities.

Exam 10: Healthcare Organizations