Question 1

The nurses who work in the Emergency Department (ED) of a hospital believe that they provide high quality care. Which option best supports that opinion?

Accepted Answer

A)   Nurses working in other areas of the hospital rate the ED nurses' care as high quality.
B)   The physicians who work in the ED state that they are satisfied with the level of nursing care provided.
C)   Patients cared for in the ED report that the nurses provided high quality care.
D)   The hospital administrator rates the ED nurses as providing the best care in the facility. C

Question 2

A public health team is conducting strategic planning for the next five years of service to the community. The group is reviewing the Healthy People initiative. What help will this be to strategic planning?

Accepted Answer

A)   This initiative specifies the role of nurse practitioners over the coming decade.
B)   This initiative lists consumer responsibilities for prevention of cardiac and other diseases.
C)   This initiative recommends deinstitutionalization of healthcare in favor of alternative medicine.
D)   This initiative outlines goals for preventative health measures, including objectives for age groups and populations. D

Question 3

The patient states, "I don't want to take this new medication. I looked it up on the Internet and there are so many side effects." How can the nurse best assist this patient?

Accepted Answer

A)   Advise the patient not to read about medications on the Internet because the information is too complex to understand without help.
B)   Access the site and help the patient understand the information presented about the medication.
C)   Give the patient a copy of the information about the medication provided in a nursing handbook of medications.
D)   Empower the patient to talk with the physician about the decision. B

Question 4

A patient asks the nurse about the use of information from websites for verifying diagnostic and treatment decisions made by a primary health provider. Which response, made by the nurse, would be most helpful to this patient?

Accepted Answer

A)   "A computer search of the diagnosis should help you verify the accuracy of the diagnosis and treatment."
B)   "You can only count on accurate and useful information if it comes from university or hospital websites."
C)   "That is a dangerous practice, because it undermines your relationship with your primary health provider."
D)   "You can gain general information that way, but be sure to discuss specific websites and information with your primary health provider."

Question 5

What is an important factor in determining if the PSDA must be followed?

Accepted Answer

A)   The HCO receives Medicare payments for services.
B)   The patient is a U.S. citizen and lives in the state.
C)   The patient asks that the PSDA be followed.
D)   The HCO gets payment from multiple third-party payers.

Question 6

The patient diagnosed with cancer has elected to abandon curative treatment in favor of palliative care. The nurse strongly believes the patient can have a long survival time if curative care continues. What nursing advocacy action is appropriate?

Accepted Answer

A)   Support the patient's choice.
B)   Ask to have a different nurse assigned to this patient's care.
C)   Provide education to the patient.
D)   Defer to the patient's physician's position on the case.

Question 7

Which of the following examples would not demonstrate patient advocacy by a nurse? Select all that apply

Accepted Answer

A)   Provide the patient with information about the patient's problem.
B)   Tell the patient what you (the nurse)  would do.
C)   Plan with the patient's physician who will talk with the patient.
D)   Expect a patient to accept treatment for cancer.

Question 8

A nurse is being hired to assist patients to navigate the complexities of the healthcare system. What is the most pertinent experience and skill background for this nurse?

Accepted Answer

A)   Interprofessional health team collaboration and communication with insurance and managed care representatives
B)   A wide range of medical surgical skills, including familiarity with a wide assortment of chronic disorders
C)   Management and supervision within private and public hospitals and community health agencies
D)   Primary health and preventive health teaching for patients across the entire life span

Question 9

The nurses on a unit are working to increase the return of patient satisfaction surveys. Which patients can the nurses expect will be more likely to return these surveys? Select all that apply.

Accepted Answer

A)   Patients who are alert.
B)   Patients who are younger rather than older.
C)   Patients who are dissatisfied with care.
D)   Patients who speak English.
E)   Patients who are economically disadvantaged.

Question 10

The healthcare consumer has become increasingly concerned about retaining health expenditures. What is the nurse's best advice to this patient?

Accepted Answer

A)   Carry at least two forms of health insurance coverage.
B)   Practice self-care, illness prevention, and collaboration with health providers.
C)   Seek private, second opinions on all treatment advice by health providers associated with managed care plans.
D)   Simplify medical treatment by complying with physician's advice rather than questioning such advice.

Question 11

The nurse is dedicated to the concept of empowering patients and their families by giving advice, emotional support, and providing resources. In which levels of the advocacy continuum is this nurse focused? Select all that apply.

Accepted Answer

A)   The individual level
B)   The interpersonal level
C)   The community level
D)   The policy level

Question 12

Which of the following had a major impact on increasing healthcare consumerism?

Accepted Answer

A)   Affordable Care Act of 2010
B)   Use of Medicare
C)   Development of managed care
D)   Nursing advocacy

Question 13

A committee of hospice nurses at a managed care organization is trying to determine what consumers want and need most. What is the best source of relevant information?

Accepted Answer

A)   The hospice's human resources officer
B)   Families of current and recent hospice patients
C)   Hospice nurses from a wide sample of hospices
D)   The managed care organization representatives who interact directly with patients

Question 14

What are the goals of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program? Select all that apply.

Accepted Answer

A)   To decrease the costs of healthcare
B)   To assess patient-centeredness
C)   To compare and contrast provider performance
D)   To improve quality of care
E)   To act as a patient advocate in litigation

Question 15

Which consumer group makes the majority of decisions about healthcare services that directly affect care?

Accepted Answer

A)   Microconsumers
B)   Macroconsumers
C)   Both microconsumers and macroconsumers
D)   Neither microconsumers nor macroconsumers

Question 16

Which statement, made by a nursing student, reflects accurate knowledge of the NAM?

Accepted Answer

A)   It is a governmental organization focused on healthcare.
B)   It is the agency that developed the Healthy People initiatives.
C)   It is an agency developed to protect the interests of medical doctors and other healthcare professionals.
D)   It is a non-governmental agency that serves in an advisory capacity for the government.

Question 17

The nursing student is preparing a presentation on the NAM. How should this student characterize the IOM's view of the patient?

Accepted Answer

A)   As a member of the interprofessional team
B)   As a passive recipient of care
C)   As a liability to healthcare finance
D)   As a component to be managed

Question 18

A consumer complains about the lack of change in an aspect of the health plan that the consumer noted as negative in an earlier patient satisfaction survey. What is the nurse's best response to this complaint?

Accepted Answer

A)   "That is unusual, since patient satisfaction surveys give the best evaluative information."
B)   "They do those surveys, but the responses are so contradictory that the health plan administrators pretty much ignore the feedback."
C)   "That is highly unethical of the plan's administrators. The next step would be a complaint to the Surgeon General's office."
D)   "Patient satisfaction results are part of the evaluation process, but other factors such as professional standards also are considered."

Question 19

Managed care has lost much of its influence in healthcare. Why is managed care still of concern?

Accepted Answer

A)   It developed systems that provided high quality care.
B)   Many managed care strategies were adopted by third- party payers.
C)   It instituted strategies that resulted in increased patient satisfaction.
D)   Managed care strategies greatly reduced the cost of healthcare across the United States.

Question 20

Select the groups that are classified as macroconsumers of healthcare. Select all that apply.

Accepted Answer

A)   Employers
B)   Employee's family
C)   Employee
D)   Government
E)   Individual purchasers of healthcare services

Exam 11: Consumers and Nurses