What phrase best describes health?

individually defined by each person

The client is a paraplegic and is in the hospital for an electrolyte imbalance. Based on the levels of prevention, the

client is receiving care at the secondary prevention level.

The nurse delivers safer healthcare using electronic medical records because of what feature?

Improved accuracy in reading documentation

According to the World Health Organization, what is the best definition for “health”?

Involving the total person and environment.

The nurse accepted a position as a case manager. What should the nurse expect to perform when functioning in this role?

Managing a client’s hospital stay

Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?

Access to healthcare is available to all regardless of ability to pay.

The U.S. healthcare system is based on what fiscal approach?

Ability to pay determinesaccess to care.

The nurse interprets what statement from the patient as a possible indication of healthcare illiteracy?

“I’ll read this later. I don’t have my glasses.”

Which of the following statements accurately describes the concepts of disease and illness?

The focus of nurses is the person with an illness.

The nurse is caring for a patient who is on Medicare. Because the patient is on Medicare, the nurse is aware that

Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.

To increase quality and years of healthy life, Healthy People 2020 focuses on four areas. One of those areas is

Creating social and physical environments that promote good health.

Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs?

predetermined payment for services based on medical diagnoses

Nurse is reviewing the Healthy People 2020 primary goals. Which plan should nurse realize is in alignment with one of-

the goals? Opening a wellness clinic.

Which type of managed care allows patients the greatest choice of providers, medications, and medical devices?

Preferred provider organization

What population do hospice nurses provide with care?

dying persons and their loved ones

Case management is one strategy for coordinating health care services. What best describes this care-giving approach?

Continuity of care is the primary concern.

The nurse assesses the patient’s health literacy through what action?

Teaching the patient abouthealth issues and assessing learning

A child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?

The disease is present, but symptoms are not experienced.

Which of following eliminated cost-based reimbursement for patients who received Medicare benefits?

Prospective payment system (PPS)

The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action?

Logging off the computer before walking away

Which of the following most accurately defines illness?

the response of a person to a disease

The nurse protects against self-injury when working with the computer by performing what action?

Maintaining good body mechanics when sitting at the computer

A major outcome of managed care is that managed care organizations such as hospitals

Assume financial risk, as well as provide care.

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NPN 100 Chapter 4

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Questions 31

Answers

1
What phrase best describes health?
individually defined by each person
the opposite of illness
the absence of disease
experienced by each person in exactly the same way
2
Which member of the healthcare team typically serves as the case manager?
Occupational therapist
Physician’s assistant
Registered Nurse
Physician
3
A nurse assists a pt. to get hospice care for terminal illness, which is classified as what level of healthcare service?
Secondary
Tertiary
Primary and tertiary
Primary
4
The client is a paraplegic and is in the hospital for an electrolyte imbalance. Based on the levels of prevention, the
client is receiving care at the tertiary prevention level.
client is receiving care at the health promotion level.
client is receiving care at the primary prevention level.
client is receiving care at the secondary prevention level.
5
The nurse delivers safer healthcare using electronic medical records because of what feature?
Lowers cost of care delivery
Accessibility of medical record by multiple people
Tighter control of dataprivacy
Improved accuracy in reading documentation
6
According to the World Health Organization, what is the best definition for “health”?
Simply the absence of disease.
Involving the total person and environment.
Strictly personal in nature.
Status of pathological state.
7
The nurse accepted a position as a case manager. What should the nurse expect to perform when functioning in this role?
Delegating activities to other nurses
Evaluating the performance of ancillary workers
Identifying areas of client concern or problems
Managing a client’s hospital stay
8
Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
There is no central agencyto govern healthcare systems.
Legal risk must beconsidered when providing healthcare.
High-tech equipment is available; cost for its use is troublesome to system
Access to healthcare is available to all regardless of ability to pay.
9
The nurse explains that a primary provider means choosing what?
A staff nurse
A doctor
A hospital
One insurance provider.
10
The U.S. healthcare system is based on what fiscal approach?
Health insurance isrequired to obtain care.
Ability to pay determinesaccess to care.
Only the rich are entitledto healthcare.
Healthcare is a basic rightprovided to all equally.
11
The nurse interprets what statement from the patient as a possible indication of healthcare illiteracy?
“I’ll read this brochure and let you know if I have questions.”
“I read this brochure and have some questions about what I read.”
“I’ll read this later. I don’t have my glasses.”
“Can you give me another brochure for my wife?”
12
Which of the following statements accurately describes the concepts of disease and illness?
A disease is traditionally diagnosed and treated by a nurse.
Illness is a normal process that affects level of functioning.
A person with an illness cannot be considered healthy.
The focus of nurses is the person with an illness.
13
The nurse is caring for a patient who is on Medicare. Because the patient is on Medicare, the nurse is aware that
Capitation provides the hospital with means of recovering variable charges.
Medicare will pay the national average for the patient’s condition.
The hospital will be paid for the full cost of patient’s hospitalization.
Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
14
To increase quality and years of healthy life, Healthy People 2020 focuses on four areas. One of those areas is
Allowing people to continue current behaviors to reduce stress of change.
Creating social and physical environments that promote good health.
Focusing on individual health changes that will lead to better communities.
Focusing on illness treatment to provide fast recuperation.
15
The nurse is attending a class on insurance and learns about Medicaid, which is financed by what part of the government?
State & Federal
County
State
Federal
16
Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs?
a public assistance program for low-income individuals
predetermined payment for services based on medical diagnoses
locally supported healthcare financing, usually by donations
a private insurance plan for subscribers who pay a copayment
17
Nurse is reviewing the Healthy People 2020 primary goals. Which plan should nurse realize is in alignment with one of-
the goals? Opening a wellness clinic.
the goals? Developing new pharmacological treatments.
the goals? Provide free screening to school children.
the goals? Developing better insurance controls.
18
Which type of managed care allows patients the greatest choice of providers, medications, and medical devices?
Employment-based private insurance
Preferred provider organization
Health maintenance organization
Integrated delivery network
19
What population do hospice nurses provide with care?
dying persons and their loved ones
those requiring care to improve health
older adults requiring long-term care
children with chronic illnesses
20
Case management is one strategy for coordinating health care services. What best describes this care-giving approach?
The physician is the coordinator of the client care.
It is designed for clients requiring minimal to moderate levels of care.
This focus of care may be more expensive.
Continuity of care is the primary concern.
21
Which is the dominant focus of patient care in the current health care environment?
To ignore rising costs
To increase cost to increase profit
To contain rising costs
To manage care according to cost
22
The nurse assesses the patient’s health literacy through what action?
Quizzing the patient about their health knowledge
Watching the patient read a brochure containing health information
Teaching the patient abouthealth issues and assessing learning
Obtaining agreement from pt to read health information they are given
23
A child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
The disease is present, but symptoms are not experienced.
Severe symptoms of the chronic illness have reappeared.
Nothing further can be done in terms of treatment.
The chronic disease has been cured.
24
A 63-year-old man has qualified for Medicaid. His qualification for Medicaid will be based primarily on what factor?
His employment history
His military service
His medical history and present health status
His income
25
Which of following eliminated cost-based reimbursement for patients who received Medicare benefits?
Utilization review (UR) committees.
Capitation.
Prospective payment system (PPS)
Professional standards review organizations (PSROs).
26
The payment mechanism that Medicare uses for its health care financing is:
Capitation.
Prospective payment.
Fixed payments.
Direct contracting.
27
What role is not appropriate for the LPN to participate in?
Dressing changes
Reporting patient changes
Designing a research study
Administering medications
28
The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action?
Logging off the computer before walking away
Verifying all medication dosages are within normal range
Remembering to charge for all equipment used
Entering data as soon as it is collected
29
Which of the following most accurately defines illness?
the response of a person to a disease
the inability to carry out normal activities of living
a pathologic change in mind or body structure or function
achieving maximum potential and quality of life
30
The nurse protects against self-injury when working with the computer by performing what action?
Maintaining good body mechanics when sitting at the computer
Maintaining the security ofthe password
Becoming familiar with facility policy regarding computer use
Using the computer only for work related tasks
31
A major outcome of managed care is that managed care organizations such as hospitals
Focus more on individual illness.
Decrease discharge planning activities.
Assume financial risk, as well as provide care.
Have increased lengths of stay.

NPN 100 Chapter 4 Flashcards | StudBud