Nokea
Explain why a team leader must have good communication skills.
- A. Good communication ensures clear task delegation.
- B. Good communication prevents errors in patient care.
- C. Good communication fosters teamwork and coordination.
- D. Good communication builds patient trust.
Correct Answer: A,B,C
Rationale: A team leader needs communication skills to delegate tasks, prevent errors, and foster teamwork.
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Match the following Key Term(s) or italicized words from your text with the correct description: Managed care
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: E
Rationale: Managed care focuses on controlling costs and quality of health care access.
Match the following Key Term(s) or italicized words from your text with the correct description: Primary care physician
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. The gatekeeper for access to medical services
Correct Answer: G
Rationale: The primary care physician controls access to medical services as a gatekeeper.
Match the health-care practitioner to the appropriate functions: Medical social worker
- A. Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel
- B. Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care such as home health
- C. Performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states
- D. Employed by physicians or hospitals to work closely with physician and assist in directing patient care
- E. Certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments
- F. Practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel
Correct Answer: B
Rationale: Medical social workers provide psychosocial support and arrange post-discharge care.
Give one reason why patients are cared for by a team of health-care professionals from different specialty areas.
- A. To provide comprehensive care addressing multiple health needs.
- B. To reduce the workload of individual providers.
- C. To increase hospital revenue.
- D. To simplify patient care processes.
Correct Answer: A
Rationale: A team of specialists ensures comprehensive care for complex health needs.
A case manager's main function is to coordinate and facilitate the care of several different patients concurrently.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case managers coordinate care for multiple patients to ensure efficiency and effectiveness.