Fill in the blank with the correct Key Term(s) or italicized words from your text: In ___ one nurse is responsible for all aspects of nursing care for his or her assigned patients.
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: D
Rationale: Primary care involves one nurse handling all aspects of care for assigned patients.
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Which are true statements about the Affordable Care Act?
- A. It makes some services such as preventative care and vaccinations free to the patient.
- B. It allows young adults up to the age of 30 to stay on their parents' health insurance policies.
- C. It has ensured that all Americans have health insurance coverage.
- D. It requires everyone to have health insurance or else pay a special tax.
- E. Many insurers are no longer offering insurance coverage through the exchanges.
Correct Answer: A,D
Rationale: The ACA provides free preventive care and mandates insurance with a tax penalty, but does not cover all Americans, and young adults can stay on parents' insurance until 26.
Fill in the blank with the correct Key Term(s) or italicized words from your text: When a primary care physician cannot successfully treat a patient's condition, he or she makes a(n) ___ to a specialist.
- A. Referral
- B. Consultation
- C. Transfer
- D. Admission
Correct Answer: A
Rationale: A referral is made when a primary care physician cannot treat a condition and refers to a specialist.
___ is a government-run insurance program for poor people and some people who are disabled.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: B
Rationale: Medicaid supports low-income individuals and those with disabilities.
Match the following Key Term(s) or italicized words from your text with the correct description: Point of service
- 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: F
Rationale: A POS plan allows patients to choose providers in or out of network with a primary care physician as gatekeeper.
A 48-year-old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recovering from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance. What care options are best for this man at this time?
- A. Inpatient drug and alcohol rehabilitation facility
- B. Ambulatory care clinic
- C. Outpatient mental health services
- D. Home health care
Correct Answer: A,C
Rationale: Inpatient rehab addresses his alcoholism, and outpatient mental health services support ongoing recovery.
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