Nokea
Fragmentation of care is more likely to occur with team nursing than with primary nursing.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Team nursing involves multiple caregivers, increasing the risk of fragmented care compared to primary nursing.
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Match the following Key Term(s) or italicized words from your text with the correct description: Third-party payer
- 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: D
Rationale: A third-party payer is the insurance company that covers the cost of health care for a beneficiary.
___ 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.
What are the two most important factors in economic decisions about patient care?
- A. Appropriate level of care and health insurance plan
- B. Medical necessity and appropriate level of care
- C. Medical necessity and type of health insurance
- D. Type of health insurance and expected length of hospitalization
Correct Answer: B
Rationale: Medical necessity and appropriate level of care determine cost-effective care decisions.
At what age are people eligible for Medicare?
- A. 62
- B. 63
- C. 64
- D. 65
Correct Answer: D
Rationale: Medicare eligibility begins at age 65 for most people.
Fill in the blank with the correct Key Term(s) or italicized words from your text: A facility that specializes in intense physical, occupational, and speech therapy is called a(n) ___ facility.
- A. Hospice
- B. Home health
- C. Rehabilitation
- D. Skilled nursing
Correct Answer: C
Rationale: A rehabilitation facility specializes in intensive physical, occupational, and speech therapy.