Nokea
___ is a government-run insurance plan for people older than a certain age.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: A
Rationale: Medicare is for people over 65 or with certain disabilities.
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Fill in the blank with the correct Key Term(s) or italicized words from your text: When patient care is provided by different individuals who perform tasks based on his or her skills, education, and licensure, it is called
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: C
Rationale: Team nursing involves care provided by individuals based on their skills and licensure.
A 58-year-old patient is in an ICU step-down unit at an acute care hospital after having a cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities of daily living (ADLs). The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is a(n)
- A. acute care hospital.
- B. long-term acute care hospital (LTACH).
- C. skilled nursing facility (SNF).
- D. rehabilitation facility.
Correct Answer: D
Rationale: A rehabilitation facility is appropriate for a patient needing intensive therapy to regain function after a stroke.
Health care provided by various companies and purchased by the individual or an employer is called
- A. Medicare.
- B. Medicaid.
- C. managed care.
- D. private insurance.
Correct Answer: D
Rationale: Private insurance is purchased by individuals or employers, unlike government programs.
One important consideration in managing costs is making sure the patient is placed in which of the following?
- A. Appropriate level of care
- B. Managed care
- C. A health maintenance organization (HMO)
- D. Acute care hospital
Correct Answer: A
Rationale: Placing patients in the appropriate level of care ensures cost-effective treatment.
Diagnosis-related groups (DRGs) are classifications of illnesses or procedures used to
- A. perform quality-of-care research.
- B. identify patients at high risk who will benefit from case management.
- C. determine the appropriate level of care.
- D. standardize the amount the government will pay for a specific illness.
Correct Answer: D
Rationale: DRGs standardize Medicare payments for specific illnesses.