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Match the following Key Term(s) or italicized words from your text with the correct description: Medicare
- 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: C
Rationale: Medicare is defined as the federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions.
You may also like to solve these questions
The nurse case manager usually provides direct, hands-on care.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Nurse case managers coordinate care rather than provide direct hands-on care.
Fill in the blank with the correct Key Term(s) or italicized words from your text: Empowering the patient to take control of and manage his or her care is called
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: B
Rationale: Client-centered care empowers patients to manage their own care.
A primary care physician acting as a gatekeeper to eliminate unnecessary testing and procedures is a feature of a
- A. Health maintenance organization (HMO)
- B. Preferred provider organization (PPO)
- C. Point of service (POS)
- D. Medicaid
Correct Answer: A
Rationale: HMOs use primary care physicians as gatekeepers to control costs.
Match the health-care practitioner to the appropriate functions: Registered nurse
- 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: F
Rationale: Registered nurses provide direct care, manage departments, and supervise others.
Delegation skills are helpful when leading a nursing care team but not essential because each team member knows his or her level of expertise.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Delegation skills are essential for effective team leadership to ensure tasks match expertise.