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.
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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.
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.
Team leaders probably know more about each patient in his or her care because they have other staff to help them.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Team leaders may not know more about patients, as they rely on team communication.
___ 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.
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.
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