Nokea
Match the health-care practitioner to the appropriate functions: Nurse practitioner
- 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: E
Rationale: Nurse practitioners are advanced practice providers who can diagnose, prescribe, and order treatments.
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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.
Fill in the blank with the correct Key Term(s) or italicized words from your text: When a person stays overnight or longer in a healthcare facility, he or she is referred to as a(n)
- A. Inpatient
- B. Outpatient
- C. Resident
- D. Client
Correct Answer: A
Rationale: An inpatient is someone who stays overnight or longer in a healthcare facility.
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.
___ 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.
Blue Cross/Blue Shield, Aetna, and Prudential are examples of ___ insurance programs.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: C
Rationale: These are examples of private insurance programs.