Nokea
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.
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.
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.
The National Hospice Organization's definition of hospice states that hospice
- A. Provides a continuum of home and inpatient care.
- B. Is coordinated by nurses.
- C. Cares for the patient and family.
- D. Does not include pain medication management.
Correct Answer: A,C
Rationale: Hospice provides comprehensive care for patients and families, including home and inpatient services.
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.
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.