Nokea
Payment to hospitals for the care of Medicare patients is based on:
- A. a specified amount per member per month.
- B. the actual costs of all supplies, equipment, tests, and nursing care.
- C. DRGs.
- D. a previously negotiated discount rate.
Correct Answer: C
Rationale: Medicare payments are based on Diagnosis-Related Groups (DRGs), which set reimbursement rates for specific conditions.
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Eligibility for the HIS is:
- A. based on having a CDIB.
- B. available to all people with at least 25% Indian blood.
- C. set by each tribe.
- D. determined by presenting a family genealogy.
- E. determined by blood type.
Correct Answer: A, C
Rationale: Eligibility for Indian Health Service (HIS) requires a Certificate of Degree of Indian Blood (CDIB) and is often determined by tribal enrollment criteria.
Which member of the therapy staff would be consulted if a patient had difficulty swallowing?
- A. Speech therapist
- B. Physical therapist
- C. Occupational therapist
- D. Respiratory therapist
Correct Answer: A
Rationale: Speech therapists specialize in treating swallowing difficulties.
If an elderly person needed help with meals, medications, and personal care but did not need continuous nursing care, which inpatient setting would be the most appropriate level of care?
- A. A skilled nursing facility
- B. A long-term acute care hospital
- C. An assisted living facility
- D. A long-term care facility
Correct Answer: C
Rationale: Assisted living facilities provide support for daily activities without continuous nursing care, suitable for this scenario.
A cost-efficient way to provide care to people who are confined to their homes because of illness or disability is the use of:
- A. the hospital outpatient department.
- B. a skilled nursing facility.
- C. the health department.
- D. home health care.
Correct Answer: D
Rationale: Home health care is a cost-effective option for providing care to homebound patients.
You are working on a large medical unit with 30 patients who require medications, therapies, dressing changes, and pain management. Nursing staff for the day shift consists of two RNs, three LPNs, and three CNAs. Which type of nursing care delivery would you expect to work best on this unit?
- A. Team nursing
- B. Client-centered care
- C. Primary care nursing
- D. Case management
Correct Answer: A
Rationale: Team nursing is effective in settings with multiple staff types and high patient loads, allowing collaborative care.