Nokea
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.
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Fill in the blank with the correct Key Term(s) or italicized words from your text: In ___ one nurse is responsible for all aspects of nursing care for his or her assigned patients.
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: D
Rationale: Primary care involves one nurse handling all aspects of care for assigned patients.
Fill in the blank with the correct Key Term(s) or italicized words from your text: A facility that specializes in intense physical, occupational, and speech therapy is called a(n) ___ facility.
- A. Hospice
- B. Home health
- C. Rehabilitation
- D. Skilled nursing
Correct Answer: C
Rationale: A rehabilitation facility specializes in intensive physical, occupational, and speech therapy.
Match the following Key Term(s) or italicized words from your text with the correct description: Managed care
- 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: E
Rationale: Managed care focuses on controlling costs and quality of health care access.
Match the following Key Term(s) or italicized words from your text with the correct description: Case management
- A. Patient care approach aimed at coordinating the care of patients who are vulnerable, at risk, or cost intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health
- 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: A
Rationale: Case management coordinates care for vulnerable or high-cost patients to ensure cost-effectiveness and optimal health outcomes.
For Medicare to pay for home health services, which of the following two criteria must be met?
- A. Skilled services required; patient is homebound
- B. Nursing care only is required; patient is homebound
- C. Nonskilled services required; patient is not necessarily homebound
- D. Physical, occupational, or speech therapy required; patient is not necessarily homebound
Correct Answer: A
Rationale: Medicare requires skilled services and homebound status for home health coverage.