212 Exam

Which of the following statements accurately describe an aspect of the credentialing process used in nursing practice? Select all that apply. A) Credentialing refers to the way in which professional competence is ensured and maintained. B) Accreditation is the process by which the state determines a person meets minimum requirements to practice nursing. C) Certification grants recognition in a specified practice area to people who meet certain criteria. D) Legal accreditation of a school preparing nursing personnel by the state Board of Nursing is voluntary. E) Once earned, a license to practice is a property right and may not be revoked without due process. F) A nurse must be licensed by the state board of nursing in each state in which he or she desires to practice.

A, C, E

A patient has a private insurance policy that pays for most healthcare costs and services. Why is this plan called a third-party payer? A. The insurance company pays all or most of the costs. B. The family of the patient is required to pay costs. C. The patient gets the bill and pays out-of-pocket costs. D. Medicare and Medicaid will pay most of the costs.

A.

In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Select all that apply. A)The U.S. healthcare system has been experiencing a financial crisis. B)The cost of healthcare in the United States has decreased dramatically. C)Short- and long-term results of cost-containment measures are undetermined. D)Historically, payment for healthcare services encouraged the use of expensive services. E)In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. F)Competition among hospitals has further fueled the increase in health costs.

ACDEF

What is the legal source of rules of conduct for nurses? A) agency policies and protocols B) constitution of the United States C) American Nurses Association D) Nurse Practice Acts

D

When first teaching a young child about insulin injections, it is appropriate to: A. Teach in a group setting B. Use a needle, a syringe, and an insulin vial C. Use a doll to demonstrate an insulin injection D. Set firm limits on behavior while teaching

Answer- C. Use a doll to demonstrate an insulin injection

There are three types of learning: auditory, visual, and kinesthetic. Learning to apply an ostomy appliance by doing it step by step is an example of ________________________.

Answer- kinesthetic

A nurse is teaching an older adult how to perform a dressing change. Which nursing action is most important to address a developmental stress of older adults? 1. Speak louder when talking to the patient. 2. Use terminology understandable to the patient. 3. Have the patient provide a return demonstration. 4. Allow more time for the patient to process information.

Answer-4. Allow more time for the patient to process information. Reaction time will slow as one ages; therefore, older adults need more time to process and respond to information or perform a skill. In addition, some older adults may have less energy, experience more fatigue, and may need shorter, frequent learning sessions.

A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. What type of insurance is most likely involved? A) Medicaid B) preferred provider organization C) health maintenance organization D) long-term care insurance

B PPO - care within or outside of network HMO - care within a network, PCP

What is one way in which nurses can help shape healthcare reform? A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group

C

When performing a comprehensive geriatric assessment of an older adult, focus of the nursing assessment is on the patient's: A. Physical signs of aging. B. Immunological function. C. Functional abilities. D. Chronic illness.

C

Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs? A.locally supported healthcare financing, usually by donations B. a public assistance program for low-income individuals C. predetermined payment for services based on medical diagnoses

C Medicare-Title XVIII (Social Security Act, 1965) to provide a measure of health coverage to all Social Security recipients Medicaid-Title XIX (Social Security Act, 1965) to make health care available to those people with less than the minimum income who do not qualify for Medicare

21.Which of the following is a trend to watch in healthcare delivery? A) decreasing diversity B) lower costs of healthcare C) uneducated consumers D) current nursing shortage

D

Managed Care (MCO) - What is it?.

Insurance and care by the same company, Insurance and care have a contract or agreement (network), premiums are basically a "prepayment" for care, has shifted control from provider to payers-treatment is influenced by reimbursement rates-incentives to favor certain treatments over others. a system that uses financial incentives and management controls to direct patients to providers who are responsible for giving appropriate, cost-effective care. . . . Managed care systems are intended to control the cost of health care by emphasizing prevention, early intervention, and outpatient care.

HMO & PPO are forms of

Managed care