ATI Health Care Delivery

A nurse is teaching a clients about the Affordable Care Act (ACA). Which of the following information should the nurse include? -The ACA does not provide coverage for pre-existing conditions -The ACA enforces a lifetime limit to covered benefits -Clients who have insurance pay a fee for preventable screenings -A focus of the ACA is disease prevention

-A focus of the ACA is disease prevention. Aside from making insurance coverage more affordable and available, a focus of the ACA is disease prevention. Clients are encouraged to sign up for insurance and seek preventative care before they get sick, so they can stay well.

A nurse is discussing social determinants of health with a newly licensed nurse. The nurse should include that which of the following factors contribute to the neighborhood and built environment determinant category? (Select all that apply.) -Access to foods that support healthy eating patterns -Access to health care -Crime and violence -Environmental conditions -Civic participation

-Access to foods that support healthy eating patterns -Crime and violence -Environmental conditions

A nurse in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the follow care facilities should the nurse anticipate the client be admitted to? -Skilled nursing facility -Long-term care hospital -Acute care hospital -Assisted living facility

-Acute care hospital. Acute care facilities specialize in clients who require short term treatment, such as IV medications, diagnostic procedures, and dressing changes.

A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following members can assist the client with the refill? (Select all that apply.) -Social worker -Advanced practice registered nurse (APRN) -Physician Assistant (PA) -Pharmacist -Physician

-Advanced practice registered nurse (APRN) -Physician Assistant (PA) -Physician

A nurse is caring for a client who reports that they have recently lost their job and do not have insurance coverage. Which of the follow social determinants of health is challenging for this client? -Economic stability -Education -Social and community context -The neighborhood environment

-Economic stability Social determinants of health are economic and social conditions that affect health promotion and disease prevention. Economic stability is a social determinant of health that encompasses employment. Lack of employment can lead to food insecurity, housing instability, and poverty.

A home health nurse is caring for a client who is receiving hospice care. The client's partner reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the nurse recommend? -A skilled nursing facility (SNF) -A long-term care hospital (LTCH) -Respite care -Assisted living

-Respite care. The nurse should recommend that the client's partner consider placing the client in respite care. Respite care is a benefit offered under hospice care that allows clients to receive up to 5 days of care. This can help provide client caregivers relief and rest from the duties of caring for their loved one.

A nurse is teaching a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include? -TJC is a for-profit organization -Accreditation by TJC is required for all inpatient facilities -Accreditation by TJC is restricted to inpatient facilities -TJC ensures organizations remain up-to-date with state guidelines

-TJC ensures organizations remain up-to-date with state guidelines TJC monitors state legislative and regulatory changes and updates its standards accordingly. This monitoring acts as a two-part system to ensure that accredited organizations remain current with state requirements.

A graduate nurse notes that a hospital with Pathway to Excellence recognition is hiring staff. Which of the following should the nurse expect from this facility? -The facility has practices in place that lead to a healthy workplace environment -The facility must have underwent an on-site review to receive the Pathway to Excellence award -The facility emphasizes shared governance -The facility emphasizes practices that positively affect a nurse's well-being -The facility focuses on improving clinical quality indicators

-The facility has practices in place that lead to a healthy workplace environment -The facility emphasizes shared governance -The facility emphasizes practices that positively affect a nurse's well-being

A nurse is reviewing a report by the Institute of Medicine (IOM). Which of the following competencies should the nurse identify health care professionals need in order to reduce errors? (Select all that apply.) -Competition -Cooperation -Communication -Resolution -Coordination

-Cooperation -Communication -Coordination

A nurse is caring for a client who has Parkinson's disease and needs assistance with ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? -Social worker -Dietitian -Physical therapist -Occupational therapist

-Dietitian -Physical therapist -Occupational therapist

A nurse in a provider's office is speaking with a client about a Press Ganey survey. The nurse should inform the client that this survey will be conducted by which of the following methods? -Email -Automated phone attendant -Postal mail -Telephone call

-Email The nurse should inform the client that they will receive a Press Ganey survey via email following their office visit. The Press Ganey survey evaluates client satisfaction with health care delivery and is sent to all clients who receive care.

A nurse is hired to be a case manager in a facility. Which of the following services should the nurse expect to perform? -Facilitate transfer of clients to meet the required level of care -Perform physical assessments on clients -Administer medications to clients -Provide wound care to clients

-Facilitate transfer of clients to meet the required level of care Case managers are responsible for managing resources, reviewing care delivery in the acute care setting, and facilitating transfer to the required level of care, either within the facility or to another facility.

A nurse is teaching a client about hospice care. Which of the following statements by the client indicates an understanding of the teaching? -I understand that services provided will include just what is needed to keep me comfortable -While I am receiving hospice care, I will continue treatment for my illness -I need to be in the hospital to receive hospice care -The hospice team will no longer support my family after I have passed away

-I understand that services provided will include just what is needed to keep me comfortable The goal of care is not to treat or cure the illness, but to provide comfort and support for clients who have less than 6 months to live.

A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should the nurse include? (Select all that apply.) -Initiatives to reduce health care disparities -Activities to improve social determinants of health -Providing prevention care services -Improving access to health care -Reducing the infection rate

-Initiatives to reduce health care disparities -Activities to improve social determinants of health -Improving access to health care

A nurse is completing the Minimum Data Set (MDS) assessment for a resident in a skilled-nursing facility. Which of the following information should the nurse include in the assessment? (Select all that apply.) -Input from members of the client's interdisciplinary team -The client's cognitive status -Description of the client's home environment -Each physical therapy visit -The client's need for assistance with activities of daily living

-Input from members of the client's interdisciplinary team -The client's cognitive status -Each physical therapy visit -The client's need for assistance with activities of daily living

A nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred to for further treatment? -Skilled nursing facility (SNF) -Long-term care hospital (LTCH) -Assisted living -Hospice care

-Long-term care hospital (LTCH) LTCHs specialize in hospitalization for long-term care, such as clients who have severe burns, trauma, or ventilation needs. LTCHs provide a higher level of care than a SNF, such as is required for a client who is receiving mechanical ventilation,

A community health nurse is teaching a newly licensed nurse about social determinants of health. Which of the following should the newly licensed nurse identify as a physical determinant of health? -Limited income to purchase food -Poor quality school system -Inability to read food labels -Poor air quality

-Poor air quality The nurse should identify that poor air quality is a physical determinant of health. Physical determinants of health are related to the client's physical environment. Other physical determinants of health can include leaky pipes, lead paint, housing that requires maintenance, and living in a confined area with multiple families.

A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging (MRI) test. Which of the following is the nurse obtaining? -Fee-for-service -Diagnosis-related group (DRG) -Retrospective review -Precertification

-Precertification. The nurse is obtaining precertification from the client's insurance company prior to scheduling the client's MRI. Before an elective surgery, hospital admission, or procedure such as a magnetic imaging study, a client needs to obtain precertification or authorization approval from the insurance company, or the service can risk denial of payment.

A nurse is discussing hospice care with a newly licensed nurse. Which of the following should the nurse identify as the goal of hospice care? -Provide comfort measures for clients who are receiving active treatment for illness -Allow a client's caregiver to take a break from caring for their loved one -Provide care for a client who has less than 6 months to live -Offer services such as strength exercises for the client within the client's home

-Provide care for a client who has less than 6 months to live Hospice care is provided for clients when the provider has determined the client has less than 6 months to live. The goal is to not treat or cure the client's illness but to provide comfort and supportive services.

A nurse is teaching a newly licensed nurse about Medicare reimbursement. Which of the following should the nurse include in the teaching? -Diagnosis-related groups (DRGs) establish reimbursement amounts based on the client's length of hospitalization -Reimbursement amounts will be adjusted for clients who contract hospital-acquired conditions (HAC) -Clients must recover before the facility can be reimbursed -The Inpatient Prospective Payment System (IPPS) allows for facilities to be reimbursed in advance for client care

-Reimbursement amounts will be adjusted for clients who contract hospital-acquired conditions (HAC). To encourage hospitals to provide quality care to their clients, Medicare requires payment reduction to facilities that have poor outcomes related to hospital-acquired infections.

A nurse is teaching a class about the Hospital-Acquired Condition Reduction Program (HACRP). Which of the following information should the nurse include? -The HACRP reimburses a medical facility based on the client's primary diagnosis -The HACRP links Medicare payments to health care quality -The HACRP determines the length of hospitalization for clients who have the same diagnosis -The HACRP is not used in the acute care setting

-The HACRP links Medicare payments to health care quality The HACRP reduces reimbursement to facilities that have poor outcomes related to five different hospital-acquired infections. Centers for Medicare & Medicaid services will not reimburse the facility for the costs associated with treatment for the infection and the extended stay of the client. The HACRP was implemented to incentivize hospitals to provide high-quality care for their clients.

A nurse is teaching a newly licensed nurse about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include? -The HCAHPS tool is provided to clients upon admission to a facility. -The HCAHPS tool is issued to every client who is admitted to the facility. -The HCAHPS tool is issued to measure client satisfaction with the health care service. -The HCAHPS tool is emailed to clients.

-The HCAHPS tool is issued to measure client satisfaction with the health care service. The HCAHPS tool is issued to measure client satisfaction with the health care service. The information is publicly reported and ensures the accountability and transparency of the facilities that participate. The HCAHPS tool uses a broad range of questions issued to the client regarding their care. This information is published publicly to show how the facility is performing and their accountability.

A nurse is teaching about Medicaid to a client who is concerned about paying for health care. Which of the following statements should the nurse make? -Your income will determine if you are eligible for Medicaid -You must be age 65 of older to qualify for Medicaid -Laboratory services are not covered by Medicaid -Medicaid is fully funded by the government

-Your income will determine if you are eligible for Medicaid To qualify for Medicaid, the client must meet eligibility requirements based on the client's income in relation to the poverty level.