Chapter 1: Concepts and Trends in Healthcare

A nurse working within an integrated delivery system benefit from the fact that nurses working within a network: A) have greater ability to take an active role in patient advocacy B) remain in their traditional role C) can delegate all care to unlicensed assistive personnel D) none

A) have greater ability to take an active role in patient advocacy

Traditionally, private insurance, self-insurance systems, and Medicare paid for healthcare. Healthcare costs were calculated by each procedure, test, etc. performed, which encouraged unneeded testing and procedures to increase collected fees. Medicare implemented cost controlling strategies in 1983. What system is used to classify clients with similar diagnoses? A) medicare B) prospective payment system C) diagnosis-related groups D) medicaid

C) diagnosis-related groups

An important role for a non-advanced practice nurse within the healthcare delivery system is to participate in: A) treatment decisions regarding health restoration B) diagnosis and treatment of disease C) disease prevention an health promotion activities D) determining medication administration

C) disease prevention an health promotion activities

The financial stability of HMOs is based on: A) providing entertainment programs for clients in order to distract clients from their illness B) keeping clients satisfied by providing them with regular financial assistance and looking after their medical requirements C) keeping clients healthy and out of the hospital through periodic screening, health education, and preventive services D) maintaining the statistics and records of all the clients admitted in hospitals on a regular basis

C) keeping clients healthy and out of the hospital through periodic screening, health education, and preventive services

A client presents with a family history of heart disease and is in need of further testing. Which of the following might be the appropriate referral for cardiac catheterization? A) primary care B) tertiary care C) secondary care D) none of the above

C) secondary care Includes referrals to facilities or additional testing

An elderly client demonstrating early stage dementia has just had surgical repair to a fractured left hip. No family member attends the discharge planning conference to discuss the next appropriate actions. Which members of the healthcare team will be instrumental in securing placement in a rehabilitation center for further treatment? A) nurses B) physicians C) social workers D) all of the above

D) all of the above

An example of a strategy to enhance health as part of health promotion is consuming a diet rich in: A) vitamin C B) proteins C) vitamin A D) grains

D) grains

While managing healthcare costs is an admirable goal, what is an unintended consequence of such measures? A) decreased nurse/client ratios B) increased number of hospitals C) increased quality of care D) increased acuity levels in non-critical care settings

D) increased acuity levels in non-critical care settings

Which tool is often used by case managers to help plan and coordinate care? A) bottom line B) service cost measurement C) outcome data D) standards of care

D) standards of care