TEST BANK FOR FUNDAMENTAL OF NURSING 10TH EDITION BY POTTER QUESTIONS AND ANSWERS WITH RATIONALE LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS

TEST BANK FOR FUNDAMENTAL OF NURSING 10TH EDITION
BY POTTER QUESTIONS AND ANSWERS WITH RATIONALE
LATEST UPDATED 2024 WITH COMPLETE SOLUTIONS

Chapter : The Health Care Delivery System
MULTIPLE CHOICE
1. Thenurseis caringfor a patient whoseinsurance coverage is Medicare. The nurseshouldconsider which
information when planning care for this patient?
a. Capitationprovides thehospital witha means of recoveringvariable charges.
b. Thehospital will be paidfor thefullcost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs)provideafixedreimbursementofcost.
d. Medicare will pay the national averagefor thepatient’s condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped inpatienthospital
services for Medicare patients into diagnosis-related groups (DRGs), each of which provides a fixed
reimbursement amount based on assigned DRG, regardless of a patient’s length of stay or use of services.
Capitation means that providers receive a fixed amount per patient or enrollee of a health care plan. DRG
reimbursement is based on case severity, rural/urban/regional costs, and teaching costs, not national
averages.
DIF: Understand (comprehension)
OBJ: Compare the various methods for financing health care. TOP: Planning
MSC: Management of Care
2. A nurse is teachingthe staff about integrated health caresystems. Which model of careshouldthe nurse include in the
teachingabout seam-less caredelivery?
a. Affordable Care Act
b. HospitalValue–Based Purchasing
c. Bundled Payments for Care Improvements
d. Thepatient-centered medicalhome model
ANS: D
Basically, two types of integrated health care systems are found:an organizational structurethat follows
economic imperatives (such as combining financing with all providers, from hospitals, clinics, and
physicians to home care and long-term care facilities) and a structurethat supports an organized care
delivery approach (coordinating care activities and servicesinto seamless functioning). The patientcentered medical home model is an example of an integrated health care system that strengthens the
physician-patient relationship with coordinated, goal-oriented, individualized care. All the other options are
more related to thefinancial accessibility of health care.
DIF: Understand (comprehension)
OBJ: Explain the structure of the United States health system. TOP: Teaching/LearningMSC:
Management of Care
3. A nurse is teachingafamily about health careplans. Whichinformation from thenurseindicates a correct
understanding of the Affordable Care Act?
a. A familycan choose whether to have health insurance with no consequences.
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b. Primarycarephysicianpayments from Medicaidservices canequal Medicare.
c. Adultchildren up toage26 areallowedcoverage on theparent’s plan.
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d. Qualityhospitaloutcomescores aretieddirectlytopatientsatisfaction.
ANS: C
The Affordable Care Act ties payment to organizations offering Medicare Advantage plans tothe quality ratings
of the coverage they offer. If hospitals perform poorly in quality scores, they receive lower payments for
services. Quality outcome measures include patient satisfaction, more effective management of care by
reducing complications and readmissions and improving care coordination. All individuals are required to
have some form of health insurance by 2014 or paya penaltythrough the tax code. Primarycare physician
payments forMedicaid services increased to equal Medicare payments. Implementation of insurance
regulations prevents private insurance companies from denying insurance coverage for anyreason and from
charging higher premiums based on health status and gender.
DIF: Remember(knowledge)
OBJ: Explain the structure of the United States health system. TOP: Teaching/LearningMSC:
Management of Care
4. A nurse is caringfor a patient in the hospital. Whenshould the nursebegin dischargeplanning?
a. Whenthepatient is ready.
b. Close tothe timeof discharge.
c. Upon admission tothehospital.
d. Afteranorder is written/prescribed.
ANS: C
Discharge planning begins the momenta patient is admitted to a health care facility. When thepatient is ready
may be too late. Close to the time of discharge and after an order is written/prescribed are too late.
DIF: Remember(knowledge)
OBJ: Discuss the role of nurses in different health care deliverysettings.TOP:
Planning MSC: Management of Care
5. Thenurse is applyingfor aposition withahomecareorganization that specializes inspinalcord injury. In which type
of health care facilitydoes the nurse want to work?
a. Secondaryacute
b. Continuing
c. Restorative
d. Tertiary
ANS: C
Patients recovering from an acute or chronic illness or disability often require additional services
(restorative care) to return to their previous level of function orreach a new level offunction limited by their
illness or disability. Restorative care includes cardiovascular and pulmonaryrehabilitation, sports medicine,
spinalcord injury programs, and home care.
Secondaryacute care involves emergencycare,acute medical-surgicalcare,and radiologicalprocedures.
Continuing care involves assisted living, psychiatric care, and older-adult daycare. Tertiarycare includes
intensive care and subacute care.
DIF: Understand (comprehension)
OBJ: Discuss the types ofsettings that provide various health care services.TOP:
Implementation MSC: Management of Care
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6. A nurseprovides immunization tochildren and adults throughthepublic healthdepartment.Which type of health care
is the nurseproviding?
a. Primarycare
b. Preventivecare
c. Restorativecare
d. Continuingcare
ANS: B
Preventive care includes immunizations, screenings, counseling, crisis prevention, and community safety
legislation. Primary care is health promotion that includes prenatal and well-babycare, nutrition
counseling, family planning, and exercise classes. Restorative careincludes rehabilitation, sports medicine,
spinal cord injury programs, and home care.
Continuing care is assisted living and psychiatric care and older-adult daycare.
DIF: Understand (comprehension)
OBJ: Discuss the types ofsettings that provide various health care services.
TOP: Implementation MSC: Health Promotion and Maintenance
7. Inorder toreceive payment forcareprovided,nursingcenters must comply with requirementsoutlined in what federal
legislation?
a. Omnibus Budget Reconciliation Act
b. Medicare Act
c. Medicaid Act
d. Affordable Care Act
ANS: A
Nursing centers must comply wGiRthAthDeEOSmLnAibBu.sCBOudMget Reconciliation Act of 1987 and its minimum requirements for
nursing facilities to receive payment from Medicare and Medicaid.The Affordable Care Act ties payment to
organizations offering Medicare Advantage plans to the qualityratings of the coverage they offer.
DIF: Understand (comprehension)
OBJ: Describe the components of a quality improvement program. TOP:
Implementation MSC: Management of Care
8. The nurse is trying to determine risk factors unique to home care patients. What resourceshould thenurse
access?
a. Pew Health Professions Commission
b. The Outcomeand Assessment Information Set (OASIS)
c. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
d. Hospital Consumer of Assessment of Healthcare Providers and Systems(HCAHPS)
ANS: B
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GRADESLAB.CO
OASIS (the Outcome and Assessment Information Set), includes a group of standardized core assessment
items for an adult home care patient. OASIS forms the basis for measuring patient outcomes for the purposes
of outcome-based quality. Data items within OASIS include
socio-demographic, environmental, supportsystem, health status, functionalstatus,and healthservice
utilization characteristics ofa patient (ResDac, 2016). The OASIS assessment tool was designed to gather the
data items needed to measure both outcomes and patient risk factors in the home setting. The Pew Health
Professions Commission, a national and interdisciplinary group of health care leaders, recommended 21
competencies for health care professionals in the twenty-firstcentury. The Hospital Consumer of Assessment
of HealthcareProviders and Systems (HCAHPS) is a standardized survey developed to measure patient
perceptions of their hospital experience. The Magnet Recognition Program recognizes health care
organizations that achieve excellence in nursing practice.
DIF: Understand (comprehension)
OBJ: Explain the impact of quality and safety initiatives on delivery of health care.TOP:
Assessment MSC: Management of Care
9. Anolder-adult patient has extensive woundcareneeds after discharge from the hospital.Whichfacilityshould
the nursediscuss with the patient?
a. Hospice
b. Respitecare
c. Assistedliving
d. Skillednursing
ANS: D
An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff. This often
includes administration of IV fluids, wound care, long-term ventilator management, and physical rehabilitation.
A hospice is a system of family-centered care that allows patients to live with comfort, independence, and
dignity while easing the pains of terminal illness. Respite care is a service that provides short-term relief or
“time off” for people providing home care to an individual who is ill, disabled, orfrail. Assisted living offersan
attractive long-term care setting with an environment more like home and greater resident autonomy.
DIF: Apply(application)
OBJ: Discuss the types ofsettings that provide various health care services.TOP:
Teaching/Learning MSC: Management of Care