Chapter 07: Healthcare Organizations

Chapter 07: Healthcare Organizations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. To prepare for the orientation of newly hired nurses, the nurse manager plans a presentation outlining the concept of healthcare networks. Healthcare networks are:

a.	Units that provide only primary care services.
b.	Owned by the institutions.
c.	A feature of all public institutions.
d.	Units that provide a full spectrum of services.

 

ANS:   D

Healthcare networks are interconnected units that provide a full spectrum of services, from wellness to illness services, and may include primary care, secondary care, and tertiary care services. Networks do not involve all public organizations.

 

REF:    Page 118         TOP:    AONE competency: Knowledge of Healthcare Environment

 

2. A local hospital has formed a corporate partnership with a reputable HMO (health maintenance organization). The nurse manager has had to educate staff and personnel about the financial implications of this partnership. A health maintenance organization:

a.	Provides more expensive care than other types of insurance plans.
b.	Has a centralized administration that directs and compensates physician services.
c.	Pays physicians on a fee-for-service basis.
d.	Does not pay as much for acute care as other practice plans.

 

ANS:   B

Managed care involves prospective pay for care received over a specified length of time or a prepaid payment period rather than a retrospective system that pays physicians for services actually rendered through fee-for-service. Health maintenance organizations are a form of managed care that is administered centrally.

 

REF:    Page 121         TOP:    AONE competency: Knowledge of Healthcare Environment

 

3. With the help of a federal grant, the local school nurse has established a spreadsheet that contains relevant nursing data so that she can analyze children’s health. School health programs are:

a.	Increasingly seen as primary care sites for children.
b.	Providing only health education programs for children and their parents.
c.	Capable only of providing referrals for health problems to primary care providers.
d.	Funded exclusively by local authorities.

 

ANS:   A

The traditional role of schools in controlling infectious disease outbreaks, in treating and controlling on-site injuries, and in educating parents and children about basic health is increasingly leading to schools as primary health care sites for children.

 

REF:    Page 123         TOP:    AONE competency: Business Skills

 

4. The local health department nurse manager has developed and implemented a disaster readiness plan as part of a community service. Community services:

a.	Care for the specific needs of individual families in the community.
b.	Focus on the treatment of community-wide problems rather than on individual health problems.
c.	Do not include services provided by public health departments.
d.	Provide personal health follow-up for all acute care hospitalizations.

 

ANS:   B

Community health services are directed toward a community as a whole as opposed to care, such as personal follow-ups, that are directed toward specific patient groups and families.

 

REF:    Page 123         TOP:    AONE competency: Knowledge of Healthcare Environment

 

5. A nursing informatics specialist hired by Blue Cross/Blue Shield (a form of third-party payers benefit packages that uses specific standards to approve a period of time for the use of inpatient and community health services) is participating in:

a.	Critical pathways.
b.	Healthcare networks.
c.	Health maintenance organizations.
d.	Managed care.

 

ANS:   D

Managed care strives to contain costs (for example, through limitation of time in care) while maintaining quality. Critical pathways refer to guides established for the provision of care for clients with specific conditions. HMOs are centrally administered managed care.

 

REF:    Pages 121, 122                        TOP:    AONE competency: Business Skills