Chapter 02: The Health Care Delivery System

Chapter 02: The Health Care Delivery System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is teaching the importance of self-breast examination to a group of 20-year-old women. The nurse is promoting _____ care.

A.	primary
B.	secondary
C.	tertiary
D.	restorative

 

 

ANS:   A

Secondary and tertiary care is administered after an illness has been diagnosed. Restorative care occurs after a patient is recovering from an acute illness or for those who have chronic illnesses. Primary care is centered on prevention of disease.

 

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    21

OBJ:    Describe the six levels of health care

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Health Promotion and Maintenance

 

2. A patient who needs nursing and rehabilitation after a stroke would benefit most by receiving care at a(n):

A.	primary care center.
B.	restorative care setting.
C.	assisted living center.
D.	respite center.

 

 

ANS:   B

In primary care centers, health promotion is the major theme. Assisted living centers offer long-term assistance with activities of daily living. Respite centers offer short-term relief to persons who provide full-time care to an older adult. Restorative care settings provide rehabilitation and nursing care.

 

PTS:    1                      DIF:    Cognitive Level: Comprehension      REF:    23

OBJ:    Describe the six levels of health care

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance

 

3. A patient states that he cannot afford health care insurance. What is the best form of insurance available to him?

A.	Medicaid
B.	Medicare
C.	Private insurance
D.	A managed care organization

 

 

ANS:   A

Medicare is a federally funded health insurance program. Private insurance is a fee-for-service plan. A managed care organization (MCO) provides care to a specific group of voluntarily enrolled patients. Medicaid is for those who cannot afford insurance.

 

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    19

OBJ:    Compare the various methods for financing health care

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Health Promotion and Maintenance

 

4. A managed care system focuses on:

A.	customer service and patient choices.
B.	admissions, diagnostic testing, and treatments.
C.	control over primary health services of a defined population.
D.	comprehensive rather than fragmented approaches to health.

 

 

ANS:   C

Managed care focuses on control over primary services of a defined population. The remaining answers describe levels of health care.

 

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    18

OBJ:    Explain the advantages and disadvantages of managed health care

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Health Promotion and Maintenance

 

5. A nurse admits an older adult patient who states that she has no living relatives and only friends of her own age. One of the nurse’s immediate considerations for this patient will be to implement a:

A.	critical pathway.
B.	discharge plan.
C.	patient-focused care model.
D.	resource utilization group.

 

 

ANS:   B

A critical pathway is a multidisciplinary treatment plan for the hospitalized patient. A discharge plan begins the moment a patient is admitted to a health care facility. A resource utilization group is used in long-term care settings to manage patient costs.

 

PTS:    1                      DIF:    Cognitive Level: Application             REF:    22

OBJ:    Explain the advantages and disadvantages of managed health care

TOP:    Nursing Process: Planning

MSC:   Client Needs: Health Promotion and Maintenance