Essentials for Nursing Practice, 8th Edition by Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall
Essentials for Nursing Practice, 8th Edition by Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall
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Chapter 03: The Health Care Delivery System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Primary |
| b. | Secondary |
| c. | Tertiary |
| d. | Restorative |
ANS: A
Primary care is centered on prevention of disease. 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.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 34 OBJ: Describe the six levels of health care.
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
| a. | Primary care center |
| b. | Restorative care center |
| c. | Assisted living center |
| d. | Respite center |
ANS: B
Restorative care centers provide rehabilitation and nursing care. 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.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 33
OBJ: Explain the relationship between levels of health care and levels of prevention.
TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
| a. | Medicaid |
| b. | Medicare |
| c. | Private insurance |
| d. | A managed care organization |
ANS: A
Medicaid is a form of insurance for low-income families. Medicare is a federally funded health insurance program for people greater than 65 years of age. Private insurance is a fee-for-service plan. A managed care organization (MCO) provides care to a specific group of voluntarily enrolled patients.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 33 OBJ: Compare the various methods for financing health care.
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
| a. | Managed care focuses on long-term care services for skilled nursing. |
| b. | Managed care focuses on hospital admissions and illnesses for a group of people. |
| c. | Managed care focuses on control over primary health services for a defined population. |
| d. | Managed care focuses on decreased access to care while increasing costs. |
ANS: C
The term managed care describes systems in which the payer has control over primary health care services delivery for a defined patient population. Long-term care insurance focuses on skilled nursing, not managed care. Managed care focuses on health and staying out of the hospital. Managed care aims to increase access to care while decreasing costs.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 32
OBJ: Explain the advantages and disadvantages of managed health care.
TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care
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