Chapter 4: Healthcare Environment

Chapter 4: Healthcare Environment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 4: Healthcare Environment

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?

1.	There is no central agency to govern healthcare systems.
2.	Access to healthcare is available to all persons regardless of ability to pay.
3.	Legal risk must be considered when providing healthcare.
4.	High-tech equipment is available but payment for its use is troublesome to the system.

 

 

____     2.   Why is it important for nurses to have some understanding of healthcare issues in the United States?

1.	The nurse has the responsibility of doing the paperwork related to the patient’s insurance.
2.	Reimbursement often influences the services that can be offered to the public.
3.	The LPN will determine the quality of care to deliver based on the patient’s insurance.
4.	The practical nurse cannot graduate until proficiency on this topic is displayed.

 

 

____     3.   The nurse is attending a class on insurance and learns about Medicaid, which is financed by what part of the government?

1.	State
2.	Federal
3.	County
4.	State and federal

 

 

____     4.   What is a major source of stress on the current U.S. healthcare system?

1.	Rising cost of providing healthcare to all citizens
2.	Lack of adequate education for healthcare professionals
3.	Inadequate number of hospital beds across the country
4.	Increasing cost of malpractice insurance

 

 

____     5.   What role is not appropriate for the LPN to participate in?

1.	Administering medications
2.	Dressing changes
3.	Designing a research study
4.	Reporting patient changes

 

 

____     6.   The patient asks the nurse how most people can afford medical insurance. The nurse explains many people get medical insurance from what source?

1.	The primary care physician
2.	The local clinic
3.	Social security office
4.	The employer

 

 

____     7.   The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

1.	A doctor
2.	A staff nurse
3.	One insurance provider
4.	A hospital

 

 

____     8.   The LPN requires what skills to successfully manage care?

1.	The ability to organize and prioritize tasks
2.	The ability to work weekends and off shifts
3.	The ability to develop a comprehensive care plan
4.	Close relationship with the supervising RN

 

Chapter 4: Healthcare Environment

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

While access to healthcare for all is the ideal, the U.S. healthcare system has struggled to meet this ideal. There is hope that this will improve with changes in healthcare system laws.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

2. ANS:  2

LPNs need to be aware that healthcare agencies’ policies determine what services you can provide that will be reimbursed by payers. Reimbursement often influences the services the agency can offer to the public.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing

 

3. ANS:  4

Both the state and federal governments fund Medicaid.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

4. ANS:  1

The rising cost of healthcare results in increasing government spending. When the government spends more money on healthcare there is less money to spend on other things.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

5. ANS:  3

While LPNs may be asked to collect data to contribute to research they would not design a research study. This requires a registered nurse with a graduate degree.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 2

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

 

6. ANS:  4

Employers pay for some healthcare services through employee insurance benefits. The federal government pays for some healthcare for persons over 65 years of age though Medicare plans. State governments pay for healthcare for low-income populations through Medicaid plans.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

7. ANS:  1

A primary provider is one person who manages care and may be a doctor, nurse practitioner, or physician’s assistant.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 1

KEY:  Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

8. ANS:  1

The nurse’s ability to organize and prioritize care is essential to care management because multiple issues may be occurring at once and the nurse must always meet the highest priority needs first.

 

PTS:   1                    REF:   Chapter: 4      OBJ:   Objective: 2

KEY:  Content Area: Healthcare Environment | Integrated Processes: Nursing Process: Planning | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying