Question 1

Which of the following services would be covered under Medicare Part A?

Accepted Answer

A)  Blood draw to assess PT/INR
B)  Physical therapy visit
C)  Stay in skilled nursing facility
D)  Transportation by an ambulanceE) A) and D)
F) All of the above

Question 2

Which of the following demographic factors is expected to have the greatest influence on national health care spending?

Accepted Answer

A)  The aging population
B)  Use of diagnosis-related groups to determine reimbursement
C)  Insurance reform
D)  An increasing number of people without health insuranceE) None of the above
F) All of the above

Question 3

A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and who do not have the financial resources to pay for health care out of pocket. Which of the following resources should the nurse recommend to the family?

Accepted Answer

A)  A managed care organization
B)  An emergency department
C)  Medicaid
D)  MedicareE) None of the above
F) B) and C) C

Question 4

A client expresses concern that health care coverage based on capitation may have negative side effects. Which of the following would most likely be a consequence of capitation?

Accepted Answer

A)  Coercing clients to attend health promotion education classes
B)  Encouraging clients to seek care elsewhere
C)  Increasing the number of interventions to maximize payment
D)  Neglecting to order certain tests or treatment to minimize cost to the providerE) A) and C)
F) None of the above

Question 5

Which of the following caused health care providers to begin to focus on individual infections and trauma in the 1900s in the United States?

Accepted Answer

A)  Education of health care providers moved into universities.
B)  People finally had enough money to pay for medical care.
C)  The improved outcomes of hospital care were recognized.
D)  Advances were made in safe water, sewage disposal, and pasteurization of milk.E) All of the above
F) A) and B)

Question 6

Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-effective way to allocate health care resources?

Accepted Answer

A)  Insurance resources
B)  Health care rationing
C)  Health economics
D)  Medical technologyE) B) and C)
F) A) and B)

Question 7

A nurse would like to help members of the community focus on receiving primary preventive health care services. Which of the following interventions should be implemented by the nurse? (Select all that apply.)

Accepted Answer

A)  Publicize data on success of health promotion efforts, including cost savings.
B)  Lobby for decreased reimbursement for secondary and tertiary care services.
C)  Establish standards for appropriate screenings at specific intervals.
D)  Encourage members of the military service to engage in appropriate healthy lifestyle behaviors.E) A) and D)
F) All of the above A, C

Question 8

Which of the following individuals would most likely experience a barrier when accessing health care?

Accepted Answer

A)  A 40-year-old female who speaks English
B)  A 25-year-old female with health insurance
C)  A 50-year-old male with hypertension
D)  A 30-year-old male who is unemployedE) A) and D)
F) C) and D)

Question 9

Which of the following groups pays the largest amount for health care in the United States today?

Accepted Answer

A)  Consumers
B)  Federal and state government
C)  Insurance companies and other third-party payers
D)  Hospitals and health care providersE) A) and B)
F) B) and D)

Question 10

Which of the following terms describes when a nurse practitioner receives a set monthly payment to take care of a group of clients regardless of the services needed and provided?

Accepted Answer

A)  Capitation
B)  Fee for service
C)  Rationing
D)  Retrospective reimbursementE) A) and C)
F) B) and C)

Question 11

Which person is most likely to be uninsured?

Accepted Answer

A)  An 82-year-old woman with chronic medical problems
B)  A 2-year-old whose mother is on welfare
C)  A 50-year-old business man who works for a large corporation
D)  A 32-year-old man who works part-time at a small businessE) A) and D)
F) A) and C) D

Question 12

A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses such as laboratory services and equipment. Which of the following best describes this part of Medicare?

Accepted Answer

A)  Part A
B)  Part B
C)  Part C
D)  Part DE) A) and B)
F) A) and C)

Question 13

Which of the following best explains why clients who have Medicaid have poor health outcomes? (Select all that apply.)

Accepted Answer

A)  Clients may have preexisting conditions not covered by insurance.
B)  Many physicians won't accept Medicaid clients.
C)  Medicaid won't pay for certain medical interventions.
D)  Medicaid recipients are noncompliant with their health care providers' recommendations.E) B) and C)
F) None of the above

Question 14

Of the four main factors that affect health, which is the least important?

Accepted Answer

A)  Environment
B)  Human biology
C)  Lifestyle choices
D)  Health care systemE) A) and B)
F) None of the above

Question 15

A public health nurse is counseling a client who is trying to determine if a health maintenance organization (HMO)  or preferred provider organization (PPO)  will provide the better health care coverage. Which of the following best describes one main difference between these two types of coverage?

Accepted Answer

A)  HMOs provide comprehensive care to members for a fixed fee.
B)  PPOs designate providers that members can choose.
C)  PPOs provide one model of care delivery.
D)  HMOs provide financial incentives to encourage members to select HMO providers.E) B) and D)
F) B) and C)

Question 16

Which of the following criterion is now used for deciding the amount of the reimbursement before care is provided?

Accepted Answer

A)  A proportion of actual cost arbitrarily decided by the Medicare panel
B)  The federal budget constraints for the current fiscal year
C)  Hospital and health care provider feedback and political persuasion
D)  Prospective payment scale based on the medical diagnosisE) All of the above
F) None of the above

Question 17

Which of the following is most closely correlated with poor health?

Accepted Answer

A)  Age and gender (i.e., older males) 
B)  Low socioeconomic status
C)  Minority race status
D)  High-risk lifestyle behaviorsE) A) and C)
F) C) and D)

Question 18

Which of the following payment systems tries to keep clients healthy through education and health promotion, with the goal of reducing the need for professional health care intervention and therefore also lowering cost?

Accepted Answer

A)  Managed care plan
B)  Fee-for-service payment
C)  Prospective reimbursement
D)  Retrospective reimbursementE) None of the above
F) B) and D)

Question 19

Which of the following best explains how the government inadvertently encourages low-income persons to use emergency departments as their primary care provider?

Accepted Answer

A)  A huge amount of paperwork is required when Medicaid clients go to a physician's office.
B)  Government regulations require Medicaid clients to use emergency departments when their primary health care provider is unavailable.
C)  Legally, emergency departments must see clients even if clients can't pay.
D)  Physicians' limited office hours make them unavailable during evenings and weekends.E) A) and C)
F) A) and B)

Question 20

A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. Which of the following statements would be most appropriate for the nurse to make?

Accepted Answer

A)  "Don't drop out of school."
B)  "Sign up for childbirth classes."
C)  "Sign up for the WIC program."
D)  "Take your prenatal vitamins daily."E) A) and D)
F) A) and C)

Exam 8: Economic Influences

Which of the following services would be covered under Medicare Part A?

Correct AnswerverifiedShow Answer

Which of the following demographic factors is expected to have the greatest influence on national health care spending?

Correct AnswerverifiedShow Answer

A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and who do not have the financial resources to pay for health care out of pocket. Which of the following resources should the nurse recommend to the family?

Correct AnswerverifiedC

A client expresses concern that health care coverage based on capitation may have negative side effects. Which of the following would most likely be a consequence of capitation?

Correct AnswerverifiedShow Answer

Which of the following caused health care providers to begin to focus on individual infections and trauma in the 1900s in the United States?

Correct AnswerverifiedShow Answer

Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-effective way to allocate health care resources?

Correct AnswerverifiedShow Answer

A nurse would like to help members of the community focus on receiving primary preventive health care services. Which of the following interventions should be implemented by the nurse? (Select all that apply.)

Correct AnswerverifiedA, C

Which of the following individuals would most likely experience a barrier when accessing health care?

Correct AnswerverifiedShow Answer

Which of the following groups pays the largest amount for health care in the United States today?

Correct AnswerverifiedShow Answer

Which of the following terms describes when a nurse practitioner receives a set monthly payment to take care of a group of clients regardless of the services needed and provided?

Correct AnswerverifiedShow Answer

Which person is most likely to be uninsured?

Correct AnswerverifiedD

A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses such as laboratory services and equipment. Which of the following best describes this part of Medicare?

Correct AnswerverifiedShow Answer

Which of the following best explains why clients who have Medicaid have poor health outcomes? (Select all that apply.)

Correct AnswerverifiedShow Answer

Of the four main factors that affect health, which is the least important?

Correct AnswerverifiedShow Answer

A public health nurse is counseling a client who is trying to determine if a health maintenance organization (HMO) or preferred provider organization (PPO) will provide the better health care coverage. Which of the following best describes one main difference between these two types of coverage?

Correct AnswerverifiedShow Answer

Which of the following criterion is now used for deciding the amount of the reimbursement before care is provided?

Correct AnswerverifiedShow Answer

Which of the following is most closely correlated with poor health?

Correct AnswerverifiedShow Answer

Which of the following payment systems tries to keep clients healthy through education and health promotion, with the goal of reducing the need for professional health care intervention and therefore also lowering cost?

Correct AnswerverifiedShow Answer

Which of the following best explains how the government inadvertently encourages low-income persons to use emergency departments as their primary care provider?

Correct AnswerverifiedShow Answer

A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. Which of the following statements would be most appropriate for the nurse to make?

Correct AnswerverifiedShow Answer

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A, C

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D

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