How does managed care affect the economics of health care delivery?

NURS4710 QUIZ 1

1. GOLDWEBER

8/16/20

1. How does managed care affect the economics of health care delivery?
2. Provides incentives for smaller private or individual hospitals
3. Increases the tax base for the community
4. Uses corporate economics to achieve a profit
5. Care is paid for at a prearranged rate
6. Which statement regarding characteristics of clinical pathways shows the nurse’s lack of understanding?

A.“Clinical pathways focus on patient outcomes.”

B.“Clinical pathways use a timeline with sequenced interventions.”

1. “Clinical pathways collaborate efforts by health care professionals.”

D.“Clinical pathways involve nurse-centered orientation.”

3. Which statement shows the nurse’s understanding of patient-focused care?

A.“Patient-focused care is a nursing care delivery system.”

B.“Patient-focused care is a model for a health care organization.”

C.“Patient-focused care is a clinical pathway within an institution.”

D.“Patient-focused care is an institutional value and philosophy.”

4. Which statement by the nurse manager is inaccurate regarding the forces of magnetism? “Forces of magnetism include
5. professional models of care.”
6. consultation and resources.”
7. cost reduction and sound budgets.”
8. nurses as teachers.”
9. A nurse manager is training a new hire. Which statement shows an understanding of functional nursing?
10. Functional nursing is organized around tasks.”
11. “Functional nursing is patient led.”
12. “Functional nursing is physician led.”
13. “Functional nursing is unorganized.”
14. Which of the following statements shows the nurse’s understanding of primary nursing?
15. “One nurse plans and directs patient care over 24 hours.”
16. “Involves care for 48 hours or more”
17. “Includes only one nurse planning care for the patient”
18. “Is the only method of care used today”
19. Which statement is true about case management?
20. It helps clients achieve goals effectively and efficiently.
21. It is used to reduce resource utilization only.
22. To be effective, it requires case managers to provide direct patient care.
23. It eliminates the need for other caregivers (LPNs, LVNs, nursing assistants).
24. A nurse is interested in case management. Which statement indicates an understanding of the primary work environment of case managers?

A.“They work most often in acute care institutions.”

B.“Their work is focused on community activities and is based within the community.”

C.“They typically work for insurance companies, providing coordination of care.”

D.“All types of health care organizations, as well as organizations with health-related functions, hire case managers.”

9. Which statement is true about patient classification systems?
10. They measure all the needs of patients.
11. They provide an absolute formula for unit staffing.
12. They should not be used to make patient-care assignments because acuity systems are more accurate.
13. They have been used to determine the number of nurses needed on a unit at any one time.
14. Which of the following best describes the concept of evidence-based practice?
15. It is a method of improving nursing care and effectively maintaining cost containment.
16. Insurance companies review the evidence of the health care practice for reimbursement.
17. It achieves large-scale economics while providing cost-effective care.
18. It provides for the use of recent research in current nursing practice.
19. A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit?
20. Functional care
21. Primary care
22. Patient-focused care
23. Case management
24. The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to?
25. A 55-year-old woman post hysterectomy, who has adequate support from family
26. A 42-year-old man post appendectomy, who is able to change his own dressing
27. A 60-year-old man post sepsis, in need of nursing home placement
28. A 38-year-old woman, post shoulder repair, who needs to follow up with the orthopedic surgeon
29. A chief nursing officer wants to create a healthy work environment. What action by the CNO would be best to accomplish this goal?
30. Use a nursing theory to support the environment and nursing care.
31. Send unit managers to frequent leadership development workshops.
32. Be a nursing advocate and make most nursing decisions him/herself.
33. Offer bonuses for high-performing nurses and ancillary staff.
34. . Which statement indicates an understanding of the primary work environment of case managers?
35. “They work most often in acute care institutions.”
36. “Their work is focused on community activities and is based within the community.”
37. “They typically work for insurance companies, providing coordination of care.”
38. All types of health care organizations, as well as organizations with health-related functions, hire case managers.”
39. Which statement is true about patient classification systems?
40. They measure all the needs of patients.
41. They provide an absolute formula for unit staffing.
42. They should not be used to make patient-care assignments because acuity systems are more accurate.
43. They have been used to determine the number of nurses needed on a unit at any one time.
44. Which of the following best describes the concept of evidence-based practice?
45. It is a method of improving nursing care and effectively maintaining cost containment.
46. Insurance companies review the evidence of the health care practice for reimbursement.
47. It achieves large-scale economics while providing cost-effective care.
48. It provides for the use of recent research in current nursing practice.
49. A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit?
50. Functional care
51. Primary care
52. Patient-focused care
53. Case management
54. The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to?
55. 55-year-old woman post hysterectomy, who has adequate support from family
56. A 42-year-old man post appendectomy, who is able to change his own dressing
57. A 60-year-old man post sepsis, in need of nursing home placement
58. A 38-year-old woman, post shoulder repair, who needs to follow up with the orthopedic surgeon
59. A chief nursing officer wants to create a healthy work environment. What action by the CNO would be best to accomplish this goal?
60. Use a nursing theory to support the environment and nursing care.
61. Send unit managers to frequent leadership development workshops.
62. Be a nursing advocate and make most nursing decisions him/herself.
63. Offer bonuses for high-performing nurses and ancillary staff.
64. The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:
65. patients are able to perform the majority of their own care.
66. are required to perform less care.
67. nurses are able to focus all of their care on one patient.
68. nurses are hired to care for two patients.
69. A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel. What should the nurse do to ensure success in caring for patients?
70. the assignments for the day out to the team, and plan to meet right before the end of shift.
71. communicate with the members of the team throughout the entire day.
72. Report changes in a patient’s condition to the health care provider only.
73. Revise each patient’s plan of care once a shift.
74. The nurse has an adequate understanding of patient-focused care when stating which of the following?
75. “Patient-focused care includes the physician, who supervises care.”
76. Patient-focused care decreases productivity.”
77. In patient-focused care, the nurse supervises delivery of care.”
78. The patient is not an active participant in patient-focused care.”
79. Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)
80. Functional nursing
81. Team nursing
82. Primary care nursing
83. Patient-focused care
84. Transitional care
85. The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)
86. “increased governmental regulation of insurers.”
87. “less use of technology.”
88. increasing incentives for coordination of care.”
89. “emphasis on physician-centered care.”
90. “decreasing consumer out-of-pocket costs.”
91. Which actions can the hospital administrator take to reduce health care costs? (Select all that apply.)
92. Hire case managers to see all patients who have extensive medical needs.
93. Reduce the number of patients the hospital can accommodate.
94. Ensure that appropriate staff is available.
95. Encourage the use of evidence-based practice.
96. Accept only patients with health insurance.

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