Question 1

Which of the following best describes the primary goal of the Patient Protection and Affordable Care Act (PPACA)?

Accepted Answer

To expand coverage, control health care costs, and improve the health care delivery system

Question 2

A patient with a rare and complex disorder is referred to a specialized hospital for management. Which level of health care is this patient receiving?

Accepted Answer

Tertiary health care

Question 3

Which of the following is NOT one of the Institute of Medicine’s (IOM) six outcomes for a new health system for the 21st century?

Accepted Answer

Affordable

Question 4

A hospital implements a pay-for-performance system to improve patient outcomes. Which of the following best describes this approach?

Accepted Answer

Providers are rewarded based on the quality and value of care delivered

Question 5

A nurse practitioner in a primary care center is allowed to operate independently and refer only complex cases to physicians. This practice is MOST dependent on:

Accepted Answer

State regulations regarding scope of practice

Question 6

Which payment model groups payments for multiple services during a single episode of care, encouraging efficiency and coordination?

Accepted Answer

Bundled payments

Question 7

A hospital is penalized for excess readmissions under Medicare. This policy is intended to:

Accepted Answer

Improve quality and safety by reducing preventable hospitalizations

Question 8

Which of the following health care settings is most rapidly growing due to early discharge and reimbursement changes?

Accepted Answer

Home health care

Question 9

A nurse is tasked with teaching and supporting both patients and their families in a home health care setting. Which of the following services is the nurse providing?

Accepted Answer

Skilled nursing assessment and education

Question 10

A patient’s health care costs are shared between multiple insurance providers, including private and government plans. This is an example of:

Accepted Answer

Multi-payer system

Question 11

A nurse is managing a team of health care professionals, including assistive personnel and therapists. Which role is the nurse fulfilling?

Accepted Answer

Manager of other members of the health care team

Question 12

Which of the following strategies is LEAST likely to reduce health care costs?

Accepted Answer

Providing redundant diagnostic tests

Question 13

A community health center is an example of which type of health care delivery system?

Accepted Answer

Community-based care

Question 14

Which of the following is a major ethical question in health care delivery?

Accepted Answer

Should undocumented workers have the same access to health care as citizens?

Question 15

A nurse is advocating for holistic care and health promotion in a senior retirement community. Which health care setting is this?

Accepted Answer

Extended-care facility

Question 16

A patient receives care from a medical home that coordinates with specialists and community resources. This model is best described as:

Accepted Answer

Medical neighborhood

Question 17

Which of the following is a real-world example of comparative effectiveness analysis in health care?

Accepted Answer

Evaluating two different treatments for diabetes to determine which is more effective

Question 18

A nurse is part of a collaborative care team that includes a dietitian, pharmacist, and chaplain. The main purpose of this team is to:

Accepted Answer

Provide comprehensive, coordinated care to patients

Question 19

A hospital uses a reliable care accountability matrix to monitor patient outcomes. This tool is primarily used to:

Accepted Answer

Ensure quality and safety in health care delivery

Question 20

If a hospital wants to calculate the efficiency of its health care delivery, which formula could it use to compare the number of successful treatments to the total number of treatments provided?

Accepted Answer

Efficiency = $$ \frac{	ext{Number of successful treatments}}{	ext{Total number of treatments}} $$

Health Care Delivery System: Structure, Access, and Roles in Personal Health

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