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 is discharged early from the hospital and receives skilled nursing assessment, medication administration, and teaching at home. Which health care setting is this an example of?

Accepted Answer

Home 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

Profitable

Question 4

A hospital implements a system where providers are financially penalized for patients who are readmitted within 30 days for the same condition. This is an example of:

Accepted Answer

Pay for performance/value-based purchasing

Question 5

A 35-year-old woman with an income at 350% of the federal poverty level is seeking health insurance. According to the PPACA, which option is most likely available to her?

Accepted Answer

She can access subsidized coverage through the Health Insurance Marketplace.

Question 6

Which of the following best illustrates the concept of 'bundled payments' in health care financing?

Accepted Answer

A single payment is made for all services related to a treatment or condition, spanning multiple providers and settings.

Question 7

A nurse practitioner in a primary care center independently assesses and treats patients, referring only complex cases to a physician. This practice is most likely permitted under which condition?

Accepted Answer

The nurse practitioner is working in a state that allows full practice authority for APRNs.

Question 8

Which of the following is a key strategy to reduce health care costs according to current trends?

Accepted Answer

Utilizing quality improvement tools to reduce waste and improve safety

Question 9

A patient with a rare and complex disorder is referred to a specialized hospital for advanced treatment. This is an example of which level of health care?

Accepted Answer

Tertiary health care

Question 10

Which of the following payment models is most likely to encourage providers to deliver only necessary and efficient care, as opposed to maximizing the number of services provided?

Accepted Answer

Pay for performance/value-based purchasing

Question 11

A nurse is advocating for equitable access to COVID-19 vaccines for all community members, regardless of income or citizenship status. This action aligns most closely with which IOM outcome?

Accepted Answer

Equitable

Question 12

A patient’s care is coordinated between a primary care physician, a physical therapist, and a dietitian. This approach is best described as:

Accepted Answer

Collaborative care

Question 13

Which of the following is a major ethical question currently debated in the U.S. health care system?

Accepted Answer

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

Question 14

A nurse is assigned to manage a team of licensed practical nurses and nursing assistants on a hospital unit. This role is best described as:

Accepted Answer

Manager of other members of the health care team

Question 15

Which of the following best describes the function of hospice services?

Accepted Answer

Offering palliative and supportive care for dying persons

Question 16

A health care system is described as 'efficient' if it:

Accepted Answer

Delivers care that avoids waste, including waste of equipment, supplies, ideas, and energy.

Question 17

A patient is covered by Medicare and is admitted to the hospital. The hospital is reimbursed a fixed amount based on the patient’s diagnosis, regardless of the actual cost of care. This payment method is known as:

Accepted Answer

Diagnosis-related groups (DRGs)

Question 18

Which of the following is a real-world example of a multispecialty group practice?

Accepted Answer

A clinic where physicians from different specialties work together to provide comprehensive care

Question 19

A nurse is involved in a quality improvement project to reduce hospital-acquired infections. Which IOM outcome does this most directly address?

Accepted Answer

Safe

Question 20

A patient with a chronic illness is admitted to an assisted-living facility that provides intermediate and long-term care. This facility is best categorized as:

Accepted Answer

Extended-care facility

Health Care Delivery Systems: Structure, Access, and the Role of Nursing

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