RIGHT ACCURATE ANSWERS .
When the nurse is asked by a patient, "Why is it necessary to have deductibles and
copayments when I already have health insurance?" The best response would be: - Correct
Answer -A. "They are a way to improve the margin of profit in the fee-for-service method of
paying for health care."
A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm
young and healthy and can use the money in other ways." The response that best explains the
advantage of health insurance would be - Correct Answer -D. "With insurance you are
spreading the risk in case you have a serious health event, such as cancer or major trauma."
A patient asks the nurse, "What do health maintenance organizations (HMOs) do to reduce
health care costs?" The response giving the best example of an HMO cost-containment
method would be: - Correct Answer -D. "HMOs provide services aimed at keeping members
healthy."
Which of the following constitutes a problem that affects data collected by the nurse
interviewing a chronically ill older adult patient? Many older adults who are covered only by
Medicare Parts A and B find it difficult to pay the cost of - Correct Answer -B. prescription
drugs while living at home.
When involved with discharge planning for a patient recovering from a mild cerebrovascular
accident, the nurse should understand that Medicare provides - Correct Answer -B. increased
use of extended care units for rehabilitation needs.
Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the
reason for - Correct Answer -B. critical pathways and managed care.
A patient tells the nurse, "I received a questionnaire that said my answers would be used for
purposes of continuous quality improvement. I wonder if it's worth my time to fill it out?"
The response that best explains continuous quality improvement is: - Correct Answer -D.
"Continuous quality improvement activities are used to monitor and improve processes
involved in providing safe, effective care for patients."
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