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NUR166 Concepts of Nursing II Healthcare Systems & Policy Exam Questions and Answers (80+ Q&A) | ACO, Medicare, Telehealth, Care Coordination & PPACA | C. Perry Chapters 11–12 Nursing

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This comprehensive nursing study guide contains over 80 detailed exam questions and correct answers covering healthcare systems, nursing policy, care coordination, health insurance models, discharge planning, telehealth, and community-based nursing care from NUR166 Concepts of Nursing II based on C. Perry Chapters 11 and 12. The material explores major healthcare concepts including Accountable Care Organizations (ACOs), Medicare, Medicaid, HMOs, PPOs, value-based purchasing, palliative care, hospice care, telehealth, ambulatory care, collaborative practice, continuity of care, and patient-centered medical homes. The document provides students with a strong understanding of how healthcare delivery systems function in modern nursing practice and how nurses contribute to patient safety, communication, discharge planning, interdisciplinary collaboration, and quality improvement. Important nursing responsibilities such as medication reconciliation, patient transfers, ISBARQ communication, home healthcare coordination, and patient education during discharge are clearly explained using exam-focused question-and-answer formatting designed to support active recall and exam preparation. The guide also addresses healthcare financing systems, reimbursement methods, preventive care models, and the impact of the Patient Protection and Affordable Care Act (PPACA) on healthcare accessibility and quality outcomes. This resource reflects evidence-based healthcare and nursing management principles discussed in leading nursing and healthcare policy references including Fundamentals of Nursing by Potter & Perry, Essentials of Health Policy and Law for Nurses and Health Professionals by Joel B. Teitelbaum and Sara E. Wilensky, and frameworks developed by the Institute of Medicine (IOM) related to patient-centered care, quality improvement, safety, efficiency, and equitable healthcare delivery. Concepts such as collaborative practice, continuity of care, telehealth implementation, and value-based care are also supported by research published in the Journal of Nursing Care Quality, Health Affairs, and the International Journal of Nursing Studies, emphasizing the evolving role of nurses within complex healthcare systems. This study document is highly relevant for NUR166 nursing students, BSN students, RN candidates, practical nursing students, healthcare administration students, NCLEX preparation learners, community health nursing students, telehealth nursing trainees, and healthcare professionals preparing for exams in nursing leadership, healthcare systems, policy, or patient care coordination. Keywords NUR166 Concepts of Nursing II, healthcare systems nursing, nursing policy, healthcare delivery systems, accountable care organizations, ACO nursing, Medicare, Medicaid, telehealth nursing, PPACA, Affordable Care Act, nursing exam questions, community health nursing, discharge planning, continuity of care, collaborative practice, patient-centered care, ambulatory care, hospice nursing, palliative care, ISBARQ communication, home health nursing, nursing study guide, healthcare financing, managed care, PPO and HMO, value-based purchasing, nursing leadership, healthcare quality improvement, patient safety, nursing care coordination, NCLEX healthcare systems, healthcare reimbursement, nursing management, medical home model, nursing policy exam, interdisciplinary healthcare, community-based nursing

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Comprehensive Healthcare
System and Policy Terms for
Students, NUR166 D Concepts
of Nursing II C. Perry chapter
11, chapter 12 2026 Exam
Questions and Correct
Answers | New Update



Accountable Care Organization (ACO) - ANSWER ✔✔A group of

health care providers and organizations that work together to coordinate

,care for Medicare patients and improve quality while reducing

unnecessary costs.


Advanced Practice Registered Nurses (APRNs) - ANSWER

✔✔Registered nurses with advanced education (master's or doctoral

level) who provide specialized care, diagnose conditions, prescribe

medications, and manage patient treatment.


Ambulatory Care - ANSWER ✔✔Health care services provided to

patients who are not admitted to the hospital.


Care Coordination - ANSWER ✔✔The process of organizing patient

care activities and sharing information among all members of the health

care team to ensure safe, efficient, and continuous care.


Community Health Centers - ANSWER ✔✔Local clinics that provide

primary health care services to underserved populations, often offering

care regardless of a patient's ability to pay.


Consumer - ANSWER ✔✔A person who purchases or receives

health care services and makes decisions about their health care.


Diagnosis-Related Groups (DRGs) - ANSWER ✔✔A classification

system used by Medicare to determine hospital reimbursement based

, on a patient's diagnosis and treatment, rather than the length of hospital

stay.


Entitlement Reform - ANSWER ✔✔Changes to government

programs such as Medicare and Medicaid intended to control health

care costs and ensure long-term financial sustainability.


Extended-Care Services - ANSWER ✔✔Health care services

provided after hospitalization, often in settings such as skilled nursing

facilities, rehabilitation centers, or long-term care facilities.


Fee-for-Service - ANSWER ✔✔A payment system where health care

providers are paid separately for each service performed, such as tests,

procedures, or office visits.


Health Insurance Marketplace - ANSWER ✔✔An online system

created by the Patient Protection and Affordable Care Act (ACA) where

individuals can compare and purchase health insurance plans.


Health Maintenance Organizations (HMOs) - ANSWER ✔✔A type of

managed care plan that provides health services through a network of

providers and usually requires patients to choose a primary care

provider and obtain referrals for specialists.




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