TEST BANK
, Chapter 1: Health Care Delivery Systems
1. A nurse is discussing the various providers within the health care system with a group
of nursing students. Which of the following should the nurse identify as a licensed
provider?
A. Assistive personnel
B. Registered nurse
C. Hospital administrator
D. Medical record technician
Correct Answer: B. Registered nurse.
REASONING: Registered nurses are licensed health care providers who must pass the
NCLEX-RN examination and meet state board of nursing requirements. Assistive
personnel (A), hospital administrators (C), and medical record technicians (D) are
unlicensed personnel who do not require a professional license to practice.
2. A nurse is reviewing the responsibilities of regulatory agencies with a newly licensed
nurse. Which of the following should the nurse identify as the responsibility of state
licensing boards?
A. Setting quality standards for accreditation of health care facilities
B. Monitoring health care services provided to clients
C. Ensuring that health care providers and agencies comply with state regulations
, D. Determining the safety of medications for administration
Correct Answer: C. Ensuring that health care providers and agencies comply with state
regulations.
REASONING: State licensing boards are responsible for ensuring that health care
providers and agencies comply with state regulations and standards of practice. The
Joint Commission (A) sets accreditation standards, Professional Standards Review
Organizations (B) monitor health care services, and the FDA (D) determines medication
safety.
3. A nurse is explaining the role of the Joint Commission to a client. Which of the
following should the nurse identify as the primary purpose of this agency?
A. Setting quality standards for accreditation of health care facilities
B. Monitoring for appropriate diagnosis and treatment of hospitalized clients
C. Providing financial support for low-income families
D. Regulating the use of medical devices and technology
Correct Answer: A. Setting quality standards for accreditation of health care facilities.
REASONING: The Joint Commission is a regulatory agency responsible for setting
quality standards and granting accreditation to health care facilities that meet those
standards. Utilization review committees (B) monitor diagnosis and treatment
appropriateness, Medicaid (C) provides financial support for low-income individuals,
and the FDA (D) regulates medical devices and technology.
, 4. A nurse is caring for an older adult client who has a permanent disability and requires
home health services. The nurse should identify that which of the following Medicare
components covers these services?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: A. Part A.
REASONING: Medicare Part A provides hospital insurance that covers inpatient
hospital stays, home health care, hospice care, and skilled nursing facility care for
eligible individuals. Part B (B) covers outpatient and provider services, Part C (C) is the
Medicare Advantage supplement plan, and Part D (D) covers prescription medications.
5. A nurse is providing information to a client about Medicaid eligibility. Which of the
following criteria should the nurse include in the teaching?
A. Evaluation of the client's age and disability status
B. Assessment of the client's income level
C. Verification of the client's workplace insurance coverage
D. Identification of the client's previous health screenings