Contents
Chapter 11: Health Care Delivery System ................................................................................ 2
Answer Key ........................................................................................................................... 5
Chapter 12: Inter professional Collaborative Practice and Care Coordination across
Settings ...................................................................................................................................... 6
Answer Key ........................................................................................................................... 9
Chapter 13: Blended Competencies, Clinical Reasoning, and Processes of Person-
Centered Care .......................................................................................................................... 10
Answer Key ......................................................................................................................... 14
Chapter 14: Clinical Judgment ................................................................................................ 15
Chapter 15: Assessing ............................................................................................................. 25
Answer Key ......................................................................................................................... 29
Chapter 16: Diagnosis/Problem Identification ........................................................................ 30
Answer Key ......................................................................................................................... 33
Chapter 17: Outcome Identification and Planning .................................................................. 35
Answer Key ......................................................................................................................... 39
Chapter 18: Implementing ....................................................................................................... 41
Answer Key ......................................................................................................................... 44
Chapter 19: Evaluating ............................................................................................................ 45
Answer Key ......................................................................................................................... 48
Chapter 20: Documenting and Reporting ............................................................................... 50
Answer Key ......................................................................................................................... 53
,1. Which of the following statements accurately describe an aspect of managed care? Select
all that apply.
a. Managed care systems control the cost of care with a lower quality of care.
b. The care of the patient is carefully planned and monitored by the primary care
provider.
c. The nurse is considered the gatekeeper in the managed care system.
d. The managed care system expands the choice of care providers.
e. The managed care system may required approval for specialty care.
f. Planning and monitoring are conducted to ensure standards are followed.
2. Which of the following is a characteristic of primary healthcare? Select all that apply.
a. It is essential healthcare based on sound methods and technology.
b. It is made universally accessible to individuals and families in the community.
c. It does not require the full participation of the individual and family.
d. It brings healthcare as close as possible to where people live and work.
e. It is the same concept as primary healthcare in that it refers to the delivery of
healthcare.
f. The concept was developed based on an increase in illness and death in third-
world countries.
3. Which of the following phrases is characteristic of case management as a method of
healthcare delivery?
a. brings healthcare to where people live and work
b. essentially the same method as primary care
c. planned and monitored by patients themselves
d. maximize positive outcomes and contain costs
4. Which of the following phrases best describes hospitals today?
a. focus on chronic illnesses
b. focus on acute care needs
c. primary care centers
d. voluntary agencies
5. A man is scheduled for hospital outpatient surgery. He tells the nurse, I dont know what
that word, outpatient, means. How would the nurse respond?
a. It means you will have surgery in the hospital and stay for 2 days.
b. It means the surgeon will come to your home to do the surgery.
c. Why would you ask such a question? Dont worry about it.
d. You will have surgery and go home that same day.
6. What is one responsibility of nurses who work in physicians offices?
a. prescribing medications
b. conducting health assessments
c. performing minor surgery
, d. making independent home visits
7. A nurse in a walk-in healthcare setting provides technical services, such as, administering
medications, determines the priority of care needs, and provides patient teaching on all
aspects of care. Which of the following terms best describes this type of healthcare
setting?
a. hospital
b. physicians office
c. ambulatory center
d. long-term care
8. Nurses who are employed in home care have a variety of responsibilities. Which of the
following is one of those responsibilities?
a. provide all care and services
b. maintain a clean home environment
c. advise patients on financial matters
d. collaborate with other care providers
9. Which of the following is true of long-term care facilities?
a. They provide care only to older adults.
b. They provide care for homeless adults.
c. They provide care to people of any age.
d. They care for people only with dementia.
10. A grade school is preparing a series of classes on the dangers of smoking. Who would be
most likely to teach the classes?
a. the principal
b. an outside consultant
c. a teacher
d. the school nurse
11. An elderly woman has total care of her husband with Alzheimers disease. What type of
care might the nurse suggest to give her some much-needed time of her own?
a. primary care
b. respite care
c. bereavement care
d. palliative care
12. What population do hospice nurses provide with care?
a. those requiring care to improve health
b. children with chronic illnesses
c. dying persons and their loved ones
d. older adults requiring long-term care
13. Who provides physicians with the authority to admit and provide care to patients
requiring hospitalization?
a. the healthcare institution itself
, b. Board of Healing Arts
c. American Medical Association
d. State Board of Nursing
14. After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to
what member of the healthcare team?
a. physical therapist
b. speech therapist
c. social worker
d. respiratory therapist
15. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs).
What are DRGs?
a. locally supported healthcare financing, usually by donations
b. a public assistance program for low-income individuals
c. predetermined payment for services based on medical diagnoses
d. a private insurance plan for subscribers who pay a copayment
16. A patient has a private insurance policy that pays for most healthcare costs and services.
Why is this plan called a third-party payer?
a. The insurance company pays all or most of the costs.
b. The family of the patient is required to pay costs.
c. The patient gets the bill and pays out-of-pocket costs.
d. Medicare and Medicaid will pay most of the costs.
17. A person receiving healthcare insurance from his employer knows that he should check
the approved list of contracted healthcare providers before seeking services in order to
receive them at a lower cost. What type of insurance is most likely involved?
a. Medicaid
b. preferred provider organization
c. health maintenance organization
d. long-term care insurance
18. What is the primary focus of healthcare today?
a. care of acute illnesses
b. care of chronic illnesses
c. health promotion
d. health restoration
19. In which of the following ways have cost-containment issues affected the delivery of
healthcare in the U.S.? Select all that apply.
a. The U.S. healthcare system has been experiencing a financial crisis.
b. The cost of healthcare in the United States has decreased dramatically.
c. Short- and long-term results of cost-containment measures are undetermined.
d. Historically, payment for healthcare services encouraged the use of expensive
services.
Chapter 11: Health Care Delivery System ................................................................................ 2
Answer Key ........................................................................................................................... 5
Chapter 12: Inter professional Collaborative Practice and Care Coordination across
Settings ...................................................................................................................................... 6
Answer Key ........................................................................................................................... 9
Chapter 13: Blended Competencies, Clinical Reasoning, and Processes of Person-
Centered Care .......................................................................................................................... 10
Answer Key ......................................................................................................................... 14
Chapter 14: Clinical Judgment ................................................................................................ 15
Chapter 15: Assessing ............................................................................................................. 25
Answer Key ......................................................................................................................... 29
Chapter 16: Diagnosis/Problem Identification ........................................................................ 30
Answer Key ......................................................................................................................... 33
Chapter 17: Outcome Identification and Planning .................................................................. 35
Answer Key ......................................................................................................................... 39
Chapter 18: Implementing ....................................................................................................... 41
Answer Key ......................................................................................................................... 44
Chapter 19: Evaluating ............................................................................................................ 45
Answer Key ......................................................................................................................... 48
Chapter 20: Documenting and Reporting ............................................................................... 50
Answer Key ......................................................................................................................... 53
,1. Which of the following statements accurately describe an aspect of managed care? Select
all that apply.
a. Managed care systems control the cost of care with a lower quality of care.
b. The care of the patient is carefully planned and monitored by the primary care
provider.
c. The nurse is considered the gatekeeper in the managed care system.
d. The managed care system expands the choice of care providers.
e. The managed care system may required approval for specialty care.
f. Planning and monitoring are conducted to ensure standards are followed.
2. Which of the following is a characteristic of primary healthcare? Select all that apply.
a. It is essential healthcare based on sound methods and technology.
b. It is made universally accessible to individuals and families in the community.
c. It does not require the full participation of the individual and family.
d. It brings healthcare as close as possible to where people live and work.
e. It is the same concept as primary healthcare in that it refers to the delivery of
healthcare.
f. The concept was developed based on an increase in illness and death in third-
world countries.
3. Which of the following phrases is characteristic of case management as a method of
healthcare delivery?
a. brings healthcare to where people live and work
b. essentially the same method as primary care
c. planned and monitored by patients themselves
d. maximize positive outcomes and contain costs
4. Which of the following phrases best describes hospitals today?
a. focus on chronic illnesses
b. focus on acute care needs
c. primary care centers
d. voluntary agencies
5. A man is scheduled for hospital outpatient surgery. He tells the nurse, I dont know what
that word, outpatient, means. How would the nurse respond?
a. It means you will have surgery in the hospital and stay for 2 days.
b. It means the surgeon will come to your home to do the surgery.
c. Why would you ask such a question? Dont worry about it.
d. You will have surgery and go home that same day.
6. What is one responsibility of nurses who work in physicians offices?
a. prescribing medications
b. conducting health assessments
c. performing minor surgery
, d. making independent home visits
7. A nurse in a walk-in healthcare setting provides technical services, such as, administering
medications, determines the priority of care needs, and provides patient teaching on all
aspects of care. Which of the following terms best describes this type of healthcare
setting?
a. hospital
b. physicians office
c. ambulatory center
d. long-term care
8. Nurses who are employed in home care have a variety of responsibilities. Which of the
following is one of those responsibilities?
a. provide all care and services
b. maintain a clean home environment
c. advise patients on financial matters
d. collaborate with other care providers
9. Which of the following is true of long-term care facilities?
a. They provide care only to older adults.
b. They provide care for homeless adults.
c. They provide care to people of any age.
d. They care for people only with dementia.
10. A grade school is preparing a series of classes on the dangers of smoking. Who would be
most likely to teach the classes?
a. the principal
b. an outside consultant
c. a teacher
d. the school nurse
11. An elderly woman has total care of her husband with Alzheimers disease. What type of
care might the nurse suggest to give her some much-needed time of her own?
a. primary care
b. respite care
c. bereavement care
d. palliative care
12. What population do hospice nurses provide with care?
a. those requiring care to improve health
b. children with chronic illnesses
c. dying persons and their loved ones
d. older adults requiring long-term care
13. Who provides physicians with the authority to admit and provide care to patients
requiring hospitalization?
a. the healthcare institution itself
, b. Board of Healing Arts
c. American Medical Association
d. State Board of Nursing
14. After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to
what member of the healthcare team?
a. physical therapist
b. speech therapist
c. social worker
d. respiratory therapist
15. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs).
What are DRGs?
a. locally supported healthcare financing, usually by donations
b. a public assistance program for low-income individuals
c. predetermined payment for services based on medical diagnoses
d. a private insurance plan for subscribers who pay a copayment
16. A patient has a private insurance policy that pays for most healthcare costs and services.
Why is this plan called a third-party payer?
a. The insurance company pays all or most of the costs.
b. The family of the patient is required to pay costs.
c. The patient gets the bill and pays out-of-pocket costs.
d. Medicare and Medicaid will pay most of the costs.
17. A person receiving healthcare insurance from his employer knows that he should check
the approved list of contracted healthcare providers before seeking services in order to
receive them at a lower cost. What type of insurance is most likely involved?
a. Medicaid
b. preferred provider organization
c. health maintenance organization
d. long-term care insurance
18. What is the primary focus of healthcare today?
a. care of acute illnesses
b. care of chronic illnesses
c. health promotion
d. health restoration
19. In which of the following ways have cost-containment issues affected the delivery of
healthcare in the U.S.? Select all that apply.
a. The U.S. healthcare system has been experiencing a financial crisis.
b. The cost of healthcare in the United States has decreased dramatically.
c. Short- and long-term results of cost-containment measures are undetermined.
d. Historically, payment for healthcare services encouraged the use of expensive
services.
