U.S. Healthcare Delivery & Nursing Mastery Exam: Medicare, Medicaid, DRGs,
Prospective Payment Systems, Home Health, Hospice, Primary & Secondary
Care, Acute & Ambulatory Care, Long-Term Care, Managed Care, PPO, Patient-
Centered Care, Case Management, Care Coordination, Health Promotion,
Palliative Care, Health Policy, ACA, Pay-for-Performance, Quality Improvement,
Health Reform, Fragmentation of Care, Continuity of Care, Aging in Place,
Interdisciplinary Team Roles, Speech & Occupational Therapy, Home Safety,
Evidence-Based Practice, Health Assessment, Patient Education, Cost-Effective
Care, Health Trends, Technological Advancements, Nursing Roles &
Responsibilities Exam Questions Verified and Provided with Complete A+
Graded Rationales Latest Updated 2026
The nurse understands that a diagnostic-related group is one of the reimbursement strategies in
a prospective payment system. The diagnostic-related group is a part of which health care
system?
Medicare
A nurse has an older adult home care client who lives alone with no family nearby. On a recent
visit, the nurse notices that his clothes are very loose, and he has difficulty letting the nurse
leave when the visit is ending. After talking with him, the nurse learns that he has not been
cooking for himself and he can't get to the grocery store easily. What service could the nurse
suggest as an immediate response until a long-term plan can be formed?
Enroll the client in Meals on Wheels.
,A nurse working for a home health agency is scheduled to evaluate a client with worsening
heart failure to determine if he is a candidate for the new "Hospital at Home" program. Which
of the following accurately reflects an outcome for this program?
Clients in the "Hospital at Home" program have been found to require shorter lengths of stay
than when admitted to the acute care setting.
The nurse is a member of the multidisciplinary team in a large primary healthcare setting. The
nurse understands that which healthcare team member is responsible for a client's swallow
evaluation following a CVA (cerebral vascular accident)?
Speech pathologist/therapist
A nurse is helping a client choose a new health care plan. The client states that he would prefer
to be able to choose his own physician. Which plan would be the best option for this client
based on his stated preferences?
PPO
Nurses in various health care settings provide services to prevent the fragmentation of care that
is occurring as a health care trend in today's society. What role of the nurse is most important in
preventing this effect?
Coordinator of care
Which client would a nurse correctly refer to Medicare services?
A 66-year-old client with diabetes
, A nurse is preparing to change employment from an acute care facility to an urgent care center.
While talking with a colleague, the colleague asks, "What type of care is this?" Which response
by the nurse would be appropriate?
"It's a special type of ambulatory care that treats people who walk in with illnesses and minor
trauma."
During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just
can't do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is
the nurse's best intervention?
Arrange for short-term inpatient care for the client.
A nurse has been asked to speak to a high school health class about expected trends in health
care. Which statement should the nurse include when speaking to this class?
"We can expect that technology is going to continue to change health care delivery."
The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals
in which of the following ways?
Medicare pays only the amount of money preassigned to a treatment for a diagnosis.
Which of the following factors is the primary criterion for admission to a long-term care facility?
Inability to provide self-care
A home health nurse is scheduled to make a visit to a client who was discharged from the
hospital yesterday following an appendectomy. The nurse understands that the scope of
Prospective Payment Systems, Home Health, Hospice, Primary & Secondary
Care, Acute & Ambulatory Care, Long-Term Care, Managed Care, PPO, Patient-
Centered Care, Case Management, Care Coordination, Health Promotion,
Palliative Care, Health Policy, ACA, Pay-for-Performance, Quality Improvement,
Health Reform, Fragmentation of Care, Continuity of Care, Aging in Place,
Interdisciplinary Team Roles, Speech & Occupational Therapy, Home Safety,
Evidence-Based Practice, Health Assessment, Patient Education, Cost-Effective
Care, Health Trends, Technological Advancements, Nursing Roles &
Responsibilities Exam Questions Verified and Provided with Complete A+
Graded Rationales Latest Updated 2026
The nurse understands that a diagnostic-related group is one of the reimbursement strategies in
a prospective payment system. The diagnostic-related group is a part of which health care
system?
Medicare
A nurse has an older adult home care client who lives alone with no family nearby. On a recent
visit, the nurse notices that his clothes are very loose, and he has difficulty letting the nurse
leave when the visit is ending. After talking with him, the nurse learns that he has not been
cooking for himself and he can't get to the grocery store easily. What service could the nurse
suggest as an immediate response until a long-term plan can be formed?
Enroll the client in Meals on Wheels.
,A nurse working for a home health agency is scheduled to evaluate a client with worsening
heart failure to determine if he is a candidate for the new "Hospital at Home" program. Which
of the following accurately reflects an outcome for this program?
Clients in the "Hospital at Home" program have been found to require shorter lengths of stay
than when admitted to the acute care setting.
The nurse is a member of the multidisciplinary team in a large primary healthcare setting. The
nurse understands that which healthcare team member is responsible for a client's swallow
evaluation following a CVA (cerebral vascular accident)?
Speech pathologist/therapist
A nurse is helping a client choose a new health care plan. The client states that he would prefer
to be able to choose his own physician. Which plan would be the best option for this client
based on his stated preferences?
PPO
Nurses in various health care settings provide services to prevent the fragmentation of care that
is occurring as a health care trend in today's society. What role of the nurse is most important in
preventing this effect?
Coordinator of care
Which client would a nurse correctly refer to Medicare services?
A 66-year-old client with diabetes
, A nurse is preparing to change employment from an acute care facility to an urgent care center.
While talking with a colleague, the colleague asks, "What type of care is this?" Which response
by the nurse would be appropriate?
"It's a special type of ambulatory care that treats people who walk in with illnesses and minor
trauma."
During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just
can't do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is
the nurse's best intervention?
Arrange for short-term inpatient care for the client.
A nurse has been asked to speak to a high school health class about expected trends in health
care. Which statement should the nurse include when speaking to this class?
"We can expect that technology is going to continue to change health care delivery."
The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals
in which of the following ways?
Medicare pays only the amount of money preassigned to a treatment for a diagnosis.
Which of the following factors is the primary criterion for admission to a long-term care facility?
Inability to provide self-care
A home health nurse is scheduled to make a visit to a client who was discharged from the
hospital yesterday following an appendectomy. The nurse understands that the scope of
