C HAPTER 09: H EALTHCARE
O RGANIZATIONS AND S TRUCTURES
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. You are the nurse manager for a not -for-profit health service for the
homeless and for drug users in an impoverished neighborhood. As the
manager, your concern about sustainability is related to:
a. the possibilit y of violence.
b. an increase in prescription drugs available for abuse.
c. decisions of the public board.
d. an increase in uncompensated care events.
ANS: D
Public and nonprofit hospitals are tax exempt and have a concomitant
responsibilit y to provide mand ated communit y service such as
delivering care to the poor and indigent. To keep a nonprofit status,
facilities must make a good -faith effort to provide communit y service
and charit y care. Nonprofit organizations located in impoverished
urban and rural are as are often economicall y disadvantaged by the
amount of uncompensated care that they provide.
TOP: AONE competency: Business Skills
,2. A nurse manager in a for -profit environment finds it difficult to recruit
staff. This difficult y may be most related to a ggressive profit goals and:
a. lower salary compensation for staff.
b. rising expectations of impoverished and indigent individuals for
services.
c. poor orientation and retention practices for staff.
d. an overwhelming emphasis on accepting learners from health
disciplines.
ANS: A
For-profit hospitals tend to have lower wage and salary costs that are
most likel y connected to aggressive goals for profit.
TOP: AONE competency: Business Skills
3. What is an example of an HMO?
a. Nurse practitioners are paid promptl y at dis counted fees for each
service rendered at a women ’s health clinic.
b. Physicians in a large urban center are reimbursed for visits made to
their clients.
c. Physicians are paid for each service delivered to enrolled patients
through a prepaid plan.
d. Patients pay fixed annual fees for ambulatory care services,
regardless of actual utilization of health services.
ANS: D
Fee-for-service systems provide compensation to healthcare providers
in group practices based on fee -for-service, which in PPQs means that
, fees are paid promptly but at a discounted rate. HMOs are
configurations of healthcare agencies that provide health maintenance
and services for enrolled patients for a fee that is preestablished
regardless of utilization of service.
TOP: AONE competency: Knowledg e of the Health Care
Environment
4. As a nurse manager, you have been asked to assist in designing a subacute
facilit y for open heart patients who require further complex care after
hospitalization. In setting up the facilit y, what would require
reassessment?
a. Patients admitted to the facilit y must have adequate health
insurance to cover the services provided.
b. A local nurse education program asks you if nursing students can
gain clinical experience with recovering surgical patients in the
facilit y.
c. Public funding will be provided to enable care of patients who have
an ordinary course of recovery.
d. The facilit y is an older house that is more than 30 minutes away
from the acute care center.
ANS: D
Because of the t ypes of patients being accepted for care and the
distance of the subacute facilit y from acute care, emergency response
and seamless transfer issues in the event of an unanticipated crisis
must be addressed. As a nurse manager, an important part of your
position may be assisting to develop strategies to max imize the
benefits and minimize the risks in this situation.
O RGANIZATIONS AND S TRUCTURES
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. You are the nurse manager for a not -for-profit health service for the
homeless and for drug users in an impoverished neighborhood. As the
manager, your concern about sustainability is related to:
a. the possibilit y of violence.
b. an increase in prescription drugs available for abuse.
c. decisions of the public board.
d. an increase in uncompensated care events.
ANS: D
Public and nonprofit hospitals are tax exempt and have a concomitant
responsibilit y to provide mand ated communit y service such as
delivering care to the poor and indigent. To keep a nonprofit status,
facilities must make a good -faith effort to provide communit y service
and charit y care. Nonprofit organizations located in impoverished
urban and rural are as are often economicall y disadvantaged by the
amount of uncompensated care that they provide.
TOP: AONE competency: Business Skills
,2. A nurse manager in a for -profit environment finds it difficult to recruit
staff. This difficult y may be most related to a ggressive profit goals and:
a. lower salary compensation for staff.
b. rising expectations of impoverished and indigent individuals for
services.
c. poor orientation and retention practices for staff.
d. an overwhelming emphasis on accepting learners from health
disciplines.
ANS: A
For-profit hospitals tend to have lower wage and salary costs that are
most likel y connected to aggressive goals for profit.
TOP: AONE competency: Business Skills
3. What is an example of an HMO?
a. Nurse practitioners are paid promptl y at dis counted fees for each
service rendered at a women ’s health clinic.
b. Physicians in a large urban center are reimbursed for visits made to
their clients.
c. Physicians are paid for each service delivered to enrolled patients
through a prepaid plan.
d. Patients pay fixed annual fees for ambulatory care services,
regardless of actual utilization of health services.
ANS: D
Fee-for-service systems provide compensation to healthcare providers
in group practices based on fee -for-service, which in PPQs means that
, fees are paid promptly but at a discounted rate. HMOs are
configurations of healthcare agencies that provide health maintenance
and services for enrolled patients for a fee that is preestablished
regardless of utilization of service.
TOP: AONE competency: Knowledg e of the Health Care
Environment
4. As a nurse manager, you have been asked to assist in designing a subacute
facilit y for open heart patients who require further complex care after
hospitalization. In setting up the facilit y, what would require
reassessment?
a. Patients admitted to the facilit y must have adequate health
insurance to cover the services provided.
b. A local nurse education program asks you if nursing students can
gain clinical experience with recovering surgical patients in the
facilit y.
c. Public funding will be provided to enable care of patients who have
an ordinary course of recovery.
d. The facilit y is an older house that is more than 30 minutes away
from the acute care center.
ANS: D
Because of the t ypes of patients being accepted for care and the
distance of the subacute facilit y from acute care, emergency response
and seamless transfer issues in the event of an unanticipated crisis
must be addressed. As a nurse manager, an important part of your
position may be assisting to develop strategies to max imize the
benefits and minimize the risks in this situation.
