Chapter 07: Healthcare Organizations
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
MULTIPLE CHOICE
1. Which of the following is an example of an HMO?
a. Nurse practitioners are paid promptly at discounted 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.
REF: Page 123 | Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
2. As a nurse manager, you have been asked to assist in designing a subacute facility for
open heart patients who require further complex care after hospitalization. In setting up
the facility, which of the following would require reassessment?
a. Patients admitted to the facility 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 facility.
c. Public funding will be provided to enable care of patients who have an ordinary
course of recovery.
d. The facility is an older house that is more than 30 minutes away from the acute
care center.
ANS: D
Because of the types of patients being accepted for care and the distance of the
subacute facility 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 maximize the
benefits and minimize the risks in this situation.
REF: Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
3. Which of the following would be the most appropriate focus in developing a business
plan for a nurse-owned home healthcare service?
, a. Programs to educate the community on preparing healthy meals for a limited
cost
b. Reduction of injuries from alcohol-related accidents
c. Pain management for patients with low back pain
d. Reduction of falls among seniors
ANS: C
Nurse-managed and nurse-owned healthcare services are part of a growing number of
organizations that extend health care beyond that offered through traditional services.
Growth in these organizations and services has been spurred by the implementation of
the prospective payment system, which resulted in early discharge of many patients
from acute care facilities. These nurse-managed and nurse-owned services focus on
the care of individuals and families rather than on community-based outcomes for
populations such as older adults, or on community-based issues such as injuries
related to drunk driving.
REF: Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
4. As a nurse manager, you have been offered a position at a Veterans Administration
hospital. In accepting the position, it is important for you to understand that veterans
hospitals provide:
a. Primary care and are privately funded.
b. A range of services and are responsible to government and taxpayers.
c. Secondary care only and are publicly administered and funded.
d. Services to veterans under an HMO.
ANS: B
Veterans Administration hospitals provide a range of services to veterans and are
responsible to government and thus to taxpayers, who support the hospitals.
REF: Page 121
TOP: AONE competency: Knowledge of the Health Care Environment
5. A group of patients with early Alzheimer’s disease and their spouses approach you
regarding help with the establishment of a local Alzheimer’s Society for the support
and education of affected individuals and their families. As a manager in an ambulatory
care clinic, what suggestion or advice would you offer this group?
a. Self-help groups are, by nature, directed, funded, and led by those requiring
help, and therefore, the patients and families should need no help from your
clinic.
b. Your healthcare organization would be pleased to help as long as your
organization financially takes over responsibility for direction, leadership, and
management.
c. Through partnership, you will provide supports, if possible, that the patients and
spouses themselves identify as necessary in the establishment of the group.
d. The services that the patients and spouses are proposing are likely being offered
somewhere else already.
ANS: C
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
MULTIPLE CHOICE
1. Which of the following is an example of an HMO?
a. Nurse practitioners are paid promptly at discounted 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.
REF: Page 123 | Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
2. As a nurse manager, you have been asked to assist in designing a subacute facility for
open heart patients who require further complex care after hospitalization. In setting up
the facility, which of the following would require reassessment?
a. Patients admitted to the facility 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 facility.
c. Public funding will be provided to enable care of patients who have an ordinary
course of recovery.
d. The facility is an older house that is more than 30 minutes away from the acute
care center.
ANS: D
Because of the types of patients being accepted for care and the distance of the
subacute facility 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 maximize the
benefits and minimize the risks in this situation.
REF: Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
3. Which of the following would be the most appropriate focus in developing a business
plan for a nurse-owned home healthcare service?
, a. Programs to educate the community on preparing healthy meals for a limited
cost
b. Reduction of injuries from alcohol-related accidents
c. Pain management for patients with low back pain
d. Reduction of falls among seniors
ANS: C
Nurse-managed and nurse-owned healthcare services are part of a growing number of
organizations that extend health care beyond that offered through traditional services.
Growth in these organizations and services has been spurred by the implementation of
the prospective payment system, which resulted in early discharge of many patients
from acute care facilities. These nurse-managed and nurse-owned services focus on
the care of individuals and families rather than on community-based outcomes for
populations such as older adults, or on community-based issues such as injuries
related to drunk driving.
REF: Page 124
TOP: AONE competency: Knowledge of the Health Care Environment
4. As a nurse manager, you have been offered a position at a Veterans Administration
hospital. In accepting the position, it is important for you to understand that veterans
hospitals provide:
a. Primary care and are privately funded.
b. A range of services and are responsible to government and taxpayers.
c. Secondary care only and are publicly administered and funded.
d. Services to veterans under an HMO.
ANS: B
Veterans Administration hospitals provide a range of services to veterans and are
responsible to government and thus to taxpayers, who support the hospitals.
REF: Page 121
TOP: AONE competency: Knowledge of the Health Care Environment
5. A group of patients with early Alzheimer’s disease and their spouses approach you
regarding help with the establishment of a local Alzheimer’s Society for the support
and education of affected individuals and their families. As a manager in an ambulatory
care clinic, what suggestion or advice would you offer this group?
a. Self-help groups are, by nature, directed, funded, and led by those requiring
help, and therefore, the patients and families should need no help from your
clinic.
b. Your healthcare organization would be pleased to help as long as your
organization financially takes over responsibility for direction, leadership, and
management.
c. Through partnership, you will provide supports, if possible, that the patients and
spouses themselves identify as necessary in the establishment of the group.
d. The services that the patients and spouses are proposing are likely being offered
somewhere else already.
ANS: C
