Page Number: 99
Question 15
Type: MCSA
The nurse is considering leaving a position in an organization that utilized differentiated practice. Which type of
delivery system should the nurse consider as being the most similar to differentiated practice?
1. Case method
2. Shared governance
3. Functional method
4. Team nursing
Question 16
Type: MCSA
A seasoned RN is especially competent in knowledge of the computerized charting system in a facility and is able
to assume the team leader role on a regular basis. In which type of care delivery system is this nurse most likely
providing care?
1. Primary nursing
2. Team nursing
3. Differentiated practice
4. Case method
Question 17
Type: MCSA
A 68-year-old client is concerned about paying for extended hospitalization and expensive medications to treat his
health problem. What should the nurse respond to this client?
1. “Don’t worry. I’m sure everything will work out OK.”
2. “You need to focus on recovering, not worrying about finances.”
3. “Much of your care will be covered by Medicare.”
4. “I’ll have someone from the business office come and talk to you about your bill.”
Question 18
Type: MCSA
A clinic in a rural area depends primarily on the services of a nurse practitioner. Which legislation provided the
opportunity for the nurse practitioner to have this position?
1. Medicare
2. Medicaid
3. Rural Health Clinics Act
4. National Health Planning and Resources Development Act
Question 19
Type: MCSA
The nurse is reviewing the principles of the Affordable Care Act with a client. What information should the nurse
include when discussing the act with the client?
1. Individuals will be fined if they do not have health insurance.
2. Employers must offer health insurance if they meet identified requirements.
3. Insurance can be purchased through exchanges.
4. Individuals with preexisting health conditions cannot be denied health insurance coverage.
5. Health insurance is free.
Question 20
Type: MCSA
A client asks the nurse to explain the difference between an HMO and a PPO. What should the nurse include
when responding to the client?
1. “You’ll have good health care benefits, so don’t worry.”
2. “Both the HMO and PPO are covered by your employer, so it’s really not your concern.”
3. “Your PPO offered you a choice in your health care provider as well as services. Now, you will choose a
primary care provider who will evaluate your health and will coordinate all of your care.”
4. “You really should be happy about the HMO. You’ll pay little, if any, out-of-pocket expense.”
Question 21
Type: MCMA
The nurse is reviewing changes occurring within the health care industry. What should the nurse identify as
factors that have an effect on health care delivery?
Standard Text: Select all that apply.
1. Increased use of complementary and alternative medicine
2. More knowledgeable consumers
3. Increase in the number of elderly
4. Decrease in chronic disease
5. Technological advances
6. Economics
Question 22
Type: MCMA
A client in the hospital is concerned about the cost of receiving hospitalized care. What should the nurse realize is
causing the increase in the client’s medical expenses?
Standard Text: Select all that apply.
1. Health care of the older adult
2. Number of uninsured population
3. Changes in birth rate over last 20 years
4. Cost of prescription drugs
5. State of inflation
6. Amount of diagnosed chronic illnesses
Question 23
Type: MCMA
In order to comply with the U.S. Department of Health and Human Services’ most current health care goals as
stated in Healthy People 2020, what should the nurse do?
Standard Text: Select all that apply.
1. Plan a depression screening for senior citizens who regularly have lunch at the senior center.
2. Attend an educational in-service on the use of a new automated blood pressure monitor.
3. Advocate for psychiatric health care for those with no private insurance coverage.
4. Organize a park “cleanup day” to assure that the community’s children have a safe place to play.
5. Counsel older clients regarding programs available to assist them to live in their homes independently.
Question 24
Type: MCMA
The nurse is reviewing sources of federal funding for health care services provided to clients. For which clients
should the nurse recognize as most likely having health care paid through a federal funding source?
Standard Text: Select all that apply.
1. 35-year-old self-employed house painter
2. 72-year-old retired schoolteacher
3. 52-year-old nurse who runs the family farm
4. 29-year-old mentally challenged sheltered workshop employee
5. 40-year-old factory worker
Question 25
Type: MCMA
The nurse is concerned that the hospital will not receive payment for care provided to a client. Which client health
problems are causing the nurse this concern?
Standard Text: Select all that apply.
1. Intravenous fluids were prescribed for 4 days.
2. X-rays of the left leg and left arm were prescribed.
3. A stage II pressure ulcer developed on the client’s heels.
4. A urinary tract infection occurred because of an indwelling urinary catheter.
5. Physical therapy treatments were prescribed for 7 days for crutch walking.
Question 26
Type: MCMA
The nurse is considering a position with a home health agency. What type of care should the nurse realize will be
provided when working for this type of agency?
Standard Text: Select all that apply.
1. Providing ventilatory support
2. Completing a health and wellness visit
3. Instructing about care of a surgical wound
4. Providing intravenous antibiotics once a day
5. Teaching about medications for self-management of diabetes