ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 2 : Health-Care Delivery, Settings, and Economics Questions
Question 1 of 5
Payment to hospitals for the care of Medicare patients is based on:
Correct Answer: C
Rationale: Medicare payments are based on Diagnosis-Related Groups (DRGs), which set reimbursement rates for specific conditions.
Question 2 of 5
Eligibility for the HIS is:
Correct Answer: A, C
Rationale: Eligibility for Indian Health Service (HIS) requires a Certificate of Degree of Indian Blood (CDI
B) and is often determined by tribal enrollment criteria.
Question 3 of 5
Which of the following would NOT be considered medically necessary by an insurance company?
Correct Answer: B, D
Rationale: Cosmetic procedures like breast implants for enhancement and Botox for wrinkles are typically not deemed medically necessary.
Question 4 of 5
If an elderly person needed help with meals, medications, and personal care but did not need continuous nursing care, which inpatient setting would be the most appropriate level of care?
Correct Answer: C
Rationale: Assisted living facilities provide support for daily activities without continuous nursing care, suitable for this scenario.
Question 5 of 5
Which member of the therapy staff would be consulted if a patient had difficulty swallowing?
Correct Answer: A
Rationale: Speech therapists specialize in treating swallowing difficulties.