ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 11 : Health Care Delivery System Questions
Question 1 of 5
A nurse caring for patients in a primary care setting submits paperwork for reimbursement from managed care plans for services provided. What best describes managed care?
Correct Answer: A
Rationale: Managed care is a way of providing care designed to control costs while maintaining the quality of care. The other options describe care coordination, continuum of care, and hospice care, respectively.
Question 2 of 5
As part of a clinical paper, a nursing student interviews a hospice nurse about their role. How will the student describe the type of care the nurse provides?
Correct Answer: A
Rationale: The hospice nurse combines the skills of the home care nurse with the ability to provide daily emotional support to dying patients and their families. The other options describe primary care, tertiary care, and respite care, respectively.
Question 3 of 5
Nursing students learn advance practice nurses can write medication prescriptions. Which roles may be performed by an advanced practice registered nurse? Select all that apply.
Correct Answer: A,D,E
Rationale: The Advanced Practice Registered Nurse (APRN) is a registered nurse educated at the master's or post-master's level in a specific role and for a specific population. Whether they are nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse midwives, APRNs play a pivotal role in the future of health care. Hospitalists are health care providers who provide care to patients in the emergency department or hospital. Physical therapists and pharmacists have distinct training and roles outside of APRN scope.
Question 4 of 5
The nurses at a large community hospital with several campuses are members of a committee working toward obtaining Magnet status. What activity will best meet their goal?
Correct Answer: C
Rationale: Magnet hospitals meet strict requirements and standards representing the highest quality of professional nursing practice and patient care, nursing excellence, and innovations in practice. The other options are valuable but not the primary focus of Magnet designation.
Question 5 of 5
During a meeting with nurses at all levels in an acute care hospital, the Director of Nursing discusses lost revenue due to Medicare penalties. The nurses plan improvements in practice designed to prevent penalties from which events? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Medicare penalties are given to hospitals when patients are readmitted soon after discharge; this is designed to ensure patients receive needed coordinated care after discharge. In addition, Medicare no longer reimburses hospitals for conditions that result from preventable errors and lead to increased costs, including pressure injuries, infections associated with indwelling urinary catheters, and vascular catheter-associated infections. High blood pressure is not a preventable hospital-acquired condition subject to penalties.