A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?

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Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?

Correct Answer: D

Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice. A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question. B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant. C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.

Question 2 of 5

Medicare would be responsible for: (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because Medicare covers hospital stays for individuals aged 65 and older, which would include a 70-year-old client. Choice B is incorrect because Medicare typically covers dialysis for individuals with end-stage renal disease, not nursing home costs. Choice C is incorrect because Medicare does not typically cover rehabilitation care for individuals under 65. Choice D is incorrect because AFDC is a separate program from Medicare that provides assistance for low-income families, and prescription costs for the young mother would likely be covered under a different program.

Question 3 of 5

When differentiating between slander and libel, the nurse knows that libel:

Correct Answer: A

Rationale: The correct answer is A because libel refers to written defamatory statements. In this scenario, subjective comments written in the nurse's notes can be considered libel as they are documented in writing. Choice B is incorrect because it describes negative comments made verbally, which would be considered slander, not libel. Choice C is incorrect as it involves verbal communication, which falls under slander, not libel. Choice D is incorrect as it describes repeating prejudiced comments verbally, which is also considered slander, not libel.

Question 4 of 5

All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:

Correct Answer: C

Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.

Question 5 of 5

A nurse is brought in who testifies that a professional with the knowledge and skill of an RN should understand that, before administering this drug, potassium level and pulse level is always checked to prevent such an occurrence. The nurse's testimony as to what constitutes reasonable care is based on:

Correct Answer: A

Rationale: The correct answer is A: the legal definition of standard of care. In healthcare, the standard of care refers to the level of care that a reasonably prudent healthcare professional would provide in similar circumstances. Checking potassium level and pulse before administering a drug is considered standard practice to prevent adverse reactions. The nurse's testimony is based on this standard of care requirement to ensure patient safety and avoid potential harm. Choices B, C, and D are incorrect because they do not directly relate to the concept of standard of care in healthcare practice. B pertains to patient consent, C to the doctrine of "the thing speaks for itself," and D to immunity from liability for certain actions.

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