ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Which best describes the approach to health care used by states?
Correct Answer: D
Rationale: Many state and local government programs were developed on the basis of availability of federal funds. Funds are accompanied by regulations, which apply to all recipients. These have served to standardize health policy. Federal funding is limited, thus there is limited opportunity for experimentation. Legislators must be involved in ongoing education in order to keep up to date on what is happening with programs that have been implemented. Insurance regulations are monitored by individual states, so reimbursement concerns are unable to cross state lines.
Question 2 of 5
Which health care provider organization is seeing an increase in the demand for their services?
Correct Answer: D
Rationale: Hospital stays have shortened and patients who are admitted are more acutely ill and require more intensive care. Consequently, decreased hospital stays result in more home care admissions and more discharges to long-term care facilities for short-term recovery and rehabilitation. Hospice services and physician practices have not been as impacted as greatly by this shift in where care is provided.
Question 3 of 5
Which advanced nurse does not have advanced education in a clinical specialty?
Correct Answer: A
Rationale: All the nurses have advanced education in some aspect of clinical care, such as obstetrics or primary care. However, the clinical nurse leader is a manager of care at some point of care and does not have a clinical specialty.
Question 4 of 5
Which best describes the effect of President Clinton's Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999)?
Correct Answer: D
Rationale: The report had a major impact in that it stimulated a series of more in-depth explorations of the health care delivery system, which resulted in a series of reports developed by the Institute of Medicine called the Quality Chasm Series. These reports then caused several other movements within the health care system.
Question 5 of 5
Which best describes one of the current goals for the HHS?
Correct Answer: D
Rationale: The HHS goals for 2015-2018 are: strengthen health care; advance scientific knowledge and innovation; advance health, safety, and well-being of the American people; and ensure the efficiency, transparency, accountability, and effectiveness of HHS programs. The goals do not address nurse-patient staffing ratios, medical malpractice, or monitoring for fraud and abuse.