Which of the following best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)? a. Accepted employment directly under the insurance company b. Organized preferred provider organizations (PPOs) to negotiate with insurance companies c. Created private practices with colleagues within hospital medical complexes d. Decided to strike and refused to […]
The case manager gave the client a list of eight possible sources for the equipment needed for care after discharge. Which of the following best describes why the nurse did not just tell the client the best source for the equipment? a. The client has a right to select providers of needed resources. b. The […]
Which of the following best describes the most crucial step in policy formation? a. Convincing both political parties and independents to support the proposed policy b. Defining the issue and placing it on the agenda for possible action c. Determining who has vested interest in what aspects of the policy d. Trying to simplify the […]
Which of the following statements best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)? a. Data are publicized so consumers can make informed decisions about where to go for care. b. Data are used to measure performance in the accreditation of managed care organizations (MCOs). c. Obvious improvement in the […]
Which of the following best describes how the government was successful at containing costs? a. The original legislation for Medicare and Medicaid had built-in cost controls. b. Certificate-of-need requirements restricted provider overtreatment. c. Utilization review determined appropriateness of care. d. Prospective payments were based on diagnosis-related groups (DRGs). e. Peer standard review organizations were effective […]
A nurse has been working as a case manager for the past 6 months and would like to become certified. Which of the following organizations should the nurse pursue certification through? a. Case Management Society of America (CMSA) b. American Nurses Credentialing Center (ANCC) c. American Nurses’ Association (ANA) d. Centers for Medicare and Medicaid […]
A nurse suggests to the students that they attend the local district nurses’ association meeting, where the nurse is an officer. Which of the following provides the best rationale for this action? a. Meeting outside the clinical area allows for more effective informal learning based on discussion and interaction. b. Role models are typically the […]
Which of the following reports state that nurses should practice to the full extent of their education and training? a. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care b. Keeping Patients Safe: Transforming the Work Environment c. Priority Areas for National Action d. The Future of Nursing ESSAYBID ANSWER ANS: D The […]
Which of the following best describes a conclusion of the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care? a. Disparities are found only in particular disease categories. b. Lack of access in some neighborhoods is a primary cause of inequities. c. Provider bias and stereotyping contribute to inequalities. d. Physiological racial and […]
The president was sent a bill that he did not really like, but he would have been unpopular if he vetoed it, so he did nothing. Which of the following best describes what will happen to the bill? a. The bill is dead. b. The bill returns to both houses to see if enough votes […]