Concept 51: Health Care Economics My Nursing Test Banks

Concept 51: Health Care Economics

Test Bank

MULTIPLE CHOICE

1. The economics of health care include

a.

Medicare and Medicaid dollars.

b.

patients rights.

c.

equal distribution of health care.

d.

nurse salaries.

ANS: C

The economics of health care include the equal distribution of health care services so everyone may be served when services are needed. Medicare and Medicaid, patients rights, and nurse salaries do not factor into the economics of health care; they are only parts of the health care system.

REF: 507

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

2. A student asks the instructor about health care economics. The instructor knows the student understands when the student states which of the following?

a.

The elderly population uses most of the health care services.

b.

Everyone should have health insurance to obtain services.

c.

Health care dollars should be partitioned by the government.

d.

Resources will be needed to serve health care issues.

ANS: D

Every health care issue needs resources to bring it to fruition. Without the resources, the health care issue would not be served. The elderly are a large part of the population, but that does not change the economics of health care. Everyone does not have health insurance, so that statement would not enter into health care economics. Last, all health care dollars are not partitioned by the government; third party payers exist.

REF: 507 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

3. The US health care system is different from that of other countries in which way?

a.

The US charges money from the private sector only.

b.

US health care is funded from private organizations.

c.

The US health care system is not entirely government funded.

d.

The US health care treats the older person first.

ANS: C

Other countries fund the health care system so that every citizen may have health care. In addition they provide the option that citizens may purchase private health care too. The US has a combination of private companies and government agencies funding health care, so money is not coming from just the private sector. The older person in the population receives care according to the insurance coverage they have, but the care is not before anyone else.

REF: 508

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

4. Which of the following statements is true about health care in the US?

a.

The US spends more money on health care than any other nation.

b.

The US provides health care to every citizen.

c.

The US relies on government funding to treat most citizens.

d.

The US spends less money on pediatric care than other nations.

ANS: A

The US spends more money on health care than any other country. The US does not provide health care to every citizen, nor does it rely entirely on government funding. The US does not spend less money on pediatric care but usually more than other countries.

REF: 508

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

5. Two nurses are discussing health care in the past and the present. The two nurses know which of the following to be true about health care in the present?

a.

Health care in the present is mostly provided by nurses.

b.

Health care in the present is controlled by third party payers.

c.

Health care in the present is controlled by physicians.

d.

Health care in the present is dictated by the patient.

ANS: B

Health care in the past was controlled by physicians, because they provided the care. Health care in the present is controlled by third party payers, because they finance the care. Health care is provided by nurses, but patient care requires a team of health care workers to assist the patient. The patient is part of the team, but they do not dictate the health care. The patient works with the physician to bring about a good outcome.

REF: 509

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

MULTIPLE RESPONSE

1. A student nurse is discussing Medicare coverage with the clinical instructor. The instructor knows the student understands Medicare when the student makes this which statement(s)? (Select all that apply.)

a.

Medicare covers all patients while they are in the hospital.

b.

Medicare is funded by the federal government.

c.

Medicare is for persons 65 years old and older.

d.

Medicare is partially funded by private third-party payers.

e.

Medicare is for patients who are disabled and/or have end-stage renal disease.

ANS: B, C, E

Medicare is funded by the federal government. It covers people who are 65 years old and older, disabled people, and patients who have end-stage renal disease. It does not cover all patients in the hospital, because some patients do not qualify for Medicare. It is not funded by third-party payers.

REF: 514

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

2. An accountable care organization (ACO) seeks to deliver which of the following aspects of health care? (Select all that apply.)

a.

Lessen Medicare payments

b.

Integrate care

c.

Enhance evidence-based practices

d.

Manage acute conditions

e.

Support hospice charges

ANS: B, C

ACOs work to integrate care, manage chronic conditions, and enhance the use of evidence-based practices. They do not have any involvement with Medicare payments, the management of acute conditions, or hospice care.

REF: 511

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

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