Deck 2: Government Influences on Health Care

Question 1

The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA)established the development of:

A) diagnosis-related groups (DRGs).
B) Medicaid access for the poor.
C) aid to families with dependent children.
D) maternal and child health services block grants.

Answer 1

A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.

Question 2

The Health Insurance Portability and Accountability Act (HIPAA)provides for:

A) health insurance for emergency treatment.
B) confidentiality of medical information.
C) payment for home health care.
D) medical care for single mothers and their children.

Answer 2

B
HIPAA provides for portability of health insurance,confidentiality of medical information,and coverage for preexisting conditions

Question 3

To conform to the national trend in health care,health-care agencies of the future may need to depend on:

A) accountants to implement cost-saving measures.
B) legislators to set limits on health-care funding.
C) nurses to plan and implement self-care education programs.
D) insurance companies to provide more coverage for high-technology procedures.

Answer 3

C
The focus of health care has changed from treatment to prevention.Health-care agencies may depend on self-care education to promote health and prevent disease as an effective cost-containment strategy.Nurses are ideally suited through education and experience to develop and implement these programs.

Question 4

The Patient Protection and Affordable Care Act of 2010 caused controversy because it mandated:

A) limited treatment for specified illnesses.
B) all recipients must have a picture identification card.
C) strict confidentiality of all medical records and medical communications.
D) health-care coverage for 32 million uninsured persons.

Question 5

The Human Genome Project has the potential to reduce health-care costs by assisting health-care providers to:

A) detect illnesses before they become chronic.
B) prevent chromosomal related illnesses.
C) identify the most effective drugs for specific diseases.
D) design low cost complementary and alternative medicine (CAM) remedies.

Question 6

Prospective payment systems for health-care services:

A) reimburse only preapproved treatments.
B) pay only health-care providers under contract with the system to provide the lowest-priced services.
C) require that health care be provided by preapproved health professionals.
D) provide payment based on flat predetermined rates regardless of actual cost.

Question 7

A student is preparing a report on the history of the Women,Infants,and Children (WIC)program would acquire the most useful information from:

A) Health, United States.
B) the Department of Health and Human Services.
C) the Federal Register.
D) the Centers for Disease Control and Prevention.

Question 8

The purpose of the state/national government program of Medicaid is to provide:

A) immunizations for preschool children.
B) prescription drugs at a lower cost.
C) medical care on the basis of need or poverty.
D) community clinics for women and children.

Question 9

The nursing theorist that proposed a holistic view of health care in the 1960s was ___________ _____________.

Question 10

A diagnosis-related group (DRG)is:

A) a standard used by health-care facilities to determine charges for health-care services.
B) a medical condition classification system that determines what Medicare will pay for health-care services.
C) the method that health-care agencies use to decide what health-care services are needed for patients.
D) a system used by all insurance companies to determine what health-care services will be covered.

Question 11

The Patient Bill of Rights ensures that all patients may: (Select all that apply. )

A) select their health-care provider.
B) be assured of having a private room.
C) take part in treatment decisions.
D) expect confidentiality.
E) utilize channels for complaint.

Question 12

Standards of practice are the foundations for:

A) plans of care.
B) insurance reimbursement.
C) licensure.
D) consumer protection laws.

Question 13

An informed consent form requires that:

A) the patient is informed of all adverse problems of a procedure.
B) the nurse signs as a witness that the patient received the necessary information.
C) the nurse questions the patient to confirm that all aspects of treatment are understood.
D) the nurse documents that the consent has been signed.

Question 14

Changes in health-care delivery systems have been influenced primarily by:

A) institution of various systems to provide cost-effective health care.
B) governmental regulation of the cost of all health-care services.
C) the need to meet the health-care needs of an aging population.
D) development of medical technology that has reduced the incidence of illness.

Question 15

The scope of practice for nursing is stipulated by the:

A) American Nurses Association.
B) Board of Nurse Examiners.
C) Nursing Licensure Pact.
D) Nurse practice act.

Question 16

The plan of care is the tool that directs patient care for a health care delivered by a _______________ team.

Question 17

Political action committees (PACs)can influence legislation by: (Select all that apply. )

A) providing lobbying.
B) selecting candidates to run for office.
C) creating an awareness of the need for new legislation.
D) introducing legislation themselves.
E) contributing money to legislators.

Question 18

The Omnibus Budget Reconciliation Act of 1981 provided money for the development of: (Select all that apply. )

A) treatment centers for drug dependency.
B) skilled nursing facilities.
C) nursing schools.
D) home health agencies.
E) day care centers.

Question 19

The roles of the nurse have changed as a result of the national health-care focus on:

A) illness prevention and health maintenance.
B) increased accountability to professional codes and international standards of care.
C) treatment of disease or disability.
D) planning for nationalized health care.