Exam (elaborations)
TEST BANK CHAPTER 7 Cherry and Jacob: Contemporary Nursing Contemporary Nursing, ISBN: 9780323554206
CHAPTER 7 TEST BANK Cherry and Jacob: Contemporary Nursing Contemporary Nursing, ISBN: 4206
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Seller
Follow
Content preview
Copyright © 2019 by Elsevier, Inc. All rights reserved. 1Chapter 07: Paying for Health Care in America: Rising Costs and ChallengesCherry and Jacob: Contemporary Nursing: Issues, Trends, and Management, 8th Edition
MULTIPLE CHOICE 1. An older adult client was admitted to the hospital with the condition classified as “pneumonia.” Reimbursement for care was bas ed on a predetermined fixed price. What is this classification system referred to as?
a.Diagnosis-related groups (DRGs)
b.Subjective symptom management
c.Acuity classification system
d.Organized managed care
ANS: A
DRGs are used in reimbursement for health care services based on a predetermined fixed price per case or diagnosis in 468 categories. Under DRGs, each Medicare client is assigned to a diagnostic grouping based on his or her primary diagnosis at hospital admission. Medicare limits total payment to the hospital to the amount preestablished for that DRG.
DIF: Comprehension 2. The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a _____ nurse.
a.case management
b.quality assurance
c.utilization review
d.cost-control
ANS: C
Hospital-based utilization review nurses review medical records to determine the most appropriate DRG for clients. Financial gains can be made through careful diagnosis of clients according to their highest potential DRG classification.
DIF: Knowledge 3. Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing what component of care?
a.Hospital admission rates
b.Length of hospital stay
c.Outpatient services
d.Specialty groups
ANS: B
Hospitals face a strong financial incentive from the DRG reimbursement system to reduce the client’s length of stay and minimiz e procedures performed. If hospital costs exceed the DRG payment for a client’s treatment, the hospital incurs a loss, but if cos ts are less than the DRG amount, the hospital makes a profit.
DIF: Comprehension 4. When reviewing the literature on the effects of Medicaid on health care for the poor, what common problem would the nurse researcher find?
a.Less access than even the uninsured
b.Receive many unnecessary treatments
c.A lack of consistent providers
d.An abuse of preventive services
ANS: C
The poor are more likely to lack a usual source of care, are less likely to use preventive services, and are more likely to be hospitalized for avoidable conditions than are those who are not poor.
DIF: Comprehension 5. Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. What term is used to refer to this practice?
a.Charity
b.Cost shifting
c.Price sharing
d.Governmental reimbursement
ANS: B
Cost shifting occurs when providers increase their charges against households and public and private insurers who pay for their own care while making some contribution to the care of the uninsured population.
DIF: Comprehension
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller RETROGRADENURSING. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now