Deck 9: Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives

Question 1

The nurse educator is presenting a lecture on health-care costs to a group of nursing students. Which statement indicates that the teaching has been effective?

A) "Fee-for-service is the primary source of pricing."
B) "The approach to health-care delivery has undergone significant changes in health-care reimbursement."
C) "Providers no longer take liability for service costs."
D) "Financial risk to the provider has decreased."

Answer 1

"The approach to health-care delivery has undergone significant changes in health-care reimbursement."

Question 2

A nurse manager is working with a group of advanced practice nurses (APNs) in a busy surgical center. Which interpretation of the role of the APN is the most accurate?

A) APNs are important for the client to see in addition to the physician.
B) Fewer APNs are needed now that the physician shortage is resolving.
C) APNs are somewhat cost-effective.
D) APNs are responsible for decreased hospital admission rates.

Answer 2

APNs are responsible for decreased hospital admission rates.

Question 3

The nurse is listening to a lecture on the mechanisms of managed care costs. How should the nurse interpret the benefit of managed care costs?

A) Decreased beneficiary cost sharing helps manage costs.
B) Flexible hospital stays decrease costs.
C) The denial of high-cost care cases reduces care costs.
D) Economic incentives to physicians assist in managing care costs.

Answer 3

Economic incentives to physicians assist in managing care costs.

Question 4

An advanced practice nurse (APN) is working with a client who needs a procedure to correct blood flow. Upon reviewing the health plan, which should the nurse expect before the procedure takes place?

A) The client may need preauthorization for this procedure.
B) The client needs an antihypertensive medication.
C) The client will avoid use of a hot tub or swimming pool.
D) The client will initiate an exercise plan.

Question 5

An advanced practice nurse (APN) is explaining the benefit of managed care to a health-care provider. Which information should the nurse include?

A) "The burden of risk is shared in managed care."
B) "The most common type of health plan is point-of-service."
C) "The main goal of managed care is to improve quality of care."
D) "Managed care decreases the use of preventive medicine."

Question 6

Which skill should the advanced practice nurse (APN) incorporate in order to be successful?

A) Ask staff nurses to follow through on client requests.
B) Follow rules and protocols without question.
C) Take on the case manager role effectively.
D) Enhance communication methods with other health-care personnel.

Question 7

Which of the following has been a barrier to advanced practice nurses (APNs)?

A) Inclusion of APNs on provider panels
B) Full Medicare reimbursement for services
C) Denial of claims from third-party payers
D) Decreased employment of APNs

Question 8

An advanced practice nurse (APN) is caring for an elderly client with mildly elevated blood pressure. Focusing on health promotion and prevention, which initial intervention should the nurse suggest?

A) Cardiac stress test
B) Low sodium diet
C) Amlodipine 5 mg daily
D) Increased fluid intake

Question 9

Using marketing principles, which nursing action displays an understanding of promotion?

A) Focusing on the physical assessment of the client
B) Having full knowledge of the costs of care
C) Calling attention to safe, effective client care
D) Making a decision to work as an independent practitioner

Question 10

The advanced practice nurse (APN) recognizes that certain aspects of practice will ultimately push the profession forward. Which action should the APN focus on providing?

A) High-quality care
B) Fast, efficient care
C) Moderate cost care
D) Diversity in care