Deck 11: Consumers and Nurses

Question 1

The nursing student is preparing a presentation on the NAM. How should this student characterize the IOM's view of the patient?

A) As a member of the interprofessional team
B) As a passive recipient of care
C) As a liability to healthcare finance
D) As a component to be managed

Answer 1

As a member of the interprofessional team

Question 2

Which statement, made by a nursing student, reflects accurate knowledge of the NAM?

A) It is a governmental organization focused on healthcare.
B) It is the agency that developed the Healthy People initiatives.
C) It is an agency developed to protect the interests of medical doctors and other healthcare professionals.
D) It is a non-governmental agency that serves in an advisory capacity for the government.

Answer 2

It is a non-governmental agency that serves in an advisory capacity for the government.

Question 3

Which consumer group makes the majority of decisions about healthcare services that directly affect care?

A) Microconsumers
B) Macroconsumers
C) Both microconsumers and macroconsumers
D) Neither microconsumers nor macroconsumers

Answer 3

Microconsumers

Question 4

Consumers are entitled to expect what competencies from nurses in health education roles?

A) Creative knowledge of learning principles, health reimbursement basics, technology, and patient's clinical needs
B) Ability to question diagnoses made by patients' physicians
C) Skill in prescribing medications for common, routine disorders and evaluating their effects
D) Awareness that nurses are limited to reinforcing and clarifying physician's instructions

Question 5

A woman has become very interested in healthcare policy after her father died of complications of diabetes. Which actions would help this woman become involved in the development of healthcare public policy regarding this disorder? Select all that apply.

A) Joining the American Diabetes Association
B) Talking to her father's physician
C) Writing a letter to the editor of her local newspaper
D) Contacting her representative to the state legislature
E) Contacting her United States Senator

Question 6

For the nurse interested in impacting public policy regarding healthcare consumerism, which involvement and activity is recommended?

A) Joining nursing associations.
B) Participating in Internet chat and blog sites.
C) Reading health-related stories and articles in popular magazines and newspapers.
D) Encouraging individual patients to formulate and submit their healthcare needs directly to their insurance companies.

Question 7

The patient states, "I don't want to take this new medication. I looked it up on the Internet and there are so many side effects." How can the nurse best assist this patient?

A) Advise the patient not to read about medications on the Internet because the information is too complex to understand without help.
B) Access the site and help the patient understand the information presented about the medication.
C) Give the patient a copy of the information about the medication provided in a nursing handbook of medications.
D) Empower the patient to talk with the physician about the decision.

Question 8

Select the groups that are classified as macroconsumers of healthcare. Select all that apply.

A) Employers
B) Employee's family
C) Employee
D) Government
E) Individual purchasers of healthcare services

Question 9

A nurse administrator is planning for the expected increase in healthcare needed for the baby boomer generation. Which attributes of this generation should be considered in this planning? Select all that apply.

A) This generation is directly assertive.
B) This generation has grown accustomed to managed care and is comfortable with it.
C) This generation is respectful toward health professionals and very grateful for care.
D) This generation defers to their primary care provider and directs healthcare concerns through that person.
E) This generation can be politically demanding as healthcare consumers.

Question 10

A public health team is conducting strategic planning for the next five years of service to the community. The group is reviewing the Healthy People initiative. What help will this be to strategic planning?

A) This initiative specifies the role of nurse practitioners over the coming decade.
B) This initiative lists consumer responsibilities for prevention of cardiac and other diseases.
C) This initiative recommends deinstitutionalization of healthcare in favor of alternative medicine.
D) This initiative outlines goals for preventative health measures, including objectives for age groups and populations.

Question 11

Managed care has lost much of its influence in healthcare. Why is managed care still of concern?

A) It developed systems that provided high quality care.
B) Many managed care strategies were adopted by third- party payers.
C) It instituted strategies that resulted in increased patient satisfaction.
D) Managed care strategies greatly reduced the cost of healthcare across the United States.

Question 12

Which organizations must comply with the Patient Self-Determination Act of 1990?

A) All hospitals
B) Long-term care facilities that accept Medicare
C) A home health agency that is private pay only
D) Any healthcare organization in the United States

Question 13

The healthcare consumer has become increasingly concerned about retaining health expenditures. What is the nurse's best advice to this patient?

A) Carry at least two forms of health insurance coverage.
B) Practice self-care, illness prevention, and collaboration with health providers.
C) Seek private, second opinions on all treatment advice by health providers associated with managed care plans.
D) Simplify medical treatment by complying with physician's advice rather than questioning such advice.

Question 14

What are the goals of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program? Select all that apply.

A) To decrease the costs of healthcare
B) To assess patient-centeredness
C) To compare and contrast provider performance
D) To improve quality of care
E) To act as a patient advocate in litigation

Question 15

A patient asks the nurse about the use of information from websites for verifying diagnostic and treatment decisions made by a primary health provider. Which response, made by the nurse, would be most helpful to this patient?

A) "A computer search of the diagnosis should help you verify the accuracy of the diagnosis and treatment."
B) "You can only count on accurate and useful information if it comes from university or hospital websites."
C) "That is a dangerous practice, because it undermines your relationship with your primary health provider."
D) "You can gain general information that way, but be sure to discuss specific websites and information with your primary health provider."

Question 16

A committee of hospice nurses at a managed care organization is trying to determine what consumers want and need most. What is the best source of relevant information?

A) The hospice's human resources officer
B) Families of current and recent hospice patients
C) Hospice nurses from a wide sample of hospices
D) The managed care organization representatives who interact directly with patients

Question 17

Which options reflect the foundational goals of the Healthy People initiative? Select all that apply.

A) Self-management of health
B) Consumer education
C) Increasing Medicare reimbursement
D) Advocacy
E) Decreasing cost of prescription medications

Question 18

A nurse is being hired to assist patients to navigate the complexities of the healthcare system. What is the most pertinent experience and skill background for this nurse?

A) Interprofessional health team collaboration and communication with insurance and managed care representatives
B) A wide range of medical surgical skills, including familiarity with a wide assortment of chronic disorders
C) Management and supervision within private and public hospitals and community health agencies
D) Primary health and preventive health teaching for patients across the entire life span

Question 19

The nurse has been asked to develop content for the Patient Education section of the hospital's website. What skills are essential for this nurse? Select all that apply.

A) Understanding the principles of adult learning
B) How to use technology to support learning
C) Basic entry-level computer programming skills
D) Clinical knowledge of the topics being developed
E) Software development skills

Question 20

A consumer complains about the lack of change in an aspect of the health plan that the consumer noted as negative in an earlier patient satisfaction survey. What is the nurse's best response to this complaint?

A) "That is unusual, since patient satisfaction surveys give the best evaluative information."
B) "They do those surveys, but the responses are so contradictory that the health plan administrators pretty much ignore the feedback."
C) "That is highly unethical of the plan's administrators. The next step would be a complaint to the Surgeon General's office."
D) "Patient satisfaction results are part of the evaluation process, but other factors such as professional standards also are considered."

Question 21

The nurses who work in the Emergency Department (ED) of a hospital believe that they provide high quality care. Which option best supports that opinion?

A) Nurses working in other areas of the hospital rate the ED nurses' care as high quality.
B) The physicians who work in the ED state that they are satisfied with the level of nursing care provided.
C) Patients cared for in the ED report that the nurses provided high quality care.
D) The hospital administrator rates the ED nurses as providing the best care in the facility.

Question 22

The nurse is dedicated to the concept of empowering patients and their families by giving advice, emotional support, and providing resources. In which levels of the advocacy continuum is this nurse focused? Select all that apply.

A) The individual level
B) The interpersonal level
C) The community level
D) The policy level

Question 23

Which of the following factors is identified as a factor that increases patient satisfaction?

A) Location of the HCO
B) Shared governance in the HCO
C) Type of third-party payer
D) Following the PSDA

Question 24

Which of the following had a major impact on increasing healthcare consumerism?

A) Affordable Care Act of 2010
B) Use of Medicare
C) Development of managed care
D) Nursing advocacy

Question 25

Which of the following examples would not demonstrate patient advocacy by a nurse? Select all that apply

A) Provide the patient with information about the patient's problem.
B) Tell the patient what you (the nurse) would do.
C) Plan with the patient's physician who will talk with the patient.
D) Expect a patient to accept treatment for cancer.

Question 26

The patient diagnosed with cancer has elected to abandon curative treatment in favor of palliative care. The nurse strongly believes the patient can have a long survival time if curative care continues. What nursing advocacy action is appropriate?

A) Support the patient's choice.
B) Ask to have a different nurse assigned to this patient's care.
C) Provide education to the patient.
D) Defer to the patient's physician's position on the case.

Question 27

What is an important factor in determining if the PSDA must be followed?

A) The HCO receives Medicare payments for services.
B) The patient is a U.S. citizen and lives in the state.
C) The patient asks that the PSDA be followed.
D) The HCO gets payment from multiple third-party payers.

Question 28

The nursing staff has been asked to contribute to the design of a new customer/patient satisfaction survey that will be adopted for use in the hospital as a whole. What should the nurses consider when working on this document? Select all that apply.

A) Customer/patient satisfaction reflects attitudes.
B) Customer/patient expectations play a major role in patient satisfaction.
C) Once customer/patient satisfaction is measured, developing strategies to increase it will be a straightforward process.
D) It is difficult to identify who the customers of a healthcare organization really are.
E) Customer/patient satisfaction is difficult to measure.

Question 29

In a study published in 2015 by Austin, et al., what was the conclusion about the use of report cards to rate hospitals?

A) Rankings are not always accurate or ensure quality.
B) There is limited variation in data and rankings.
C) Rankings provide critical data to consumers to ensure they make best choices.
D) Focusing on one survey result is best.

Question 30

The nurses on a unit are working to increase the return of patient satisfaction surveys. Which patients can the nurses expect will be more likely to return these surveys? Select all that apply.

A) Patients who are alert.
B) Patients who are younger rather than older.
C) Patients who are dissatisfied with care.
D) Patients who speak English.
E) Patients who are economically disadvantaged.