Health Care Systems
What term describes interactions between providers and clients within financing and regulatory constraints?
Health care delivery system
Who are licensed providers responsible for delivering and coordinating bedside care?
Registered nurses
Which federal agency determines whether medications are safe for administration?
U.S. Food and Drug Administration (FDA)
Which federally funded program provides insurance for adults age 65 and older?
Medicare
What term describes environmental factors that affect health outcomes and quality of life?
Social determinants of health (SDOH)
What four elements make up health care systems?
Clients, settings, regulatory agencies, and financing mechanisms
Who are unlicensed providers that assist with care under supervision?
Assistive personnel (UAPs)
Which organization sets quality standards for accreditation of health care facilities?
The Joint Commission
Which Medicare part covers hospital stays, home health, and hospice?
Medicare Part A
Which SDOH category includes crime rate, air quality, and housing conditions?
Neighborhood and built environment
What is the major challenge for nursing as health care becomes more business-driven?
Retaining caring values while practicing cost containment
Which care setting focuses on comfort and end-of-life care?
Hospice
Which agencies ensure providers comply with state regulations?
State licensing boards
Which program is jointly funded by federal and state governments for low-income clients?
Medicaid
What nursing action evaluates religion, language, beliefs, and family roles?
Cultural assessment
Which factor influences the quality and type of care through reimbursement rules?
Health care financing
Which settings include clinics, provider offices, and urgent care centers?
Ambulatory care settings
Which committees monitor the appropriate diagnosis and treatment of hospitalized clients?
Utilization review committees
Which insurance plan requires clients to stay within a contracted network with no out-of-network coverage?
Exclusive Provider Organization (EPO)
What barrier to health care involves the inability to communicate effectively?
Language barriers
Which federal department oversees public health and health services in the U.S.?
U.S. Department of Health and Human Services
What type of centers provide dialysis, oncology, burn, or rehabilitation services?
Specialized service centers
Which organizations monitor health care services provided to ensure quality and necessity?
Professional Standards Review Organizations
Which federal law increased access to insurance while aiming to reduce health care costs?
Patient Protection and Affordable Care Act (ACA)
What nursing role involves improving access to care at the systems level?
Participation in policy development