Module 11A

Question 1

Dino lecture Chapter 11

Question 2

PAYING FOR HEALTHCARE

Answer 2

● OUT-OF-POCKET PAYMENT
● INDIVIDUAL PRIVATE INSURANCE
● EMPLOYER-BASED PRIVATE INSURANCE
● GOVERNMENT FINANCING
- Medicare (Part A - Inpatient; Part B - Outpatient; Part D - Drugs / Part C (Medicare Advantage Plan)
- Medicaid
- SCHIPS
- Veterans Health Administration
- TriCare
- Indian Health Services Insurance
- How about ACA?
Learning Outcome: Describe strategies to increase access to quality care while
reducing health care cost; Compare various methods to pay for health care
Taylor, Fundamentals of Nursing, p. 239-240; 249-251

Question 3

HEALTH CARE SETTINGS AND SERVICES & THE

ROLE OF THE NURSE

Answer 3

● HOSPITALS
- Nurses provide most the direct patient care; Other roles are administrator, educator, researcher etc …
● PRIMARY CARE CENTERS
- Advanced practice nurses work independently/collaboratively to provide the care & treatment of patients.
● AMBULATORY CARE CENTERS AND CLINICS (e.g. El Rio Clinic. Urgent Care)
- Nurses provide technical services (e.g. administering medications) and teaching
- Advanced practice nurses usually manage the clinic & provide walk-in care for illness and minor trauma
● HOME HEALTH CARE
- Nurses provide care in patient’s home and collaborate with other healthcare providers
Learning Outcome: Discuss the types of setting that
provides various health care services; Discuss the
role of the nurse in various health care services
Taylor, Fundamentals of Nursing, p. 246; 251-256

Question 4

HEALTH CARE SETTINGS AND SERVICES & THE

ROLE OF THE NURSE (continue)

Answer 4

● EXTENDED CARE SERVICES (e.g. Subacute - Cornerstone; Long-Term Acute Care
Facility (LTAC), Assisted Living)
- Hard to generalized the role of nurses provide in extended care since facilities require so many different
levels of care. Nurses can be provider of direct care, administrator, educator etc …
● SPECIALIZED CARE CENTERS (Daycare Centers, Mental Health Centers, Rural Health
Centers, Schools, Industry, Homeless Shelters, Rehab Centers, Parish Nursing)
● HEALTH CARE SERVICES FOR THE SERIOUSLY ILL AND DYING (Respite Care,
Hospice Services, Palliative Care)
Learning Outcome: Discuss the types of setting that
provides various health care services; Discuss the
role of the nurse in various health care services
Taylor, Fundamentals of Nursing, p. 246; 251-256
https://www.vitas.com/hospice-and-palliative-care-basics/about
-palliative-care/hospice-vs-palliative-care-whats-the-difference/

Question 5

MEMBERS OF THE HEALTH CARE TEAM

Answer 5

● Physician
● Advanced Practice Registered Nurse
● Physician Assistant
● Nurse
● Physical Therapist
● Occupational Therapist
● Speech Therapist
● Social Worker
● Pharmacist
● Respiratory Therapist
● Dietitian
● Chaplain/Spiritual Care Provider
● Unlicensed Assistive Personnel
Learning Outcome: Describe the members of the
interdisciplinary health care team
Taylor, Fundamentals of Nursing, p. 258 (Box 11-2)

Question 6

TRENDS AND ISSUES IN HEALTH CARE

DELIVERY SYSTEM

Answer 6

● FOCUS ON PREVENTIVE CARE
● KNOWLEDGEABLE AND ENGAGED CONSUMERS
● MOBILE HEALTH
Learning Outcome: Discuss trends and issues affecting the health care delivery system
Taylor, Fundamentals of Nursing, p. 259-260 (Box 11-3)

Question 7

NURSES’ ROLE IN MEETING THE CHALLENGES

OF THE HEALTH CARE DELIVERY SYSTEM

Answer 7

● A UNIFIED STRONGER VOICE IN PROPOSING SOLUTIONS TO
HEALTHCARE PROBLEMS
● PROMOTE THE IMPORTANCE OF ADVANCED PRACTICE DEGREE
● FOCUS ON PROMOTING HEALTH & PREVENTING ILLNESS
Learning Outcome: Describe the role of the nurse in meeting the challenges of the health care delivery system
Taylor, Fundamentals of Nursing, p. 260