The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid? ...

The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
 
  a. A 35-year-old unemployed single mother with diabetes
  b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-term care facility
  c. An 80-year-old blind woman living in her own home who has inadequate private insurance
  d. A 67-year-old stroke victim with Medicare Part A and an income from investments

Question 2

Which is the main cost-containment component of diagnosis-related groups (DRGs)?
 
  a. Hospitals focus only on the specific diag-nosis.
  b. Hospitals treat and discharge patients quickly.
  c. Reduced cost drugs are ordered for spe-cific diagnoses.
  d. Diagnostic group classification streamlines care.

Question 3

A patient asks the nurse what Medicare Part A covers. Which response is correct?
 
  a. Medicare Part A covers inpatient hospital costs.
  b. Medicare Part A covers reimbursement to the physician.
  c. Medicare Part A covers outpatient hospital services.
  d. Medicare Part A covers ambulance trans-portation.

Question 4

The nurse compares the characteristics of a health maintenance organization (HMO) and a preferred provider organization (PPO). Which information should the nurse include about HMOs?
 
  a. HMOs require a set fee of each member monthly.
  b. HMOs allow the member to select his health care provider.
  c. HMOs permit admission to any facility the member prefers.
  d. HMOs offer unlimited diagnostic tests and treatments.

Question 5

The patient complains to the nurse that he is confused about his deductible that he owes the hospital. Which statement accurately explains a deductible?
 
  a. An amount of money put aside for the payment of future medical bills
  b. A one-time fee for service
  c. An amount of money deducted from the bill by the insurance company
  d. An annual amount of money the patient must pay out-of-pocket for medical care