A nurse is educating a group of nurses about different types of health care coverage that clients may have. Which of the following health care financing options should the nurse identify as being federally funded? (Select all that apply.)
Exclusive Provider Organization (EPO)
Preferred Provider Organization (PPO)
Long-term care insurance
Medicare
Medicaid
Correct Answer : D,E
Choice A reason: Exclusive Provider Organizations (EPOs) are private health insurance plans that contract with a network of providers. They are not federally funded. Clients must use providers within the network for services to be covered, and these plans are typically offered by private insurers or employers.
Choice B reason: Preferred Provider Organizations (PPOs) are also private insurance plans. They offer more flexibility in choosing providers and do not require referrals for specialists. Like EPOs, PPOs are not federally funded and are usually purchased through employers or private insurance markets.
Choice C reason: Long-term care insurance is a private insurance product designed to cover services such as nursing home care, home health care, and personal or custodial care. It is not federally funded and is typically purchased individually or through employer-sponsored plans.
Choice D reason: Medicare is a federally funded health insurance program primarily for individuals aged 65 and older, as well as certain younger individuals with disabilities or end-stage renal disease. It is administered by the Centers for Medicare & Medicaid Services (CMS) and funded through federal taxes.
Choice E reason: Medicaid is a federally and state-funded program that provides health coverage to eligible low-income individuals and families. It is jointly administered by federal and state governments and covers a wide range of health services, including hospital care, physician services, and long-term care.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: The Department of Health and Human Services oversees national public health and welfare programs but does not directly govern individual nursing programs.
Choice B reason: Approval and accreditation are distinct processes. Approval is granted by the state’s board of nursing to ensure the program meets minimum standards for preparing safe and competent nurses. Accreditation is a voluntary process conducted by independent agencies to assess educational quality.
Choice C reason: Nursing programs are not approved by the state legislature. Legislative bodies may enact laws that affect nursing education, but program approval is the responsibility of the state board of nursing.
Choice D reason: This is the correct answer. State boards of nursing are responsible for approving nursing education programs to ensure they meet regulatory standards and prepare graduates for licensure and safe practice.
Correct Answer is B
Explanation
Choice A reason: An educator disseminates knowledge and teaches others, often based on established evidence. While the nurse may later educate others, the act of gathering evidence itself is not primarily educational.
Choice B reason: The nurse is actively seeking and analyzing evidence-based data related to CAUTIs, which aligns with the role of a researcher. This involves reviewing current literature, guidelines, and clinical studies to inform practice and improve patient outcomes.
Choice C reason: A case manager coordinates care and resources for individual patients, focusing on efficiency and outcomes. This role does not typically involve conducting or gathering research.
Choice D reason: A nurse manager oversees staff, operations, and administrative tasks. While they may support research initiatives, they are not directly involved in evidence gathering unless explicitly assigned that role.
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