A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

The provider is paid a fixed sum for the client on a monthly or yearly basis.

The provider bills the client directly for a predetermined percentage of the cost of services.

The client pays the insurer a percentage of the total costs for each service rendered by the provider.

The client is participating in a fee-for-service health care insurance program.

Answer and Explanation

The Correct Answer is A

A. In a health maintenance organization (HMO), providers typically receive a fixed sum (capitation) for each client enrolled, regardless of the services provided.
B. Billing the client directly for services rendered is more typical of fee-for-service or cost-sharing arrangements.
C. This option describes a cost-sharing model where the client pays a portion of the service costs, common in some insurance plans but not HMOs.
D. Fee-for-service insurance involves providers billing for each service provided, not typical in HMOs where payments are typically fixed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Chronic obstructive pulmonary disease affects breathing but does not directly increase fall risk.
B. Chronic kidney disease can lead to fluid and electrolyte imbalances but does not directly increase fall risk.
C. Wide-angle glaucoma affects vision but does not necessarily increase fall risk.
D. Osteoarthritis can affect joint stability and mobility, increasing the risk of falls due to impaired balance and coordination.

A. A 4-month-old infant who has Down syndrome B. A 12-month-old infant who has sickle cell disease C. A 3-year-old toddler who has leukemia D. An 18-month-old toddler who has failure to thrive

Correct Answer is C

Explanation

A. Down syndrome alone does not typically require alterations in the standard immunization schedule.
B. Sickle cell disease does not typically necessitate alterations in the standard immunization schedule.
C. Children with leukemia often have altered immune function and may require modifications to the immunization schedule based on their treatment plan.
D. Failure to thrive alone does not typically necessitate alterations in the standard immunization schedule.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?

Correct Answer is D

Explanation

A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

Correct Answer is C

Explanation

A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?

A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies?

A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider in selecting appropriate resources for the client?

A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority?

A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?

A nurse at a community mental health center is teaching a course for the family and friends of clients who have a gambling disorder. Which of the following statements by a participant indicates an understanding of the information?