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.

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Correct Answer is A

Explanation

A. Addressing the physical needs of clients, such as ensuring safety, hygiene, and medical care, is the priority in a disaster shelter.
B. Helping clients gather supplies is important but secondary to addressing immediate physical needs.
C. Exploring feelings is important for emotional support but may follow after ensuring physical safety.
D. Creating activities for children is beneficial but should not take precedence over ensuring basic needs are met.

A. Collect all the data on the first visit with the workers. B. Interview community leaders for a perspective of community life. C. Ask for assistance from local spiritual leaders if there is a language barrier. D. Incorporate one's implicit bias into planned delivery of care.

Correct Answer is B

Explanation

A. Collecting all data on the first visit may not allow for a thorough understanding of the clients' culture.
B. Interviewing community leaders provides valuable insights into the community's cultural norms and beliefs.
C. Seeking assistance from local spiritual leaders can be helpful but is more related to addressing language barriers.
D. Incorporating implicit bias should be avoided to ensure culturally sensitive care delivery.

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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 nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?

Correct Answer is A

Explanation

A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

Correct Answer is B

Explanation

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