The student learning about the Affordable Care Act (ACA) ...

[Engineer]

The student learning about the Affordable Care Act (ACA) understands the three entities that were created to oversee and evaluate the quality of care and cost of the health care system.
 
  Which entities are involved in this process? (Select all that apply.)
  a. Center for Medicare and Medicaid Innovation
  b. Centers for Medicare and Medicaid Services
  c. Children's Health Insurance Program
  d. Patient-Centered Outcomes Research Institute
  e. The Independent Payment Advisory Board

Question 2

A young adult patient whose family history contains many first- and second-degree relatives who have had colon cancer wants to know if yearly colonoscopies would be a good idea . The best response by the nurse would be to encourage the patient to
 
  a. ask the physician about the colonoscopies.
  b. not worry because risks are low at his or her age.
  c. search for a company to provide screening.
  d. talk to the doctor about genetic screening.

[peter]

Answer to Question 1

A, D, E
The ACA established three entities to oversee and evaluate the quality of care and cost of health care. They include the Center for Medicare and Medicaid Innovation, The Patient-Centered Outcomes Research Institute, and the Independent Payment Advisory Board. The Centers for Medicare and Medicaid Services and the Children's Health Insurance Program are not included in this list.

Answer to Question 2

D
The patient and physician can go over the patient's history, family history, and benefits and drawbacks to screening. This also keeps the health care provider in the communication loop with the patient and the results.
The patient could ask the physician about doing yearly colonoscopies, but this invasive procedure carries risks. The best answer would be to inquire about genetic screening.
Although colon cancer does occur more often in older patients, this patient's family history puts him or her in a high-risk group and that needs to be addressed.
Some companies do provide private genetic screening, but this approach can lead to misunderstanding and confusion. It would be better for the patient to have genetic screening guided by the health care professionals who know the patient.

[Engineer]

TYSM

[elyse44]

Excellent