Answer to Question 1
ANS: 1
A preferred provider organization (PPO) is characterized by a contractual agreement between a set of providers (e.g., hospitals, physicians, or clinics) and a purchaser (e.g., the corporation's in-surance plan). Comprehensive health services are provided at a discount to the companies under contract. Enrollees are limited to a list of preferred hospitals, physicians, and providers. An enrollee pays more out-of-pocket expenses for using a provider not on the list.
A Medicare HMO is the same as a managed care organization (all care provided by a primary care physician) but designed to cover costs of senior citizens.
Private insurance is the traditional fee-for-service plan where payment is computed after services are provided based on the number of services used.
Third-party payment is when an entity (other than the client or health care provider) reimburses health care expenses. Third-party payers include insurance companies, governmental agencies, and employers.
Answer to Question 2
ANS: 1
Examples of health promotion activities include exercise classes, prenatal care, well-baby care, nutrition counseling, and family planning.
An immunization clinic is an example of an illness prevention service.
A diabetic support group may be an example of a rehabilitation service to adapt to a change in lifestyle.
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Awareness of cultural and religious norms and customs will help you deliver appropriate nursing care
Example of Health Care Services
Comparison of Paper Medical Records and Electronic Health Records
What is Hospice Care?
Cultural Diversity in Health and Illness (9th Edition)