Case Study: The Health Care Delivery System
Midge is a nursing student who works as a certified nurse assistant with a local home care and hospice service while she is in nursing school. She enjoys her work because it presents her with the opportunity to take care of a wide array of patients in their homes where they are most comfortable. As a result of her work, she has learned a great deal not only about providing care to patients but also about health care delivery systems in general.
Midge is assigned to the patients of one nurse, Tammy. Therefore Tammy is considered Midge’s supervisor and oversees her work in addition to serving as her mentor.
1.Several of Midge’s patients receive hospice care. Which of the following groups administers a federally funded hospice benefit?
1.Medicaid
2.Medicare
3.Managed care
4.Preferred provider organization
2.Tammy explains the causes of rising health care costs to Midge and how the costs impact patient care in both the hospital and the home health setting. Acute care is less costly for patients who wait longer to seek medical treatment than for those who seek medical treatment immediately.
1.True
2.False
3.Midge learns that nursing care is just one service offered in the home care setting. Which of the following are additional services or therapies offered in the home care setting? (Select all that apply.)
1.Occupational
2.Speech
3.Respiratory
4.Surgical
5.Nutritional
4.While on break one day, Tammy and Midge discuss the nursing shortage. Which of the following are causes of the nursing shortage? (Select all that apply.)
1.Increased nursing school enrollments
2.Aging nursing workforce
3.Nursing faculty shortage
4.Limited nursing school clinical site availability
5.Limited nursing school available student spaces
