C HAPTER 02: H EALTH C ARE D ELIVERY
S YSTEM
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. An older-adult patient has extensive wound care needs after discharge
from the hospital. Which facilit y should the nurse discuss with the
patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing
ANS: D
An intermediate care or skilled nursing facilit y offers skilled care from
a licensed nursing staff. This often include s administration of IV
fluids, wound care, long -term ventilator management, and physical
rehabilitation. A hospice is a system of famil y -centered care that
allows patients to live with comfort, independence, and dignity while
easing the pains of terminal i llness. Respite care is a service that
provides short -term relief or —time off‖ for people providing home
care to an individual who is ill, disabled, or frail. Assisted living
offers an attractive long -term care setting with an environment more
like home and greater resident autonom y.
, DIF: Appl y (application) OBJ: Summarize the six levels of health
care. TOP: Teaching/ Learning MSC: Management of Care
2. A nurse working in a communit y hospital’s emergency department
provides care to a patient having chest pa in. Which level of care is the
nurse providing?
a. Continuing care
b. Restorative care
c. Preventive care
d. Tertiary care
ANS: D
Hospital emergency departments, urgent care centers, critical care
units, and inpatient medical -surgical units provide secondary and
tertiary levels of care. Patients recovering from an acute or chronic
illness or disabilit y often require additional services (restorative care)
to return to their previous level of function or reach a new level of
function limited by their illness or disabil it y. Continuing care is
available within institutional settings (e.g., nursing centers or nursing
homes, group homes, and retirement communities), communities (e.g.,
adult day care and senior centers), or the home (e.g., home care, home -
delivered meals, an d hospice). Preventive care is more disease oriented
and focused on reducing and controlling risk factors for disease
through activities such as immunization and occupational health
programs.
DIF: Appl y (application) OBJ: Summarize the six levels of healt h
care. TOP: Implementation MSC: Management of Care
, 3. A nurse is teaching about the primary focus of communit y wellness.
Which information should the nurse include in the teaching session?
a. Coordination of health care services
b. Effective cost containment for services
c. Appropriate service delivery to service population
d. Identification of services needed to address individual needs
ANS: A
Wellness care focuses on the health of populations and their
communities rather than simpl y curing an individual’s disease. In
wellness care, nurses can help lead communities and health care
s ystems in coordinating resources to better serve their populations. All
the remaining options are components of care coordination.
DIF: Understand (comprehension) OBJ: Discuss the nursin g
implications regarding issues facing the health care system. TOP:
Teaching/Learning MSC: Management of Care
4. A nurse is using research findings to improve clinical practice and
improved care delivery. Which technique is the nurse using?
a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees
ANS: A
Performance improvement activities are typicall y clinical projects
conceived in response to identified clinical problems and designed to
S YSTEM
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. An older-adult patient has extensive wound care needs after discharge
from the hospital. Which facilit y should the nurse discuss with the
patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing
ANS: D
An intermediate care or skilled nursing facilit y offers skilled care from
a licensed nursing staff. This often include s administration of IV
fluids, wound care, long -term ventilator management, and physical
rehabilitation. A hospice is a system of famil y -centered care that
allows patients to live with comfort, independence, and dignity while
easing the pains of terminal i llness. Respite care is a service that
provides short -term relief or —time off‖ for people providing home
care to an individual who is ill, disabled, or frail. Assisted living
offers an attractive long -term care setting with an environment more
like home and greater resident autonom y.
, DIF: Appl y (application) OBJ: Summarize the six levels of health
care. TOP: Teaching/ Learning MSC: Management of Care
2. A nurse working in a communit y hospital’s emergency department
provides care to a patient having chest pa in. Which level of care is the
nurse providing?
a. Continuing care
b. Restorative care
c. Preventive care
d. Tertiary care
ANS: D
Hospital emergency departments, urgent care centers, critical care
units, and inpatient medical -surgical units provide secondary and
tertiary levels of care. Patients recovering from an acute or chronic
illness or disabilit y often require additional services (restorative care)
to return to their previous level of function or reach a new level of
function limited by their illness or disabil it y. Continuing care is
available within institutional settings (e.g., nursing centers or nursing
homes, group homes, and retirement communities), communities (e.g.,
adult day care and senior centers), or the home (e.g., home care, home -
delivered meals, an d hospice). Preventive care is more disease oriented
and focused on reducing and controlling risk factors for disease
through activities such as immunization and occupational health
programs.
DIF: Appl y (application) OBJ: Summarize the six levels of healt h
care. TOP: Implementation MSC: Management of Care
, 3. A nurse is teaching about the primary focus of communit y wellness.
Which information should the nurse include in the teaching session?
a. Coordination of health care services
b. Effective cost containment for services
c. Appropriate service delivery to service population
d. Identification of services needed to address individual needs
ANS: A
Wellness care focuses on the health of populations and their
communities rather than simpl y curing an individual’s disease. In
wellness care, nurses can help lead communities and health care
s ystems in coordinating resources to better serve their populations. All
the remaining options are components of care coordination.
DIF: Understand (comprehension) OBJ: Discuss the nursin g
implications regarding issues facing the health care system. TOP:
Teaching/Learning MSC: Management of Care
4. A nurse is using research findings to improve clinical practice and
improved care delivery. Which technique is the nurse using?
a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees
ANS: A
Performance improvement activities are typicall y clinical projects
conceived in response to identified clinical problems and designed to
