NCLEX Health Care Quality

NCLEX Health Care Quality 1. As a nurse, you are aware that The World Heath Organization defines "health" as: a. a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity b. a state of well-being with absence of disease c. a state of well-being d. absence of disease or infirmity - a. a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity 2. As a nurse, you are aware that Medicare is a: a. health insurance program for people aged 65 and older or under age 65 with certain disabilities or any age with end-stage renal disease b. health insurance program for age 66 and older c. joint federal and state assistance program designed to pay for medical long-term care assistance for individuals and families with low income and limited resources d. state assistance program designed to pay for medical long-term care assistance for individuals and families with low income and limited resources - a. health insurance program for people aged 65 and older or under age 65 with certain disabilities or any age with end-stage renal disease 3. When questioned by a patient about Medicaid benefits, as a nurse you are aware that Medicaid is a: a. health insurance program for people aged 65 and older or under age 65 with certain disabilities or any age with end-stage renal disease b. joint federal and state assistance program designed to pay for medical long-term care assistance for individuals and families with low income and limited resources c. health insurance program for age 66 and older d. joint federal and state assistance program designed to pay for medical long-term care assistance for individuals and families regardless of income - b. joint federal and state assistance program designed to pay for medical long-term care assistance for individuals and families with low income and limited resources You are the nurse caring for a 54 yr old woman who has just been diagnosed with end-stage pancreatic cancer. Along with the social worker, you are discussing hospice programs with her. Which of the following will be explained to the patient? a. hospice programs are hospital based only b. hospice programs allow patients to die with dignity at home or in a facility c. hospice programs are for adults over the age of 66 only d. hospice programs are for those patients who will die within 1 year of diagnosis - b. hospice programs allow patients to die with dignity at home or in a facility Near Miss - error that could have cause harm to a patient but did not - mild variation in a standard of care - caused by human or system error -doesn't reach patient - doesn't cause harm -use FMEA to analyze causes Adverse Event - some errors result in moderate to severe harm to a patient - moderate variation in standard of care -caused by human or system error - reaches patient - minimal or no harm -use FMEA to analyze Sentinel Event - a serious adverse event; when a patient dies or has a serious, undesirable, and largely avoidable outcome as a result of the error -severe variation in standard of care -caused by human or system error -reaches patient -death or major harm -use RCA to analyze causes