ATI Nursing Fundamentals - Safe,
Effective Care Environment Chapters 1-9
A nurse discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (Select all that apply)
A. Home Health Care
B. Rehabilitation Facilities
C. Diagnostic Centers
D. Skilled Nursing Facilities
E. Oncology Centers - ANSA, B, D
A. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Home health care is a type of restorative health care
B. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Rehabilitation facilities are a type of restorative health care
C. Secondary health care includes the diagnosis and treatment of acute injury or illness.
Diagnostic centers are a type of secondary health care
D. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Skilled nursing facilities are a type of restorative health care
E. Tertiary health care is specialized and highly technical care. An oncology center is a type of
tertiary health care
A nurse is explaining the various types of health care coverage clients might have to a a group
of nursing students. Which of the following health care financing mechanisms are federally
funded? (Select all that apply)
A. Preferred Provider Organization (PPO)
B. Medicare
C. Long-Term Care Insurace
D. Exclusive Provider Organization (EPO)
E. Medicaid - ANSB, E
A. PPOs are privately funded
B. CORRECT: Medicare is federally funded
,C. Long-term care insurance is privately funded
D. EPOs are privately funded
E. CORRECT: Medicaid is federally funded
A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. Which of the following actions should the nurse include as a primary health care
strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have
obesity
C. Providing specialized intraoperative training regarding surgical treatments for obesity
D. Educating acute care nurses on postoperative complications related to obesity - ANSA.
CORRECT: The nurse should identify obesity screenings at office visits as an example of
primary health care. Primary health care emphasizes health promotion and disease control, is
often delivered during office visits, and includes screenings
B. The nurse should identify care that is provided in a rehabilitation center as an example of
restorative health care
C. The nurse should identify specialized and highly technical care as an example of tertiary
health care
D. The nurse should identify acute care of clients as an example of secondary health care
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the
following tasks should the nurse identify as the responsibility of state licensing boards?
A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining if medications are safe for administration to clients - ANSA. The nurse should
identify that utilization review committees have the responsibility of monitoring for appropriate
diagnosis and treatment according to evidence-based practice for diagnosis and treatment of
hospitalized clients
,B. CORRECT: The nurse should identify that state licensing boards are responsible for ensuring
that health care providers and agencies comply with state regulations
C. The nurse should identify that the Joint Commission has the responsibility of setting quality
standards for accreditation of health care facilities
D. The nurse should identify that the US Food and Drug Administration (USFDA) has the
responsibility of determining if medications are safe for administration to clients
A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. Which of the following examples of care or care settings hould the nurse classify as
tertiary care? (Select all that apply)
A. Intensive Care Unit
B. Oncology Treatment Center
C. Burn Center
D. Cardiac Rehabilitation
E. Home Health Care - ANSA. CORRECT: Tertiary health care involves the provision of
specialized and highly technical care, such as the care nurses deliver in intensive care units
B. CORRECT: Tertiary health care involves the provision of specialized and highly technical
care, such as the care nurses deliver in oncology treatment centers
C. CORRECT: Tertiary health care involves the provision of specialized and highly technical
care, such as the care nurses deliver in burn centers
D. This is an example of restorative care and also of tertiary prevention, but not of tertiary care
E. This is an example of restorative care
A nurse on a medical-surgical unit is acquainting a group of nurses with the Quality and Safety
Education for Nurses (QSEN) initiative.
List the six QSEN competencies, along with a brief description of each - ANSSafety:
Minimization of risk factors that could dause injury or harm while promoting quality care and
maintaining a secure environment for clients, self, and others
Patient-Centered Care: Provision of caring and compassionate, culturally sensitive care that
addresses clients' physiological, psychological, sociological, spiritual, and cultural needs,
preference, and values
Evidence-Based Practice: Use of current knowledge from research and other credible sources,
on which to base clinical judgment and client care
, Informatics: Use of information technology as a communication and information-gathering tool
that supports clinical decision-making and scientifically based nursing practice
Quality Improvement: Care-related and organizational processes that involve the development
and implementation of a plan to improve health care services and better meet clients' needs
Teamwork and Collaboration: Delivery of client care in partnership with multidisciplinary
members of the health care team to achieve continuity of care and positive client outcomes
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply)
A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client states that she wants her child baptized before surgery
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer - ANSA. CORRECT: The
nurse should initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a client
B. CORRECT: The nurse should initiate a referral for social worker to provide information and
assistance in coordinating care for community resources available for clients
C. The nurse should initiate a referral for spiritual support staff if a client requests specific
religious sacraments or prayers
D. CORRECT: The nurse should initiate a referral for a social worker to assist the client in
obtaining medical equipment for use after discharge
E. The nurse should provide client teaching for concerns regarding the use of a nebulizer. If
additional information is needed the nurse should initiate a referral for a respiratory therapist
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
Effective Care Environment Chapters 1-9
A nurse discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (Select all that apply)
A. Home Health Care
B. Rehabilitation Facilities
C. Diagnostic Centers
D. Skilled Nursing Facilities
E. Oncology Centers - ANSA, B, D
A. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Home health care is a type of restorative health care
B. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Rehabilitation facilities are a type of restorative health care
C. Secondary health care includes the diagnosis and treatment of acute injury or illness.
Diagnostic centers are a type of secondary health care
D. CORRECT: Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Skilled nursing facilities are a type of restorative health care
E. Tertiary health care is specialized and highly technical care. An oncology center is a type of
tertiary health care
A nurse is explaining the various types of health care coverage clients might have to a a group
of nursing students. Which of the following health care financing mechanisms are federally
funded? (Select all that apply)
A. Preferred Provider Organization (PPO)
B. Medicare
C. Long-Term Care Insurace
D. Exclusive Provider Organization (EPO)
E. Medicaid - ANSB, E
A. PPOs are privately funded
B. CORRECT: Medicare is federally funded
,C. Long-term care insurance is privately funded
D. EPOs are privately funded
E. CORRECT: Medicaid is federally funded
A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. Which of the following actions should the nurse include as a primary health care
strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have
obesity
C. Providing specialized intraoperative training regarding surgical treatments for obesity
D. Educating acute care nurses on postoperative complications related to obesity - ANSA.
CORRECT: The nurse should identify obesity screenings at office visits as an example of
primary health care. Primary health care emphasizes health promotion and disease control, is
often delivered during office visits, and includes screenings
B. The nurse should identify care that is provided in a rehabilitation center as an example of
restorative health care
C. The nurse should identify specialized and highly technical care as an example of tertiary
health care
D. The nurse should identify acute care of clients as an example of secondary health care
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the
following tasks should the nurse identify as the responsibility of state licensing boards?
A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining if medications are safe for administration to clients - ANSA. The nurse should
identify that utilization review committees have the responsibility of monitoring for appropriate
diagnosis and treatment according to evidence-based practice for diagnosis and treatment of
hospitalized clients
,B. CORRECT: The nurse should identify that state licensing boards are responsible for ensuring
that health care providers and agencies comply with state regulations
C. The nurse should identify that the Joint Commission has the responsibility of setting quality
standards for accreditation of health care facilities
D. The nurse should identify that the US Food and Drug Administration (USFDA) has the
responsibility of determining if medications are safe for administration to clients
A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. Which of the following examples of care or care settings hould the nurse classify as
tertiary care? (Select all that apply)
A. Intensive Care Unit
B. Oncology Treatment Center
C. Burn Center
D. Cardiac Rehabilitation
E. Home Health Care - ANSA. CORRECT: Tertiary health care involves the provision of
specialized and highly technical care, such as the care nurses deliver in intensive care units
B. CORRECT: Tertiary health care involves the provision of specialized and highly technical
care, such as the care nurses deliver in oncology treatment centers
C. CORRECT: Tertiary health care involves the provision of specialized and highly technical
care, such as the care nurses deliver in burn centers
D. This is an example of restorative care and also of tertiary prevention, but not of tertiary care
E. This is an example of restorative care
A nurse on a medical-surgical unit is acquainting a group of nurses with the Quality and Safety
Education for Nurses (QSEN) initiative.
List the six QSEN competencies, along with a brief description of each - ANSSafety:
Minimization of risk factors that could dause injury or harm while promoting quality care and
maintaining a secure environment for clients, self, and others
Patient-Centered Care: Provision of caring and compassionate, culturally sensitive care that
addresses clients' physiological, psychological, sociological, spiritual, and cultural needs,
preference, and values
Evidence-Based Practice: Use of current knowledge from research and other credible sources,
on which to base clinical judgment and client care
, Informatics: Use of information technology as a communication and information-gathering tool
that supports clinical decision-making and scientifically based nursing practice
Quality Improvement: Care-related and organizational processes that involve the development
and implementation of a plan to improve health care services and better meet clients' needs
Teamwork and Collaboration: Delivery of client care in partnership with multidisciplinary
members of the health care team to achieve continuity of care and positive client outcomes
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply)
A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client states that she wants her child baptized before surgery
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer - ANSA. CORRECT: The
nurse should initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a client
B. CORRECT: The nurse should initiate a referral for social worker to provide information and
assistance in coordinating care for community resources available for clients
C. The nurse should initiate a referral for spiritual support staff if a client requests specific
religious sacraments or prayers
D. CORRECT: The nurse should initiate a referral for a social worker to assist the client in
obtaining medical equipment for use after discharge
E. The nurse should provide client teaching for concerns regarding the use of a nebulizer. If
additional information is needed the nurse should initiate a referral for a respiratory therapist
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
