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1. A nurse is discussing the purpose of regulatory agencies during a staff
meeting . Which of the following tasks should the nurse identify as the respon-
sibility of state licensing boards?
A. Monitoring evidence - based practice for clients who have a specific diag-
nosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining whether medications are safe for administration to clients: 1.
A. 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: State licensing boards are responsible for ensuring that health care
providers and agencies comply with state regulations.
C. The Joint Commission has the responsibility of setting quality standards for
accreditation of health care facilities.
D. The U.S. Food and Drug Administration has the responsibility of determining
whether medications are safe for administration to clients.
2. 2. A nurse is explaining the various types of health care coverage clients
might have to a group of nurses. Which of the following health care financing
mechanisms should the nurse include as federally funded? (Select all that
apply.)
A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization (EPO)
E.. Medicaid: 2. A. PPOs, long-term care insurance, and EPOs are privately funded.
B. CORRECT: Medicare and Medicaid are federally funded health insurance pro-
grams.
C. PPOs, long-term care insurance, and EPOs are privately funded.
D. PPOs, long-term care insurance, and EPOs are privately funded.
E. CORRECT: Medicare and Medicaid are federally funded health insurance pro-
grams.
3. 3. 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?
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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 in surgical treatments for
obesity
D. Educating acute care: 3. A. CORRECT: Obesity screenings at office visits is 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. Care that is provided in a rehabilitation center as an example of restorative health
care.
C. Specialized and highly technical care is an example of tertiary health care.
D. Education about postoperative complications for acute care nurses is an example
of secondary health care.
4. 4. 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 should 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: 4. A. CORRECT: Tertiary health care involves the provision
of specialized and highly technical care (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 intensive care units, an oncology
treatment center, and a burn center.
C. CORRECT: Tertiary health care involves the provision of specialized and highly
technical care, such as the care nurses deliver in intensive care units, an oncology
treatment center, and a burn center.
D. Cardiac rehabilitation and home health care are examples of restorative care.
E. Cardiac rehabilitation and home health care are examples of restorative care.
5. 5. A nurse is 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
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B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers: 5. A. CORRECT: Restorative health care involves intermedi-
ate follow-up care for restoring health and promoting self. care. Home health care,
rehabilitation faollities, and skilled nursing facilities are types of restorative health
care.
B. CORRECT: Restorative health care involves intermediate follow-up care for
restoring health and promoting self, care. Home health care, rehabilitation facilities,
and skilled nursing facilises are types of restorative health care.
C. Secondary health care includes the diagnosis and treatment of acute injury or
liness. Diagnostic centers are a type of secondary health care.
D. CORRECT: Restorative healóh care involves intermediate follow-up care for
restoring health and promoting sell. care. Home health care, rehabilitation facilities,
and skilled nursing facilities are types of restorative health care.
E. Tertiary health care is specialized and highly technical care.
6. 1. 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
C. Registered dietitian
D. Occupational therapist: 1. A. A social worker can coordinate community ser-
vices to help the client, but not specifically with self-feeding devices.
B. A certified nursing assistant can help the client with feeding, but does not typically
procure adaptive devices for the client.
C. A registered dietitian can help with educating the client about meeting nutritional
needs, but cannot help with the client's physical limitations.
D. CORRECT: The nurse should identify that an occupational therapist can assist
clients who have physical challenges to use adaptive devices and strategies to help
with self-care activities. A certified nursing assistant can help the client with feeding
but does not typically procure adaptive devices for the client.
7. 2. 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
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a social worker? (Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
C. A client states, "I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client: 2. A. 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 a 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 it 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, initiate a referral for a respiratory
therapist.
8. 3. A client who is postoperative following knee arthroplasty is concerned
about the adverse effects of the medication prescribed for pain management.
Which of the following members of the interprofessional care team can assist
the client in understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist: 3. A. CORRECT: The provider must be knowledgeable
about any medication prescribed for the client, including its actions, effects, and
interactions.
B. It is not within the scope of a certified nursing assistant's duties to counsel a client
about medications.
C. CORRECT: A pharmacist must be knowledgeable about any medication dis-
pensed for the client, including its actions, effects, and interactions.
D. CORRECT: A registered nurse must be knowledgeable about any medication
administered, including its actions, effects, and interactions.
E. Although some analgesics can cause respiratory depression, requiring assis-
tance from a respiratory therapist, it is not within this therapist's scope of practice to
counsel the client about medications prescribed by the provider.
9. 4. A client who had a cerebrovascular accident has persistent problems with
dysphagia. The nurse caring for the client should initiate a referral with which