GRADED A+ 2025/2026
Which of the following actions demonstrates a health care prof providing culturally comp
care? - Asking the person to describe his folk healing methods
Which of the following ethnic groups has a disproportionately high death rate from
unintentional injuries and suicide? - American Indian
A HCP is working with an African Am woman who has recently suffered a stroke and is
homebound. She insists that she must get out of the house and attend Sun worship
services. What is the most likely explanation for her insisting that she participate in this
cultural practice? - The church serves as the social support for its members
A woman reports that she has strong spiritual practices. Which of the following is she
most likely to experience? - Improved coping skills and social support
A person states, "My grandmother is the decision maker in our family." Which of the
following is being described by the person? - Culture
A nurse is told by a colleague that an Asian American individual on home care is using
complementary and alt med (CAM). Which of the following conclusions can accurately
be drawn from this statement? - The client may be using meditation, acupuncture, or
another therapy.
A HCP is leading a community action coalition to address the problem of homelessness
within the neighborhood. Which of the following statements would most likely be made
by HCP? - Homelessness should be of concern to everyone in the neighborhood.
A person reports that she has been seeking care from an acupuncturist to help relieve
the chronic pain that she has been experiencing. Which of the following statements
would be the most appropriate response from the nurse? - Tell me more about your
treatments from the acupuncturist.
A HCP i caring for an individual who is homeless. Which of the following considerations
should be made? - The percentage of the population who has health insurance is much
lower among the homeless than the general public
The nurse recommended to a 50-yr old woman that she schedule a routine
mammogram. Which of the following would be the most important factor in this woman's
decision to schedule this exam? - cultural values
The interrationship of poverty and healthcare dollars spent by Blacks and other
minorities is affected greatly by: - lack of access to preventive health care services
,A pregnant woman with 2 toddlers living at less than 135% of the federal poverty level
would be eligible for: - Medicaid-state Medicaid programs must cover all pregnant
women and children up to 6 years of age with a family income of less than 133% of the
federal poverty level. States Children's Health Insurance Program provides insurance
coverage to children whose family income is below 200% of the federal poverty level or
whose income is 50% higher than the state's Medicaid eligibility threshold. In this case,
the woman is pregnant, her children are under the age of 6, and they meet the financial
criteria for Medicaid but not SCHIP.
Which of the following is a health plan consisting of hospitals and physician providers
providing health care services to plan members (usually at a discounted rate) in return
for expedited claims payment? - Preferred provider org (PPO)-A health plan consisting
of hospitals and physician providers providing health care services to plan members
(usually at discounted rates) in return for expedited claims payment is known as a
preferred provider organization (PPO).
Which of the following is a major factor limiting health care services in the United
States? - Lack of funding-The lack of nurses may prevent health care providers from
offering health promotional education activities. The cost of health care and prescription
drugs is a major limitation to health care services. The United States has the highest
proportion of population with no health insurance, thereby limiting health care services
available to Americans.
A system used to evaluate the necessity, appropriateness, and efficiency of the use of
the health care system, the purpose of which is to lower costs by discouraging
unnecessary treatments is know as: - utilization review-A system used to evaluate the
necessity, appropriateness, and efficiency of the use of the health care system, the
purpose of which is to lower costs by discouraging unnecessary treatments, is known as
utilization review.
The country with the highest life expectancy for women in 2011 was: - France-France
was the country with the highest life expectancy for women (85 years of age) in 2011.
The country with the lowest infant mortality rate in 2011 was: - Sweden-Sweden had the
lowest infant mortality in 2011 with a mortality rate of 2.74 per 1000 live births.
A community planning committee is working on the development of a community
nursing center. Which of the following essential components should be included in this
center? - Nurse as chief manager-The essential components of a community nursing
center include a nurse as chief manager, a nursing staff that is accountable and
responsible for care and professional practice, and nurses as the primary providers of
care.
Adoption of a Canadian-style health care system in the United States has the potential
to: - create further health disparities.-Canadians with private health insurance and
higher incomes have access to greater health care services and more expedient health
,care. This translates to a two-tier system of health care, which can contribute to health
disparities in health care access and quality.
Which form of managed care restricts providers to caring for individuals who are
members of their organization? - Health maintenance organization (HMO)-The
traditional HMO was a group or staff model in which a group of physicians and some
specialty services provided care to its members. Providers generally spent all their time
serving members of the HMO. Fee-for-service, IPAs, and PPOs are not restricted to
serving clients for any one organization.
The person known as the father of British and American public health is: - Edwin
Chadwick is known as the father of British and American public health.
Which nurse is at risk of making a medical error? - Working overtime-Health care
systems are the basic cause of medical errors. Organizational and workforce
management, work design, and organizational culture are problem areas that contribute
to medical errors. Poor management leads to increased nurse turnover, the need for
increased client-to-nurse ratios, increased need for overtime, and decreased number of
nurses, all of which can lead to medical errors. A nurse working overtime is at risk of
making a medical error.
Which addition to a community best demonstrates the concept of the Healthy People
2020 report? - New recreational health center-The Healthy People 2020 report
promotes health care, not illness care. A hospital, ICU, and rehabilitation center
emphasize episodic care after an illness. The recreation health center serves to
preserve health in the community and helps meet the goals of the Healthy People 2020
report.
Considering the provider and client perspective, which of the following is the most
autonomous form of insurance? - Fee-for-service plan-In the fee-for-service plan, a
provider provides a service and bills the individual's insurance company. The individual
is also allowed to choose his or her provider.
What is the most effective policy a staff nurse can implement to help decrease medical
errors on the unit? - Foster a collaborative working environment on the unit.-Health care
systems are the basic cause of medical errors. Organizational and workforce
management, work design, and organizational culture are problem areas that contribute
to medical errors. Creating a collaborative working environment helps improve
organizational culture, thereby reducing the chance of medical errors.
Which is a violation of the Health Insurance Portability and Accountability Act of 1996? -
Nurse discussing the person's case with his or her school nurse-The Health Insurance
Portability and Accountability Act of 1996 (HIPAA) is a federal privacy standard that
requires safeguards to protect the security and confidentiality of health information.
Disclosures without individual authorization are allowed only to public health authorities
authorized by law to collect and receive information for the purpose of preventing or
, controlling disease, injury, or disability. Before speaking to the school nurse, the nurse
must obtain authorization from the client's parents.
Which nurse is functioning as a care manager? - Nurse working with a family to
coordinate care after their child experiences a second hospitalization for an asthma
exacerbation-Care managers help determine what medical care is necessary, monitor
care, and arrange for individuals to receive the most cost-effective care in the most
appropriate settings. They must collaborate with providers and with the client/family.
Care managers are especially helpful following a client after discharge and clients with
complex needs. A nurse working with a family to coordinate service after a
hospitalization is a good example of services provided by a care manager.
Which person is at highest risk for being uninsured? - 27-year-old who attends college
and works part time in a small pizza parlor-Young adults (27 years of age or older) are
not eligible to be covered under their parents' insurance. Medicare is available for those
over the age of 65 and for people who require dialysis. Medicaid and SCHIP are
available for children whose families meet the financial requirements. This child would
likely meet criteria for either Medicaid or SCHIP because the parents are considered
working poor. Because health care insurance is so expensive, it would be difficult for a
27-year-old to afford his or her own plan. Young adults often go without insurance
because of the high costs.
A Medicare client reports to the home care nurse that he is receiving care through an
accountable care organization (ACO). Which of the following considerations should be
made when delivering care to this individual? - The focus of care is prevention and
management of individuals with chronic disease.-The focus of care of accountable care
organizations (ACOs) is to focus on prevention and management of individuals with
chronic disease out of the hospital. In an ACO, physicians accept the responsibility for
the quality of care provided and overall costs of delivering care to a defined population
of patients. Accountable care organizations are composed of physicians, specialists,
and hospitals, so a specialist will be able to be seen within the ACO. Individuals who are
part of concierge care pay a membership fee in return for enhanced health care
services or amenities. Health savings accounts are used in conjunction with high
deductible health insurance plans and are not related to the use of ACOs.
Which health care provider represents a primary care provider? - Pediatric nurse
practitioner-A primary care provider serves as a gatekeeper, coordinating care of
individuals by determining the need for referrals and procedures. A primary care
provider can be a physician, physician's assistant, or advanced practice nurse in a
primary care setting. The primary care provider provides basic and routine care usually
in an office or a clinic. A pediatric nurse practitioner is an example of a primary care
provider.
A nurse complies with the Patient Self-Determination Act when asking: - a person upon
admission to the hospital if he or she has an advanced directive-The Patient Self-
Determination Act is designed to increase individual involvement in decisions about life-