ANCC Study Guide Questions with CORRECT
Answers
Question:
The Americans with Disabilities Act:
Answer:
is: c | applies exclusively to those with physical disabilities | applies only to companies
with 25 or more employees | applies to those whose mental or physical impairment
limits one or | more major life activities | sets limits on "reasonable accomodation."
Question:
The authority to license healthcare practitioners is found in the | regulating power of: |
the individual hospital | the appropriate training program | the state | the licensing
board
Answer:
is: c. the state | The state issues regulations pertaining to licensure of various
professions.
Question:
Carter, a physicain specializing in | internal medicine, treated Jones for a broken arm.
Should Jones later bring a suit for malpractice, Carter will be held liable to the standard
of care | required for: | his specialty | the specialty in which he was treating Jones | a
general practitioner | ordinary medical care
Answer:
is: b. | The patient can reasonably expect that his broken bone will be set according to
the standards of orthopedic practice. If the internal medicine physician cannot perform
to this standard, then she or he should ensure that the care of the patient is |
transferred to someone who can practice accordingly.
, Question:
Costs per unit of service will increase as: | volume decreases below the break-even
point. | volume increases | acuity increases | management turnover occurs.
Answer:
is: a. | This model is based on the premise that a certain volume is needed to maintain
cost balance. When the volume decreases below the break-even point, costs go up. For
example, staffing for a 50-bed unit is calculated for an occupancy rate of 85%, with a |
break-even point of 80%. Downward adjustments in staff numbers occur only when the
occupancy rate dips to 75%. Any occupancy rate between 76% & | 79% results in a
"loss" based on the cost model.
Question:
Critical pathways are: | a patient's expected progress from admission to discharge
based upon her or his diagnosis. | mandated professional care standards. | the essential
feature of the Nursing Minimum Data Set (NMDS). | prospective structure audits that
look at costs as well as quality.
Answer:
is: a. | Critical pathways are (or should be) derived from evidence-based studies and
suggest the trajectory the patient will follow, in the absence of | unanticipated
complications, from admission to discharge.
Question:
Critical pathways outline a patient's expected progress from admission to discharge and
are part of: | functional nursing | primary care nursing | case management | team
nursing.
Answer:
is: c. case management. | Critical pathways are inherent in the case | management
approach to care and guide care across the continuum.
Question:
Despite her family's requests to the contrary, Dr. Huang writes a "Do not resuscitate"
order on Mrs. Bosko's | chart following a conversation with the patient in which Dr.
Huang | affirmed the patient's wishes to forgo life-prolonging intervention in the |
presence of end-stage renal disease. | The predominant ethical principle evident in this
case is: | beneficence | autonomy | justice | veracity
Answer:
is: b. autonomy | Autonomy holds that the patient's wishes are to be respected even if
her wishes are contrary to those of her family/ The covenant is between patient and
physician. In this case, the physician honors the patient's decision. The patient's
competence to make decisions about the extent of her care is not in question.
Answers
Question:
The Americans with Disabilities Act:
Answer:
is: c | applies exclusively to those with physical disabilities | applies only to companies
with 25 or more employees | applies to those whose mental or physical impairment
limits one or | more major life activities | sets limits on "reasonable accomodation."
Question:
The authority to license healthcare practitioners is found in the | regulating power of: |
the individual hospital | the appropriate training program | the state | the licensing
board
Answer:
is: c. the state | The state issues regulations pertaining to licensure of various
professions.
Question:
Carter, a physicain specializing in | internal medicine, treated Jones for a broken arm.
Should Jones later bring a suit for malpractice, Carter will be held liable to the standard
of care | required for: | his specialty | the specialty in which he was treating Jones | a
general practitioner | ordinary medical care
Answer:
is: b. | The patient can reasonably expect that his broken bone will be set according to
the standards of orthopedic practice. If the internal medicine physician cannot perform
to this standard, then she or he should ensure that the care of the patient is |
transferred to someone who can practice accordingly.
, Question:
Costs per unit of service will increase as: | volume decreases below the break-even
point. | volume increases | acuity increases | management turnover occurs.
Answer:
is: a. | This model is based on the premise that a certain volume is needed to maintain
cost balance. When the volume decreases below the break-even point, costs go up. For
example, staffing for a 50-bed unit is calculated for an occupancy rate of 85%, with a |
break-even point of 80%. Downward adjustments in staff numbers occur only when the
occupancy rate dips to 75%. Any occupancy rate between 76% & | 79% results in a
"loss" based on the cost model.
Question:
Critical pathways are: | a patient's expected progress from admission to discharge
based upon her or his diagnosis. | mandated professional care standards. | the essential
feature of the Nursing Minimum Data Set (NMDS). | prospective structure audits that
look at costs as well as quality.
Answer:
is: a. | Critical pathways are (or should be) derived from evidence-based studies and
suggest the trajectory the patient will follow, in the absence of | unanticipated
complications, from admission to discharge.
Question:
Critical pathways outline a patient's expected progress from admission to discharge and
are part of: | functional nursing | primary care nursing | case management | team
nursing.
Answer:
is: c. case management. | Critical pathways are inherent in the case | management
approach to care and guide care across the continuum.
Question:
Despite her family's requests to the contrary, Dr. Huang writes a "Do not resuscitate"
order on Mrs. Bosko's | chart following a conversation with the patient in which Dr.
Huang | affirmed the patient's wishes to forgo life-prolonging intervention in the |
presence of end-stage renal disease. | The predominant ethical principle evident in this
case is: | beneficence | autonomy | justice | veracity
Answer:
is: b. autonomy | Autonomy holds that the patient's wishes are to be respected even if
her wishes are contrary to those of her family/ The covenant is between patient and
physician. In this case, the physician honors the patient's decision. The patient's
competence to make decisions about the extent of her care is not in question.
