1.
Page 1
3 w
, CHAPTER 1 3w
Managed care organizations are insurers that carefully plan and closely supervise the
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
distribution of healthcare services. What is one of the goals of managed care?
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Preventing illness through screening and promotion of health activities 3w 3w 3w 3w 3w 3w 3w 3w
B) Improving training of healthcare professionals 3w 3w 3w 3w
C) Eliminating health disparities between segments of the population 3w 3w 3w 3w 3w 3w 3w
D) Providing hospice or home hospice care 3w 3w 3w 3w 3w
Ans: A
3w 3 w
Feedback:
Preventing illness through screening and promotion of health activities is one of the
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
goals of managed care. Improved training of healthcare professionals is the priority for
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
international health and not the goal of managed care. Eliminating health disparities
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
between the segments of population is a goal of Healthy People 2020. Providing hospice
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
or home hospice care is only for terminally ill clients.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
2. In an effort to cut costs, hospitals have instituted many changes. Which of these
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
cost-cutting factors is most likely to jeopardize the quality of care?
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Using unlicensed assistive personnel 3w 3w 3w
B) Increasing numbers of clients in hospitals 3w 3w 3w 3w 3w
C) Not devoting enough time to the client 3w 3w 3w 3w 3w 3w
D) The rise of medical care costs in healthcare systems
3w 3w 3w 3w 3w 3w 3w 3w
Ans: A
3w 3 w
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
registered nurses once provided. Many are concerned that the use of unlicensed assistive
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
not devoting enough time to the client, or the rise of medical costs are less likely to
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
jeopardize the quality of care.
3w 3w 3w 3w 3w
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
walking group to raise money for the homeless in his area. Which of the following has
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
contributed to him being viewed as “healthy”?
3w 3w 3w 3w 3w 3w 3w
A) The client is married and is moving on. 3w 3w 3w 3w 3w 3w 3w
B) The client is experiencing high quality of life within the limits of the physical
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
condition.
3w
C) The client is facing various states of health and illness.
3w 3w 3w 3w 3w 3w 3w 3w 3w
D) The client is physiologically and psychologically stable.
3w 3w 3w 3w 3w 3w
Ans: B
3w 3 w
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
stability, and self-expression. Clients with chronic illness can achieve a high level of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
wellness and experience high quality of life. Marriage is an aspect of quality of life but
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
does not define the quality of the client's life. All clients experience various states of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
health and illness.
3w 3w 3w
Page 2 3 w
,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
relationship. What is the client participating in?
3w 3w 3w 3w 3w 3w 3w
A) Health promotion 3w
B) Health maintenance 3w
C) Illness prevention 3w
D) Wellness
Ans: B
3w 3 w
Feedback:
3w
Protecting one's current level of health by practicing safe sex to prevent illness is an
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
example of a health maintenance activity. Health promotion strategies are used to
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
enhance health, such as eating a diet high in fiber. Illness prevention includes
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
3identifying risk factors such as hypertension. Wellness is the balance of total well-being.
w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
5. A client complaining of bloody urine has scheduled an appointment with a family
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
practitioner. What type of care is the client receiving?
3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Tertiary
B) Secondary
C) Skilled nursing care 3w 3w
D) Primary
Ans: D
3w 3 w
Feedback:
3w
The first provider that clients contact about a health need provides primary care; this
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
person is typically a family practitioner or nurse practitioner. Secondary care includes
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
referrals to facilities for additional testing. Tertiary care focuses on more complex
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
offer prolonged health maintenance or rehabilitative services.
3w 3w 3w 3w 3w 3w 3w
Page 3 3 w
, 6. The hospital is having a problem with healthcare-associated infections. A committee has
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
been established to study the problem and make recommendations. The nurse working
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
on the committee knows that this work addresses what?
3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Inpatient quality indicators 3w 3w
B) Prevention quality indicators 3w 3w
C) National Patient Safety Goals 3w 3w 3w
D) Patient safety indicators 3w 3w
Ans: C
3w 3 w
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
annually. These safety goals have changed how patients are identified and prevent
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
adverse effects. Some of the 2012 goals include reducing the risk of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
healthcare-associated infections. Patient safety indicators reflect the quality of care in 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
hospitals but focus on potentially avoidable complications. Prevention indicators
3w 3w 3w 3w 3w 3w 3w 3w 3w
identify hospital admissions that could be avoided through high-quality outpatient care.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
Inpatient indicators reflect quality of care inside the hospital.
3w 3w 3w 3w 3w 3w 3w 3w 3w
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
the client receiving?
3w 3w 3w
A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
3w 3 w
Feedback:
3w
Hospitals where specialized technology is available provide tertiary care. Primary care
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
is the initial contact that a client has, such as an appointment with a family practitioner.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
Secondary care includes referrals for additional testing. Rehabilitation is aimed at
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
restoring a person to his or her fullest ability.
3w 3w 3w 3w 3w 3w 3w 3w 3w
Page 4 3 w
Page 1
3 w
, CHAPTER 1 3w
Managed care organizations are insurers that carefully plan and closely supervise the
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
distribution of healthcare services. What is one of the goals of managed care?
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Preventing illness through screening and promotion of health activities 3w 3w 3w 3w 3w 3w 3w 3w
B) Improving training of healthcare professionals 3w 3w 3w 3w
C) Eliminating health disparities between segments of the population 3w 3w 3w 3w 3w 3w 3w
D) Providing hospice or home hospice care 3w 3w 3w 3w 3w
Ans: A
3w 3 w
Feedback:
Preventing illness through screening and promotion of health activities is one of the
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
goals of managed care. Improved training of healthcare professionals is the priority for
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
international health and not the goal of managed care. Eliminating health disparities
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
between the segments of population is a goal of Healthy People 2020. Providing hospice
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
or home hospice care is only for terminally ill clients.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
2. In an effort to cut costs, hospitals have instituted many changes. Which of these
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
cost-cutting factors is most likely to jeopardize the quality of care?
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Using unlicensed assistive personnel 3w 3w 3w
B) Increasing numbers of clients in hospitals 3w 3w 3w 3w 3w
C) Not devoting enough time to the client 3w 3w 3w 3w 3w 3w
D) The rise of medical care costs in healthcare systems
3w 3w 3w 3w 3w 3w 3w 3w
Ans: A
3w 3 w
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
registered nurses once provided. Many are concerned that the use of unlicensed assistive
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
not devoting enough time to the client, or the rise of medical costs are less likely to
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
jeopardize the quality of care.
3w 3w 3w 3w 3w
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
walking group to raise money for the homeless in his area. Which of the following has
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
contributed to him being viewed as “healthy”?
3w 3w 3w 3w 3w 3w 3w
A) The client is married and is moving on. 3w 3w 3w 3w 3w 3w 3w
B) The client is experiencing high quality of life within the limits of the physical
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
condition.
3w
C) The client is facing various states of health and illness.
3w 3w 3w 3w 3w 3w 3w 3w 3w
D) The client is physiologically and psychologically stable.
3w 3w 3w 3w 3w 3w
Ans: B
3w 3 w
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
stability, and self-expression. Clients with chronic illness can achieve a high level of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
wellness and experience high quality of life. Marriage is an aspect of quality of life but
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
does not define the quality of the client's life. All clients experience various states of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
health and illness.
3w 3w 3w
Page 2 3 w
,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
relationship. What is the client participating in?
3w 3w 3w 3w 3w 3w 3w
A) Health promotion 3w
B) Health maintenance 3w
C) Illness prevention 3w
D) Wellness
Ans: B
3w 3 w
Feedback:
3w
Protecting one's current level of health by practicing safe sex to prevent illness is an
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
example of a health maintenance activity. Health promotion strategies are used to
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
enhance health, such as eating a diet high in fiber. Illness prevention includes
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
3identifying risk factors such as hypertension. Wellness is the balance of total well-being.
w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
5. A client complaining of bloody urine has scheduled an appointment with a family
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
practitioner. What type of care is the client receiving?
3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Tertiary
B) Secondary
C) Skilled nursing care 3w 3w
D) Primary
Ans: D
3w 3 w
Feedback:
3w
The first provider that clients contact about a health need provides primary care; this
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
person is typically a family practitioner or nurse practitioner. Secondary care includes
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
referrals to facilities for additional testing. Tertiary care focuses on more complex
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
offer prolonged health maintenance or rehabilitative services.
3w 3w 3w 3w 3w 3w 3w
Page 3 3 w
, 6. The hospital is having a problem with healthcare-associated infections. A committee has
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
been established to study the problem and make recommendations. The nurse working
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
on the committee knows that this work addresses what?
3w 3w 3w 3w 3w 3w 3w 3w 3w
A) Inpatient quality indicators 3w 3w
B) Prevention quality indicators 3w 3w
C) National Patient Safety Goals 3w 3w 3w
D) Patient safety indicators 3w 3w
Ans: C
3w 3 w
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
annually. These safety goals have changed how patients are identified and prevent
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
adverse effects. Some of the 2012 goals include reducing the risk of
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
healthcare-associated infections. Patient safety indicators reflect the quality of care in 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
hospitals but focus on potentially avoidable complications. Prevention indicators
3w 3w 3w 3w 3w 3w 3w 3w 3w
identify hospital admissions that could be avoided through high-quality outpatient care.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
Inpatient indicators reflect quality of care inside the hospital.
3w 3w 3w 3w 3w 3w 3w 3w 3w
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
the client receiving?
3w 3w 3w
A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
3w 3 w
Feedback:
3w
Hospitals where specialized technology is available provide tertiary care. Primary care
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
is the initial contact that a client has, such as an appointment with a family practitioner.
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
Secondary care includes referrals for additional testing. Rehabilitation is aimed at
3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w
restoring a person to his or her fullest ability.
3w 3w 3w 3w 3w 3w 3w 3w 3w
Page 4 3 w
