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,Which of the following phrases best describes hospitals B
today?
Hospitals have become acute care providers for people who are too ill to care for
A) Focus on chronic illnesses themselves at home, who are severely injured, who require surgery or
B) Focus on acute care needs complicated treatment, or who are having babies. Hospitals rarely focus on
C) Primary care centers chronic illnesses, and they are not primary care centers. Hospitals are not
D) Voluntary agencies classified as voluntary agencies.
A man is scheduled for hospital outpatient surgery. He D
tells the nurse, "I don't know what that word,outpatient,
means." How would the nurse respond? In addition to providing acute care, hospitals have many services for outpatients
(those who require health care but do not need to stay in the facility). Clients who
A) "It means you will have surgery in the hospital and stay have outpatient surgery have the procedure, return to their hospital room for
for 2 days." recovery, and then are discharged home on the same day.
B) "It means the surgeon will come to your home to do
the surgery."
C) "Why would you ask such a question? Don't worry
about it."
D) "You will have surgery and go home that same day."
A nurse in a walk-in health care setting provides technical C
services (e.g., administering medications), determines the
priority of care needs, and provides client teaching on all Nurses in ambulatory care centers (walk-in clinics) provide technical services (e.g.,
aspects of care. Which of the following terms best administering medications), determine the priority of care needs, and provide
describes this type of health care setting? teaching about all aspects of care. Nurses employed in hospitals have many roles,
including manager of other members of the health care team providing client
A) Hospital care, administrator, nurse practitioner, clinical nurse specialist, patient educator,
B) Physician's office in-service educator, and researcher. In physician's offices, advanced practice
C) Ambulatory center registered nurses (APRNs), nurse practitioners, midwives, or clinical nurse
D) Long-term care specialists work independently or collaboratively with physicians to make
assessments and care for clients who require health maintenance or health
promotion activities. Long-term care provides medical and nonmedical care for
people with chronic illnesses or disabilities.
Nurses who are employed in home care have a variety of D
responsibilities. Which of the following is one of those
responsibilities? Nurses who provide care in the home make assessments, provide physical care,
administer medications, teach, and support family members. They also collaborate
A) Provide all care and services with other health care providers in providing care and services. Home care nurses
B) Maintain a clean home environment do not provide all care and services, maintain a clean home environment, or
C) Advise clients on financial matters advise clients on financial matters.
D) Collaborate with other care providers
,Which of the following is true of long-term care facilities? C
A) They provide care only to older adults. Long-term care facilities provide health care, and help with the activities of daily
B) They provide care for homeless adults. living, for people of any age who are physically or mentally unable to care for
C) They provide care to people of any age. themselves independently. They do not provide care only to older adults or those
D) They provide care only for people with dementia. with dementia, although they do care for those populations as well as others. They
do not provide care to homeless persons.
A grade school is preparing a series of classes on the D
dangers of smoking. Who would be most likely to teach
the classes? School nurses provide many different services, including maintaining
immunization records, providing emergency care, administering prescribed
A) A community health nurse medications, conducting routine screenings, conducting health assessments, and
B) An outside consultant teaching for health promotion (e.g., the dangers of smoking). Although any of the
C) A teacher other choices may provide teaching, it is the nurse who primarily provides health-
D) The school nurse related teaching.
An elderly woman has total care of her husband, who D
suffers from debilitative rheumatoid arthritis. The couple
voices concern over the pain and stress associated with The goal of palliative care is relief from the symptoms, pain, and stress of a
the condition. What type of care might the nurse suggest serious illness, and to improve the quality of life for both the client and the family.
to help the couple? The main purpose of respite care is to give the primary caregiver some time away
from the responsibilities of day-to-day care. Primary care is found in acute care
A) Primary care settings and physicians' offices. Bereavement care is provided to families
B) Respite care following the death of a family member.
C) Bereavement care
D) Palliative care
What population do hospice nurses provide with care? C
A) Those requiring care to improve health Hospice is a program of palliative and supportive services providing physical,
B) Children with chronic illnesses psychological, social, and spiritual care for dying persons, their families, and other
C) Dying persons and their loved ones loved ones. Hospice nurses do not implement care to improve health, focus on
D) Older adults requiring long-term care children with chronic illnesses, or care for older adults in long-term care.
Who provides physicians with the authority to admit and A
provide care to clients requiring hospitalization?
Physicians are granted the authority to admit clients to a health care agency or
A) The health care institution itself institution, and to provide care in that setting by the health care agency or
B) Board of Healing Arts institution itself. They are licensed to practice medicine by a state medical board,
C) American Medical Association not a state board of nursing or a board of healing arts.
D) State Board of Nursing
After a stroke, a client is having difficulty swallowing. The B
nurse may make a referral to what member of the health
care team? In addition to providing services to improve oral communication, a speech
therapist may also diagnose and treat swallowing problems in clients who have
A) Physical therapist had a head injury or stroke. A physical therapist assists with musculoskeletal and
B) Speech therapist neurological impairments, a social worker is educated to help clients with
C) Social worker economic and social issues, and a respiratory therapist provides treatments to
D) Respiratory therapist improve breathing.
, Medicare uses a prospective payment plan based on C
diagnosis-related groups (DRGs). What are DRGs?
Medicare, based on DRGs, pays a hospital a fixed amount that is predetermined
A) Locally supported health care financing, usually by by the medical diagnosis or specific treatment rather than by the actual cost of
donations hospitalization and care. This plan was put into effect in an effort to control rising
B) A public assistance program for low-income health care costs. It is not supported by donations; it is not a public assistance
individuals program or a private insurance plan.
C) Predetermined payment for services based on
medical diagnoses
D) A private insurance plan for subscribers who pay a
copayment
A client has a private insurance policy that pays for most A
health care costs and services. Why is this plan called a
third-party payer? Insurance for health care may be financed through private insurance, in which
members pay a monthly premium. These plans are called third-party payers,
A) The insurance company pays all or most of the costs. because the insurance company pays all or most of the cost of care.
B) The family of the client is required to pay costs.
C) The client gets the bill and pays out-of-pocket costs.
D) Medicare and Medicaid will pay most of the costs.
A person receiving health care insurance from his B
employer knows that he should check the approved list
of contracted health care providers before seeking Preferred provider organizations (PPOs) allow a third-party payer (agencies that
services, in order to receive them at a lower cost. What pay health care providers for services provided to individuals, such as a health
type of insurance is most likely involved? insurance company) to contract with a group of health care providers to provide
services at a lower fee in return for prompt payment and a guaranteed volume of
A) Medicaid clients and services. Although clients are encouraged to use specific providers,
B) Preferred provider organization they may also seek care outside the panel without referral by paying additional
C) Health maintenance organization out-of-pocket expenses.
D) Long-term care insurance
What is the primary focus of health care today? C
A) Care of acute illnesses In the past, health care focused on the treatment of illnesses rather than
B) Care of chronic illnesses prevention through health promotion, because preventive strategies were not
C) Health promotion covered by health insurance. Health awareness and the desire to be involved in
D) Health restoration one's own health care have strongly influenced the delivery of health care
services in our society.
What is one way in which nurses can help shape health C
care reform?
There are many ways in which nurses can help shape health care reform, including
A) Do their job and do it well supporting legislation to improve care. Nurses are expected to do their job well.
B) Refuse to participate in organizations Refusing to participate in organizations and/or becoming a member of a support
C) Support legislation to improve care group will not help shape health care reform.
D) Become a member of a support group