A nurse is discussing the purpose of regulatory agencies during a staff
meeting. Which of the following tasks should the nurse identify as the
responsibility of state licensing boards?
Ensuring that health care providers comply with regulations
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?
Medicare and Medicaid
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?
Collaborating with providers to perform obesity screenings during routine office
visits
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?
Intensive care unit, oncology treatment center, and burn center
A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching?
Home health care, rehabilitation facilities, and skilled nursing facilities
A nurse provides an introduction to a client as the first step of a
comprehensive physical examination. Which of the following strategies
should the nurse use with this client?
Use a mix of open and closed ended questions, reduce environmental noise, and
perform the general surgery before the examination
,A nurse is preparing to perform a comprehensive physical examination of
an older adult client. Which of the following interventions should the nurse
use in consideration of the client's age?
Plan to allow plenty of time for position changes, make sure the client has any
essential sensory aids in place, tell the client to take their time answering
questions, and invite the client to use the bathroom before beginning the
examination
A nurse in a provider's office is performing a physical examination of an
adult client. Which part of the hands should the nurse use during palpitation
for optimal assessment of skin temperature?
Dorsal surface
A nurse is obtaining a health history for a client's comprehensive physical
examination. After inspecting the client's abdomen, which of the following
skills of the physical examination process should the nurse perform next?
Auscultation
Licensed Providers
Registered Nurses
Licensed Practical Nurses
Advanced Practice Nurses
Medical Doctors
Pharmacists
Dentists
Dietitians
Physical, respiratory, and occupational therapists
What are some regulatory agencies in nursing?
U.S. Department of Health and Human Services
U.S. Food and Drug Administration (FDA)
State and local public health agencies
What do State Licensing Boards ensure?
,that health care providers and agencies comply with state regulations
What does the Joint Commission do?
Sets quality standards for accreditation of health care facilities
What does the Professional Standards Review Organizations do?
monitor health care services provided
What do Utilization Review Committees do?
monitor for appropriate diagnosis and treatment of hospitalized clients
What is Medicare?
Is a publicly federally funded program for clients 65 years of age or older and
those who have permanent disabilities
What is Medicare part A?
insurance for hospital stays, home health, and hospice
What is Medicare part B?
Insurance for outpatient and provider services; voluntary and requires a monthly
premium
What is Medicare part C?
Medical advantage or supplement plan (covers parts A and B, and sometimes D)
What is Medicare part D?
Medication coverage for those eligible and requires a monthly premium
What is Medicaid?
a public federally funded program for clients who have low incomes (federally and
state funded, individual states determine eligibility requirements)
What is The Patient Protection and Affordable Care Act?
a federal statute aimed at increasing access to health care for all individuals and
instituting an individual mandate for health insurance (decreases health care
cost)
What is State Children's Health Insurance Program?
coverage for uninsured children up to age 19 at low cost to parents
What are Social Determinants of Health (SDOH)?
factors within the environment where a client lives that affect their health
, What are the six categories of the SDOH?
Neighborhood and built environment, social and community context, economic
stability, food and nutrition, health and healthcare, and education
What is the role of the nurse?
advocate for improved access to health care services, perform individual risk
assessments, identify systems that support access to healthcare, identify and
discuss ethical issues that may affect an individual's access to healthcare, and
participate in policy development
What is the goal of a primary health care system?
to make comprehensive health care available and in close proximity to those who
need it, with flexible cost to accommodate income variations for those who use
services
What are some barriers to health care?
No health care insurance, inability to pay for services, language barriers, cultural
barriers, and lack of transportation
What is Primary Prevention (intervention)?
advocate for the availability of healthcare services, provide education on how to
reduce environmental hazards, provide education about healthy nutrition and
exercise, provide education about immunization programs, and educate about
proper hygiene techniques
What is Secondary Prevention (intervention)?
perform environmental and cultural health assessments, and implement
screening techniques to delay effects of advanced illness
What is Tertiary Prevention (intervention)?
assist in obtaining public transportation for clients, and provide resources for
state and federally funded insurance programs
What does Preventative Health Care focus on?
educating and equipping clients to reduce and control risk factors for disease (ex.
programs that promote immunization, stress management, occupational health,
and seat belt use)