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NUR 205 FINAL EXAM

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Exam of 61 pages for the course RN- Nursing at RN- Nursing (NUR 205 FINAL EXAM)

Instelling
RN- Nursing
Vak
RN- Nursing

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Page 1 of 61


NUR 205 FINAL EXAM

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, Page 2 of 61




NUR 205 Final Exam




The nurse working in the hospital understands the changes that have resulted
in shorter hospital stays, with a focus on acute care needs of the client. Which
of the following factors influence shorter hospital stays? Select all that apply.


A) Federal regulations for health care reimbursement policies.
B) Increased emphasis on preventive care.
C) Improvement in treatment of illness.
D) Patients realize that longer stays result in infections and other problems.
A,B,C


Shorter hospital stays direct the focus on the acute care needs of the client and have
resulted from improved treatment of disease, increases in preventive care, and
federal regulations and other health care reimbursement policies. Longer hospital
stays are often the result of infection, as this factor is not related to shorter hospital
stays.
Medicare reimburses in-hospital costs based on a set payment for a diagnostic
related group (DRG). This means the hospital is reimbursed for a fixed amount
based on the diagnosis and projected cost for care. As a result of this system
the hospital can make a profit or a loss. Select the responses that describe
when a profit for care of the client can be achieved.


A) All of the hospitalization charges are less than projected.
B) The client receives incompatible blood so the hospital does not get charged
for it.
C) The client is discharged before the approved discharge date.

, Page 3 of 61


D) The nursing care results in the client reaching outcomes for recovery,
without complication, after the projected timetable
A,C


The hospital will make a profit when cost of hospitalization is less than the
reimbursement assigned for the severity of illness and projected care costs. If the
client is discharged earlier than projected the hospital keeps the total reimbursed.
Incompatible blood is a preventable error, for which the hospital is not reimbursed.
Reaching outcomes after the approved time results in additional cost to the hospital.
Hospice nurses provide care in a variety of settings, including clients' homes,
long-term-care facilities, and hospice residences. After the client dies, what
happens next?


A) The hospice services are provided to the families of the former residence
clients only.
B) The hospice services continue for family and friends during the
bereavement period, up to one month after the death.
C) The hospice nurse continues to care for the client's family for up to one
year.
D) Nurses assist the family to work through their grief during the period of
mourning.
C


After the death of the patient, the hospice nurse continues to care for the client's
family during the bereavement period for up to one year. Nurses help the family to
work through their loss.
One of the newest concepts in providing long-term care is called aging in
place. What is the best description of this type of care?


A) provided within the health care community where they live.
B) Clients move into the nursing home, and access more and more services as
required in the same facility. A long-term-care facility, associated with a
hospital, that provides acute care services as needed so the client can return
C) Clients move to an independent living apartment or home, then have access

, Page 4 of 61


to increasing health care services as needed, to long term care.
D) Clients are maintained in their own homes with home health care.
A


The best description of "aging in place" is the type of care where the client moves
into an independent living space, and then has access to more services, such as
assisted living and/or skilled care, that are part of the health care community in which
they live.
Health care is constantly changing and becoming more complex. Select the
answers that describe clients as health care consumers today. Select all that
apply.


A) They often have health information obtained from the Internet.
B) They prefer to control the decisions made about their own health care.
C) Most are less concerned about health care costs as long as they receive
good care.
D) They express concern regarding access to care and the quality of service.
E) They have helped develop clients' rights and cost-containment measures.
A,B,D,E


Health care consumers are increasingly more knowledgeable about health, and
prefer to control the decisions about their care. They express concern about access
to services, and the cost and quality of care. They question duplication of services,
and are actively engaged. They have helped to develop client rights and cost-
containment measures as protections for clients in health care settings. Today
clients are surveyed regarding their experiences with doctors and nurses in
hospitals.
The Public Health Service (PHS) is a federal agency of the U.S. Department of
Health and Human Services. The professional nurse is aware that the services
provided by the PHS include which of the following? Select all that apply.


A) Care to migrant workers
B) Care in federal prisons

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Instelling
RN- Nursing
Vak
RN- Nursing

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Aantal pagina's
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