Ramont2e Rev TIF Ch07

8/20/2019 Ramont2e Rev TIF Ch07

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 7Question 1

Type: MCSA

Which of the following are characteristic duties of the industrial nurse?

1. Monitoring the client's vital signs every four hours

2. Providing annual screening for tuberculosis

. Evaluating the client's response to medications

!. Preparing the client for eamination by the doctor

Corre"t #ns$er: !

Rationa%e 1" #ypically$ the industrial nurse provides health screenings$ such as #% testing$ and client teaching

after a wor& inury( #he nurse wor&ing in the clinic or physician's office prepares clients to be seen by the doctor(

Monitoring client's vital signs every four hours and their response to medication therapy are typical of inpatientnursing care(

Rationa%e 2" #ypically$ the industrial nurse provides health screenings$ such as #% testing$ and client teaching

after a wor& inury( #he nurse wor&ing in the clinic or physician's office prepares clients to be seen by the doctor(

Monitoring client's vital signs every four hours and their response to medication therapy are typical of inpatientnursing care(

Rationa%e " #ypically$ the industrial nurse provides health screenings$ such as #% testing$ and client teaching

after a wor& inury( #he nurse wor&ing in the clinic or physician's office prepares clients to be seen by the doctor(Monitoring client's vital signs every four hours and their response to medication therapy are typical of inpatient

nursing care(

Rationa%e !" #ypically$ the industrial nurse provides health screenings$ such as #% testing$ and client teaching

after a wor& inury( #he nurse wor&ing in the clinic or physician's office prepares clients to be seen by the doctor(Monitoring client's vital signs every four hours and their response to medication therapy are typical of inpatient

nursing care(

&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying

C%ient Need: Safe Effective Care Environment

C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing Process" *mplementation

+amont$ )iedringhous$ Comprehensive Nursing Care !nd Edition ,pdate #est %an&

Copyright !-.! by Pearson Education$ *nc(



)earning -ut"ome: Compare the characteristics of nursing in the outpatient setting to those of institutionali/ednursing care(

Question 2

Type: MCSA

#he nurse is considering wor&ing in a center that performs outpatient surgery( #he nurse epects that preparation

for wor&ing in this setting might involve which of the following?

1. 0earning new and special s&ills to care for operative clients

2. Augmenting vital sign s&ills

. 0earning how to give *1 push medications

!. 0earning how to contact insurance companies

Corre"t #ns$er: .

Rationa%e 1" #he nurse in a special one2day surgery center will learn new s&ills related to caring for the client

having surgery on an outpatient basis( #he nurse should already have vital sign s&ills( #he 0P)301) does notgive *1 push medications in many locations$ and li&ely would not need this particular s&ill for outpatient surgery

centers( #he payment status of the client is handled by business office personnel$ not by the nurse(

Rationa%e 2" #he nurse in a special one2day surgery center will learn new s&ills related to caring for the client



Rationa%e " #he nurse in a special one2day surgery center will learn new s&ills related to caring for the client



Rationa%e !" #he nurse in a special one2day surgery center will learn new s&ills related to caring for the client



&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: Compare the characteristics of nursing in the outpatient setting to those of institutionali/ed

nursing care(





Question

Type: MCSA

4ealth care agencies present a mission statement and goals for public review( #he nurse would anticipate which o

the following as a goal for the agency providing culturally proficient care?

1. #o display signs in simple English for clients learning the language

2. #o display a sign in the waiting area outlining ris&s for various cultural groups

. #o sponsor seminars for various cultural groups on health2promotion activities

!. #o provide classes in English for clients from another country

Corre"t #ns$er: 5

Rationa%e 1" Providing seminars for clients in the area would assist the client to be able to participate in her ownhealth promotion( Simple English will not help the client who spea&s no English( 6isplaying signs about ris&s for

different groups is preudicial and insensitive( Providing information regarding local classes in English$ not

actually teaching classes$ might be a service offered by the agency(

Rationa%e 2" Providing seminars for clients in the area would assist the client to be able to participate in her ownhealth promotion( Simple English will not help the client who spea&s no English( 6isplaying signs about ris&s for



Rationa%e " Providing seminars for clients in the area would assist the client to be able to participate in her own

health promotion( Simple English will not help the client who spea&s no English( 6isplaying signs about ris&s fordifferent groups is preudicial and insensitive( Providing information regarding local classes in English$ not


Rationa%e !" Providing seminars for clients in the area would assist the client to be able to participate in her own

health promotion( Simple English will not help the client who spea&s no English( 6isplaying signs about ris&s for



&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: Psychosocial *ntegrity

C%ient Need *u':


)earning -ut"ome: 6escribe the functions and purposes of the healthcare agencies outlined in this chapter(

Question !

Type: MCSA





#he nurse is caring for a .72year2old on the postpartum unit who is also being treated for a seually transmitted

disease( As part of the discharge planning$ the nurse suggests that the client be referred to which of the following

agencies after discharge?

1. A day care center to care for the baby

2. A home health care agency

. #he Centers for 6isease Control and Prevention

!. Planned Parenthood

Corre"t #ns$er: 8

Rationa%e 1" #he services of Planned Parenthood include offering education about seually transmitted diseases$

as well as confidential treatment regarding birth control without notifying the adolescent's family( #he day care

will offer no follow2up or educational information for the teen( #he C6C is an agency that provides broad

surveillance of many diseases but does not provide direct client care$ and a home health care agency would provide nursing care for the mother and baby(

Rationa%e 2" #he services of Planned Parenthood include offering education about seually transmitted diseases$

as well as confidential treatment regarding birth control without notifying the adolescent's family( #he day carewill offer no follow2up or educational information for the teen( #he C6C is an agency that provides broad

surveillance of many diseases but does not provide direct client care$ and a home health care agency would

provide nursing care for the mother and baby(

Rationa%e " #he services of Planned Parenthood include offering education about seually transmitted diseases$as well as confidential treatment regarding birth control without notifying the adolescent's family( #he day care

will offer no follow2up or educational information for the teen( #he C6C is an agency that provides broad

surveillance of many diseases but does not provide direct client care$ and a home health care agency would provide nursing care for the mother and baby(

Rationa%e !" #he services of Planned Parenthood include offering education about seually transmitted diseases$

as well as confidential treatment regarding birth control without notifying the adolescent's family( #he day care

will offer no follow2up or educational information for the teen( #he C6C is an agency that provides broadsurveillance of many diseases but does not provide direct client care$ and a home health care agency would

provide nursing care for the mother and baby(

&%o'a% Rationa%e:


C%ient Need: 4ealth Promotion and Maintenance

C%ient Need *u':



Question





Type: MCSA

#he nurse is caring for a client who has been diagnosed with a terminal illness( #he physician has eplained the

proposed therapy to the client$ who declines to sign the informed consent( #he nurse's best response to the client's

refusal of therapy is which of the following?

1. 9* thin& you should sign the consent form(9

2. 9:ou have the right to decline treatment( Would you li&e to discuss your decision?9

. 9+emember that you have children and grandchildren who love you(9

!. 9* thin& * had better tell your wife about this(9

Corre"t #ns$er: !

Rationa%e 1" #he nurse is ac&nowledging the client's rights and is ma&ing himself available if the client withes to

discuss it further( #he other options are personal opinions of the nurse$ and would be inappropriate because it isthe nurse's place not to ma&e decisions for the client but rather to support the client's decision(

Rationa%e 2" #he nurse is ac&nowledging the client's rights and is ma&ing himself available if the client withes todiscuss it further( #he other options are personal opinions of the nurse$ and would be inappropriate because it is

the nurse's place not to ma&e decisions for the client but rather to support the client's decision(

Rationa%e " #he nurse is ac&nowledging the client's rights and is ma&ing himself available if the client withes to

discuss it further( #he other options are personal opinions of the nurse$ and would be inappropriate because it isthe nurse's place not to ma&e decisions for the client but rather to support the client's decision(

Rationa%e !" #he nurse is ac&nowledging the client's rights and is ma&ing himself available if the client withes todiscuss it further( #he other options are personal opinions of the nurse$ and would be inappropriate because it isthe nurse's place not to ma&e decisions for the client but rather to support the client's decision(

&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy/ing

C%ient Need: Psychosocial *ntegrity

C%ient Need *u':


)earning -ut"ome: 6iscuss health care as a right and the essentials of the Patient's %ill of +ights(

Question /

Type: MCSA

#he nurse is caring for a client whose family is visiting for the morning( #he client has a wound that must be

irrigated with medication and redressed before noon( Which of the following actions should the nurse initiate?

1. *rrigate and redress the wound during the family visit(





2. As& the family to step out of the room for a while(

. As& the client$ in private$ if he wants the family present during treatment(

!. 4ave the client as& the family to leave(

Corre"t #ns$er: 5

Rationa%e 1" #he client has a right to privacy and confidentiality( *t is best to as& the client$ without the family

present$ if the client wishes the family present during the procedure( #he burden of as&ing the family to leave the

room should not be placed on the client( #he nurse$ as the client advocate$ should as& the family to leave if theclient re;uests it(

Rationa%e 2" #he client has a right to privacy and confidentiality( *t is best to as& the client$ without the family

present$ if the client wishes the family present during the procedure( #he burden of as&ing the family to leave the


Rationa%e " #he client has a right to privacy and confidentiality( *t is best to as& the client$ without the family present$ if the client wishes the family present during the procedure( #he burden of as&ing the family to leave the


Rationa%e !" #he client has a right to privacy and confidentiality( *t is best to as& the client$ without the family

present$ if the client wishes the family present during the procedure( #he burden of as&ing the family to leave theroom should not be placed on the client( #he nurse$ as the client advocate$ should as& the family to leave if the

client re;uests it(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: 6iscuss health care as a right and the essentials of the Patient's %ill of +ights(

Question 7

Type: MCSA

#he nurse is wor&ing in a team nursing model of care under the direction of an +)( Which action demonstrates anunderstanding of the 0P)301) role in relationship to the +)?

1. #he nurse performs a complete assessment of the client to determine plan of care(

2. #he nurse determines the nursing diagnosis appropriate for the client(

. #he nurse consults the +) when a new problem with the client is identified(





!. #he nurse as&s the +) to perform wound care on the client(

Corre"t #ns$er: 5

Rationa%e 1" When a new problem is found$ the 0P)301) notifies the +) so that the plan of care can be

adusted( #he 0P)301) performs wound care for the client$ and does not need to consult the +) unless the

wound changes$ the 0P)301) is not certain of how to proceed$ or assistance is re;uired( #he +) is responsible

for nursing diagnosis and complete assessment(

Rationa%e 2" When a new problem is found$ the 0P)301) notifies the +) so that the plan of care can be


wound changes$ the 0P)301) is not certain of how to proceed$ or assistance is re;uired( #he +) is responsible

for nursing diagnosis and complete assessment(

Rationa%e " When a new problem is found$ the 0P)301) notifies the +) so that the plan of care can be


wound changes$ the 0P)301) is not certain of how to proceed$ or assistance is re;uired( #he +) is responsiblefor nursing diagnosis and complete assessment(

Rationa%e !" When a new problem is found$ the 0P)301) notifies the +) so that the plan of care can be


wound changes$ the 0P)301) is not certain of how to proceed$ or assistance is re;uired( #he +) is responsiblefor nursing diagnosis and complete assessment(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: *dentify the roles of various healthcare professionals(

Question 0

Type: MCSA

#he nurse is reviewing the client's chart for new orders$ and finds the nurse practitioner has ordered a chest 2ray

and antibiotics to be provided prior to discharge( #he nurse does which of the following?

1. Carry out the orders as written(

2. )otify the physician of the nurse practitioner's orders for verification(

. )otify the supervisor of the orders(

!. #ell the nurse practitioner to carry out the orders(

Corre"t #ns$er: .





Rationa%e 1" #he nurse practitioner has prescriptive authority$ and may order diagnostic tests and medications$ sothe nurse should carry out the orders as written( #here is no need to notify the supervisor$ and the nurse$ not the

nurse practitioner$ would carry out the orders( #here is no need to obtain approval from the physician for these

orders unless the nurse ;uestions the correctness of the order$ and then the nurse practitioner$ not the physician$would be consulted(

Rationa%e 2" #he nurse practitioner has prescriptive authority$ and may order diagnostic tests and medications$ so

the nurse should carry out the orders as written( #here is no need to notify the supervisor$ and the nurse$ not thenurse practitioner$ would carry out the orders( #here is no need to obtain approval from the physician for theseorders unless the nurse ;uestions the correctness of the order$ and then the nurse practitioner$ not the physician$

would be consulted(

Rationa%e " #he nurse practitioner has prescriptive authority$ and may order diagnostic tests and medications$ so

the nurse should carry out the orders as written( #here is no need to notify the supervisor$ and the nurse$ not thenurse practitioner$ would carry out the orders( #here is no need to obtain approval from the physician for these

orders unless the nurse ;uestions the correctness of the order$ and then the nurse practitioner$ not the physician$

would be consulted(

Rationa%e !" #he nurse practitioner has prescriptive authority$ and may order diagnostic tests and medications$ sothe nurse should carry out the orders as written( #here is no need to notify the supervisor$ and the nurse$ not the

nurse practitioner$ would carry out the orders( #here is no need to obtain approval from the physician for these

orders unless the nurse ;uestions the correctness of the order$ and then the nurse practitioner$ not the physician$would be consulted(

&%o'a% Rationa%e:



C%ient Need *u':



Question

Type: MCSA

#he nurse is participating in a mobile health screening proect in a rural area of the state( A family brings their

children in for their health screening$ and the nurse determines that the children are behind in receiving

immuni/ations( #he nurse reasons this problem might be the result of which of the following?

1. 6emographic changes in the population

2. ,neven distribution of health care services

. #he increase in elders consumes more resources(

!. +ising cost of health care





Corre"t #ns$er: !

Rationa%e 1" #here is a severe shortage of health care wor&ers in parts of the country$ as evidenced by the numbeof health care wor&ers per capita of population available$ resulting in some rural areas having insufficient

providers to meet needs( 6emographic changes would not be the li&ely cause of this family's issues$ because rura

demographics have not changed significantly( #he elderly$ while rapidly increasing in representation$ are notconsuming all the resources( Ability to pay for a child's immuni/ations is not at issue( *f immuni/ations cannot be

afforded$ they will be provided at little or no cost(

Rationa%e 2" #here is a severe shortage of health care wor&ers in parts of the country$ as evidenced by the numbe

of health care wor&ers per capita of population available$ resulting in some rural areas having insufficient providers to meet needs( 6emographic changes would not be the li&ely cause of this family's issues$ because rura

demographics have not changed significantly( #he elderly$ while rapidly increasing in representation$ are not

consuming all the resources( Ability to pay for a child's immuni/ations is not at issue( *f immuni/ations cannot beafforded$ they will be provided at little or no cost(

Rationa%e " #here is a severe shortage of health care wor&ers in parts of the country$ as evidenced by the numbe

of health care wor&ers per capita of population available$ resulting in some rural areas having insufficient

providers to meet needs( 6emographic changes would not be the li&ely cause of this family's issues$ because rurademographics have not changed significantly( #he elderly$ while rapidly increasing in representation$ are not

consuming all the resources( Ability to pay for a child's immuni/ations is not at issue( *f immuni/ations cannot be


Rationa%e !" #here is a severe shortage of health care wor&ers in parts of the country$ as evidenced by the numbeof health care wor&ers per capita of population available$ resulting in some rural areas having insufficient

providers to meet needs( 6emographic changes would not be the li&ely cause of this family's issues$ because rura

demographics have not changed significantly( #he elderly$ while rapidly increasing in representation$ are notconsuming all the resources( Ability to pay for a child's immuni/ations is not at issue( *f immuni/ations cannot be


&%o'a% Rationa%e:


C%ient Need: Physiological *ntegrity

C%ient Need *u':


)earning -ut"ome: 6escribe factors that affect healthcare delivery(

Question 1

Type: MCSA

#he nurse is practicing in an acute care facility$ and provides care for a group of clients along with unlicensed

assistive personnel <,AP= under the direction of the professional nurse( #he nurse is responsible for delegating

care to the ,AP( >ne disadvantage of this type of nursing care delivery model might be which of the following?

1. #he licensed professional has little time to supervise the ,AP(





2. #he ,AP does not document any care given(

. #he acuity level of the clients might be too high to delegate to the ,AP(

!. #he fragmented care provided is unsafe(

Corre"t #ns$er: 5

Rationa%e 1" #he trend in client care today is such that clients in the hospital are far sic&er( Moderately ill clients

are now treated at home$ in s&illed nursing facilities$ or in outpatient settings( #here might not be enough care tha

can be delegated to the ,AP to ma&e the position cost2effective( #he licensed professional is responsible forsupervising and evaluating care given by the ,AP$ and lac& of time is an unacceptable ecuse( #he ,AP generall

documents vital signs and other tas&s$ such as inta&e and output( acility policies are designed to maintain client

safety$ no matter what model of nursing care is used

Rationa%e 2" #he trend in client care today is such that clients in the hospital are far sic&er( Moderately ill clientsare now treated at home$ in s&illed nursing facilities$ or in outpatient settings( #here might not be enough care tha

can be delegated to the ,AP to ma&e the position cost2effective( #he licensed professional is responsible for

supervising and evaluating care given by the ,AP$ and lac& of time is an unacceptable ecuse( #he ,AP generalldocuments vital signs and other tas&s$ such as inta&e and output( acility policies are designed to maintain client


Rationa%e " #he trend in client care today is such that clients in the hospital are far sic&er( Moderately ill clients

are now treated at home$ in s&illed nursing facilities$ or in outpatient settings( #here might not be enough care thacan be delegated to the ,AP to ma&e the position cost2effective( #he licensed professional is responsible for

supervising and evaluating care given by the ,AP$ and lac& of time is an unacceptable ecuse( #he ,AP generall

documents vital signs and other tas&s$ such as inta&e and output( acility policies are designed to maintain clientsafety$ no matter what model of nursing care is used

Rationa%e !" #he trend in client care today is such that clients in the hospital are far sic&er( Moderately ill clientsare now treated at home$ in s&illed nursing facilities$ or in outpatient settings( #here might not be enough care tha

can be delegated to the ,AP to ma&e the position cost2effective( #he licensed professional is responsible forsupervising and evaluating care given by the ,AP$ and lac& of time is an unacceptable ecuse( #he ,AP generall

documents vital signs and other tas&s$ such as inta&e and output( acility policies are designed to maintain client


&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: )ursing Process" *mplementation

)earning -ut"ome: 6ifferentiate among the various models of care(

Question 11

Type: MCSA





#he nurse is wor&ing with a client who is scheduled to have an electrocardiogram <EC@= done this morning

before brea&fast( #he nurse arrives at the client bedside to find the respiratory therapist ta&ing vital signs and

preparing to do the EC@( #he nurse recogni/es this as which of the following types of care delivery system?

1. #he functional care system

2. #he client2focused system

. #he case method of delivering care

!. #he team approach to care

Corre"t #ns$er: !

Rationa%e 1" #he client2focused care system brings the care to the client( #ypically$ services are moved closer to

the client$ and employees are cross2trained to tas&s that do not necessarily belong in their domains( #he functiona

system delivers care by assigning tas&s to different levels of caregivers( #he case method utili/es the +) to

deliver total care for a group of clients during the assigned shift( #he team approach assigns the care of a group oclients to a team headed by the +)(

Rationa%e 2" #he client2focused care system brings the care to the client( #ypically$ services are moved closer to

the client$ and employees are cross2trained to tas&s that do not necessarily belong in their domains( #he functionasystem delivers care by assigning tas&s to different levels of caregivers( #he case method utili/es the +) to

deliver total care for a group of clients during the assigned shift( #he team approach assigns the care of a group o

clients to a team headed by the +)(

Rationa%e " #he client2focused care system brings the care to the client( #ypically$ services are moved closer tothe client$ and employees are cross2trained to tas&s that do not necessarily belong in their domains( #he functiona

system delivers care by assigning tas&s to different levels of caregivers( #he case method utili/es the +) to

deliver total care for a group of clients during the assigned shift( #he team approach assigns the care of a group oclients to a team headed by the +)(

Rationa%e !" #he client2focused care system brings the care to the client( #ypically$ services are moved closer to

the client$ and employees are cross2trained to tas&s that do not necessarily belong in their domains( #he functiona

system delivers care by assigning tas&s to different levels of caregivers( #he case method utili/es the +) todeliver total care for a group of clients during the assigned shift( #he team approach assigns the care of a group o

clients to a team headed by the +)(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: 6ifferentiate among the various models of care(

Question 12





Type: MCSA

#he client as&s the nurse if there is a health care plan that focuses on wellness( #he nurse's best response would b

to describe which of the following health care reimbursement plans?

1. Preferred provider organi/ation <PP>=

2. Physician3hospital organi/ation <P4>=

. Preferred provider arrangement <PPA=

!. 4ealth maintenance organi/ation <4M>=

Corre"t #ns$er: 8

Rationa%e 1" #he focus of an 4M> is on wellness( #he other options have no particular focus on a specific type

of health care(

Rationa%e 2" #he focus of an 4M> is on wellness( #he other options have no particular focus on a specific typeof health care(

Rationa%e " #he focus of an 4M> is on wellness( #he other options have no particular focus on a specific type

of health care(

Rationa%e !" #he focus of an 4M> is on wellness( #he other options have no particular focus on a specific type

of health care(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: Compare various systems of payment for healthcare services(

Question 1

Type: MCSA

#he nurse recogni/es that the rehabilitation facility has met its obligation to the client when which of the

following goals is met?

1. #o completely cure the client

2. #o deliver care to the acutely ill client

. #o provide short2term care in order to stabili/e the client's condition





!. #o restore the ill or inured person to an optimum level of wellness

Corre"t #ns$er: 8

Rationa%e 1" #he rehabilitation center focuses on restoring the client to the previous level of functioning or to as

optimum a level as possible( Caring for the acutely ill or curing a person of a disease is generally the domain of

the acute care facility( Stabili/ation of condition is also conducted in acute care facilities(

Rationa%e 2" #he rehabilitation center focuses on restoring the client to the previous level of functioning or to asoptimum a level as possible( Caring for the acutely ill or curing a person of a disease is generally the domain of


Rationa%e " #he rehabilitation center focuses on restoring the client to the previous level of functioning or to as

optimum a level as possible( Caring for the acutely ill or curing a person of a disease is generally the domain ofthe acute care facility( Stabili/ation of condition is also conducted in acute care facilities(

Rationa%e !" #he rehabilitation center focuses on restoring the client to the previous level of functioning or to as

optimum a level as possible( Caring for the acutely ill or curing a person of a disease is generally the domain of


&%o'a% Rationa%e:



C%ient Need *u':



Question 1!

Type: MCSA

#he nurse caring for a client whose condition is rapidly deteriorating is unable to reach the primary care provider

#he nurse net would attempt to notify which of the following?

1. #he physician's assistant

2. #he secondary care provider

. #he hospitalist

!. #he Emergency 6epartment physician

Corre"t #ns$er: 5

Rationa%e 1" A hospitalist is a physician hired to care for any inpatient client re;uiring immediate attention( *f a

hospital employs this type of physician$ many primary care physicians will turn their client over to the hospitalist

while the client is in the hospital( *n the event of an emergency$ or if the primary physician cannot be reached$ the





hospitalist would temporarily act as the client's physician to provide emergency care( #he physician's assistantwould not be able to function independently in this situation( A secondary care provider is the hospital$ not a

specific person( *n the past$ if a client physician could not be reached$ the Emergency 6epartment physician

would assist in the care of the client( 4owever$ the E6 physician's first responsibility is to the clients in the E6$and she might not be available to deliver care(

Rationa%e 2" A hospitalist is a physician hired to care for any inpatient client re;uiring immediate attention( *f a

hospital employs this type of physician$ many primary care physicians will turn their client over to the hospitalistwhile the client is in the hospital( *n the event of an emergency$ or if the primary physician cannot be reached$ thehospitalist would temporarily act as the client's physician to provide emergency care( #he physician's assistant

would not be able to function independently in this situation( A secondary care provider is the hospital$ not a

specific person( *n the past$ if a client physician could not be reached$ the Emergency 6epartment physicianwould assist in the care of the client( 4owever$ the E6 physician's first responsibility is to the clients in the E6$

and she might not be available to deliver care(

Rationa%e " A hospitalist is a physician hired to care for any inpatient client re;uiring immediate attention( *f a

hospital employs this type of physician$ many primary care physicians will turn their client over to the hospitalistwhile the client is in the hospital( *n the event of an emergency$ or if the primary physician cannot be reached$ the

hospitalist would temporarily act as the client's physician to provide emergency care( #he physician's assistantwould not be able to function independently in this situation( A secondary care provider is the hospital$ not aspecific person( *n the past$ if a client physician could not be reached$ the Emergency 6epartment physician

would assist in the care of the client( 4owever$ the E6 physician's first responsibility is to the clients in the E6$


Rationa%e !" A hospitalist is a physician hired to care for any inpatient client re;uiring immediate attention( *f ahospital employs this type of physician$ many primary care physicians will turn their client over to the hospitalist

while the client is in the hospital( *n the event of an emergency$ or if the primary physician cannot be reached$ the

hospitalist would temporarily act as the client's physician to provide emergency care( #he physician's assistantwould not be able to function independently in this situation( A secondary care provider is the hospital$ not a

specific person( *n the past$ if a client physician could not be reached$ the Emergency 6epartment physicianwould assist in the care of the client( 4owever$ the E6 physician's first responsibility is to the clients in the E6$


&%o'a% Rationa%e:


C%ient Need: Physiological *ntegrity

C%ient Need *u':



Question 1

Type: MCMA

Which of the following activities would a nurse perform when providing health promotion? Select all that apply(

*tandard Te3t: Select all that apply(





1. Provide flu shots(

2. #each proper nutrition(

. Assist clients with weight control and eercise programs(

!. 4elp clients identify ris& factors for illness(

. Assist with routine screening eams(

Corre"t #ns$er: !$5$7

Rationa%e 1" 4ealth2promotion activities are those that assist the client to maintain wellness and achieve a health

lifestyle( lu shots and identification of ris& factors are preventive interventions(

Rationa%e 2" 4ealth2promotion activities are those that assist the client to maintain wellness and achieve a health


Rationa%e " 4ealth2promotion activities are those that assist the client to maintain wellness and achieve a healthlifestyle( lu shots and identification of ris& factors are preventive interventions(

Rationa%e !" 4ealth2promotion activities are those that assist the client to maintain wellness and achieve a healthlifestyle( lu shots and identification of ris& factors are preventive interventions(

Rationa%e " 4ealth2promotion activities are those that assist the client to maintain wellness and achieve a health


&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: )PB*ntervention

)earning -ut"ome: 6ifferentiate primary$ secondary$ and tertiary healthcare delivery services(

Question 1/

Type: MCMA

Which of the following does the nurse define as a secondary care service? Select all that apply(


1. #he Emergency 6epartment treats victims of a house fire(

2. #he hospice nurse gives care to a client in the home(

. #he rehabilitation hospital teaches a client to wal& again(





!. #he hospital provides care for a client with pneumonia(

. #he nursing home provides long2term care for the disabled(

Corre"t #ns$er: .$8

Rationa%e 1" Secondary care settings$ such as a hospital$ provide acute and emergency care to clients( #ertiary

care facilities provide long2term$ rehabilitative$ and palliative care for the dying(

Rationa%e 2" Secondary care settings$ such as a hospital$ provide acute and emergency care to clients( #ertiary


Rationa%e " Secondary care settings$ such as a hospital$ provide acute and emergency care to clients( #ertiary


Rationa%e !" Secondary care settings$ such as a hospital$ provide acute and emergency care to clients( #ertiary


Rationa%e " Secondary care settings$ such as a hospital$ provide acute and emergency care to clients( #ertiarycare facilities provide long2term$ rehabilitative$ and palliative care for the dying(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: 6ifferentiate primary$ secondary$ and tertiary healthcare delivery services(

Question 17

Type: MCMA

Primary health care services include which of the following"


1. Eercise promotion programs

2. Stress reduction

. 4*1 testing

!. Mammograms

. *mmuni/ations

Corre"t #ns$er: .$!$7





Rationa%e 1" 4ealth promotion and illness prevention are the focus of primary healthcare settings(

Rationa%e 2" Stress reduction is a form of health promotion and illness prevention(

Rationa%e " 4*1 testing is part of secondary healthcare services and is part of diagnosis and treatment(

Rationa%e !" Mammograms are a function of disease diagnosis and therefore found in the secondary healthcare

services(

Rationa%e " *mmuni/ations are a form of illness prevention(

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstanding


C%ient Need *u':


)earning -ut"ome:

Question 10

Type: MCSA

)urses in tertiary healthcare settings emphasi/e"

1. #he important role clients play in maintaining their own health

2. 6iagnosis and treatment of illness

. #he importance of assisting clients to regain previous capabilities

!. Wal&2in screening services

.

Corre"t #ns$er: 5

Rationa%e 1" #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum and

functional levels of wellness(

Rationa%e 2" #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum andfunctional levels of wellness(

Rationa%e " #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum and


Rationa%e !" #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum and






Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

#he outpatient healthcare setting cares for which type of client?


1. Seriously ill

2. #hose re;uiring routine health screening

. >ne who re;uires laboratory or radiologic services

!. Elder re;uiring supervision

. +estorative care


Rationa%e 1" #he sreiously ill client is generally cared for at an inpatient setting(

Rationa%e 2" +outine health screening is a function of the outpatient setting$ such as a physicians office(

Rationa%e " #he client who re;uires laboratory or radiologic services can obtain these services on an outpatient

basis in a freestanding clinic or ambulatory care center(

Rationa%e !" #he elder re;uiring supervision during the day can access an adult daycare setting (

Rationa%e " +estorative care is generally provided at an inpatient setting(

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing Process" Assessment

)earning -ut"ome:





Question 2

Type: MCSA

#he home health setting allows the nurse to"

1. unction independently

2. #o set own schedule and priorities

. eel free to ;uestion advice

!. 4ave more responsibility for care of client

.

Corre"t #ns$er: .

Rationa%e 1" #he home health setting allows the nurse to function more independently(

Rationa%e 2" #he family sets their own schedule and priorities(

Rationa%e " #he family may feel free to ;uestion advice(

Rationa%e !" #he family will have more responsibility for care of client(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 21

Type: MCMA

)urses who wor& in an inpatient setting may care for clients


1. or a long period of time

2. Who are acutely ill





. or less than !8 hours

!. Who need rehabilitation

. Who re;uire early detection


Rationa%e 1" #he nurse who wor&s in an inpatient setting may care for clients from over !8 hours to many years(

Rationa%e 2" #he nurse may care for acutely ill clients at an acute care hospital(

Rationa%e " #he client in the outpatient setting is cared for by nurses for !8 hours or less(

Rationa%e !" )urses who wor& in long term care will see patients who re;uire rehabilitation and restoration(

Rationa%e " Early detection and treatment is usually seen in outpatient settings(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 22

Type: MCMA

Community based <outpatient= facilities can provide which of the following services"


1. Adult day care

2. Client education

. +espite care

!. Coronary care services

. Custodial care


Rationa%e 1" Adult day care$ or elder care$ can be arranged for sociali/ing$ stimulation$ and eercise programs(





Rationa%e 2" Client education needs can be met in an outpatient facility as well as in the home(

Rationa%e " +espite care for caregivers provides temporary care in a daycare setting$ or is delivered in homes(

Rationa%e !" Acute coronary care services are provided in an inpatient acute care setting(

Rationa%e " Custodial care is generally provided in an inpatient longterm care facility(

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: )ursing Process" Planning

)earning -ut"ome:

Question 2

Type: MCMA

)urses who wor& at rehabilitation centers may see a variety of clients based on the facilitys specialty( Possible

client populations include"


1. 4ospice clients

2. Chemical addiction

. Psychiatric

!. Spinal cord inury

. Acute infection


Rationa%e 1" 4ospice clients are terminally ill and the goal of care is to maintain the ;uality of life until death(

Rationa%e 2" Alcohol and drug treatment centers help free clients of dependence and assist them in reentering the

community(

Rationa%e " Psychiatric rehabilitation centers assist clients in reaching maimum function and returning to the

community(

Rationa%e !" Spinal cord inury clients are often found at physical rehabilitation centers where they are assisted inregaining purpose$ function and dignity(





Rationa%e " Clients with an acute infection are generally treated in the community or in the acute care setting<hospital=(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2!

Type: MCSA

1.

2.

.

!.

.

Corre"t #ns$er:

Rationa%e 1"

Rationa%e 2"

Rationa%e "

Rationa%e !"

Rationa%e "

&%o'a% Rationa%e:

Cogniti(e )e(e%:

C%ient Need:C%ient Need *u':

Nursing+ntegrated Con"epts:

)earning -ut"ome:

Question 2

Type: MCMA





#he American 4ospital Association bill of rights states that clients have the right to"


1. ree health care

2. Considerate and respectful care

. Confidentiality of all records and communications regarding care

!. +ight to refuse care

. +ight to refuse to participate in research studies

Corre"t #ns$er: !$5$8$7

Rationa%e 1" #he A4A bill does not state that the client is entitled to free healthcare(

Rationa%e 2" #he client has the right to considerate and respectful care(

Rationa%e " #he client has the right by the A4A bill and 4*PAA to have all communications &ept confidential

ecept when necessary for care or payment(

Rationa%e !" #he client has the right to refuse care or procedures(

Rationa%e " #he client has the right to refuse to participate in health care research(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2/

Type: MCSA

1.

2.

.

!.

.





Corre"t #ns$er:

Rationa%e 1"

Rationa%e 2"

Rationa%e "

Rationa%e !"

Rationa%e "

&%o'a% Rationa%e:

Cogniti(e )e(e%:

C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question 27

Type: MCSA

#he healthcare team consists of personnel whose goal is to

1. Wor& well together

2. Deep healthcare costs down

. +estore clients health and promote wellness

!. Ma&e sure the client does what each provider prescribes

.

Corre"t #ns$er: 5

Rationa%e 1" While this is epected$ it is not the final goal of the team(

Rationa%e 2" While this is helpful it is not the final goal of the team(

Rationa%e " #he mutual goal of team members is to restore clients health and promote wellness (

Rationa%e !"

Rationa%e "





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 20

Type: MCMA

#he nurse identifies the role of the case manager as being"


1. #o ensure cost effective appropriate care

2. Always filled by a social wor&er

. >ften filled by a family member

!. Considered an alternative care provider

. illed by the team member who is most involved in clients care

Corre"t #ns$er: .$7

Rationa%e 1" Ensuring fiscally sound healthcare in the best setting is the role of the case manager(

Rationa%e 2" #he role of the case manager can be filled by a nurse$ social wor&er$ >#$ P#(

Rationa%e " #he role of the case manager is filled by a member of the healthcare team(

Rationa%e !" #he role of case manager is not an that of an alternative care provider(

Rationa%e " #he team member most involved with the clients care will be able to understand care needs most

completely(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2





Type: MCSA

)urses wor& with many types of healthcare providers$ including which of the following alternative care

providers?

1. Massage therapist

2. Chaplain

. 6entist

!. ,nlicensed assistive personnel

.

Corre"t #ns$er: .

Rationa%e 1" #he massage therapist is often seen as an alternative provider$ whose services can be used in

conunction with traditional providers(

Rationa%e 2" #he chaplain or other spiritual support person is often seen as the member of the healthcare teamwho attends to the spiritual needs of the client(

Rationa%e " 6ental care is a traditional role$ and involves preventive measures to maintain healthy oral

structures(

Rationa%e !" ,AP are healthcare staff who assume aspects of client care$ such as feeding$ and bathing$ that do nore;uire nursing udgment(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question Type: MCSA

)urses who are graduating in the net few years will find which of the following populations among to be the

maority of the adult population they will be caring for?

1. #he frail elderly





2. Adults over 7 years of age

. 4omeless populations

!. #he wor&ing poor

.

Corre"t #ns$er: !

Rationa%e 1" #he frail elderly$ those over age F7$ will constitute G( million people by !-5-(

Rationa%e 2" #he number of adults over age 7 will be nearly 7 million by !-!-(

Rationa%e " #he homeless population will not be the largest client population cared for(

Rationa%e !" #he wor&ing poor will not be the largest population cared for(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1Type: MCMA

A homeless client is being admitted to the acute medical2surgical unit in a hospital( #he nurse predicts which of

the following as health ris&s for this client?


1. *mproper nutrition

2. 0ac& of social support

. Sleep needs usually met

!. *ncreased susceptibility to infection

. Poor personal hygiene

Corre"t #ns$er: .$!$8$7





Rationa%e 1" 4omeless clients often have a deficiency in one or more nutrients(

Rationa%e 2" Many homeless clients are disaffiliated from family and friends(

Rationa%e " 4omeless individuals often have inade;uate sleep and rest due to lac& of housing(

Rationa%e !" 4omeless clients poor physical environments often result in increased susceptibility to infections(

Rationa%e " 4omeless clients often have poor access to facilities for personal hygiene(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCMA

#he nurse practicing in a gynecologists office will deal which of the following womens health issues?


1. Seually transmitted infections

2. Abuse

. *ssues on aging

!. *mmuni/ations

. 0ac& of insurance for preventive care


Rationa%e 1" #reatment of S#*s is an area of treatment focus in womens health(

Rationa%e 2" 6omestic abuse is a healthcare concern that is a research and treatment focus in womens health(

Rationa%e " With the growing number of adults over 7$ issues on aging will become more important in womenhealth(

Rationa%e !" *mmuni/ations are not a specifically female health issue(





Rationa%e " With the passing of the Affordable Care Act$ preventive care services are eempt from co2paymentsand deductibles(

&%o'a% Rationa%e:

Cogniti(e )e(e%:

C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA

Which of the following factors can affect client access to healthcare negatively?


1. @eography

2. 4omelessness

. 4aving insurance

!. 0iving in the )ew England states

. 0ow income


Rationa%e 1" +ural communities may not have a hospital$ or physician within .-- miles(

Rationa%e 2" 4omeless individuals often have minimal access to healthcare due to lac& of insurance$ and access t

facilities(

Rationa%e " 4aving insurance usually increases access to healthcare(

Rationa%e !" #he )ew England states have more physicians and nurses per capita than the south(

Rationa%e " 0ow income is associated with less access to healthcare$ even with some government assistance(

&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome:

Question !

Type: MCMA

Managed care systems are characteri/ed by"


1. Cost containment

2. Patient driven access

. 4ealth promotion

!. Preventive care

. Customer satisfaction

Corre"t #ns$er: .$5$8$7

Rationa%e 1" Managed care systems strive to provide cost2effective care(

Rationa%e 2" Care of a client is managed by providers and the agency(

Rationa%e " 4ealth promotion is an area that managed care systems focus on(

Rationa%e !" Preventive care services are emphasi/ed by managed care systemsH preventing illness costs less than

treating illness(

Rationa%e " Customer satisfaction and improved outcomes for groups of clients are goals of managed care

systems(

&%o'a% Rationa%e:

Cogniti(e )e(e%: +emembering


C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA

#he case manager may use clinical pathways for

1. Care of a client





2. Client teaching

. Client satisfaction

!. Planning care and anticipating problems

.

Corre"t #ns$er: 8

Rationa%e 1" Clinical pathways provide an epected path of client needs$ but are not used in this manner by the

case manager(

Rationa%e 2" Case managers generally do not provide client teaching(

Rationa%e " Case managers do not use clinical pathways to assess client satisfaction(

Rationa%e !" #he case manager may use clinical pathways for planning care and anticipating potential problems

in the progression of a clients recovery(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question /

Type: MCSA

acilities are using which model of care less and less?

1. Client focused care

2. unctional method

. #eam nursing

!. Primary nursing

.

Corre"t #ns$er: 8





Rationa%e 1" Cross2training of employees is integral to the managed care system(

Rationa%e 2" #he functional approach to nursing is economical and efficient(

Rationa%e " #eam nursing is eperiencing a resurgence with the advent of managed care(

Rationa%e !" With todays nursing shortage and the high cost of health care$ this model of nursing care is being

replaced(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 7

Type: MCSA

Which of the following models of care focuses on the +) as primary caregiver?

1. Case method

2. Client focused care

. #eam nursing

!. unctional method

.

Corre"t #ns$er: .

Rationa%e 1" #he case method assigns one nurse for the comprehensive care of a group of clients(

Rationa%e 2" #he client focused model cross2trains individuals to provide many elements of care(

Rationa%e " #eam nursing is the delivery of individuali/ed nursing care to clients by a nursing team of +)s$0P)s301)s and nurses aides(

Rationa%e !" #he functional method is a tas& oriented approach to care where care is assigned by the head nurse

to personnel with less preparation than a professional nurse(

Rationa%e "





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 0

Type: MCMA

)urses in an 4M> setting focus on which aspects of care?


1. 4ealth promotion

2. *llness prevention

. 6isabilities

!. @eriatrics

. 6+@s

Corre"t #ns$er: .$!

Rationa%e 1" #he better the health of the person$ the fewer services used$ the greater the profit for the agency(

Rationa%e 2" #he health maintenance organi/ation strives to prevent illness to maimi/e the agencys profit(

Rationa%e " #he focus for nurses in the 4M> is not on disabilities(

Rationa%e !" )urses focus in the 4M> setting is not on geriatrics specifically(

Rationa%e " 6+@s are a component of the prospective payment system passed by the ,(S( Congress in .GF5(

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: Safe Effective Care Environment

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA





Which of the following payment sources has no element of government payment?

1. Medicare

2. Medicaid

. Supplemental Security *ncome

!. @roup plans

.

Corre"t #ns$er: 8

Rationa%e 1" Medicare is a national and state health insurance program(

Rationa%e 2" Medicaid is a federal public assistance program(

Rationa%e " People who are blind may be eligible for special payment through federal payments(

Rationa%e !" #he group plan is paid for by the client and or the employer(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

#hird party reimbursement refers to payment by"


1. A health insurance plan

2. #he client

. Medicare

!. Medicaid





. %lue Shield


Rationa%e 1" #hird party reimbursement is payment for services rendered to a person by an entity other than the

one who received the service(

Rationa%e 2" #he client does not pay for services when there is third party reimbursement(

Rationa%e " Medicare is a third2party reimbursement entity(

Rationa%e !" Medicaid is a federal third2party reimbursement entity(

Rationa%e " %lue Shield is a private third party reimbursement entity(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !1

Type: MCSA

#he nursing is reviewing prenatal care guidelines with a group of pregnant teenagers( #his is an eample of"

1. Primary care

2. Secondary care

. #ertiary care

!. *npatient care

.

Corre"t #ns$er: .

Rationa%e 1" Primary care includes preventive care and health education(

Rationa%e 2" Secondary care includes emergency and acute care(

Rationa%e " #ertiary care includes long2term care(

Rationa%e !" #he information does not support an answer of in2patient careH there is no mention of setting(





Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !2

Type: MCSA

#he employment setting in which the nurse is most li&ely to provide custodial care is"

1. 4ospital

2. Etended2care facility

. 4ospice

!. Crisis center

.

Corre"t #ns$er: !

Rationa%e 1" #he hospital provides restorative care(

Rationa%e 2" Custodial care is usually provided in an etended care facility(

Rationa%e " 4ospice serves clients who are terminally ill(

Rationa%e !" Crisis centers provide direct counseling(

Rationa%e "

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstandingC%ient Need: Safe Effective Care Environment

C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCSA





#he nurse who provides in home education and care is most li&ely wor&ing in which setting?

1. 4ospice

2. Assisted living center

. Ambulatory care center

!. 4ome healthcare agency

.

Corre"t #ns$er: 8

Rationa%e 1" 4ospce services include maintaining the ;uality of life until death(

Rationa%e 2" Services in the assisted living center include meals$ laundry$ and nursing care(

Rationa%e " Services at the ambulatory care center generally include diagnostic and treatment facilities(

Rationa%e !" 4ome healthcare agencies generally provide in home education and care(

Rationa%e "

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !!

Type: MCSA

#he nurse is describing the services provided by unlicensed assistive personnel as including"

1. 6eveloping and coordinating care

2. #reatment of uncomplicated illness

. Aspects of client care that do not re;uire nursing udgment

!. Monitoring effects of medication on clients

.





Corre"t #ns$er: 5

Rationa%e 1" 6eveloping and coordinating care$ and assessing client health status are functions of the nurse(

Rationa%e 2" Screening$ diagnosis and treatment of uncomplicated illness and inury are functions of a nurse

practitioner(

Rationa%e " ,nlicensed assistive personnel are responsible for aspects of client care that do not re;uire nursing udgment(

Rationa%e !" Pharmacists are responsible for monitoring and evaluating the actions and effects of medications onclients(

Rationa%e "

&%o'a% Rationa%e:


C%ient Need: Safe Effective Care EnvironmentC%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

Primary healthcare services include which of the following"


1. Eercise2promotion programs

2. Stress reduction

. 4*1 testing

!. Mammograms

. *mmuni/ations


Rationa%e 1" 4ealth promotion and illness prevention are the focus of primary healthcare settings(

Rationa%e 2" Stress reduction is a form of health promotion and illness prevention(

Rationa%e " 4*1 testing is part of secondary healthcare services$ and is part of diagnosis and treatment(





Rationa%e !" Mammograms are a function of disease diagnosis$ and therefore categori/ed as secondary healthcarservices(

Rationa%e " *mmuni/ations are a form of illness prevention(

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstandingC%ient Need: 4ealth Promotion and Maintenance

C%ient Need *u':


)earning -ut"ome:

Question !/

Type: MCSA

)urses in tertiary healthcare settings emphasi/e"

1. #he important role clients play in maintaining their own health(

2. 6iagnosis and treatment of illness(

. #he importance of assisting clients to regain previous capabilities(

!. Wal&2in screening services(

Corre"t #ns$er: 5





Rationa%e " #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum and


Rationa%e !" #he tertiary healthcare setting emphasi/es the restoration of ill or inured people to optimum and


&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question !7

Type: MCMA

#he outpatient healthcare setting cares for which type of client?


1. Seriously ill

2. #hose re;uiring routine health screening

. >ne who re;uires laboratory or radiologic services

!. Elder re;uiring supervision

. #hose re;uiring restorative care


Rationa%e 1" #he seriously ill client is generally cared for at an inpatient setting(

Rationa%e 2" +outine health screening is a function of the outpatient setting$ such as a physicians office(

Rationa%e " #he client who re;uires laboratory or radiologic services can obtain these services on an outpatient

basis in a freestanding clinic or ambulatory care center(

Rationa%e !" #he elder re;uiring supervision during the day can access an adult daycare setting(

Rationa%e " +estorative care is generally provided at an inpatient setting(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !0

Type: MCSA

#he home health setting allows the nurse to"

1. unction independently(

2. Set his own schedule and priorities(

. eel free to ;uestion advice(





!. 4ave more responsibility for care of the client(

Corre"t #ns$er: .

Rationa%e 1" #he home health setting allows the nurse to function more independently(

Rationa%e 2" #he family set their own schedule and priorities(

Rationa%e " #he family may feel free to ;uestion advice(

Rationa%e !" #he family will have more responsibility for care of client(

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

)urses who wor& in an inpatient setting might care for clients"


1. or a long period of time(

2. Who are acutely ill(

. or less than !8 hours(

!. Who need rehabilitation(

. Who re;uire early detection(


Rationa%e 1" #he nurse who wor&s in an inpatient setting might care for clients from over !8 hours to many years

Rationa%e 2" #he nurse might care for acutely ill clients at an acute care hospital(

Rationa%e " #he client in the outpatient setting is cared for by nurses for !8 hours or less(

Rationa%e !" )urses who wor& in long2term care will see patients who re;uire rehabilitation and restoration(

Rationa%e " Early detection and treatment are usually seen in outpatient settings(





&%o'a% Rationa%e:



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Question

Type: MCMA

Community2based <outpatient= facilities can provide which of the following services?


1. Adult day care

2. Client education

. +espite care

!. Coronary care services

. Custodial care


Rationa%e 1" Adult day care$ or elder care$ can be arranged for sociali/ing$ stimulation$ and eercise programs(

Rationa%e 2" Client education needs can be met in an outpatient facility as well as in the home(

Rationa%e " +espite care for caregivers provides temporary care in a daycare setting$ or is delivered in homes(

Rationa%e !" Acute coronary care services are provided in an inpatient acute care setting(

Rationa%e " Custodial care is generally provided in an inpatient long2term care facility(

&%o'a% Rationa%e:


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Question 1

Type: MCMA





)urses who wor& at rehabilitation centers might see a variety of clients based on the facilitys specialty( Possibleclient populations include"


1. 4ospice clients(

2. Clients with chemical addiction(

. Psychiatric clients(

!. Clients with spinal cord inury(

. Clients with acute infection(


Rationa%e 1" 4ospice clients are terminally ill$ and the goal of care is to maintain the ;uality of life until death(

Rationa%e 2" Alcohol and drug treatment centers help free clients of dependence and assist them in re2entering th

community(

Rationa%e " Psychiatric rehabilitation centers assist clients in reaching maimum function and returning to thecommunity(

Rationa%e !" Spinal cord inury clients are often found at physical rehabilitation centers$ where they are assisted i

regaining purpose$ function$ and dignity(

Rationa%e " Clients with an acute infection are generally treated in the community or in the acute care setting

<hospital=(

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Question 2

Type: MCMA

#he American 4ospital Association bill of rights states that clients have the right to"


1. ree health care(





2. Considerate and respectful care(

. Confidentiality of all records and communications regarding care(

!. +efuse care(

. +efuse to participate in research studies(

Corre"t #ns$er: !$5$8$7

Rationa%e 1" #he A4A bill does not state that the client is entitled to free health care(

Rationa%e 2" #he client has the right to considerate and respectful care(

Rationa%e " #he client has the right by the A4A bill and 4*PAA to have all communications &ept confidentialecept when necessary for care or payment(

Rationa%e !" #he client has the right to refuse care or procedures(

Rationa%e " #he client has the right to refuse to participate in healthcare research(

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Question

Type: MCSA

#he healthcare team consists of personnel whose goal is to"

1. Wor& well together(

2. Deep healthcare costs down(

. +estore clients health and promote wellness(

!. Ma&e sure the client does what each provider prescribes(

Corre"t #ns$er: 5

Rationa%e 1" While this is epected$ it is not the final goal of the team(

Rationa%e 2" While this is helpful$ it is not the final goal of the team(





Rationa%e " #he mutual goal of team members is to restore clients health and promote wellness(

Rationa%e !" While this is epected$ it is not the final goal of the team(

&%o'a% Rationa%e:




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Question !

Type: MCMA

#he nurse identifies the role of the case manager as being"


1. #o ensure cost2effective$ appropriate care(

2. Always filled by a social wor&er(

. >ften filled by a family member(

!. An alternative care provider(

. illed by the team member who is most involved in clients care(

Corre"t #ns$er: .$7

Rationa%e 1" Ensuring fiscally sound health care in the best setting is the role of the case manager(

Rationa%e 2" #he role of the case manager can be filled by a nurse$ social wor&er$ >#$ or P#(

Rationa%e " #he role of the case manager is filled by a member of the healthcare team(

Rationa%e !" #he role of case manager is not that of an alternative care provider(

Rationa%e " #he team member most involved with the clients care will be able to understand care needs most

completely(

&%o'a% Rationa%e:



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Question

Type: MCSA

)urses wor& with many types of healthcare providers$ including which of the following alternative care

providers?

1. Massage therapist

2. Chaplain

. 6entist

!. ,nlicensed assistive personnel

Corre"t #ns$er: .

Rationa%e 1" #he massage therapist is often seen as an alternative provider$ whose services can be used in

conunction with traditional providers(

Rationa%e 2" #he chaplain or other spiritual support person is often seen as the member of the healthcare team

who attends to the spiritual needs of the client(

Rationa%e " 6ental care is a traditional role$ and involves preventive measures to maintain healthy oral

structures(

Rationa%e !" ,AP are healthcare staff who assume aspects of client care$ such as feeding$ and bathing$ that do nore;uire nursing udgment(

&%o'a% Rationa%e:



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Question /

Type: MCSA

)urses who are graduating in the net few years will find which of the following populations among to be themaority of the adult population they will be caring for?

1. #he frail elderly

2. Adults over 7 years of age

. 4omeless populations





!. #he wor&ing poor

Corre"t #ns$er: !

Rationa%e 1" #he frail elderly$ those over age F7$ will number G( million people by !-5-(

Rationa%e 2" #he number of adults over age 7 will be nearly 7 million by !-!-(

Rationa%e " #he homeless population will not be the largest client population cared for(

Rationa%e !" #he wor&ing poor will not be the largest population cared for(

&%o'a% Rationa%e:



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Question 7

Type: MCMA

A homeless client is being admitted to the acute medicalIsurgical unit in a hospital( #he nurse predicts which of

the following as health ris&s for this client?


1. *mproper nutrition

2. 0ac& of social support

. Sleep needs usually met

!. *ncreased susceptibility to infection

. Poor personal hygiene

Corre"t #ns$er: .$!$8$7

Rationa%e 1" 4omeless clients often have a deficiency in one or more nutrients(

Rationa%e 2" Many homeless clients are disaffiliated from family and friends(

Rationa%e " 4omeless individuals often have inade;uate sleep and rest due to lac& of housing(

Rationa%e !" 4omeless clients poor physical environments often result in increased susceptibility to infections(





Rationa%e " 4omeless clients often have poor access to facilities for personal hygiene(

&%o'a% Rationa%e:



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Question 0

Type: MCMA

#he nurse practicing in a gynecologists office will deal which of the following womens health issues?


1. Seually transmitted infections

2. Abuse

. *ssues related to aging

!. *mmuni/ations

. 0ac& of insurance for preventive care


Rationa%e 1" #reatment of S#*s is an area of treatment focus in womens health(

Rationa%e 2" 6omestic abuse is a healthcare concern that is a research and treatment focus in womens health(

Rationa%e " With the growing number of adults over 7$ issues on aging will become more important in womenhealth(

Rationa%e !" *mmuni/ations are not a specifically female health issue(

Rationa%e " With the passing of the Affordable Care Act$ preventive care services are eempt from co2payments

and deductibles(

&%o'a% Rationa%e:



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Question

Type: MCMA

Which of the following factors can affect client access to health care negatively?


1. @eography

2. 4omelessness

. 4aving insurance

!. 0iving in the )ew England states

. 0ow income


Rationa%e 1" +ural communities might not have a hospital$ or a physician within .-- miles(

Rationa%e 2" 4omeless individuals often have minimal access to health care due to lac& of insurance and access t

facilities(

Rationa%e " 4aving insurance usually increases access to health care(

Rationa%e !" #he )ew England states have more physicians and nurses per capita than does the South(

Rationa%e " 0ow income is associated with less access to health care$ even with some government assistance(

&%o'a% Rationa%e:



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Question /

Type: MCMAManaged care systems are characteri/ed by"


1. Cost containment(

2. Patient2driven access(





. 4ealth promotion(

!. Preventive care(

. Customer satisfaction(


Rationa%e 1" Managed care systems strive to provide cost2effective care(

Rationa%e 2" Care of a client is managed by providers and the agency(

Rationa%e " 4ealth promotion is an area on which managed care systems focus(

Rationa%e !" Preventive care services are emphasi/ed by managed care systemsH preventing illness costs less thandoes treating illness(

Rationa%e " Customer satisfaction and improved outcomes for groups of clients are goals of managed care

systems(

&%o'a% Rationa%e:

Cogniti(e )e(e%: +emembering


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Question /1Type: MCSA

#he case manager may use clinical pathways for"

1. Care of a client(

2. Client teaching(

. Client satisfaction(

!. Planning care and anticipating problems(

Corre"t #ns$er: 8

Rationa%e 1" Clinical pathways provide an epected path of client needs$ but are not used in this manner by thecase manager(

Rationa%e 2" Case managers generally do not provide client teaching(





Rationa%e " Case managers do not use clinical pathways to assess client satisfaction(

Rationa%e !" #he case manager may use clinical pathways for planning care and anticipating potential problems

in the progression of a clients recovery(

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: Safe Effective Care Environment

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Question /2

Type: MCSA

acilities are using which model of care less and less?

1. Client2focused care

2. unctional method

. #eam nursing

!. Primary nursing

Corre"t #ns$er: 8

Rationa%e 1" Cross2training of employees is integral to the managed care system(

Rationa%e 2" #he functional approach to nursing is economical and efficient(

Rationa%e " #eam nursing is eperiencing a resurgence with the advent of managed care(

Rationa%e !" With todays nursing shortage and the high cost of health care$ this model of nursing care is being

replaced(

&%o'a% Rationa%e:




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Question /

Type: MCSA

Which of the following models of care focuses on the +) as primary caregiver?





1. Case method

2. Client2focused care

. #eam nursing

!. unctional method

Corre"t #ns$er: .

Rationa%e 1" #he case method assigns one nurse the comprehensive care of a group of clients(

Rationa%e 2" #he client2focused model cross2trains individuals to provide many elements of care(

Rationa%e " #eam nursing is the delivery of individuali/ed nursing care to clients by a nursing team of +)s$0P)s301)s$ and nurses aides(

Rationa%e !" #he functional method is a tas&2oriented approach to care where care is assigned by the head nurse

to personnel with less preparation than a professional nurse would have(

&%o'a% Rationa%e:



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Question /!Type: MCMA

)urses in an 4M> setting focus on which aspects of care?


1. 4ealth promotion

2. *llness prevention

. 6isabilities

!. @eriatrics

. 6+@s

Corre"t #ns$er: .$!

Rationa%e 1" #he better the health of the person$ the fewer services used$ and the greater the profit for the agency





Rationa%e 2" #he health maintenance organi/ation strives to prevent illness to maimi/e the agencys profit(

Rationa%e " #he focus for nurses in the 4M> is not on disabilities(

Rationa%e !" )urses focus in the 4M> setting is not on geriatrics specifically(

Rationa%e " 6+@s are a component of the prospective payment system passed by the ,(S( Congress in .GF5(

&%o'a% Rationa%e:



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Question /

Type: MCSAWhich of the following payment sources has no element of government payment?

1. Medicare

2. Medicaid

. Supplemental Security *ncome

!. @roup plans

Corre"t #ns$er: 8

Rationa%e 1" Medicare is a national and state health insurance program(

Rationa%e 2" Medicaid is a federal public assistance program(

Rationa%e " People who are blind might be eligible for special payment through federal payments(

Rationa%e !" #he group plan is paid for by the client and or the employer(

&%o'a% Rationa%e:



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Question //





Type: MCMA

#hird2party reimbursement refers to payment by"


1. A health insurance plan(

2. #he client(

. Medicare(

!. Medicaid(

. %lue Shield(


Rationa%e 1" #hird2party reimbursement is payment for services rendered to a person by an entity other than the

one who received the service(

Rationa%e 2" #he client does not pay for services when there is third2party reimbursement(

Rationa%e " Medicare is a third2party reimbursement entity(

Rationa%e !" Medicaid is a federal third2party reimbursement entity(

Rationa%e " %lue Shield is a private third2party reimbursement entity(

&%o'a% Rationa%e:



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Question /7

Type: MCSA

#he nursing is reviewing prenatal care guidelines with a group of pregnant teenagers( #his is an eample of"

1. Primary care(

2. Secondary care(

. #ertiary care(

!. *npatient care(





Corre"t #ns$er: .

Rationa%e 1" Primary care includes preventive care and health education(

Rationa%e 2" Secondary care includes emergency and acute care(

Rationa%e " #ertiary care includes long2term care(

Rationa%e !" #he information does not support an answer of inpatient careH there is no mention of setting(

&%o'a% Rationa%e:



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Question /0

Type: MCSA

#he employment setting in which the nurse is most li&ely to provide custodial care is the"

1. 4ospital(

2. Etended2care facility(

. 4ospice(

!. Crisis center(

Corre"t #ns$er: !

Rationa%e 1" #he hospital provides restorative care(

Rationa%e 2" Custodial care is usually provided in an etended care facility(

Rationa%e " 4ospice serves clients who are terminally ill(

Rationa%e !" Crisis centers provide direct counseling(

&%o'a% Rationa%e:



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Question /

Type: MCSA

#he nurse who provides in2home education and care is most li&ely wor&ing in which setting?

1. 4ospice

2. Assisted living center

. Ambulatory care center

!. 4ome healthcare agency

Corre"t #ns$er: 8

Rationa%e 1" 4ospice services include maintaining the ;uality of life until death(

Rationa%e 2" Services in the assisted living center include meals$ laundry$ and nursing care(

Rationa%e " Services at the ambulatory care center generally include diagnostic and treatment facilities(

Rationa%e !" 4ome healthcare agencies generally provide in2home education and care(

&%o'a% Rationa%e:



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Question 7

Type: MCSA

#he nurse describes the services provided by unlicensed assistive personnel as including"

1. 6eveloping and coordinating care(

2. #reatment of uncomplicated illness(

. Aspects of client care that do not re;uire nursing udgment(

!. Monitoring effects of medication on clients(

Corre"t #ns$er: 5

Rationa%e 1" 6eveloping and coordinating care and assessing client health status are functions of the nurse(





Rationa%e 2" Screening$ diagnosis$ and treatment of uncomplicated illness and inury are functions of a nurse practitioner(

Rationa%e " ,nlicensed assistive personnel are responsible for aspects of client care that do not re;uire nursing

udgment(

Rationa%e !" Pharmacists are responsible for monitoring and evaluating the actions and effects of medications on

clients(

&%o'a% Rationa%e:



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Ramont2e Rev TIF Ch07

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Transcript of Ramont2e Rev TIF Ch07