(Test Bank) Nur Misc Foundations-Midterm

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Nursing

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Test Bank for Nur Misc Foundations-Midterm, The downloadable file consists of 306 pages, and the total size of the file is 0.64 MB. Purchase now only for highly discounted price.

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Chapter 02: The Health Care Delivery System 1. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient? a.Capitation provides the hospital with a means of recovering variable charges. b.The hospital will be paid for the full cost of the patient’s hospitalization. c.Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. d.Medicare will pay the national average for the patient’s condition. ANS: C 2. A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session? a.Managed care insures full coverage of health care costs. b.Managed care only assumes the financial risk involved. c.Managed care allows providers to focus on illness care. d.Managed care causes providers to focus on prevention. ANS: D 3. A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?a.A family can choose whether to have health insurance with no consequences. b.Primary care physician payments from Medicaid services can equal Medicare. c.Adult children up to age 26 are allowed coverage on the parent’s plan. d.Private insurance companies can deny coverage for any reason. ANS: C 4. A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning? a.When the patient is ready b.Close to the time of discharge c.Upon admission to the hospital d.After an order is written/prescribed ANS: C 5. The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work? a.Secondary acute b.Continuingc.Restorative d.Tertiary ANS: C 6. A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing? a.Primary care b.Preventive care c.Restorative care d.Continuing care ANS: B 7. A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”? a. Act b. Alter c. Assess d. ApproachANS: A 8. The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize? a.Pew Health Professions Commission b.Healthcare Effectiveness Data and Information Set (HEDIS) c.American Nurses Credentialing Center (ANCC) Magnet Recognition Program d.Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) ANS: B 9. An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient? a.Hospice b.Respite care c.Assisted living d.Skilled nursing ANS: D 10. A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing? a.Continuing careb.Restorative care c.Preventive care d.Tertiary care ANS: D 11. A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session? a.Increased spread of communicable diseases b.Increased homogeneous mix of nursing staff c.Decreased poverty and increased “health tourism” d.Decreased urbanization as populations shift to the suburbs ANS: A 12. A nurse is using research findings to improve clinical practice. Which technique is the nurse using? a.Performance improvement b.Integrated delivery networksc.Nursing-sensitive outcomes d.Utilization review committees ANS: A 13. Which finding indicates the best quality improvement process? a.Staff identifies the wait time in the emergency department is too long. b.Administration identifies the design of the facility’s lobby increases patient stress. c.Director of the hospital identifies the payment schedule does not pay enough for overtime. d.Health care providers identify the inconsistencies of some of the facility’s policy and procedures. ANS: A 14. A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective? a. Screening b. Education c. Dependence d. CounselingANS: B 15. A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’sbest response? a.“Technology use has to be combined with nursing judgment.” b.“The focus of effective nursing care is technology.” c.“If it’s so easy, why don’t you do it?” d.“That is true in the 20th century.” ANS: A 16. A nurse is completing a minimum data set. Which area is the nurse working? a.Nursing center b.Psychiatric facility c.Rehabilitation center d.Adult day care center ANS: A MULTIPLE RESPONSE 1. Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? ( Select all that apply. )a.Professional standards review organizations b.Prospective payment systems c.Diagnosis-related groups d.Third-party payers e.“Never events” ANS: A, B, C 2. A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? ( Select all that apply. ) a.Use informatics. b.Use transparency. c.Apply globalization. d.Apply quality improvement. e.Use evidence-based practice. ANS: A, D, E 3. A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply. )a.Patient satisfaction level b.Hospital readmission rates c.Nursing hours per patient day d.Patient falls/falls with injuries e.Value stream analysis for quality ANS: B, C, D 4. A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? ( Select all that apply. ) a.Empirical quality results b.Structural empowerment c.Transformational leadership d.Exemplary professional practice e.Willingness to recommend the agency ANS: A, B, C, D MATCHINGA nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session. a.Insurance for low-income families b.Federal insurance for people aged 65 and older c.Health maintenance focus to specific group of voluntarily enrolled people d.Services at a discount for companies under contract 1. Preferred provider organization 2. Managed care organization 3. Medicaid 4. Medicare 1.ANSDIF:Understand (comprehension)REF:15-16 OBJ: Compare the various methods for financing health care. TOP: Teaching/Learning MSC:Management of Care 2.ANS:CDIF:Understand (comprehension)REF:15-16 OBJ: Compare the various methods for financing health care. TOP: Teaching/Learning MSC:Management of Care 3.ANS:ADIF:Understand (comprehension)REF:15-16 OBJ: Compare the various methods for financing health care. TOP: Teaching/Learning MSC:Management of Care 4.ANS:BDIF:Understand (comprehension)REF:15-16 OBJ: Compare the various methods for financing health care. TOP: Teaching/LearningMSC:Management of CareFree Chapter 03: Community-Based Nursing Practice 1. A nurse is working as a public health nurse. What will be the nurse’s primary focus? a.The individual as one member of a group b.Individuals and families c.Needs of a population d.Health promotion ANS: C 2. A nurse wants to become a specialist in public health nursing. Which educational requirement will the nurse have to obtain? a.A baccalaureate degree in nursing b.Preparation at the basic entry level c.The same level of education as the community health nurse d.A graduate level education with a focus in public health science ANS: D 3. A nurse is working as a community health nurse. Which action is a priority for this nurse?a.Provide direct care to subpopulations. b.Focus on the needs of the ill individual. c.Provide first level of contact to health care systems. d.Focus on providing care in various community settings. ANS: A 4. A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing? a.Public health b.Community health c.Community-based d.Community assessment ANS: C 5. The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse’s action? a.To prevent individual illness b.To prevent community outbreak of illnessc.To prevent outbreak of illness in the family d.To prevent needs of the local population groups ANS: B 6. A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care? a.It occurs in hospitals. b.Its focus is on ill individuals. c.Its priority is health promotion. d.It provides services primarily to the poor. ANS: C 7. A nurse is using the Healthy People 2020 to establish goals for the community. Which goal ispriority? a.Reduce health care costs. b.Increase life expectancy. c.Provide services close to where patients live. d.Isolate patients to prevent the spread of disease.ANS: B 8. A nurse is working in community-based nursing. Which competency is priority for this nurse? a. Caregiver b. Collaborator c. Change agent d. Case manager ANS: A 9. A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use? a.Educator b.Caregiver c.Case manager d.Epidemiologist