(Test Bank) Fundamentals Of Nursing

Potter, 19

Nursing

Test Bank

19th Edition

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Test Bank for Fundamentals Of Nursing, The downloadable file consists of 925 pages, and the total size of the file is 15.38 MB. Purchase now only for highly discounted price.

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lOMoAR cPSD|6198409 Fundamentals of Nursing 10th Edition Potter Perry Test Bank Fundamentals of Nursing (Miami Dade College) StuDocu is not sponsored or endorsed by any college or university Downloaded by Oge Ada (ogeada@yahoo.com) lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 1 Psychological needs 2 A maximal level of wellness 3 Health maintenance and restoration 4 I nterpersonal interactions with the client Fundamentals of Nursing 10th Edition Potter Perry Test Bank Chapter 1. Nursing Today MULTIPLE CHOICE 1. Contemporary nursing practice is based on knowle dge generated through nursing theories. Florence Nightingales theory introduced the concept that nursing care focuses on: ANS: 3 Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order to remain free of disease or to recover from disease. Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it is not the focus of her theor y. The goal of Nightingales theory is to facilitate the bodys reparative processes by manipulating the clients environment. Florence Nightingale thought the human body had reparative properties of its own if it was cared for in a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness. Florence Nigh tingale believed the nurse was in cha rge of the clients health. Although she interacted with her clients by reading to them, her theory of nursing care did not focus upon interpersonal interactions. DIF: A REF: 2 OBJ: Knowledge TOP: Nursing Process: Assess ment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 2. Nursing education programs in the United States may seek voluntary accreditation by the appropriate accrediting commission council of the: 1 National League for Nur sing 2 American Nurses Association 3 Congress for Nursing Practice 4 I nternational Council of Nurses ANS: 1 The National League for Nursing (NLN) is the professional nursing o rganization concerned with nursing education. The NLN provides accredi tation to nursing programs that seek and meet the NLN accreditation requirements. The American Nurses Association (ANA) is concerned with the nursing profession and issues affecting health care, including standards of care. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) The Congress for Nursi ng Practice is the part of the ANA concerned with determining the legal aspects of nursing practice, the public recognition of the importance of nursing, and the impact of trends in health care on nursing practice. The International Counc il of Nurses (ICN) is concerned about issues of health care and the nursing profession, including the provision of an international power base for nurses. DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care En vironment/Coordinated Care 3. The minimum educational requirement for a nurse practitioner is: 1 Diploma in nursing 2 Masters in nursing 3 Doctorate in nursing 4 B accalaureate in nursing ANS: 2 A masters degree is nursing is required to become a nurse practitione r. Diploma programs in nursing require 3 years of education after which the graduate may become a registered nurse, but not a nurse practitione r. Doctoral programs focus on the application of research findings to clinical practice. The d octoral degree is beyond the masters degree. The baccalaureate degree program generally requires 4 years of study in a college or universit y, after which the graduate may become a registered nurse, not a nurs e practitione r. DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 4. A group that lobbies at the state and federal level for advancement of nursings role, economic interest, and health care is the: 1 State Bo ard of Nursing 2 American Nurses Association 3 American Hospital Association 4 N ational Student Nurses Association ANS: 2 The American Nurses Association (ANA) hires lobbyists at the state and federal level to promote the advancement of health c are and the economic and general welfare of nurses. State Boards of Nursing primarily focus on licensure of nurses within their own state. The American Hospital Association does not focus on nur ses economic issues and the advancement of the role of nurses. The National Student Nurses Association focuses on issues of importance for nursing students. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 5. A nurse moves from Seattle to Boston and begins working in a hospital. The most important factor for the nurse to consider when moving to another state is the: 1 Massachusetts Nurse Practice Act 2 Standard for nursing practice in Boston 3 Clinical ladder of mobility in the new hospital 4 ANS: 1 Requirement for continuing education units (CEU) in Massachusetts Although most states have similar practice acts, each individual state has its own Nurse Practice Act that regulates the lic ensure and practice of nursing within that state. Knowledge of the Nurse Practice Act is necessary to provide safe and legal nursing care. Standards of nursing practice are no t specific to a cit y, but rather to the profession itself. Although the clinical ladder of mobility may be of interest in regard to professional advancement, it is not the most important factor when practicing nursing in another state. Knowledge of the Nur se Practice Act in order to provide safe and legal nursing care is of higher impo rtance. Regardless of where a nurse practices, the nurse should strive to remain current. DIF: C REF: 8 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan des ignation: Safe, E ffective Care Environment/Coordinated Care 6. A nurse is caring for a client who has chronic renal failure. The nurse states, We will do everything possible to return you to the optimum level of self -care possible. In coordinating an appro ach to best meet the needs of this client, the nurse is fulfilling the role of: 1 Manager 2 Educator 3 Counselor 4 C ommunicator ANS: 1 The nurse, in caring for this client, will coordinate the activities of other members of the health care team. This client may require the assistance of a nursing assistant to provide persona l care until the client is less fatigued. A nutritionist may be necessary for diet evaluation, planning, and teaching. A nurse may provide education on the dialysis thera py and perform the skill necessary until the client is able to do so independentl y. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 1 Acute care 2 Home care 3 Long -term care 4 A mbulatory care The nurse may include patient teaching in the clients care, but more is required to meet the needs of this client. The nurse is not performing in the role of counselo r. Clear communication will be necessary for the client to understand self -care mea sures regarding dialysis. The role of communicator does not, howeve r, entirely meet the clients physical needs at this time. DIF: A REF: 10 OBJ: Comprehension TOP: Nursing Process: Planning MSC: NCLEX test plan designation: Safe, E ffective Care Environment /Coordinated Care 7. Nurses have the opportunity to work in a wide variety of health care agencies around the world. The practice setting where the majority of nurses continue to work is: ANS: 1 Most nurses provide direct client care in the hosp ital setting. Although opportunities for providing patient care in the clients home are increasing, the majority of nurses are not employed in this setting. The majority of nurses do not work in nursing homes or extended care settings. Significantly fewer nurses work in an ambulatory care setting. DIF: A REF: 10 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 8. A client is receiving Dilantin to prevent seizure activit y. To which allied health care professional should the nurse refer this client in order to minimize the challenges this condition creates? 1 Physical therapist 2 Physicians assistant 3 Respiratory therapist 4 O ccupational therapist ANS: 4 An occupatio nal therapist is a person who provides assessment and intervention to ameliorate physical and psychological deficits that interfere with the performance of activities and tasks of living, including ones employment. A physical therapist is responsible for t he patients musculoskeletal system. A physical therapist may use exercises as an intervention to improve a clients mobilit y. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) A respiratory therapist provides treatment to preserve or improve pulmonary function. A physicians assistant performs task s usually done by physicians and works under the direction of a supervising physician. DIF: C OBJ: Analysis TOP: Nursing Process: Planning MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 9. The Goldmark Report concluded that: 1 Nursing roles and responsibilities required clarification 2 A theory -based curriculum was necessary for accreditation 3 Nursing education programs must be a ffiliated with universities 4 Increased financial support should be provided f or nursing education ANS: 4 In 1923 the Goldmark Report identified the need for increased financial support to university - based schools of nursing. The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursing roles and responsibilities be clarified in relation to other health care professionals. In 1975 the National League for Nursing required theory -based curriculum for accreditation. The Brown Report of 1948 concluded that all nursing education programs should be a ffiliated with universities and should have their own budgets. DIF: A REF: 3 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 10. In 1893 Lillian Wald and Mary Brewster made sig nificant contributions to the nursing profession through their work involving the: 1 Henry Street Settlement in New York 2 First training school in Toronto, Canada 3 Training school at Johns Hopkins in Baltimore 4 D evelopment of the American Journ al of Nursing ANS: 1 In 1893 Lillian Wald and Mary Brewster opened the Henry Street Settlement, which was the first community health service for the poo r. The first nurses training school in Canada was founded in St. Catherines, Ontario, in 1874. In 1894 Isabel Hampton Robb was the first superintendent of the Johns Hopkins Training School in Baltimore, Maryland. Isabel Hampton Robb was one of the original found ers of the American Journal of Nursing . DIF: A REF: 3 OBJ: Comprehension lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 11. To obtain a certification in a specialty area, the nurse will have to complete: 1 A request for state approval 2 A graduate degree in nursing 3 An examination and the minimum practice requirements 4 A general examination given to all nurses seeking certification ANS: 3 Set minimum practice requirements are based on the certification the nurse is seeking. After passing the initial examinati on, the nurse maintains certification by ongoing continuing education and clinical or administrative practice. Individual states do not grant certification by request. Certification in a specialty area requires passing the examination for certification in that area and meeting minimum practice requirements. A masters degree in nursing is not required for certification in a specialty area. A specialized examination is given according to the specific area of nursing practice in which certification is being so ught. DIF: A REF: 9 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 12. In the ANA Standards of Professional Performance, which one of the following is a specific measureme nt criterion for The nurs es decisions and actions on behalf of clients are determined in an ethical manner? 1 Acts as client advocate 2 Participates in the collection of client data 3 Seeks experiences to maintain clinical skills 4 C onsults with a ppropriate health care providers ANS: 1 As a client advocate, the nurse protects the clients human and legal rights and provides assistance in asserting those rights if the need arises. Performing in the role of patient advocate fulfills a measurement cr iterion for the professional performance standard of ethics. Participating in data collection is a measurement criterion for the professional performance standard of quality of practice. The nurse who seeks experiences to maintain clinical skills is fulfil ling a measurement criterion for the professional performance standard of education. Consulting with health care providers is a measurement criterion for the professional performance standard of collaboration. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) DIF: A REF: 7 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 13. In looking at the nineteenth centur y, the growth of professional nursing was stimulated by: 1 The Civil War 2 Federal legislation 3 Flore nce Nightingale 4 T he womens su ffrage movement ANS: 1 The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend to the soldiers of the battlefield. Throughout histor y, nurses and their professional o rganiza tions have lobbied for health care legislation to meet the needs of clients. Howeve r, legislation was not responsible for the growth of nursing in the nineteenth centur y. Although Florence Nightingale had great impact on the practice of nursing, she was no t the cause for the growth of nursing in the United States during the nineteenth centur y. The womens movement has encouraged nurses to seek greater autonomy and responsibility in providing care, and has caused female c lients to seek more control of their h ealth and lives. The womens movement was not responsible for the growth of nursing in the nineteenth centur y. DIF: A REF: 3 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated C are 14. Which of the following educational activities is an example of in -service education? 1 A workshop given at a nursing convention on malpractice 2 A program on new cardiac medications p rovided at a local hospital 3 Credit courses in communicat ion o ffered at the community college 4 ANS: 2 Noncredit courses on nursing issues available through the internet An in -service education program is instruction or training provided by a health care agency or institution for its employees. A worksh op at a nursing convention is an example of a continuing education program. Credit courses at a college are examples of continuing education that could possibly by applied toward furthering ones degree. Noncredit courses o ffered via the internet are an ex ample of a continuing education program. lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 1 Decreased client acuity 2 Increased hospital stays 3 Decreased emphasis on health promotion 4 I ncreased incidence of chronic disease processes DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 15. Nurses need to be aware of current trends in the he alth care delivery system in order to respond in educational preparation and practice. A major trend that is influencing nursing practice today is: ANS: 4 In recent decades, there is a higher incidence of chronic, long -term illness. With shortene d hospital stays, client acuity has increased, not decreased. Hospital stays have decreased, not increased. Lengths of stay have shortened with a trend toward home care, and health promotion and illness prevention. With increased public awareness and risin g health care costs, greater emphasis has been placed on health promotion and illness prevention. DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 16. The nurse assists the client in a health promotion activity that also reduces the cost of health care delivery when: 1 Administering medication 2 Treating a diabetic foot ulcer 3 Obtaining an operative consent 4 D iscussing exercise and nutrition ANS : 4 The nurse may educate the client in such areas as exercise, nutrition, and healthy lifestyles to assist the client in health promotion and illness prevention. By administering medication, the nurse is assisting to restore a person to health or maintain ones health. A nurse who treats a foot ulcer is assisting a client to restore their health, rather than promoting healthy behaviors. Obtaining an operative consent pertains to legal aspects of care and is not considered a health promotion activit y. DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) MSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs 17. The nurse is best able to provide quality care that benefits both client and family by: 1 Incorporating cari ng into the practice 2 Making the client the center of the practice 3 Integrating the science and art of nursing into the practice 4 B eing knowledgeable of the institutions standards of practice ANS: 3 Nursing is an art and a science. As a profe ssional nurse you will learn to deliver care artfully with compassion, caring, and a respect for each clients dignity and personhood. As a science, nursing is based on a body of knowledge that is continuall y changing with new discoveries and innovations. When you integrate the science and art of nursing into your practice, the quality of care you provide to your clients is at a level of excellence that benefits clients and their families. Caring is one part of the art of nursing. While the client is the foc us of nursing practice, this focus is not the main contributor to quality care. Standards of care provide guidelines for the delivery of client care. Awareness of the standards does not guarantee quality care. DIF: C REF: 2 OBJ: Analysis TOP: Nursing Proce ss: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coordinated Care 18. Which of the following statements best reflects Nightingales nursing philosophy on health maintenance and restoration? 1 Did all the clients eat a g ood breakfast? 2 What is the client rating his pain level after his medication? 3 Have any clients developed a nosocomial infection last month? 4 Is anyone interested in volunteering to mentor our new graduates? ANS: 3 Florence Nightingale studi ed and implemented methods to improve battlefield sanitation, which ultimately reduced illness, infection, and mortality (Cohen, 1984). Today nurses are active in determining the best practi ces for skin care management, pain control, nutritional management , and care of older adults. Infection control and its impact on disease prevention was a major outcome of her contributions to nursing. Awareness of the connection between hospital -acquired infections (nosocomial) and nursing practice is the best example o f her nursing philosoph y. Nutritional management and its impact on client health, while important does not reflect the best option o ffered. lOMoAR cPSD|6198409 Downl oaded by Oge Ada (ogeada@yahoo.com) Pain management while a vital client concern does not represent the best option o ffered While volunteering is certainly reflected in Nightingales practice it is not the best option o ffered. DIF: C REF: 2 -3 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Health Promotion and Maintenance/Disease Prevention 19. The twentieth centur y is recognized for which of the following nursing concepts? 1 Code of Nursing Ethics 2 Hospital -based nursing care 3 Specialized nursing textbooks were adopted. 4 F ormalized university -based nursing education ANS: 4 In the early twentieth cent ury a movement toward a scientific, research -based defined body of nursing knowledge and practice was evolving. Nurses began to assume expanded and advanced practice roles. Mary Adelaide Nutting was instrumental in the a ffiliation of nursing education with unive rsities. In 1990 the American Nurses Association established the Center for Ethics and Human Rights. Nursing in hospitals expanded in the late nineteenth centur y. Isabel Hampton Robb helped found the Nurses Associated Alumnae of the United States and Canada in 1896. This o rganization became the American Nurses Association (ANA) in 19 11. She authored many nursing textbooks, including Nursing: Its Principles and Practice for Hospital and Private Use (1894), Nursing Ethics (1900), and Educational Standa rds for Nurses (1907), and was one of the original founders of the American Journal of Nursing (AJN). DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment 20. The best example of the impact of the womens movement on health care is: 1 Improvement in breast cancer survival rates 2 Insurance coverage for well -woman check -ups 3 Women subjects to be included in all appropriate health research projects 4 A single, teen age mother receiving Women, Infants, and Children (WIC) benefits ANS: 3 The womens movement brought about many changes in society as women increasingly demanded economic, political, occupational, and educational equalit y. As a result, there is greater se nsitivity to the health care needs of women and the role of women in health care research. There are eme rging health care specialties dealing with the needs of women. These new lOMoAR cPSD|6198409 Downl oaded by Oge Ada (ogeada@yahoo.com) specialties expand from the traditional obstetrical specialty and addre ss issues ranging from well - womens examinations, to oncological subspecialties, to the management of menopause. Because of the prior lack of female subjects in biomedical research, the federal government now requires studies to routinely include women in research, unless specific exception criteria are met. For example, research focusing on management of prostatic cancer is an exception. Improved survival rates for female -oriented cance rs is evident because of emphasis being placed on research. While impor tant, increased insurance coverage is not the best option available because this action would be directly driven by research findings. While important, increased federal funding for fem ale-oriented benefits does not represent the best option available beca use this action would be directly driven by research findings. DIF: C REF: 4 OBJ: Analysis TOP: Nursing Process: Comprehension MSC: NCLEX test plan designation: Health Promotion and Maintenance 21. The human rights movement most directly impacts nursing pr actice because: 1 Nurses act as advocates for all clients 2 Clients require someone to focus on their needs 3 Caring for clients is the focus of nursing practice 4 ANS: 1 Everyone deserves to be treated fairly and with respect Clien t advocacy is a nursing responsibilit y. The human rights movement changed the way society views the rights of all of its members, including minorities, clients with terminal illness, pregnant women, and older adults. Many groups have special health care ne eds, and nursing responds by respecting the human rights of all clients and their right to quality care. Nurses advocate the rights of all clients. Clients do require someone to focus on their needs; advocacy is a responsibility of the nurse but the concep t of the nurse as an advocate was established well before the human rights movemen t. Caring for clients is the focus of nursing practice, but caring physically and emotionally for a client as a nursing responsibility was established well before the human r ights movement. Everyone deserves to be treated fairly and with respect. The reali zation of that truth was impacted by the human rights movement; howeve r, this option does not directly relate to nursing. DIF: C REF: 4 -5 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Coor dinated Care 22. Nurses are caring for clients from a variety of cultures primarily as a result of: 1 Increased ease of travel and mobility 2 Political unrest in many forei gn countries 3 Increased incidence of contagious diseases lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 4 P oor health care in underdeveloped countries ANS: 1 Because the worlds population is more mobile, both immigration and travel have shown an increase over the last decades. Nursing practice will require the management and delivery of care for clients from many di fferent cultures. Although immigration to this country has been impacted by political strife in other countries, it is not the primary factor in an increasingly cult urally diverse client population. Increased incidence of contagious diseases has little impact on the cultural diversity of the client population. Although poor health care services may contribute to some influx of foreign clients, it is not the primary fa ctor in an increasingly culturally diverse client population. DIF: C REF: 5 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Psychosocial Integrity/Cultural Diversity 23. Risk for injury during client transfer is minimized m ost effectively by: 1 Implementation of lift teams 2 Yearly personnel training sessions 3 Using mechanical lifts when possible 4 U se of evidence -based techniques ANS: 4 Injuries to both caregiver and client occur during client transfe r. The car egiver is at risk for musculoskeletal injuries. The client is at risk for falls as well as musculoskeletal injuries. There is a shift from ine ffective, injury -prone client transfer techniques to evidence -based practices for safe client handling. The implem entation of a lift team is directly supported by evidence -based research (EBR). Yearly training sessions are important but the specific training is determined first by EBR. The use of mechanical lifts is directly supported by evidence -based research (EBR). DIF: C REF: 6 OBJ: Analysis TOP: Nursing Process: Planning MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Accident Prevention MULTIPLE RESPONSE 1. Which of the following activities reflect the nurses role in health promotion and wellne ss? (Select all that appl y.) 1 Screen ing the local homeless population for head lice 2 Monitoring blood pressures at a community health fair 3 Organizing a foot race to benefit national cancer research 4 Consulting a teenage mother on breast -feeding techniques lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 1 Increased birth rates 2 Increased life expectancy 3 Decreasing rural population 4 Expand ing urban settlement 5 Advances in medical modalities 6 Availability of free public education 5 Providing literature on smoking cessation to client families 6 P resenting a nursing workshop on the care of diabetic ulcers ANS: 1, 2, 4, 5 Nursing responds to this greater concern for health promotion by pr oviding programs in the community such as health fairs and wellness programs; educational programs for specific diseases; and client and family teaching activities in hospitals, clinics, primary care facilities, and other health care settings. While admira ble, o rganizing a benefit for cancer research is not an activity directed towards health promotion and wellness but rather towards research that will benefit the population as a whole rather than specific individuals. Presenting a workshop on a specific nu rsing intervention is not an activity directed toward health promotion and wellness but rather towards professional development of the nurses. DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: Planning MSC: NCLEX test plan designation: Health Promotio n and Maintenance/Programs 2. Changes in recent population demographics that have impacted the delivery of nursing care include the following: (Select all that appl y.) ANS: 2, 3, 4 Demographic changes a ffect the population. Changes influenc ing health care in recent decades include the population shift from rural areas to urban centers; the increased life span; the higher incidence of chronic, long -term illness; and the increased incidence of diseases such as alcoholism and lung cance r. Nursi ng responds to such changes by exploring new methods to provide care, by changing educational emphases, and by establishing practice standards. Recent birth rates have declined. Advances in medical modalities and availability of free public education do no t reflect changes in population demographics but rather health care advances and social services. Chapter 2. Health Care Delivery System MULTIPLE CHOICE 1. Regulatory in terventions were initiated to reduce the rise in health care costs. These intervention s include: 1 Prospective payment systems lOMoAR cPSD|6198409 Downloaded by Oge Ada (ogeada@yahoo.com) 1 Aerobic dance class 2 Immunization clinic 3 Diabetic support group 4 Smoking cessation clinic 1 School 2 Nursing home 2 State limits on health care fees 3 Federal guidelines for treatment 4 Court review of insurance coverage ANS: 1 As a means to reduce health care costs, in 1983 Congress established the pro spective payment system in which hospitals are reimbursed a set dollar amount for each diagnosis -related group, regardless of the length of stay or use of services in the hospital. State limits on health care fees have not been used nationwide to reduce he alth care costs. Federal guidelines for treatment have not been used to reduce the cost of health care. Rathe r, the focus has been on financial reimbursement. Court review of insurance coverage has not been a primary intervention to lower health care costs . DIF: A REF: 16 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Management of Care 2. Levels of prevention are used by the nurse to provide a framework or guide for nursing interventi ons. Focus is based on the clients needs and the care or service that is provided. An example of a true health promotion service is a(n): ANS: 1 Examples of health promotion activities include exercise cla sses, prenatal care, well -baby care, nutrition counseling, and family planning. An immunization clinic is an example of an illness prevention service. A diabetic support group may be an example of a rehabilitation service to adapt to a change in lifestyle. A smoking cessation clinic may be a part of rehabilitation or o ffered as an illness prevention service. DIF: A REF: 19 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, E ffective Care Environment/Management of Care 3. There are many types of health care delivery agencies. An example of a secondary level care agency is a: