Medical, Pharmaceutical & Health Sciences
NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9The Health Care Delivery System
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Questions Bank
- Nursing TodayThe Health Care Delivery SystemCommunity-Based Nursing PracticeTheoretical Foundations of Nursing PracticeEvidence-Based PracticeHealth and WellnessCaring in Nursing PracticeCaring for the Cancer SurvivorCultural AwarenessCaring for FamiliesDevelopmental TheoriesConception Through AdolescenceYoung and Middle AdultsOlder AdultCritical Thinking in Nursing PracticeNursing AssessmentNursing DiagnosisPlanning Nursing CareImplementing Nursing CareEvaluationManaging Patient CareEthics and ValuesLegal Implications in Nursing PracticeCommunicationPatient EducationDocumentation and InformaticsPatient Safety and QualityImmobilityInfection Prevention and ControlVital SignsHealth Assessment and Physical ExaminationMedication AdministrationComplementary and Alternative TherapiesSelf-ConceptSexualitySpiritual HealthThe Experience of Loss, Death, and GriefStress and CopingActivity and ExerciseHygieneOxygenationFluid, Electrolyte, and Acid-Base BalanceSleepPain ManagementNutritionUrinary EliminationBowel EliminationSkin Integrity and Wound CareSensory AlterationsCare of Surgical Patients
Question 1
Free
Multiple Choice
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
Choose correct answer/s
Capitation provides the hospital with a means of recovering variable charges.
The hospital will be paid for the full cost of the patient's hospitalization.
Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
Medicare will pay the national average for the patient's condition.
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Question 2
Free
Multiple Choice
A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
Choose correct answer/s
Managed care insures full coverage of health care costs.
Managed care only assumes the financial risk involved.
Managed care allows providers to focus on illness care.
Managed care causes providers to focus on prevention.
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Question 3
Free
Multiple Choice
A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
Choose correct answer/s
A family can choose whether to have health insurance with no consequences.
Primary care physician payments from Medicaid services can equal Medicare.
Adult children up to age 26 are allowed coverage on the parent's plan.
Private insurance companies can deny coverage for any reason.
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Question 4
Free
Multiple Choice
A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?
Choose correct answer/s
When the patient is ready
Close to the time of discharge
Upon admission to the hospital
After an order is written/prescribed
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Question 5
Free
Multiple Choice
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?
Choose correct answer/s
Secondary acute
Continuing
Restorative
Tertiary
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Question 6
Multiple Choice
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
Choose correct answer/s
Primary care
Preventive care
Restorative care
Continuing care
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Question 7
Multiple Choice
A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"?
Choose correct answer/s
Act
Alter
Assess
Approach
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Question 8
Multiple Choice
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?
Choose correct answer/s
Pew Health Professions Commission
Healthcare Effectiveness Data and Information Set (HEDIS)
American Nurses Credentialing Center (ANCC) Magnet Recognition Program
Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
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Question 9
Multiple Choice
An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
Choose correct answer/s
Hospice
Respite care
Assisted living
Skilled nursing
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Question 10
Multiple Choice
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?
Choose correct answer/s
Continuing care
Restorative care
Preventive care
Tertiary care
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Question 11
Multiple Choice
A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?
Choose correct answer/s
Increased spread of communicable diseases
Increased homogeneous mix of nursing staff
Decreased poverty and increased "health tourism"
Decreased urbanization as populations shift to the suburbs
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Question 12
Multiple Choice
A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
Choose correct answer/s
Performance improvement
Integrated delivery networks
Nursing-sensitive outcomes
Utilization review committees
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Question 13
Multiple Choice
Which finding indicates the best quality improvement process?
Choose correct answer/s
Staff identifies the wait time in the emergency department is too long.
Administration identifies the design of the facility's lobby increases patient stress.
Director of the hospital identifies the payment schedule does not pay enough for overtime.
Health care providers identify the inconsistencies of some of the facility's policy and procedures.
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Question 14
Multiple Choice
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?
Choose correct answer/s
Screening
Education
Dependence
Counseling
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Question 15
Multiple Choice
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's best response?
Choose correct answer/s
"Technology use has to be combined with nursing judgment."
"The focus of effective nursing care is technology."
"If it's so easy, why don't you do it?"
"That is true in the 20th century."
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Question 16
Multiple Choice
A nurse is completing a minimum data set. Which area is the nurse working?
Choose correct answer/s
Nursing center
Psychiatric facility
Rehabilitation center
Adult day care center
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Question 17
Multiple Choice
Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)
Choose correct answer/s
Professional standards review organizations
Prospective payment systems
Diagnosis-related groups
Third-party payers
"Never events"
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Question 18
Multiple Choice
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.)
Choose correct answer/s
Use informatics.
Use transparency.
Apply globalization.
Apply quality improvement.
Use evidence-based practice.
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Question 19
Multiple Choice
A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.)
Choose correct answer/s
Patient satisfaction level
Hospital readmission rates
Nursing hours per patient day
Patient falls/falls with injuries
Value stream analysis for quality
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Question 20
Multiple Choice
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.)
Choose correct answer/s
Empirical quality results
Structural empowerment
Transformational leadership
Exemplary professional practice
Willingness to recommend the agency
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