Test Bank for Fundamentals of Nursing, 10th Edition (Chapters 1-11)

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Fundamentals ofNursing 10th EditionPotter Perry Test Bank

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Fundamentals of Nursing 10th Edition Potter Perry Test BankChapter 1. Nursing Today MULTIPLE CHOICE1.Contemporary nursing practice is based on knowledge generated through nursing theories.Florence Nightingales theory introduced the concept that nursing care focuses on:1Psychological needs2A maximal level of wellness3Health maintenance and restoration4Interpersonal interactions with the clientANS: 3Florence Nightingale believed the role of the nurse was to put the clients body in the best state in orderto remain free of disease or to recover from disease.Although Florence Nightingale may have addressed meeting the psychological needs of her clients, it isnot the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparativeprocesses by manipulating the clients environment.Florence Nightingale thought the human body had reparative properties of its own if it was cared for ina way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted withher 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: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care2.Nursing education programs in the United States may seek voluntary accreditation by theappropriate accrediting commission council of the:1National League for Nursing2American Nurses Association3Congress for Nursing Practice4International Council of NursesANS: 1

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The National League for Nursing (NLN) is the professional nursing organization concerned with nursingeducation. The NLN provides accreditation to nursing programs that seek and meet the NLNaccreditation requirements.The American Nurses Association (ANA) is concerned with the nursing profession and issues affectinghealth care, including standards of care.The Congress for Nursing Practice is the part of the ANA concerned with determining the legal aspects ofnursing practice, the public recognition of the importance of nursing, and the impact of trends in healthcare on nursing practice.The International Council of Nurses (ICN) is concerned about issues of health care and the nursingprofession, including the provision of an international power base for nurses.DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care3.The minimum educational requirement for a nurse practitioner is:1Diploma in nursing2Masters in nursing3Doctorate in nursing4Baccalaureate in nursingANS: 2A masters degree is nursing is required to become a nurse practitioner.Diploma programs in nursing require 3 years of education after which the graduate may become aregistered nurse, but not a nurse practitioner.Doctoral programs focus on the application of research findings to clinical practice. The doctoral degreeis beyond the masters degree.The baccalaureate degree program generally requires 4 years of study in a college or university, afterwhich the graduate may become a registered nurse, not a nurse practitioner.DIF: A REF: 8 OBJ: Knowledge TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care4.A group that lobbies at the state and federal level for advancement of nursings role, economicinterest, and health care is the:

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1State Board of Nursing2American Nurses Association3American Hospital Association4National Student Nurses AssociationANS: 2The American Nurses Association (ANA) hires lobbyists at the state and federal level to promote theadvancement of health care and the economic and general welfare of nurses.State Boards of Nursing primarily focus on licensure of nurses within their own state. The AmericanHospital Association does not focus on nurses economic issues and the advancement of the role ofnurses.The National Student Nurses Association focuses on issues of importance for nursing students.DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care5.A nurse moves from Seattle to Boston and begins working in a hospital. The most importantfactor for the nurse to consider when moving to another state is the:

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1Massachusetts Nurse Practice Act2Standard for nursing practice in Boston3Clinical ladder of mobility in the new hospital4Requirement for continuing education units (CEU) in MassachusettsANS: 1Although most states have similar practice acts, each individual state has its own Nurse Practice Act thatregulates the licensure and practice of nursing within that state. Knowledge of the Nurse Practice Act isnecessary to provide safe and legal nursing care.Standards of nursing practice are not specific to a city, but rather to the profession itself. Although theclinical ladder of mobility may be of interest in regard to professional advancement, it is not the mostimportant factor when practicing nursing in another state. Knowledge of the Nurse Practice Act in orderto provide safe and legal nursing care is of higher importance.Regardless of where a nurse practices, the nurse should strive to remain current. DIF: C REF: 8 OBJ:AnalysisTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care6.A nurse is caring for a client who has chronic renal failure. The nurse states, We will doeverything possible to return you to the optimum level of self-care possible. In coordinating an approachto best meet the needs of this client, the nurse is fulfilling the role of:1Manager2Educator3Counselor4CommunicatorANS: 1The nurse, in caring for this client, will coordinate the activities of other members of the health careteam. This client may require the assistance of a nursing assistant to provide personal care until theclient is less fatigued. A nutritionist may be necessary for diet evaluation, planning, and teaching. Anurse may provide education on the dialysis therapy and perform the skill necessary until the client isable to do so independently.

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The nurse may include patient teaching in the clients care, but more is required to meet the needs ofthis client.The nurse is not performing in the role of counselor.Clear communication will be necessary for the client to understand self-care measures regardingdialysis. The role of communicator does not, however, entirely meet the clients physical needs at thistime.DIF: A REF: 10 OBJ: Comprehension TOP: Nursing Process: PlanningMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care7.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:1Acute care2Home care3Long-term care4Ambulatory careANS: 1Most nurses provide direct client care in the hospital setting.

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Although opportunities for providing patient care in the clients home are increasing, the majority ofnurses are not employed in this setting.The majority of nurses do not work in nursing homes or extended care settings. Significantly fewernurses work in an ambulatory care setting.DIF: A REF: 10 OBJ: Knowledge TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care8.A client is receiving Dilantin to prevent seizure activity. To which allied health care professionalshould the nurse refer this client in order to minimize the challenges this condition creates?1Physical therapist2Physicians assistant3Respiratory therapist4Occupational therapistANS: 4An occupational therapist is a person who provides assessment and intervention to ameliorate physicaland psychological deficits that interfere with the performance of activities and tasks of living, includingones employment.A physical therapist is responsible for the patients musculoskeletal system. A physical therapist may useexercises as an intervention to improve a clients mobility.Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material

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A respiratory therapist provides treatment to preserve or improve pulmonary function.A physicians assistant performs tasks usually done by physicians and works under the direction of asupervising physician.DIF: C OBJ: Analysis TOP: Nursing Process: PlanningMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care9.The Goldmark Report concluded that:1Nursing roles and responsibilities required clarification2A theory-based curriculum was necessary for accreditation3Nursing education programs must be affiliated with universities4Increased financial support should be provided for nursing educationANS: 4In 1923 the Goldmark Report identified the need for increased financial support to university- basedschools of nursing.The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursingroles 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 BrownReport of 1948 concluded that all nursing education programs should be affiliated with universities andshould have their own budgets.DIF: A REF: 3 OBJ: Knowledge TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care10.In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing professionthrough their work involving the:1Henry Street Settlement in New York2First training school in Toronto, Canada3Training school at Johns Hopkins in Baltimore

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4Development of the American Journal of NursingANS: 1In 1893 Lillian Wald and Mary Brewster opened the Henry Street Settlement, which was the firstcommunity health service for the poor.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 inBaltimore, Maryland.Isabel Hampton Robb was one of the original founders of the American Journal of Nursing. DIF: A REF: 3OBJ: ComprehensionDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care11.To obtain a certification in a specialty area, the nurse will have to complete:1A request for state approval2A graduate degree in nursing3An examination and the minimum practice requirements

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4A general examination given to all nurses seeking certificationANS: 3Set minimum practice requirements are based on the certification the nurse is seeking. After passing theinitial examination, the nurse maintains certification by ongoing continuing education and clinical oradministrative practice.Individual states do not grant certification by request. Certification in a specialty area requires passingthe 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 certificationis being sought.DIF: A REF: 9 OBJ: Knowledge TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care12.In the ANA Standards of Professional Performance, which one of the following is a specificmeasurement criterion for The nurses decisions and actions on behalf of clients are determined in anethical manner?1Acts as client advocate2Participates in the collection of client data3Seeks experiences to maintain clinical skills4Consults with appropriate health care providersANS: 1As a client advocate, the nurse protects the clients human and legal rights and provides assistance inasserting those rights if the need arises. Performing in the role of patient advocate fulfills ameasurement criterion for the professional performance standard of ethics.Participating in data collection is a measurement criterion for the professional performance standard ofquality of practice.The nurse who seeks experiences to maintain clinical skills is fulfilling a measurement criterion for theprofessional performance standard of education.Consulting with health care providers is a measurement criterion for the professional performancestandard of collaboration.

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Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDIF: A REF: 7 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care13.In looking at the nineteenth century, the growth of professional nursing was stimulated by:1The Civil War2Federal legislation3Florence Nightingale4The womens suffrage movementANS: 1The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend tothe soldiers of the battlefield.Throughout history, nurses and their professional organizations have lobbied for health care legislationto meet the needs of clients. However, legislation was not responsible for the growth of nursing in thenineteenth century.Although Florence Nightingale had great impact on the practice of nursing, she was not the cause for thegrowth of nursing in the United States during the nineteenth century.

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The womens movement has encouraged nurses to seek greater autonomy and responsibility inproviding care, and has caused female clients to seek more control of their health and lives. Thewomens movement was not responsible for the growth of nursing in the nineteenth century.DIF: A REF: 3 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care14.Which of the following educational activities is an example of in-service education?1A workshop given at a nursing convention on malpractice2A program on new cardiac medications provided at a local hospital3Credit courses in communication offered at the community college4Noncredit courses on nursing issues available through the internetANS: 2An in-service education program is instruction or training provided by a health care agency or institutionfor its employees.A workshop 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 towardfurthering ones degree.Noncredit courses offered via the internet are an example of a continuing education program.Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material

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DIF: A REF: 8 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care15.Nurses need to be aware of current trends in the health care delivery system in order torespond in educational preparation and practice. A major trend that is influencing nursing practice todayis:1Decreased client acuity2Increased hospital stays3Decreased emphasis on health promotion4Increased incidence of chronic disease processesANS: 4In recent decades, there is a higher incidence of chronic, long-term illness. With shortened hospitalstays, client acuity has increased, not decreased.Hospital stays have decreased, not increased. Lengths of stay have shortened with a trend toward homecare, and health promotion and illness prevention.With increased public awareness and rising health care costs, greater emphasis has been placed onhealth promotion and illness prevention.DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care16.The nurse assists the client in a health promotion activity that also reduces the cost of healthcare delivery when:1Administering medication2Treating a diabetic foot ulcer3Obtaining an operative consent4Discussing exercise and nutritionANS: 4

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The nurse may educate the client in such areas as exercise, nutrition, and healthy lifestyles to assist theclient 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 healthybehaviors.Obtaining an operative consent pertains to legal aspects of care and is not considered a healthpromotion activity.DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: PlanningDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialMSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs17.The nurse is best able to provide quality care that benefits both client and family by:1Incorporating caring into the practice2Making the client the center of the practice3Integrating the science and art of nursing into the practice4Being knowledgeable of the institutions standards of practice

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ANS: 3Nursing is an art and a science. As a professional nurse you will learn to deliver care artfully withcompassion, caring, and a respect for each clients dignity and personhood. As a science, nursing is basedon a body of knowledge that is continually changing with new discoveries and innovations. When youintegrate the science and art of nursing into your practice, the quality of care you provide to your clientsis 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 focus 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 notguarantee quality care.DIF: C REF: 2 OBJ: Analysis TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care18.Which of the following statements best reflects Nightingales nursing philosophy on healthmaintenance and restoration?1Did all the clients eat a good breakfast?2What is the client rating his pain level after his medication?3Have any clients developed a nosocomial infection last month?4Is anyone interested in volunteering to mentor our new graduates?ANS: 3Florence Nightingale studied and implemented methods to improve battlefield sanitation, whichultimately reduced illness, infection, and mortality (Cohen, 1984). Today nurses are active indetermining the best practices for skin care management, pain control, nutritional management, andcare of older adults. Infection control and its impact on disease prevention was a major outcome of hercontributions to nursing. Awareness of the connection between hospital-acquired infections(nosocomial) and nursing practice is the best example of her nursing philosophy.Nutritional management and its impact on client health, while important does not reflect the bestoption offered.

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Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialPain management while a vital client concern does not represent the best option offeredWhile volunteering is certainly reflected in Nightingales practice it is not the best option offered. DIF: CREF: 2-3 OBJ: AnalysisTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Health Promotion and Maintenance/Disease Prevention19.The twentieth century is recognized for which of the following nursing concepts?1Code of Nursing Ethics2Hospital-based nursing care3Specialized nursing textbooks were adopted.4Formalized university-based nursing educationANS: 4In the early twentieth century a movement toward a scientific, research-based defined body of nursingknowledge and practice was evolving. Nurses began to assume expanded and advanced practice roles.Mary Adelaide Nutting was instrumental in the affiliation of nursing education with universities.In 1990 the American Nurses Association established the Center for Ethics and Human Rights. Nursing inhospitals expanded in the late nineteenth century.Isabel Hampton Robb helped found the Nurses Associated Alumnae of the United States and Canada in1896. This organization became the American Nurses Association (ANA) in 1911. She authored manynursing textbooks, including Nursing: Its Principles and Practice for Hospital and Private Use (1894),Nursing Ethics (1900), and Educational Standards for Nurses (1907), and was one of the originalfounders of theAmerican Journal of Nursing (AJN).

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DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment20.The best example of the impact of the womens movement on health care is:1Improvement in breast cancer survival rates2Insurance coverage for well-woman check-ups3Women subjects to be included in all appropriate health research projects4A single, teenage mother receiving Women, Infants, and Children (WIC) benefitsANS: 3The womens movement brought about many changes in society as women increasingly demandedeconomic, political, occupational, and educational equality. As a result, there is greater sensitivity to thehealth care needs of women and the role of women in health care research. There are emerging healthcare specialties dealing with the needs of women. These newDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Materialspecialties expand from the traditional obstetrical specialty and address issues ranging from well-womens examinations, to oncological subspecialties, to the management of menopause. Because of theprior lack of female subjects in biomedical research, the federal government now requires studies to

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routinely include women in research, unless specific exception criteria are met. For example, researchfocusing on management of prostatic cancer is an exception.Improved survival rates for female-oriented cancers is evident because of emphasis being placed onresearch.While important, increased insurance coverage is not the best option available because this actionwould be directly driven by research findings.While important, increased federal funding for female-oriented benefits does not represent the bestoption available because this action would be directly driven by research findings.DIF: C REF: 4 OBJ: AnalysisTOP: Nursing Process: ComprehensionMSC: NCLEX test plan designation: Health Promotion and Maintenance21.The human rights movement most directly impacts nursing practice because:1Nurses act as advocates for all clients2Clients require someone to focus on their needs3Caring for clients is the focus of nursing practice4Everyone deserves to be treated fairly and with respectANS: 1Client advocacy is a nursing responsibility. The human rights movement changed the way society viewsthe rights of all of its members, including minorities, clients with terminal illness, pregnant women, andolder adults. Many groups have special health care needs, and nursing responds by respecting thehuman 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 theconcept of the nurse as an advocate was established well before the human rights movement. Caring forclients is the focus of nursing practice, but caring physically and emotionally for a client as a nursingresponsibility was established well before the human rights movement.Everyone deserves to be treated fairly and with respect. The realization of that truth was impacted bythe human rights movement; however, this option does not directly relate to nursing. DIF: C REF: 4-5OBJ: AnalysisTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care

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22.Nurses are caring for clients from a variety of cultures primarily as a result of:1Increased ease of travel and mobility2Political unrest in many foreign countries3Increased incidence of contagious diseasesDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material4Poor health care in underdeveloped countriesANS: 1Because the worlds population is more mobile, both immigration and travel have shown an increaseover the last decades. Nursing practice will require the management and delivery of care for clients frommany different cultures.Although immigration to this country has been impacted by political strife in other countries, it is not theprimary factor in an increasingly culturally diverse client population.Increased incidence of contagious diseases has little impact on the cultural diversity of the clientpopulation.Although poor health care services may contribute to some influx of foreign clients, it is not the primaryfactor in an increasingly culturally diverse client population.DIF: C REF: 5 OBJ: Analysis TOP: Nursing Process: Assessment

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MSC: NCLEX test plan designation: Psychosocial Integrity/Cultural Diversity23.Risk for injury during client transfer is minimized most effectively by:1Implementation of lift teams2Yearly personnel training sessions3Using mechanical lifts when possible4Use of evidence-based techniquesANS: 4Injuries to both caregiver and client occur during client transfer. The caregiver is at risk formusculoskeletal injuries. The client is at risk for falls as well as musculoskeletal injuries. There is a shiftfrom ineffective, injury-prone client transfer techniques to evidence-based practices for safe clienthandling.The implementation of a lift team is directly supported by evidence-based research (EBR). Yearly trainingsessions are important but the specific training is determined first by EBR. The use of mechanical lifts isdirectly supported by evidence-based research (EBR).DIF: C REF: 6 OBJ: Analysis TOP: Nursing Process: PlanningMSC: NCLEX test plan designation: Safe, Effective Care Environment/Accident Prevention MULTIPLERESPONSE1.Which of the following activities reflect the nurses role in health promotion and wellness?(Select all that apply.)1Screening the local homeless population for head lice2Monitoring blood pressures at a community health fair3Organizing a foot race to benefit national cancer research4Consulting a teenage mother on breast-feeding techniquesDownloaded by Oge Ada (ogeada@yahoo.com)

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Stuvia.com - The Marketplace to Buy and Sell your Study Material5Providing literature on smoking cessation to client families6Presenting a nursing workshop on the care of diabetic ulcersANS: 1, 2, 4, 5Nursing responds to this greater concern for health promotion by providing programs in the communitysuch as health fairs and wellness programs; educational programs for specific diseases; and client andfamily teaching activities in hospitals, clinics, primary care facilities, and other health care settings.While admirable, organizing a benefit for cancer research is not an activity directed towards healthpromotion and wellness but rather towards research that will benefit the population as a whole ratherthan specific individuals.Presenting a workshop on a specific nursing intervention is not an activity directed toward healthpromotion and wellness but rather towards professional development of the nurses.DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process: PlanningMSC: NCLEX test plan designation: Health Promotion and Maintenance/Programs2.Changes in recent population demographics that have impacted the delivery of nursing careinclude the following: (Select all that apply.)1Increased birth rates2Increased life expectancy3Decreasing rural population4Expanding urban settlement5Advances in medical modalities6Availability of free public education

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ANS: 2, 3, 4Demographic changes affect the population. Changes influencing health care in recent decades includethe population shift from rural areas to urban centers; the increased life span; the higher incidence ofchronic, long-term illness; and the increased incidence of diseases such as alcoholism and lung cancer.Nursing responds to such changes by exploring new methods to provide care, by changing educationalemphases, and by establishing practice standards.Recent birth rates have declined.Advances in medical modalities and availability of free public education do not reflect changes inpopulation demographics but rather health care advances and social services.Chapter 2. Health Care Delivery System MULTIPLE CHOICE1.Regulatory interventions were initiated to reduce the rise in health care costs. Theseinterventions include:1Prospective payment systemsDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material2State limits on health care fees3Federal guidelines for treatment4Court review of insurance coverageANS: 1

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As a means to reduce health care costs, in 1983 Congress established the prospective payment system inwhich hospitals are reimbursed a set dollar amount for each diagnosis-related group, regardless of thelength of stay or use of services in the hospital.State limits on health care fees have not been used nationwide to reduce health care costs. Federalguidelines for treatment have not been used to reduce the cost of health care. Rather, the focus hasbeen 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: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care2.Levels of prevention are used by the nurse to provide a framework or guide for nursinginterventions. Focus is based on the clients needs and the care or service that is provided. An example ofa true health promotion service is a(n):1Aerobic dance class2Immunization clinic3Diabetic support group4Smoking cessation clinicANS: 1Examples of health promotion activities include exercise classes, prenatal care, well-baby care, nutritioncounseling, 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 offered as an illness prevention service.DIF: A REF: 19 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care3.There are many types of health care delivery agencies. An example of a secondary level careagency is a:1School2Nursing home

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Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material3Drug rehabilitation center4State-owned psychiatric hospitalANS: 4A state-owned psychiatric hospital is an example of the secondary level of care in which clients whopresent with signs and symptoms of disease are diagnosed and treated.A school is an example of preventive or primary care. A nursing home is an example of continuing care.A drug rehabilitation center is an example of restorative care. DIF: A REF: 20 OBJ: ComprehensionTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care4.Which of the following fits within the occupational safety and health categories?1Noise exposure2Firearms safety3Swimming lessons4Motorcycle helmetsANS: 1

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Exposure to environmental hazards within the workplace, such as noise exposure, is one aspect ofoccupational safety and health.Firearms do not fit within the occupational safety and health category. Swimming lessons do no fitwithin the occupational safety and health category. Motorcycle helmets do not fit within theoccupational safety and health category. DIF: A REF: 20 OBJ: ComprehensionTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care5.A contractual agreement between a hospital and a corporation to pay the health care expensesof the corporations employees is an example of a(n):1PPO2HMO3Private insurance4Third-party paymentANS: 1A preferred provider organization (PPO) is characterized by a contractual agreement between a set ofproviders (e.g., hospitals, physicians, or clinics) and a purchaser (e.g., the corporations insurance plan).Comprehensive health services are provided at a discount to the companiesDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material

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under contract. Enrollees are limited to a list of preferred hospitals, physicians, and providers. Anenrollee pays more out-of-pocket expenses for using a provider not on the list.A Medicare HMO is the same as a managed care organization (all care provided by a primary carephysician) but designed to cover costs of senior citizens.Private insurance is the traditional fee-for-service plan where payment is computed after services areprovided based on the number of services used.Third-party payment is when an entity (other than the client or health care provider) reimburses healthcare expenses. Third-party payers include insurance companies, governmental agencies, and employers.DIF: A REF: 18 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care6.The Medicaid insurance program is best described as:1Acute care hospital insurance for the older adult population2A funded health care program for older and disabled persons3A state-regulated health care program for persons of low income4A fee-for-service insurance plan that supports preventive health careANS: 3Medicaid is a federally funded, state-operated program of medical assistance to people with lowincomes. Individual states determine eligibility and benefits.This option describes Medicare.This option describes Medicare Part A. This option does not describe Medicaid. DIF: A REF: 18 OBJ:Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care7.Quality health care is an innovative approach to delivering health care. The major factor for itssuccess is that it:1Focuses on the nursing process2Uses outcomes to manage client care

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3Is used exclusively in the acute care setting4Allows a high degree of flexibility delivering the careANS: 2Health care providers are defining and measuring quality in terms of outcomes. An outcome is ameasure of what actually does or does not happen as a result of a process of care.Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialThe focus in quality health care is on the outcome, not the process.Quality health care is not used exclusively in the acute care setting. It may be used in various health caresettings.Because quality health care is based on achieving outcomes, it does not allow a high degree of flexibilityfor the nurse in delivering care.DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care8.Case management is one strategy for coordinating health care services. What best describes thiscaregiving approach?1Continuity of care is the primary concern.

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2This focus of care may be more expensive.3The physician is the coordinator of client care.4It is designed to provide minimal to moderate levels of care.ANS: 1With the case management model of care, the case manager coordinates the efforts of all disciplines toachieve the most efficient and appropriate plan of care. Continuity of care is of primary importance.If the efforts of all disciplines are well managed, repetition or delays may be avoided with a resultantshortened hospital stay. Therefore this focus of care may not be more expensive.The physician may or may not be the coordinator of client care. The case manager typically is a nurse orsocial worker.Case management is not entirely based on the level of care required. DIF: A REF: 21 OBJ: ComprehensionTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care/ CaseManagement9.The payment mechanism that Medicare uses within its health care financing is:1Capitation2Fixed payments3Direct contracting4Prospective paymentANS: 2Inpatient hospital services for Medicare clients are reimbursed a set amount for each DRG, regardless ofthe clients length of stay or use of services in the hospital.Capitation is the payment mechanism in which providers receive a fixed amount per enrollee of a healthcare plan.

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Downloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialThe payment mechanism that Medicare uses is not direct contracting.Medicare is not based on fixed payments, but rather on a set dollar amount according to the DRG.DIF: A REF: 27 OBJ: Comprehension TOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care10.A student nurse visiting a nurse-managed clinic should expect to see which of the followingservices offered?1Physical therapy2Same-day surgery3Family support services4Ongoing psychiatric therapyANS: 3Nurse-managed clinics focus on health promotion and health education, disease prevention, chronicdisease management, and support for self-care and caregivers.Physical therapy is not typically offered in a nurse-managed clinic. Same-day surgery is not offered in anurse-managed clinic.Psychiatric therapy is not offered in a nurse-managed clinic. DIF: A REF: 21 OBJ: ComprehensionTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care

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11.A disabled client requiring restorative care should be referred to a(n):1Nursing home2Subacute care unit3Home health care agency4Ambulatory health centerANS: 3A home health care agency provides health services to individuals and families in their home topromote, maintain, or restore health, or to maximize the level of independence while minimizing theeffects of disability and illness.A nursing home is a long-term care setting in which clients receive 24-hour intermediate and custodialcare.A subacute care unit is not the best referral for restorative care.An ambulatory health center is not the best referral for restorative care. DIF: A REF: 16 OBJ:ComprehensionTOP: Nursing Process: AssessmentMSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of CareDownloaded by Oge Ada (ogeada@yahoo.com)Stuvia.com - The Marketplace to Buy and Sell your Study Material

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