Question

CHAPTER 1 Concepts and Trends in Healthcare 3. Did the nurse address the client from a holistic perspective? . He des providing the client with the tools she needs to manage her disease benefit her and her PPO? SECTION 3: GETTING READY FOR NCLEX Activity J Answer the following questions 1. When using a holistic approach to nursing care, the se must address which of the client's needs? (1. Physical, emotional developmental psychological and basic needs 2. Spiritual, psychological developmental individual and emotional needs 3. Sociocultural developmental, spiritual physical, and psychological needs 4. Individual, spiritual basis, developmental, and physical needs 2. The nurse is on a busy medical surgical unit on the 3 to 11 PM shift. The role of the nurse in caring for clients on this for includes which of the following activities? 1. Diagnosing illness and communicating the diagnosis to the client 2. Prescribing medication and communicating with the pharmacy about the dosage dvocating for the physician and carrying out orders Collecting data and diagnosing human responses to health problems 3. A 50-year-old female client is instructed by the nurse to take all medications just ordered by the physician, to get screened in 6 months for a mammogram, and to obtain a colonoscopy. These activities by the client represent which of the following? 1. Health promotion 2. Health maintenance 3. Health prevention Health detection 4. For which of the following clients should the nurse recommend Medicare? 1. 75-year-old client with high blood pressure 2.35 year old client with urinary tract infection 3. 55-year-old client with signs of hepatic disease 15-year-old client with asthma and breathlessness 5. A client is set up for a cardiac catheterization to deter- mine if he has a blockage in his coronary arteries. What type of care does this represent in the healthcare system? Tertiary care 2. Secondary care 3. Primary care 4 Hospice care 6. Three clients come to the hospital for different surger ies. One has a total hip replacement, the second has a bal knee replacement, and the thind has a shoulder replacement. All of these in patient hopital surgeries are classified the same way and are reimbursed at the same rate under DRO 209. This is an example of what type of financial payment system? 1. Managed care organization (MCO) 2. Preferred provider organization (PPO) Prospective payment system (PPS) 4. Health maintenance organization (HMO) 7. Anunc is assigned to the outcome measurement committee for the hopital. Which of the following is the goal of this committee to identify clients of interest to the hospital Z To measure quality through the use of surveys 3. To determine which cases are risk management issues 4. Tove standardized indicators to measure healthcare quality & A nurse is providing care to a client using a standard set of guidelines that determine aspects of care appropriate for a specific type of client. This set of guidelines is called which of the following! Case management trend report Guideline for client safety linical pathway 4. Diagnosis related report 9. Which agency helps increase quality and years of healthy life and eliminates health disparities through the Healthy People 2020 initiative? 1. Centers for Disease Control US Department of Health and Human Services SU.S. Surgeon General 4. Institute for Healthcare Improvement 10. The LPN identifies from the client's interaction that a 25-year-old African American client does not have the ability to pay for healthcare for herself and her family. This represents what kind of issue? 1. Access to financial help issue 2. Access to charity care issue Access to quality issue 4. Access to care issue

Answer 1

1. ANSWER: PSYCHOLOGICAL, SOCIOCULTURAL, DEVELOPMENTAL AND SPIRITUAL NEEDS

a) Incorrect. The holistic care focuses on the physical, mental and social-well being.

b) Incorrect. Social-cultural aspect is missing in this choice.

c) Correct. It focuses on all the aspects of a holistic care.

d) Incorrect. Socio-cultural aspect is missing in this choice.

2. ANSWER: ADVOCATING FOR THE PHYSICIAN AND CARRYING OUT THE ORDERS.

a) Incorrect. A nurse duty is not to diagnose the disease of the patient. It is the duty of the physician to diagnose and to give related treatment regimen to the patient.

b) Incorrect. In an emergency situation, the dosage should only be discussed with the treating doctor and should not be done with the pharmacist.

c) Correct. Supporting the physician orders and carrying out the orders is the duty of the nurse in a emergency situation.

d) Incorrect. This is not applicable in an emergency situation.

3. a) Incorrect. Health promotion refers to engaging in different strategies to enhance the patient health. It gives information about illness prevention methods like safe health practices and healthy lifestyle

b) Correct. Health maintenance deals with protecting patients current level of health by preventing illness or deterioration. By giving medications for 6 months here the physician trying to maintain their health from further deterioration.

c) Incorrect. Health prevention identifies risk factors such as family history and thereby reducing the effects of risk factors.

4.

a)Correct. Medicare is a federally sponsored health insurance plan designed mainly for persons those who are aged 65 years of age and older. Also, for persons who are totally and permanently disbaled.

b) Incorrect. Medicare is not applicable for persons younger than 65 years of age.

c) Incorrect. Medicare is not applicable for persons younger than 65 years of age.

d) Incorrect. Medicare is not applicable for persons younger than 65 years of age.

5. ANSWER: SECONDARY CARE

a) Incorrect. Primary care is the first resource which deals with a client health need, mainly a family practitioner, internist or nurse practitioner.

b) Correct. Secondary care includes referrals to facilities for additional testings like cardiac catheterization, consultation and diagnosis. In this case, secondary care is only needed for cardiac catheterization.

c) Incorrect. Tertiary care is beyond secondary care which provides more complex and surgical interventions, cancer care, rehabilitative services and long term care for patients.

d) Incorrect. Hospice care are mainly for treating terminally ill patient and their families.