Exam 1: Evolution of Nursing Thought Action

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____________________ is a health program, administered by the state and funded by federal and state governments, to provide care for low-income people.

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Medicaid

A patient is preparing to be discharged after total knee replacement. The patient tells the case manager, "I feel pretty good, but I am having a hard time getting in and out of the bathroom." Which is the most appropriate response by the case manager?

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D

Which type of managed care provides patients with the greatest choice of providers, medications, and medical devices?

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C

The nurse is preparing a presentation for nursing students about the processes of thinking and implementation that apply to nursing. Which topics will the nurse include? Select all that apply.

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The nurse is providing care for a patient following a debilitating stroke. Which type of care will the nurse recognize as the best choice for this patient?

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The field of nursing has struggled to prove that nursing is a profession. Which strategies to improve the status of nursing will promote professionalism? Select all that apply.

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The nursing staff on a surgical unit expresses to the manager concerns about not having enough time to complete all wound care and dressing changes. Which is the initial action the manager takes?

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A health care facility hires new nursing graduates to work on patient care units. The hired nurses come from a variety of accredited nursing programs. Additionally, applicants need to be aware of facility hiring practices based on which specific definition of a nurse?

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A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting from a fall. Previously, the patient lived at home and managed activities of daily living independently. The patient goal is to return to the previous living style. The patient is to be discharged because of insurance regulations. If the patient cannot walk or provide self-care, to which type of facility will the patient be transferred?

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A nurse working in a rehabilitation facility has a physician's prescription to contact therapists as required by patient need. A patient has started to have difficulty with bathing and grooming. Which therapist does the nurse contact to assist the patient to regain these skills?

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An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care activities but needs assistance with shopping and meal preparation. As well, assistance is necessary for blood glucose monitoring and insulin administration. Which type of healthcare facility is most appropriate for the patient?

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An older adult patient is preparing for discharge and tells the case manager, "I don't know what I am going to do when I get home. I cannot afford the medications the doctor has ordered for me." Which is the most appropriate response by the case manager?

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A patient in an ambulatory clinic tells the nurse, "Every visit costs me $10, even though I have insurance." Which is the most appropriate response by the nurse?

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Nurses currently employed are aware of the trends that affect contemporary nursing practice. Which trend is a primary cause for changes in the nursing profession?

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The nurse is providing care for a patient who needs extensive acute care, which is being rejected by the patient because of financial and family stressors. Which healthcare worker does the nurse consult to counsel this patient?

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A practicing nurse is aware that continuing education courses may be required for license renewal. Which organization can require nurses to obtain a specified amount of continuing education courses?

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The nurse understands that the most important reason for the development of a definition for the profession of nursing is that it:

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The nurse is providing care for a pediatric patient in an acute care facility. The patient's parents express concern about the cost of the medical care. The parents state, "We have jobs, but we don't make a lot of money and have no insurance." Which medical assistance program does the nurse recognize as being most appropriate for this family?

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In the United States, each state enacts its own nurse practice acts. Which agency is responsible for nurse practice acts?

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Which statement best explains the importance of standards of practice in the nursing profession?

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