Question 1

Discharge planning requires all of the following except:

Accepted Answer

A)  assessing the patient's plan of care to determine whether the outcome criteria are met. 
B)  evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance. 
C)  obtaining specific orders from the physician to begin the process of discharge planning. 
D)  assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen. 
A)  assessing the patient's plan of care to determine whether the outcome criteria are met. 
B)  evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance. 
C)  obtaining specific orders from the physician to begin the process of discharge planning. 
D)  assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen. C

Question 2

By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?

Accepted Answer

A)  Trust 
B)  Social support 
C)  Environmental 
D)  Dependence 
A)  Trust 
B)  Social support 
C)  Environmental 
D)  Dependence B

Question 3

The extended care meant to provide health restoration after discharge from an acute care facility is also known as _____ care.

Accepted Answer

A)  primary 
B)  tertiary 
C)  acute 
D)  quaternary 
A)  primary 
B)  tertiary 
C)  acute 
D)  quaternary B

Question 4

In the acute care environment, what is(are) the primary role(s) of the RN?

Accepted Answer

A)  Ensure more independence in self-care ability. 
B)  Avoid complications as the patient progresses through the illness state. 
C)  Change the medical plan of care according to the RN's assessments. 
D)  Both a and b are correct. 
A)  Ensure more independence in self-care ability. 
B)  Avoid complications as the patient progresses through the illness state. 
C)  Change the medical plan of care according to the RN's assessments. 
D)  Both a and b are correct.

Question 5

Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?

Accepted Answer

A)  Cultural strain 
B)  Impaired functioning 
C)  Cultural insult 
D)  Increased self-care deficit 
A)  Cultural strain 
B)  Impaired functioning 
C)  Cultural insult 
D)  Increased self-care deficit

Question 6

In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)

Accepted Answer

A)  Evaluate long-term care facilities. 
B)  Enable consistently safe care. 
C)  Manage the resources of the health care facility. 
D)  Define standard assessment data and frequency for data collection. 
E)  Review patient charts for quality improvement opportunities. 
A)  Evaluate long-term care facilities. 
B)  Enable consistently safe care. 
C)  Manage the resources of the health care facility. 
D)  Define standard assessment data and frequency for data collection. 
E)  Review patient charts for quality improvement opportunities.

Question 7

According to Orem, people enter the acute health care setting when they are experiencing either a self-care or a:

Accepted Answer

A)  dependent-care agency. 
B)  community-care agency. 
C)  dependent-care deficit. 
D)  community-care deficit. 
A)  dependent-care agency. 
B)  community-care agency. 
C)  dependent-care deficit. 
D)  community-care deficit.

Question 8

Which of the following is an example of a responsible resource manager in an acute care facility?

Accepted Answer

A)  Listens to staff input about implementing a new procedure 
B)  Consumes foods and drinks kept on the unit for patients 
C)  Considers the unit's patient census when determining staffing 
D)  Uses supplies that are not accounted for 
A)  Listens to staff input about implementing a new procedure 
B)  Consumes foods and drinks kept on the unit for patients 
C)  Considers the unit's patient census when determining staffing 
D)  Uses supplies that are not accounted for

Question 9

A patient has been discharged home after being hospitalized for a fractured foot following a motor vehicle accident. The doctor has ordered physical therapy for the patient to help gain strength and flexibility after the cast can be removed. This patient will likely receive a referral for what tertiary service?

Accepted Answer

A)  Respite care 
B)  Home health care 
C)  Wound care 
D)  Rehabilitation care 
A)  Respite care 
B)  Home health care 
C)  Wound care 
D)  Rehabilitation care

Question 10

A nurse writes the diagnosis of "potential for infection" for a postoperative patient. The charge nurse makes certain not to place a patient with a diagnosed infection in the same room with the fresh postoperative patient. The nurse does this to manage which of the following?

Accepted Answer

A)  The potential for noise in the room 
B)  The potential for patient complaints related to odors 
C)  The physical environment of the secondary health setting 
D)  The social environment within the secondary health setting 
A)  The potential for noise in the room 
B)  The potential for patient complaints related to odors 
C)  The physical environment of the secondary health setting 
D)  The social environment within the secondary health setting

Question 11

The health maintenance focus for the patient in tertiary care is to:

Accepted Answer

A)  regain or attain as much independence as possible. 
B)  extend the time in tertiary care as long as possible. 
C)  ensure total independence with self-care. 
D)  avoid acquired infections while in the tertiary facility. 
A)  regain or attain as much independence as possible. 
B)  extend the time in tertiary care as long as possible. 
C)  ensure total independence with self-care. 
D)  avoid acquired infections while in the tertiary facility.

Question 12

After being diagnosed with cancer, the patient appears angry. At this point it would be appropriate for the nurse to assess for which kind of distress?

Accepted Answer

A)  Environmental 
B)  Developmental 
C)  Physical 
D)  Spiritual 
A)  Environmental 
B)  Developmental 
C)  Physical 
D)  Spiritual

Question 13

A patient has endured 3 years of treatment for colon cancer but recently learned that the cancer has spread to her liver and bone. The patient and her family have learned she may have less than 6 months to live and there is nothing medically to consider. What tertiary service can the RN suggest to the patient and family?

Accepted Answer

A)  Hospice care 
B)  Wound care 
C)  Home health care 
D)  Ostomy care 
A)  Hospice care 
B)  Wound care 
C)  Home health care 
D)  Ostomy care

Question 14

Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?

Accepted Answer

A)  "Would you like a chaplain to come pray with you?" 
B)  "Do you turn to spiritual guidance as a source of strength in illness?" 
C)  "What helps you most when you feel afraid?" 
D)  "What is most frightening about your situation?" 
A)  "Would you like a chaplain to come pray with you?" 
B)  "Do you turn to spiritual guidance as a source of strength in illness?" 
C)  "What helps you most when you feel afraid?" 
D)  "What is most frightening about your situation?"

Question 15

A stroke patient has been discharged from the hospital and requires care at home. Family support includes the patient's husband and one adult child who lives 90 minutes away with her family, who helps as often as possible. The husband has had to miss work often and has stopped playing golf weekly to care for his wife. What tertiary care service may be a benefit not only to the family members but to also the patient?

Accepted Answer

A)  Home health care 
B)  Respite care 
C)  Hospice care 
D)  Extended care 
A)  Home health care 
B)  Respite care 
C)  Hospice care 
D)  Extended care

Discharge planning requires all of the following except:

By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?

The extended care meant to provide health restoration after discharge from an acute care facility is also known as _____ care.

In the acute care environment, what is(are) the primary role(s) of the RN?

Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?

In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)

According to Orem, people enter the acute health care setting when they are experiencing either a self-care or a:

Which of the following is an example of a responsible resource manager in an acute care facility?

A nurse writes the diagnosis of "potential for infection" for a postoperative patient. The charge nurse makes certain not to place a patient with a diagnosed infection in the same room with the fresh postoperative patient. The nurse does this to manage which of the following?

The health maintenance focus for the patient in tertiary care is to:

After being diagnosed with cancer, the patient appears angry. At this point it would be appropriate for the nurse to assess for which kind of distress?

Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?

Honoring Your Past, Planning Your Future

Managing Time and Designing Success

Classroom Study Habits That Work

Basic Math Review: Preparing for Medication Calculations

Passing NCLEX-RN

Distinguishing the RN Role From the LPN/LVN Role

The Nurses, Ideas, and Forces That Define the Profession

Upholding Legal and Ethical Principles

Care and Safety Standards, Competence, and Nurse Accountability

Using Nursing Theory to Guide Professional Practice

Providing Patient-Centered Care Through the Nursing Process

Critical and Diagnostic Thinking for Better Clinical Judgment

Practicing Evidence-Based Decision Making

Communicating With Patients and Co-Workers

Teaching Patients and Their Families

Leading, Delegating, and Collaborating

Promoting Healthful Living in the Primary Care Setting

Reflecting on Your Transition

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Exam 18: Managing Care in Secondary and Tertiary Health Care

Discharge planning requires all of the following except:

By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?

The extended care meant to provide health restoration after discharge from an acute care facility is also known as _____ care.

In the acute care environment, what is(are) the primary role(s) of the RN?

Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?

In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)

According to Orem, people enter the acute health care setting when they are experiencing either a self-care or a:

Which of the following is an example of a responsible resource manager in an acute care facility?

A nurse writes the diagnosis of "potential for infection" for a postoperative patient. The charge nurse makes certain not to place a patient with a diagnosed infection in the same room with the fresh postoperative patient. The nurse does this to manage which of the following?

The health maintenance focus for the patient in tertiary care is to:

After being diagnosed with cancer, the patient appears angry. At this point it would be appropriate for the nurse to assess for which kind of distress?

Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?

Honoring Your Past, Planning Your Future

Managing Time and Designing Success

Classroom Study Habits That Work

Basic Math Review: Preparing for Medication Calculations

Passing NCLEX-RN

Distinguishing the RN Role From the LPN/LVN Role

The Nurses, Ideas, and Forces That Define the Profession

Upholding Legal and Ethical Principles

Care and Safety Standards, Competence, and Nurse Accountability

Using Nursing Theory to Guide Professional Practice

Providing Patient-Centered Care Through the Nursing Process

Critical and Diagnostic Thinking for Better Clinical Judgment

Practicing Evidence-Based Decision Making

Communicating With Patients and Co-Workers

Teaching Patients and Their Families

Leading, Delegating, and Collaborating

Promoting Healthful Living in the Primary Care Setting

Reflecting on Your Transition

Filters