Question 1

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

Accepted Answer

A)  Hospice 
B)  Respite care 
C)  Assisted living 
D)  Skilled nursing 
A)  Hospice 
B)  Respite care 
C)  Assisted living 
D)  Skilled nursing D

Question 2

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.)

Accepted Answer

A)  Patient satisfaction level 
B)  Hospital readmission rates 
C)  Nursing hours per patient day 
D)  Patient falls/falls with injuries 
E)  Value stream analysis for quality 
A)  Patient satisfaction level 
B)  Hospital readmission rates 
C)  Nursing hours per patient day 
D)  Patient falls/falls with injuries 
E)  Value stream analysis for quality B, C, D

Question 3

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

Accepted Answer

A)  Increased spread of communicable diseases 
B)  Increased homogeneous mix of nursing staff 
C)  Decreased poverty and increased "health tourism" 
D)  Decreased urbanization as populations shift to the suburbs 
A)  Increased spread of communicable diseases 
B)  Increased homogeneous mix of nursing staff 
C)  Decreased poverty and increased "health tourism" 
D)  Decreased urbanization as populations shift to the suburbs A

Question 4

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?

Accepted Answer

A)  Continuing care 
B)  Restorative care 
C)  Preventive care 
D)  Tertiary care 
A)  Continuing care 
B)  Restorative care 
C)  Preventive care 
D)  Tertiary care

Question 5

A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?

Accepted Answer

A)  Managed care insures full coverage of health care costs. 
B)  Managed care only assumes the financial risk involved. 
C)  Managed care allows providers to focus on illness care. 
D)  Managed care causes providers to focus on prevention. 
A)  Managed care insures full coverage of health care costs. 
B)  Managed care only assumes the financial risk involved. 
C)  Managed care allows providers to focus on illness care. 
D)  Managed care causes providers to focus on prevention.

Question 6

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session.
-Medicare

Accepted Answer

A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract 
A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract

Question 7

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?

Accepted Answer

A)  Secondary acute 
B)  Continuing 
C)  Restorative 
D)  Tertiary 
A)  Secondary acute 
B)  Continuing 
C)  Restorative 
D)  Tertiary

Question 8

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

Accepted Answer

A)  Professional standards review organizations 
B)  Prospective payment systems 
C)  Diagnosis-related groups 
D)  Third-party payers 
E)  "Never events" 
A)  Professional standards review organizations 
B)  Prospective payment systems 
C)  Diagnosis-related groups 
D)  Third-party payers 
E)  "Never events"

Question 9

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 $\bold{best}$ response?

Accepted Answer

A)  "Technology use has to be combined with nursing judgment." 
B)  "The focus of effective nursing care is technology." 
C)  "If it's so easy, why don't you do it?" 
D)  "That is true in the 20th century." 
A)  "Technology use has to be combined with nursing judgment." 
B)  "The focus of effective nursing care is technology." 
C)  "If it's so easy, why don't you do it?" 
D)  "That is true in the 20th century."

Question 10

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"?

Accepted Answer

A)  Act 
B)  Alter 
C)  Assess 
D)  Approach 
A)  Act 
B)  Alter 
C)  Assess 
D)  Approach

Question 11

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session.
-Medicaid

Accepted Answer

A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract 
A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract

Question 12

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?

Accepted Answer

A)  A family can choose whether to have health insurance with no consequences. 
B)  Primary care physician payments from Medicaid services can equal Medicare. 
C)  Adult children up to age 26 are allowed coverage on the parent's plan. 
D)  Private insurance companies can deny coverage for any reason. 
A)  A family can choose whether to have health insurance with no consequences. 
B)  Primary care physician payments from Medicaid services can equal Medicare. 
C)  Adult children up to age 26 are allowed coverage on the parent's plan. 
D)  Private insurance companies can deny coverage for any reason.

Question 13

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.)

Accepted Answer

A)  Use informatics. 
B)  Use transparency. 
C)  Apply globalization. 
D)  Apply quality improvement. 
E)  Use evidence-based practice. 
A)  Use informatics. 
B)  Use transparency. 
C)  Apply globalization. 
D)  Apply quality improvement. 
E)  Use evidence-based practice.

Question 14

A nurse is using research findings to improve clinical practice. Which technique is the nurse using?

Accepted Answer

A)  Performance improvement 
B)  Integrated delivery networks 
C)  Nursing-sensitive outcomes 
D)  Utilization review committees 
A)  Performance improvement 
B)  Integrated delivery networks 
C)  Nursing-sensitive outcomes 
D)  Utilization review committees

Question 15

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

Accepted Answer

A)  Primary care 
B)  Preventive care 
C)  Restorative care 
D)  Continuing care 
A)  Primary care 
B)  Preventive care 
C)  Restorative care 
D)  Continuing care

Question 16

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?

Accepted Answer

A)  Pew Health Professions Commission 
B)  Healthcare Effectiveness Data and Information Set (HEDIS) 
C)  American Nurses Credentialing Center (ANC
C)  Magnet Recognition Program 
D)  Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) 
A)  Pew Health Professions Commission 
B)  Healthcare Effectiveness Data and Information Set (HEDIS) 
C)  American Nurses Credentialing Center (ANC
C)  Magnet Recognition Program 
D)  Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)

Question 17

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session.
-Preferred provider organization

Accepted Answer

A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract 
A) Insurance for low-income families 
B) Federal insurance for people aged 65 and older 
C) Health maintenance focus to specific group of voluntarily enrolled people 
D) Services at a discount for companies under contract

Question 18

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

Accepted Answer

A)  When the patient is ready 
B)  Close to the time of discharge 
C)  Upon admission to the hospital 
D)  After an order is written/prescribed 
A)  When the patient is ready 
B)  Close to the time of discharge 
C)  Upon admission to the hospital 
D)  After an order is written/prescribed

Question 19

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?

Accepted Answer

A)  Capitation provides the hospital with a means of recovering variable charges. 
B)  The hospital will be paid for the full cost of the patient's hospitalization. 
C)  Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. 
D)  Medicare will pay the national average for the patient's condition. 
A)  Capitation provides the hospital with a means of recovering variable charges. 
B)  The hospital will be paid for the full cost of the patient's hospitalization. 
C)  Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. 
D)  Medicare will pay the national average for the patient's condition.

Question 20

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?

Accepted Answer

A)  Screening 
B)  Education 
C)  Dependence 
D)  Counseling 
A)  Screening 
B)  Education 
C)  Dependence 
D)  Counseling

Exam 2: The Health Care Delivery System

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.)

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

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?

A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session. -Medicare

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?

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

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\bold{best}best response?

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"?

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session. -Medicaid

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?

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.)

A nurse is using research findings to improve clinical practice. Which technique is the nurse using?

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

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?

A nurse is teaching about the different types of health care plans. Match the correct information to the type of health care plans the nurse should include in the teaching session. -Preferred provider organization

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?

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?

Nursing Today

Community-Based Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Based Practice

Health and Wellness

Caring in Nursing Practice

Caring for the Cancer Survivor

Cultural Awareness

Caring for Families

Developmental Theories

Conception Through Adolescence

Young and Middle Adults

Older Adult

Critical Thinking in Nursing Practice

Nursing Assessment

Nursing Diagnosis

Planning Nursing Care

Implementing Nursing Care

Evaluation

Managing Patient Care

Ethics and Values

Legal Implications in Nursing Practice

Communication

Patient Education

Documentation and Informatics

Patient Safety and Quality

Immobility

Infection Prevention and Control

Vital Signs

Health Assessment and Physical Examination

Medication Administration

Complementary and Alternative Therapies

Self-Concept

Sexuality

Spiritual Health

The Experience of Loss, Death, and Grief

Stress and Coping

Activity and Exercise

Hygiene

Oxygenation

Fluid, Electrolyte, and Acid-Base Balance

Sleep

Pain Management

Nutrition

Urinary Elimination

Bowel Elimination

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

Filters

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 $\bold{best}$ response?