Exam 46: Health Care Systems

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At a local seminar discussing healthcare resources,the nurse discusses the phenomenon that healthcare resources are declining while costs for health care are increasing.An older adult in attendance asks the speaker why it has become so difficult to obtain needed care and services.Which response by the nurse is the most appropriate?

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The charge nurse assesses clients during a mass casualty incident (MCI)and transfers some to other units and some are discharged to home.In planning for the admission of critically ill clients from the emergency department,which nurses will the charge nurse assign the new clients to when admitted to the unit?

(Multiple Choice)
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The nurse is planning care for a number of clients who have been victims of a hurricane.Which is the priority nursing diagnosis to include in the plan of care for the victims?

(Multiple Choice)
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A nurse educator is teaching a group of students about managed care.The educator knows that the students have understood the concept when they state that managed care has which emphasis? Select all that apply.

(Multiple Choice)
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The nurse is assessing an older adult client in the free clinic.The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit.The nurse assesses the client for possible causes for this increase.After determining that the client has not changed dietary and exercise habits,which conclusion by the nurse is the most appropriate?

(Multiple Choice)
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The nurse is caring for a client who sustained multiple injuries in an automobile accident.As a part of secondary prevention for this client,which does the nurse include in the plan of care?

(Multiple Choice)
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The nurse is working with an emergency response team following massive flooding caused by a hurricane.When working with the Clinical Outreach Communication Activity (COCA)team of the Centers for Disease Control and Prevention (CDC),the COCA is responsible for which action?

(Multiple Choice)
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A nurse is planning a community health fair at a local community center.Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply.

(Multiple Choice)
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Nursing students are discussing the uninsured and the underinsured in the United States.The students believe that clients should have access to the healthcare system when needed.One student plans to relocate from Massachusetts to Mississippi for which reason?

(Multiple Choice)
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During a mass casualty event,the demand for nursing skills increases and calls for which implementation?

(Multiple Choice)
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The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu.The nurse discusses the need for flu shots with the client,who states,"I cannot afford the shots.I do not have health insurance." Which suggestion by the nurse is most appropriate?

(Multiple Choice)
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A group of nurses attend an in-service regarding emergency preparedness for the hospital.One of the nurses has three small children and lives in a two-story house in the suburbs.After the class,the nurse plans to initiate which action to enhance family safety?

(Multiple Choice)
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