Exam 3: The Health Care Delivery System

A registered nurse has been working for an oncology unit for the past year and has a passion for caring for oncology patients undergoing chemotherapy.Whose responsibility is it for the nurse to become competent in administering chemotherapy?

A nurse is teaching the staff about the Prospective Payment System (PPS).Which information should the nurse include in the teaching session?

A registered nurse working in a restorative care setting will focus on which areas? (Select all that apply.)

A small business owner has consulted with an occupational health nurse regarding health promotion activities for the employees.The registered nurse explores the possibility of providing an area outside the new office complex where employees can walk during their breaks.Which level of care did the nurse use?

A single mother with three children uses the public health department services in the county to immunize her children.Which level of health care did the mother use?

A nurse admits an older adult patient who states that he or she has no living relatives and only two close friends.Upon admission to the hospital,which action should the nurse initiate first?

A new registered nurse who recently began working in a nursing center has been asked to complete a Resident Assessment Instrument (RAI)on a newly admitted resident.What is the primary purpose of this instrument?

A nurse is teaching the importance of breast self-examination to a group of 20-year-old women.The nurse is promoting which type of care?

A nurse is asked the most frequently cited reason for death in the world.How should the nurse reply?

A grocery store clerk does not have a family health care provider.The clerk has had a sore throat for the past week and recently began running a fever.The clerk goes to the local community hospital's emergency room for treatment.Which level of care did the clerk use?

A patient tells the nurse that he or she does not understand the purpose of capitation.What is the nurse's best response?

Which patient is in the most expensive place to deliver care per day?

A 74-year-old patient was admitted to the hospital with diabetic ketoacidosis.How will the hospital be reimbursed by Medicare?

Which patient is most suitable for admission into hospice?

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

A retired high school teacher has been admitted to the hospital with complications of diabetes.To ensure the patient is discharged home with the right care,at the right time,and without duplication,which health care reform system was developed?

A nurse wants to practice using the Institute of Medicine Competencies.Which competencies should the nurse use? (Select all that apply.)

A 78-year-old widow needs assistance with medications,housekeeping,and laundry,and would like to maintain independence.Which is the best option for the nurse to suggest?

Which patient is most in need of discharge planning by the nurse?

An 81-year-old widow with mild dementia has self-care capabilities.The widow recently moved in with her daughter,a 46-year-old working mother with three children.In considering how to have care for her mother when she is working,what is the most appropriate option the nurse should suggest?