Question 1

The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured client.Which statement regarding the consequences of being uninsured or underinsured is appropriate for the educator to share with the students?

Accepted Answer

A)   "Delays of diagnoses lead to higher mortality and morbidity rates."
B)   "Delays in health coverage for children put the health provider at risk for litigation."
C)   "The client's children are at risk of contracting diseases for which others are immunized."
D)   "Older adults are less likely to be treated for falls." A

Question 2

The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?

Accepted Answer

A)   Decontamination
B)   Rapid triage
C)   Reverse triage
D)   Emergency medical treatment A

Question 3

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department.Which resources will the nurse manager utilize to help nurses understand their roles and responsibilities during an emergency response? Select all that apply.

Accepted Answer

A)   The American Nurses Association (AN
A)  
B)   The Federal Emergency Management Agency (FEM
A)  
C)   The AMA
D)   The Red Cross A

Question 4

A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues.Which aspects of the Affordable Care Act (ACA)affect children favorably? Select all that apply.

Accepted Answer

A)   Insurance companies cannot deny coverage based on preexisting conditions.
B)   Insurance companies cannot drop children who have serious illnesses.
C)   Benefits are paid through private benefactors.
D)   All children are covered regardless of whether the parents are covered.
E)   The government must make appropriate arrangements for children of laypeople.

Question 5

The nurse taking care of a client in the clinic notes that the client comes in twice per week,but never seems to have anything majorly wrong.Which is a benefit of providing education about self-care to this client?

Accepted Answer

A)   The client's perception of need will change, promoting appropriate and timely health care.
B)   The client will continue to come to the clinic seeking help until someone helps the client.
C)   The client will seek affordable insurance by which to gain appropriate health care.
D)   The client will learn to seek healthcare services from legitimate sources.

Question 6

As a working professional,the nurse knows that one reason to join the American Nurses Association (ANA)is for which opportunity?

Accepted Answer

A)   To participate in national discussions about resources
B)   To gain local and national notoriety
C)   To determine how to fight for resources locally
D)   To advocate for resources through different business sources

Question 7

The local clinic staff has noticed an increase in the flu this season and request more vaccine from the Centers for Disease Control and Prevention (CDC).The nurse knows that the CDC will control the vaccine distribution by considering which factors? Select all that apply.

Accepted Answer

A)   The amount of vaccine being requested by local health departments
B)   The speed at which the vaccine becomes available
C)   Who gets the available vaccine
D)   Ensuring that only medical personnel can receive the vaccine
E)   Ensuring that only babies and military personnel receive the vaccine

Question 8

The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG)testing,phlebotomy,and some respiratory therapy interventions.This clinic is providing client-focused care.Which are the benefits of this delivery model? Select all that apply.

Accepted Answer

A)   Collaboration among many disciplines in providing client care
B)   Decreased steps to provide client care
C)   Decreased personnel required to provide client care
D)   Ease in tracking client progress
E)   Cost-effective care resulting in improved outcomes

Question 9

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.As part of the emergency response,the charge nurses in the emergency department (ED)and intensive care unit (ICU)are responsible for which tasks? Select all that apply.

Accepted Answer

A)   Assigning care for the clients as they are admitted to the unit
B)   Assuring that there are enough pain medications available
C)   Assessing the acuity of the current clients on the unit
D)   Delegating staff nurses to gather needed supplies for the arriving clients
E)   Notifying the operating room of the potential influx of clients needing surgery

Question 10

The nurse knows that communication among healthcare team members is essential during mass casualty events.Which is essential when communicating under these circumstances?

Accepted Answer

A)   Providing concise, accurate, and timely information
B)   Preparing for ethical challenges
C)   Documenting to prevent legal issues
D)   Coordinating care between management and clinicians

Question 11

The nurse is participating on a local council as an advisor regarding community needs during an emergency.Which recommendation regarding community needs during an emergency response does the nurse include when advising the council?

Accepted Answer

A)   A coordinated response to emergencies.
B)   A comprehensive disaster plan.
C)   Programs to restore the community.
D)   The identification of potential hazards to the community.

Question 12

The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources.Which method does the educator include in the teaching session regarding this topic?

Accepted Answer

A)   Denying coverage for services not supported by research
B)   Covering clients for preexisting conditions only
C)   Providing self-care allowances for covered individuals
D)   Increasing healthcare costs through organ donation

Question 13

A young mother brings her children to the health department for routine immunizations.The mother is crying because she lost her job and fears that her asthmatic daughter may be denied appropriate health care because she is unable to pay for it.The nurse realizes that many clients are experiencing these fears.Which action by the nurse would have the greatest impact for all clients who experience this fear?

Accepted Answer

A)   Reminding the client that everything will be fine
B)   Becoming involved in the American Nurses Association (AN
A)  
C)   Moving to an area that needs healthcare workers
D)   Giving the client medications and supplies from the clinic at no charge

Question 14

The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA)of 1986 to prevent which action by emergency services?

Accepted Answer

A)   Refusing to treat uninsured clients
B)   Servicing suburban clients only
C)   Stopping the poor from using emergency services as primary care
D)   Providing free examinations to the poor

Question 15

A client in the clinic asks the nurse about a medication seen on television.When the nurse suggests a generic,cheaper version of the medication,the client is resistant to this recommendation.When planning care for this client,which is true regarding the healthcare treatment choices of consumers?

Accepted Answer

A)   Inappropriate healthcare treatment choices by consumers have contributed to increases in healthcare costs.
B)   The continued lack of accurate diagnoses by the primary medical team has contributed to increases in healthcare costs.
C)   Better treatments leading to an increase in medical expenses for more research have contributed to increases in healthcare costs.
D)   Decreased longevity due to an increase in chronic diseases has contributed to increases in healthcare costs.

Question 16

A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN)degree.After considering projected changes in health care and the population cared for in the community,the student might consider selecting which elective course?

Accepted Answer

A)   A course on medical Spanish
B)   A psychology course on young adults
C)   A personal finance class
D)   A class on the effect of illness on a young child

Question 17

A nurse recently attended a seminar that discussed the many threats to homeland security.The nurse is responsible for planning for emergencies from bioterrorism as nurse manager of the emergency department.Which agents does the nurse include when planning for bioterrorism? Select all that apply.

Accepted Answer

A)   Anthrax
B)   Tuberculosis
C)   Cancer
D)   Flu
E)   Smallpox

Question 18

The nurse understands that some factors affect health care delivery by creating new opportunities for the healthcare sector.Which would affect healthcare delivery?

Accepted Answer

A)   Advances in technology requiring specialized personnel
B)   Healthcare literacy programs
C)   Changing demographics that increase the need for new jobs
D)   Managed care frameworks that coordinate clients and insurance plans

Question 19

The nurse is taking care of a client being discharged but will need home nursing care,physical therapy,and speech therapy.Which framework helps the client who has multiple care needs?

Accepted Answer

A)   Case management
B)   Client-focused care
C)   Managed care
D)   Multidisciplinary nursing teams

Question 20

A client asks the nurse,"How am I going to pay for a surgery? I'm broke,but I've been so sick." Which statement regarding the Affordable Care Act (ACA)may be applicable to this client's situation?

Accepted Answer

A)   "The ACA extends coverage to the working poor who do not qualify for public assistance and whose employers do not offer health insurance."
B)   "Unfortunately, you will probably be denied coverage because of your existing condition."
C)   "Most insurance premiums will be more and some less; you will have to shop around."
D)   "Because the rate of inflation is slowing, the ACA will also help curb medical costs."

Exam 46: Health Care Systems

The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured client.Which statement regarding the consequences of being uninsured or underinsured is appropriate for the educator to share with the students?

The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department.Which resources will the nurse manager utilize to help nurses understand their roles and responsibilities during an emergency response? Select all that apply.

A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues.Which aspects of the Affordable Care Act (ACA) affect children favorably? Select all that apply.

The nurse taking care of a client in the clinic notes that the client comes in twice per week,but never seems to have anything majorly wrong.Which is a benefit of providing education about self-care to this client?

As a working professional,the nurse knows that one reason to join the American Nurses Association (ANA) is for which opportunity?

The local clinic staff has noticed an increase in the flu this season and request more vaccine from the Centers for Disease Control and Prevention (CDC) .The nurse knows that the CDC will control the vaccine distribution by considering which factors? Select all that apply.

The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG) testing,phlebotomy,and some respiratory therapy interventions.This clinic is providing client-focused care.Which are the benefits of this delivery model? Select all that apply.