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- 1. Open EndedAffordable Care Act (ACA) p.2
- 2. Open Endeddiagnosis-related groups (DRG) p.11
- 3. Open Endedtertiary prevention p. 2
- 4. Open EndedQuality and Safety Education for Nurses (QSEN) p.12
- 5. Open Endedpreferred provider group (PPO) p.2
- 6. Open Endedprimary prevention p.2
- 7. Open EndedMedicaid p.11
- 8. Open EndedMedicare p.11
- 9. Open Endedsecondary prevention p.2
- 10. Open Ended1.) Which are examples of primary prevention? (select all that apply) p.2 -Providing Pap smears at reduced cost -Educating people to wear seat belts -Teaching a person with diabetes proper diet and foot care -educational programs to prevent people from smoking -use of physical therapy to prevent contractures in a stroke patient
- 11. Open Ended1.) Which type of health care treatment receives the most attention today? p.2 -Health promotion -Disease Prevention -Treatment of illness -Home health care
- 12. Open Ended2.) Which is the largest component of health care costs? p.2 -Hospital care -Prescription drugs -Professional services -Outpatient centers
- 13. Open Ended3.) Which statements refer to Medicare? (select all that apply) p.11 -funded by monthly premium from paycheck; funds matched by federal government -funded by federal, state, and local taxes -serves need, low-income, or disabled persons under 65 and their dependent children -all people 65 or older and those younger than 65 who are disabled or have permanent kidney damage -administered by the federal government -administered by both federal and state governments
- 14. Open Ended4.) Which correctly describes skilled nursing facilities? p.9 -permit a high degree of independence with limited access to nursing care -provide care for those who need observation during acute or unstable phase of illness -care for and provide palliative care to dying people -extended care for people who have the potential to regain function.
- 15. Open Ended5.) A patient admitted to a skilled nursing facility asks who will be the main type of health care worker. Who provides the most patient care to residents in skilled nursing facilities? p.9 -RNs -LPNs -Physical therapists -Nursing assistants
- 16. Open Ended6.) Which of the following do health insurance companies, HMOs, and PPOs have in common? p.10 -Health care service delivery for low-income people -delivery of health care services at a reasonable cost -establishment of ambulatory care centers -diagnosis-related groups (DGRs)
- 17. Open Ended7.) In which setting is the number of patients decreasing? p.3 -Ambulatory care -Home health -Clinics -hospitals
- 18. Open Ended8.) A stroke patient who is aphasic will need the services of a(n): p.6 -occupational therapist -physical therapist -speech therapist -social worker
- 19. Open Ended9.) The focus of hospice care is to: p.7 -extend life of terminally ill patients -provide a better quality of life for dying patients and their families -provide assistance to families trying to manage chronic illness at home -provide emergency care to dying patients at home
- 20. Open Ended10.) Nursing care used by hospice is centered around: p.7 -palliative care -treatment of disease -preservation of life -infection control
- 21. Open Ended11.) In public health, attention is focused on: p.2-3 -emphasizing patients' rights -improving health of aggregates -increasing cost-sharing -decreasing home health care
- 22. Open Ended12.) Since the beginning of cost-effective health care methods starting with DRGs, what method of health care delivery today is aimed at cost-effectiveness? p.2 -ambulatory care -long-term care -managed health care -extended care
- 23. Open Ended13.) Which of the following are outpatient settings? (select all that apply) p.3-8 -physicians' offices -ambulatory surgery centers -emergency departments -rehabilitation centers -long-term care facilities -mammography centers
- 24. Open Ended14.) one aim of primary prevention is to: p.2 -promote health -detect disease early -treat disease to improve patient outcomes -prevent complications of disease
- 25. Open Ended15.) What is one of the purposes of the Affordable Care Act? p.2 -increase treatment of persons requiring acute care in hospitals -decrease the number of medical procedures for patients with chronic conditions -expand palliative and hospice care to all Americans -prevent insurance companies from denying coverage on the basis of preexisting conditions
- 26. Open Ended16.) The effects of managed care include: p. 2 -increase in a fee for service -decrease in home health care -decreased focus on wellness -increased focus on prevention
- 27. Open Ended17.) What accounts for the majority of preventable medical errors? (select all that apply) p.12 -individual carelessness -system problems -health care process problems -lack of concentration -overworked nursing staff
- 28. Open Ended18.) Which are aims for the 21st Century Health Care System cited in the IOM's Crossing the Quality Chasm? (select all that apply) p.12-13 -Safe -Effective -Efficient -Comprehensive -Patient-centered -Cost-contained
- 29. Open Ended1.) The nurse attended an in-service program on QSEN. Which are true statements related to QSEN? (select all that apply) p.12-13 -Minimize risk of harm to patients and providers -Use technology to mitigate error and support decision-making -Integrate best current evidence when providing nursing care -Reduce waits and harmful delays for patients and providers -Avoid waste of equipment, supplies, and energy -Provide care that is equitable
- 30. Open Ended2.) At a nursing staff meeting, cost containment is being discussed. What factors contribute to the nurse's role in cost containment? (select all that apply) p.11-12 -nurses experience firsthand the organizational decisions made to control spending -nurses emphasize safe and effective nursing care -nurses participate in patient-centered care -nurses provide private nursing care when needed -nurses identify strategies to streamline care and provide quality care within limited resources
- 31. Open Ended3.) The nurse is working in a hospital, which has added a geriatric evaluation and management (GEM) unit and an acute care for elders (ACE) unit. Which is a benefit of adding specialty units designed for older adults, such as GEM and ACE units, to acute care settings? p.3 -implement cost-containment strategies -provide positive effects on patient mortality -increase rates of discharge to nursing homes -begin discharge planning with interdisciplinary team the week before discharge
- 32. Open Ended4.) The nurse has just started working for a home health care agency. Why does the demand for professional home health care services continue to increase for all age categories? (select all that apply) p.4 -ambulatory surgery center services are decreasing -health care costs are decreasing -managed health care is focused on acute care -hospitals are reducing the length of hospital stays -there is an increased need for prescription drugs -there is a trend toward early discharge with needs for special care
- 33. Open Ended5.) An older patient's son is considering taking his father with dementia to an adult day care center. he asks the nurse what benefits would be. Which are advantages of adult day care centers? (select all that apply) p.7 -provides a respite from constant caregiving -provides primary skilled nursing services -patients can continue to live at home and have supervision during the day -current illnesses in patients are diagnosed and treated -provides health promotion programs and nutritional meals
- 34. Open Ended6.) Which type of medical insurance is appropriate to use for a 70 year-old patient recovering from a broken wrist? p.11 -Medicare -Medicaid -Private insurance -Social security
- 35. Open Ended7.) The priority type of care for a 68 year-old patient who is on a rehabilitation unit following a stroke is: p.8 -palliative care -acute care -assisted living care -skilled nursing care
- 36. Open Ended8.) Which patient is entitled to receive medicare insurance? p.11 -25 year-old patient with asthma -72 year-old patient with hypertension -60 year-old patient with pneumonia -55 year-old patient with brain injury
- 37. Open Ended9.) Which low-income patient is most likely to be eligible for Medicaid funding? p.11 -35 yr old patient with MS -65 yr old patient with a stroke -70 yr old patient with acute MI -40 yr old patient with acute allergies
- 38. Open Ended10.) A patient with a brain tumor is admitted to hospice care. Which are requirements for admission to hospice care? (select all that apply) p.7 -a diagnosis of a terminal illness -treatment including chemotherapy -IV infusions for antibiotics -Informed consent by the physician to elect hospice care -placement of nasogastric tube for feedings
- 39. Open Ended11.) The nurse is taking care of a patient who has just been admitted to hospice care. Which are purposes of hospice? (select all that apply) p.7 -Provide home health care services to terminally ill patients -provide observation during acute or unstable phases of illness -Enable patients to receive IVs and tube feeding at home -Enable terminally ill patients to live as full a life as possible -Manage pain and discomfort with skilled personnel
- 40. Open Ended12.) Which are Institute of Medicine (IOM) recommendations to reduce medication errors? (select all that apply) p.12 -better patient education -use of information technologies -better drug labeling and information sheets -increased use of informed consent -double-check of opioid administration
- 41. Open Ended13.) Which characteristics of a national health information infrastructure would prevent errors and allow nurses to learn from errors when they do occur? (select all that apply) p.12 -maintenance of complete patient database -use of electronic health records -rapid dissemination of best practices information -increased patient-centered care -use of teamwork -reduced wait times for patients
- 42. Open Ended14.) The nurse is assisting an RN with an in-service program on QSEN. Which are included in the QSEN quality and safety competencies? (select all that apply) p.12 -primary nursing care -evidence-based practice -quality improvement -teamwork and collaboration -informatics -cost containment
- 43. Open Ended15.) Using data to monitor the outcomes of care processes is an example of which QSEN competency? p.12 -teamwork -quality improvement -safety -informatics
- 44. Open Ended16.) a 66 year-old patient is admitted to the rehabilitation unit of a hospital following surgery for a fractured hip. Which type of preventative care is provided? p.2 -primary -secondary -tertiary -comprehensive
- 45. Open Ended--START OF CHAPTER 2-- Disability p.21
- 46. Open EndedImpairment p.21
- 47. Open EndedHandicap p.21
- 48. Open EndedLevel III p.21
- 49. Open EndedLevel I p.21
- 50. Open EndedLevel IV p.21
- 51. Open EndedLevel II p.21
- 52. Open Ended1.) Which basic criteria for home health care must be met to receive Medicare reimbursement? (select all that apply) p.17 -patient care must be continuous for 24 hours per day -the patient needs intermittent skilled nursing care -the patient needs meals to be delivered at home -the patient must be homebound -the physician must authorize a plan of care -the patient must be bedridden
- 53. Open Ended2.) which are the four most common intravenous therapies that can be given in a home health setting? (select four that apply) p.19 -hydration -chemotherapy -blood transfusion -antibodies -platelet infusion -pain control
- 54. Open Ended3.) Which are examples of places where long-term care is provided? (select all that apply) p.24 -personal homes -board and care homes -hospitals -nursing homes -assisted-living centers -acute care facilites
- 55. Open Ended4.) Care delivered in a long-term care residential facility is based upon what three principles? (select three that apply) p.24 -maintenance of autonomy -prevention of illness -maintenance of function -treatment of disease -promotion of independence
- 56. Open Ended5.) What are positive responses to institutionalization of residents in long-term care facilities? (select all that apply) p.19 -Increased depersonalization -Improved nutrition -management of medical problems -surgical treatment of fractures -improved socialization -social withdrawal
- 57. Open Ended6.) By providing clear documentation of functional losses and goals for care, the nurse is meeting the Medicare criterion of: p.18 -skilled care -reasonable and necessary care -homebound patient care -intermittent care
- 58. Open Ended7.) What is the LPN/LVN's role in skilled observation and assessment of patient in home settings? p.19 -development of a plan of care -implement a teaching plan -perform focused assessments -observe early signs and symptoms of illness
- 59. Open Ended1.) A patient is being transferred from an acute care hospital to a rehabilitation facility. The focus of rehabilitation is to: p.21 -restore maximum possible functioning -function independently -assist with ADLs -eliminate impairment
- 60. Open Ended2.) People born without arms can perform ADLs by using their feet and assistive devices. What are these people said to have? p.21 -a disability -a handicap -paralysis -impairment
- 61. Open Ended3.) How is an individual with an injured back who has a diminished capacity for work classified? p.21 -handicapped -impaired -disabled -dependent
- 62. Open Ended4.) The nurse is working in a rehabilitation center taking care of a poststroke patient. Which safety actions play a role in preventing a secondary disability for this patient who is at risk for falls and fractures? (select all that apply) p.22 -use of a walker -passive ROM exercises -exercise 3 x's a day for 30 min -modifications of the environment -teach patient about use of a call bell -keep the side rails up
- 63. Open Ended5.) A patient who was hospitalized with a stroke and is being transferred to a rehabilitation facility. Which is a goal of rehabilitation? p.21 -teach disabled individuals to take care of themselves -return disabled individuals to maximum state of functioning -perform skilled nursing procedures for patients -respond promptly to patient requests for assistance with care
- 64. Open Ended6.) Which requires the home health LPN/LVN to call the RN case manager? (select all that apply) p.18 -changes in vital signs -changes in weight -wound parameter changes -signs of patient abuse or neglect -presence of family member caretakers -report of what patient ate for breakfast
- 65. Open Ended7.) Which is an example of safety measures a nurse provides to prevent a secondary disability? p.22 -perform dressing changes for a postoperative patient -provide walker for poststroke patient -teach patient with diabetes how to draw up insulin in a syringe -remove small rugs for patient who has had a hip replacement
- 66. Open Ended8.) Which nursing intervention is an example of the long-term residential care principle of maintenance of autonomy? p.28 -place a urinal near the bed for immobile, incontinent patient -allow nursing home residents to assist in establishing care goals -explore factors that may be responsible for the patient's incontinence -set specific goals for each resident that encourage independence
- 67. Open Ended9.) A health care team with one RN, one LPN, and a nursing assistant are working together in a clinic. Which of the following can be performed by an LPN that cannot be performed by the nursing assistant? (select all that apply) p.23 -development of a teaching plan -comprehensive patient assessment -administration of chemotherapy -sterile wound dressing change -insertion of Foley catheter -focused patient assessment
- 68. Open Ended10.) Which examples of secondary disabilities in a patient with a stroke should the nurse plan to prevent? (select all that apply) p.22 -eye infection -pneumonia -paralysis -pressure ulcers -limb contractures -urinary incontinence
- 69. Open Ended11.) Which skilled nursing procedures is reimbursed by Medicare? p.26 -unsterile dressing changes -enema administration -Foley catheter insertion -injecting insulin
- 70. Open Ended12.) A patient rings the call bell. What is the first action the nurse should take to prevent the patient feeling indignity? p.26 -knock on the patient's door before entering -talk with the patient about events inside and outside the long-term care facility -simplify language and activities for the patient and avoid baby talk -give the patient some flexibility and measure of control in daily activities
- 71. Open Ended13.) A patient in a long-term care facility exhibits new behaviors that include staying in bed most of the day, expressing difficulty with walking, and losing conversational skills. Which effect of institutionalization is this patient exhibiting? p.26 -social withdrawal -indignity -regression -depersonalization
- 72. Open Ended14.) A 72 year-old patient who has had a recent stroke has been transferred to a rehabilitation facility. The nurse notices an unused walker in the corner of the room. What referral needs to be made to improve his mobility? p.21 -physical therapist may need to increase strengthening exercises and gait training -social worker to address the patient's fears -speech therapist to improve communication -occupational therapist to help the patient improve fine motor skills
- 73. Open Ended15.) What can the nurse do to maintain autonomy in the patient in a long-term care setting? p.28 -focus care on restoring and preserving function -allow the patient to decide the time of his bath -select specific goals for the patient -knock on the patient's door before entering the room
- 74. Open Ended16.) The nurse is making a home health visit to see a patient who is recovering from a stroke. In addition to giving direct care to the patient, the most important role is to: p.21 -assess the home for safety problems -make arrangements for a daily bath for the patient -make referrals to community support groups -teach the patient and family to care for themselves
- 75. Open Ended17.) The home health nurse is collecting data from a patient for the plan of care. Data collected by the nurse that may detect heart failure problems early in this patient include: p.19 -confusion and elevated blood sugar -weight gain and ankle edema -shortness of breath and dyspnea -jaundice and dyspepsia
- 76. Open Ended18.) The nurse is working in a home health setting. The physician authorized a plan of care that is used by the nurse to develop a nursing care plan. Which of the following must be included in the physician's authorized plan of care? (select all that apply) p.18 -plans for discharge from home care -results of mental status -plans for daily visits from home health personnel -rehabilitation potential -safety measures to protect against injury
- 77. Open Ended--START OF CHAPTER 3-- Values p.32
- 78. Open EndedMorality p.31
- 79. Open EndedBioethics p.31
- 80. Open EndedEthnocentrism p.33
- 81. Open EndedNonmaleficence p.32
- 82. Open EndedBeneficence p.32
- 83. Open EndedJustice p32
- 84. Open EndedAutonomy p.32
- 85. Open EndedFidelity p.32
- 86. Open EndedVeracity p.32
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