Nokea
Which of the following is an example of a macro-level health policy?
- A. Local health ordinances
- B. State licensing regulations
- C. National healthcare legislation
- D. Institutional policies
Correct Answer: C
Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.
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What is the main focus of health literacy initiatives?
- A. To promote the use of medical jargon
- B. To improve patient communication skills
- C. To ensure that patients understand their health information
- D. To reduce the use of electronic health records
Correct Answer: C
Rationale: The main focus of health literacy initiatives is to ensure that patients understand their health information. This is important for empowering individuals to make informed decisions about their health. Promoting the use of medical jargon (Option A) would actually hinder comprehension. Improving patient communication skills (Option B) is beneficial but not the main focus. Reducing the use of electronic health records (Option D) is not related to enhancing patient understanding.
Which of the following best describes the role of a nurse preceptor?
- A. Supervisor of all nursing staff
- B. Mentor and educator for new nurses
- C. Director of nursing services
- D. Coordinator of patient care
Correct Answer: B
Rationale: The correct answer is B: Mentor and educator for new nurses. A nurse preceptor guides and supports new nurses in their transition to the workplace, providing mentorship and educational resources. This role involves teaching clinical skills, sharing knowledge, and offering emotional support.
A: Supervisor of all nursing staff - Incorrect. A nurse preceptor focuses on mentoring new nurses, not supervising all nursing staff.
C: Director of nursing services - Incorrect. The director of nursing services is a higher-level administrative position responsible for overseeing the nursing department.
D: Coordinator of patient care - Incorrect. While a nurse preceptor may assist in coordinating patient care for their assigned nurse, their primary role is to mentor and educate new nurses.
What is the primary goal of the Affordable Care Act (ACA)?
- A. To reduce healthcare costs
- B. To expand access to healthcare
- C. To improve healthcare quality
- D. To increase healthcare funding
Correct Answer: B
Rationale: The correct answer is B: To expand access to healthcare. The primary goal of the ACA is to increase the number of Americans with access to affordable healthcare coverage. This is achieved through measures such as expanding Medicaid, creating health insurance marketplaces, and providing subsidies for low-income individuals. By increasing access to healthcare, the ACA aims to improve health outcomes and reduce disparities.
Choice A (To reduce healthcare costs) is not the primary goal of the ACA, although cost containment is an important aspect. Choice C (To improve healthcare quality) is also a key goal, but not the primary focus. Choice D (To increase healthcare funding) is not the primary goal either, as the ACA aims to improve access and quality of care rather than simply increasing funding.
A manager is working on the personnel budget for the year. The manager anticipates needing to replace 832 benefit hours. How many FTEs (Full-Time Equivalents) will be needed for replacement?
- A. 0.40 FTEs
- B. 17.0 FTEs
- C. 0.05 FTEs
- D. 1.0 FTEs
Correct Answer: A
Rationale: To determine the FTEs needed, divide the total benefit hours by the standard annual benefit hours for a full-time employee. In this case, 832 benefit hours / 2080 standard annual benefit hours = 0.4 FTEs (Choice A). This is because an FTE represents the hours worked by one full-time employee in a year.
Choice B (17.0 FTEs) is incorrect as it is significantly higher than the calculated 0.4 FTEs. Choice C (0.05 FTEs) is too low and does not accurately reflect the number of FTEs needed for 832 benefit hours. Choice D (1.0 FTEs) is incorrect as it assumes that 832 benefit hours equal the standard annual benefit hours for one full-time employee, which is not the case here.
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
- A. Engage the client and ask why they want to discuss this without their partner present.
- B. Provide information on advance directives and offer brochures.
- C. Advise the client to schedule a discussion with their provider.
- D. Focus on the client's current feelings and postpone planning for a later time.
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely.
Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.