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A case manager has been hired at a rural hospital that has a combined medical-surgical unit. When defining this new role, which of the following outcomes should be prioritized by the hospitals leadership?
- A. Decreased need for physician services
- B. Improved patient and family education
- C. Increased adherence to the principles of EBP
- D. Increased coordination of health services
Correct Answer: D
Rationale: Case management is a system of coordinating health care services to ensure cost-effectiveness, accountability, and quality care. The case manager coordinates the care of a caseload of patients through facilitating communication between nurses, other health care personnel who provide care, and insurance companies. Reducing the need for physician services is not a central goal. Education and EBP are consistent with case management, but they are not central to this particular role.
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A group of nursing students are learning about recent changes in the pattern of disease in the United States. Which of the following statements best describes these current changes?
- A. Infectious diseases continue to decrease in incidence and prevalence.
- B. Chronic illnesses are becoming increasingly resistant to treatment.
- C. Most acute, infectious diseases have been eradicated.
- D. Most, but not all, communicable diseases are declining.
Correct Answer: D
Rationale: Although some infectious diseases have been controlled or eradicated, others are on the rise. Antibiotic resistance is a more serious problem in acute, not chronic, illnesses.
Advanced practice nursing roles have grown in number and in visibility in recent years. What characteristic sets these nurses apart from the registered nurse?
- A. Collaboration with other health care providers
- B. Education that goes beyond that of the RN
- C. Advanced documentation skills
- D. Ability to provide care in the surgical context
Correct Answer: B
Rationale: There is wide variety in APRN roles. However, a commonality is that they require education beyond that of the professional RN. All nurses collaborate with other health care providers to provide nursing care to their patients. Advanced documentation skills are not what sets advanced practice nurses apart from the staff nurse. RNs have the ability to provide care in the operating room.
A team of community health nurses are planning to draft a proposal for a program that will increase the communitys alignment with the principles contained in the Healthy People 2020 report. Which of the following activities would best demonstrate the priorities identified in this report?
- A. Addressing determinants of health such as clean environments and safety in the community
- B. Lobbying for increased funding to the county hospital where many residents receive primary care
- C. Collaborating with health professionals in neighboring communities to pool resources and increase efficiencies
- D. Creating clinical placements where nursing students and members of other health disciplines can gain experience in a community setting
Correct Answer: A
Rationale: Healthy People 2020 addresses social determinants of health such as safety and the state of the environment. This report does not specifically address matters such as hospital funding, nursing education, or resource allocation.
A group of nursing students are participating in a community health clinic. When providing care in this context, what should the students teach participants about disease prevention?
- A. It is best achieved through attending self-help groups.
- B. It is best achieved by reducing psychological stress.
- C. It is best achieved by being an active participant in the community.
- D. It is best achieved by exhibiting behaviors that promote health.
Correct Answer: D
Rationale: Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do not teach that disease prevention is best achieved through attending self-help groups, by reducing stress, or by being an active participant in the community, though each of these activities is consistent with a healthy lifestyle.
You are admitting a patient to your medical unit after the patient has been transferred from the emergency department. What is your priority nursing action at this time?
- A. Identifying the immediate needs of the patient
- B. Checking the admitting physicians orders
- C. Obtaining a baseline set of vital signs
- D. Allowing the family to be with the patient
Correct Answer: A
Rationale: Among the nurses important functions in health care delivery, identifying the patients immediate needs and working in concert with the patient to address them is most important. The other nursing functions are important, but they are not the most important functions.