Nokea
A client with a terminal illness is concerned about performing self-care after discharge. Which of the following statements should the nurse make?
- A. A social worker will address your concerns after discharge.
- B. You should plan to go to a skilled nursing facility after discharge.
- C. Your case manager will coordinate the resources you will need.
- D. You will need hospice care until you feel stronger.
Correct Answer: C
Rationale: The correct answer is C: Your case manager will coordinate the resources you will need. This statement reassures the client that a professional will help organize the necessary support services. A social worker (A) may not specifically address self-care needs. Going to a skilled nursing facility (B) may not be necessary if resources can be coordinated at home. Hospice care (D) is typically for end-of-life care and may not address the client's concerns about self-care after discharge.
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What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
- A. Reducing the spread of infection
- B. Promoting physical activity
- C. Educating on medication administration
- D. Promoting child safety in transportation
Correct Answer: A
Rationale: The correct answer is A: Reducing the spread of infection. In the late industrialization era, poor sanitation and overcrowding led to rampant infectious diseases. Healthcare workers needed to focus on infection control measures to prevent the spread of diseases. This includes promoting hand hygiene, proper waste disposal, and sanitation practices. By addressing the spread of infection, healthcare workers could significantly improve public health outcomes.
Incorrect choices:
B: Promoting physical activity - While physical activity is important for overall health, in the late industrialization era, infectious diseases were more pressing issues.
C: Educating on medication administration - Although important, medication administration was not a primary concern in an era where infectious diseases were rampant.
D: Promoting child safety in transportation - This issue is important for child safety but was not as crucial as addressing the spread of infectious diseases in the late industrialization era.
Which action directly resulted from the contribution made by Linda Richards?
- A. Using an antiseptic before administering an injection
- B. Exploring the psychosocial needs of the patient
- C. Documenting patient care in the medical record
- D. Listening to a patient describe his or her symptoms
Correct Answer: C
Rationale: The correct answer is C because Linda Richards was the first professionally trained nurse in the United States and she established the practice of documenting patient care in medical records. This action is directly linked to her contribution as it improved the organization and continuity of patient care. Exploring psychosocial needs (B) and listening to patient symptoms (D) are important nursing practices, but they were not specifically attributed to Linda Richards. Using antiseptic before injections (A) is important for infection control, but it was not directly related to Linda Richards' contribution.
A healthcare professional is interested in locating reliable information concerning non-invasive blood glucose monitoring. Information is found, and the author is a scientist who conducted studies within the last year on the effectiveness of a non-invasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company excite.com. The healthcare professional is concerned about what component associated with this information?
- A. Accuracy
- B. Currency
- C. Authority
- D. Objectivity
Correct Answer: D
Rationale: The correct answer is D: Objectivity. The healthcare professional should be concerned about objectivity because the funding received from a pharmaceutical company may introduce bias into the study results. The author's objectivity could be compromised due to potential influence from the funding source. It is essential to ensure that the information provided is unbiased and not influenced by external interests.
Summary:
A: Accuracy - Accuracy relates to the correctness of information, which may not necessarily be compromised by the funding source in this scenario.
B: Currency - Currency refers to the timeliness of information, which is not directly impacted by the funding source.
C: Authority - Authority pertains to the expertise and credibility of the author, and while the funding source may raise concerns about bias, it does not directly question the author's authority.
What term is used to identify the care delivery model being used when a nurse makes patient care assignments as follows: RN1 has rooms 202-210, RN2 has rooms 211-221, RN3 has rooms 222-232. The unlicensed assistive personnel have half the rooms, with one assigned to 202-215 and the second to 216-232?
- A. Partnership
- B. Primary
- C. Modular
- D. Team
Correct Answer: C
Rationale: The correct answer is C: Modular. This care delivery model involves assigning specific patient care responsibilities to individual nurses and unlicensed assistive personnel based on room numbers. This modular approach allows for efficient and organized care delivery by dividing the workload based on room assignments.
A: Partnership - This term refers to the collaborative relationship between healthcare providers and patients, not the specific care delivery model described in the question.
B: Primary - The primary care delivery model focuses on a designated primary care provider who oversees and coordinates all aspects of a patient's care, which is different from the modular approach described in the question.
D: Team - While teamwork is essential in healthcare, the term "team" does not specifically describe the care delivery model outlined in the question, which is based on room assignments and individual responsibilities.
Medicaid, which is financed by what part of the government, is jointly funded by which two entities?
- A. State
- B. Federal
- C. County
- D. State and federal
Correct Answer: D
Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.