Nokea
A community health nurse is providing specialized care to patients in the home setting. What kind of specialized care may this nurse be providing? (Select all that apply.)
- A. Glucose monitoring
- B. Heparin therapy
- C. Family education
- D. Total parenteral nutrition
- E. Provision of referral services
Correct Answer: A,B,D
Rationale: Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may be provided by the community health nurse. Family education and provision of referral are categorized as therapeutic care.
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The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurse's best response when the patient asks how DRGs reduce medical care costs?
- A. By determining payment based on diagnosis
- B. By requiring two medical opinions to confirm a diagnosis
- C. By organizing HMOs
- D. By defining a person who will require hospitalization
Correct Answer: A
Rationale: DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
Who advocated the establishment of the Children's Bureau?
- A. Lillian Wald
- B. Florence Nightingale
- C. Florence Kelly
- D. Clara Barton
Correct Answer: A
Rationale: Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau.
The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions. What is the appropriate term for this type of control?
- A. Empowerment
- B. Insight
- C. Regulation
- D. Organization
Correct Answer: A
Rationale: The term empowerment refers to the control a family has over its own health care decisions.
A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
- A. American Nurses Association
- B. State's Board of Nursing
- C. Joint Commission
- D. Association of Women's Health, Obstetric and Neonatal Nurses
Correct Answer: B
Rationale: The scope of practice of the LVN/LPN is published by the state's board of nursing.
What was the result of research done in the 1930s by the Children's Bureau?
- A. Children with heart problems are now cared for by pediatric cardiologists.
- B. The Child Abuse and Prevention Act was passed.
- C. Hot lunch programs were established in many schools.
- D. Children's asylums were founded.
Correct Answer: C
Rationale: School hot lunch programs were developed as a result of research by the Children's Bureau on the effects of economic depression on children.