A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as ____ care.
Correct Answer: managed
Rationale: Managed care is a health care system that provides control over health care services for a specific group of individuals in attempts to control cost.
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Which is an example of a patient problem?
- A. Pneumonia
- B. Diabetes mellitus
- C. Impaired skin integrity
- D. Congestive heart failure
Correct Answer: C
Rationale: Impaired skin integrity is the only example of a patient problem; all other options are examples of medical diagnoses.
All of the following patients have been admitted to the acute care setting. On admission which patient should receive a focused assessment?
- A. 53-year-old admitted with a perforated ulcer
- B. 5-year-old admitted for the implant of grommets in the middle ear
- C. 76-year-old admitted for a knee replacement
- D. 40-year-old admitted for possible bowel obstruction
Correct Answer: A
Rationale: A patient with a perforated ulcer is considered to be critically ill. Therefore, this patient should receive a focused assessment. The remaining options are not considered critical illnesses.
During an admission assessment the nurse collects objective and subjective data. What is an example of objective data?
- A. The patient is jaundiced.
- B. The patient states "I am nervous."
- C. The patient complains of palpitations.
- D. The patient denies dizziness when ambulating.
Correct Answer: A
Rationale: Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. The patient is jaundiced is an example of objective data. All other options are examples of subjective data.
Which is an example of a medical diagnosis?
- A. Constipation
- B. Diabetes mellitus
- C. Impaired skin integrity
- D. Altered nutrition: less than body requirements
Correct Answer: B
Rationale: Diabetes mellitus is the only example of a medical diagnosis; all other options are examples of patient problems.
What best defines the nursing process?
- A. A method to ensure that the health care provider's orders are implemented correctly.
- B. A series of assessments that isolate a patient's health problem.
- C. A framework for the organization of individualized nursing care.
- D. A preset formula for the design of nursing care.
Correct Answer: C
Rationale: The nursing process is a framework by which to organize individualized nursing care.
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