Nokea
A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?
- A. The individual must see a primary care provider before being referred to a specialist.
- B. The focus of care is prevention and management of individuals with chronic disease.
- C. The individual has paid a membership fee to be part of this organization.
- D. The focus of care is to conserve money in a health savings account.
Correct Answer: B
Rationale: The focus of accountable care organizations (ACOs) is on managing chronic conditions and preventing hospital readmissions.
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A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program?
- A. Assess the motivation level of the individuals
- B. Assess the knowledge level of the individuals
- C. Establish teacher-learner goals with the individuals
- D. Establish multiple teaching sessions with the individuals
Correct Answer: B
Rationale: Assessing the knowledge level of the individuals is essential to tailoring the program to meet their educational needs.
Self-care in long-term care: What should the nurse encourage?
- A. "Encourage participation in activities like Scrabble™ and bingo."
- B. "Dress residents before breakfast."
- C. "Fill in missing words during conversation to avoid embarrassment."
- D. "Get residents ready for breakfast as quickly as possible."
Correct Answer: A
Rationale: Encouraging self-care and participation in activities helps maintain cognitive function and independence.
Which of the following would be described as a family structural component?
- A. Income earner of the house
- B. Socialization for the family
- C. Immunization of infants
- D. Launching of children
Correct Answer: A
Rationale: The income earner is a structural component related to family roles and relationships.
A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
- A. The age of the house in which the family lives
- B. Genetic diseases in the family
- C. Driving practices in the family
- D. Toilet training for the child
Correct Answer: A
Rationale: Homes built before 1974 may contain lead-based paint, which poses a risk to a crawling baby, leading to neurological damage.
A preschooler and her school-age brother both received the same swimming tube as a gift. The brother accidentally took his sister’s swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister?
- A. Abstract thinking
- B. Concrete thinking
- C. Jealousy
- D. A temper tantrum
Correct Answer: B
Rationale: The child is demonstrating concrete thinking, focusing on her own perspective without considering others.