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A nursing student is assisting with nursing care for patients in a primary care center. Based on the setting, what activities will the student expect to perform?
- A. Assisting with major surgery
- B. Performing health assessments
- C. Maintaining patients' function and independence
- D. Maintaining immunization records
Correct Answer: B
Rationale: Performing health assessments is a common role of the nurse in a primary care center. Assisting with major surgery is a role of the nurse in the hospital setting. Maintaining patients' function and independence is a role of the nurse in a rehabilitation or extended-care facility, and keeping student immunization records up to date is a role of the school nurse.
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The nurses at a large community hospital with several campuses are members of a committee working toward obtaining Magnet status. What activity will best meet their goal?
- A. Recruiting excellent surgeons and medical doctors
- B. Offering health prevention activities in the community
- C. Providing high-quality patient care, using innovative practices
- D. Seeking culturally diverse clergy to meet patient's spiritual concerns
Correct Answer: C
Rationale: Magnet hospitals meet strict requirements and standards representing the highest quality of professional nursing practice and patient care, nursing excellence, and innovations in practice. The other options are valuable but not the primary focus of Magnet designation.
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party payer who pays all or most of the care. How does the nurse refer to this method of payment?
- A. Out-of-pocket payment
- B. Individual private insurance
- C. Employer-based group private insurance
- D. Government financing
Correct Answer: B
Rationale: The four basic modes of paying for health care are out-of-pocket payment, individual private insurance, employer-based group private insurance, and government financing. With individual private insurance, members pay monthly premiums either by themselves or in combination with employer payments. These plans are called third-party payers because the insurance company pays all or most of the cost of care. Out-of-pocket payment is paying for health care with cash payments. Employer-based private insurance is employer-sponsored coverage, and government financing is provided through Medicare and Medicaid, and other federally funded programs.
Nursing students are reviewing information about health care delivery systems in post conference. Which statements describing current U.S. health care delivery practices should be included in the discussion? Select all that apply.
- A. Access to care depends only on the ability to pay, not the availability of services.
- B. The Patient Protection and Affordable Care Act provides private health care insurance to underserved populations.
- C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits.
- D. The uninsured pay for more than one third of their care out of pocket and are usually charged lower amounts for their care than the insured pay.
- E. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do.
- F. Quality of care can be defined as the right care for the right person at the right time.
Correct Answer: C,E,F
Rationale: The Health Insurance Marketplace is designed to help people more easily find health insurance that fits their budget. All plans in the Marketplace offer comprehensive coverage, from doctors to medications to hospital visits. There are many fewer primary care providers in the United States than there were 50 years ago. Quality is the right care for the right person at the right time. Access to care depends on both the ability to pay and the availability of services. The Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one third of their care out of pocket and are often charged higher amounts for their care than the insured pay.
As part of a clinical paper, a nursing student interviews a hospice nurse about their role. How will the student describe the type of care the nurse provides?
- A. Physical, psychological, social, and spiritual care for dying patients, their families, and loved ones
- B. Preventive, primary care, focusing on diabetes education, immunizations, and prenatal care
- C. Care focusing on rare diseases and specialty care
- D. Care to meet the patient's health care needs while giving a break to the patient's caregiver
Correct Answer: A
Rationale: The hospice nurse combines the skills of the home care nurse with the ability to provide daily emotional support to dying patients and their families. The other options describe primary care, tertiary care, and respite care, respectively.
The caregiver for a patient who is immobile and requires tube feedings asks the nurse to explain respite care. How does the nurse best explain this type of care?
- A. It's a type of service that allows time away for caregivers.
- B. It provides comfort and end-of-life services for the terminally ill and their families.
- C. It is skilled care provided to older adults in a long-term care facility.
- D. It provides living units available to people without regular shelter.
Correct Answer: A
Rationale: Respite care is provided to enable a primary caregiver time away from the day-to-day responsibilities of homebound patients. The other options describe palliative care, long-term care, and homeless shelters, respectively.