Nokea
A priority action for the nurse who works with culturally diverse clients is completion of a:
- A. sign language course.
- B. cultural self-assessment.
- C. cultural client assessment.
- D. continuing education course on how to speak Spanish.
Correct Answer: B
Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts.
A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language.
C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first.
D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.
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An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in nursing.
- A. triage
- B. forensic
- C. flight
- D. entrepreneurial
Correct Answer: B
Rationale: The correct answer is B: forensic. In this scenario, the nurse's involvement in specimen collection and assessment of the victim relates to forensic nursing, which involves providing healthcare in legal contexts like investigations and court proceedings. Triage (A) is the process of prioritizing patient care based on severity. Flight (C) and entrepreneurial (D) have no relevance to the situation described.
Which statement is true regarding health care for minorities?
- A. Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.
- B. Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
- C. Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate.
- D. Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct:
1. Federal legislation such as the Affordable Care Act has expanded Medicaid coverage and provided subsidies for health insurance.
2. This legislation has helped reduce the number of minorities lacking health insurance.
3. Consequently, fewer minorities than members of the general population now lack health insurance.
4. Therefore, the statement that federal legislation has resulted in fewer minorities lacking health insurance is true.
Summary of why other choices are incorrect:
B. This choice incorrectly attributes the lack of seeking health care by minorities solely to higher costs and lower wages, overlooking the impact of legislation.
C. This choice makes a sweeping generalization about Mexican Americans without considering the broader context of health care access for minorities.
D. This choice relies on stereotypes about Asians and does not take into account the complexities of the health care system and insurance coverage.
The nurse manager is planning staffing levels and realizes that the first step is to:
- A. know the intensity of care needed by patients according to physical and psychosocial factors.
- B. examine the educational level of the staff.
- C. assess the skill level of caregivers.
- D. review the budget to determine the financial consequences of past staffing patterns.
Correct Answer: A
Rationale: The correct answer is A because knowing the intensity of care needed by patients based on physical and psychosocial factors is essential to determine appropriate staffing levels. Understanding patient needs ensures adequate staff allocation for quality care delivery. Examining staff education (B) and skill level (C) is important but comes after assessing patient needs. Reviewing the budget (D) is necessary but should not be the first step in staffing planning.
Which of the following are concepts related to nursing theory? (select all that apply)
- A. Environment
- B. Health
- C. Nursing
- D. Relevance
Correct Answer: A
Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes.
Incorrect choices:
B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts.
C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory.
D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.
A client is admitted with chest pain. A series of diagnostic tests are ordered, and the client undergoes coronary artery bypass grafting. The cost of care for this client is increased because of a four-pack-per-day smoking history that resulted in extension of the client's intensive care unit (ICU) stay by 3 days because of respiratory problems. The case manager realizes that under the terms of the diagnosis-related group (DRG) payment system for this diagnosis:
- A. the cost of caring for this client was $5000 greater than the DRG reimbursement fee, and the hospital will be allowed to collect the additional fees from the insurance company.
- B. although the cost of care for this client was greater than the DRG reimbursement amount, the hospital will be reimbursed only at the set fee.
- C. the client will be sued to pay back the insurance company for the extra fees incurred because smoking is a modifiable health risk for heart disease.
- D. the physician who admitted the client will receive a reduced payment to cover the loss incurred by the hospital.
Correct Answer: B
Rationale: The correct answer is B. The DRG payment system is a fixed reimbursement amount for a specific diagnosis or procedure. In this case, the cost of care exceeded the DRG reimbursement amount due to the extended ICU stay caused by the client's smoking history. The hospital will only be reimbursed at the set fee specified by the DRG, regardless of the actual cost incurred.
Choice A is incorrect because the hospital cannot collect additional fees from the insurance company beyond the DRG reimbursement amount. Choice C is incorrect as the client is not typically held responsible for the additional costs incurred. Choice D is incorrect because physician payment is not directly impacted by the hospital's financial losses. The DRG system focuses on fixed reimbursements based on diagnoses, not individual physician payments.