Nokea
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:
- A. Managed care
- B. Gate keeping
- C. Utilization review
- D. Capitation
Correct Answer: C
Rationale: Utilization review evaluates healthcare usage to minimize unnecessary treatments and reduce costs.
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Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 32-year-old African American man
- C. 15-year-old girl
- D. 72-year-old white woman
Correct Answer: A
Rationale: The mother of two may experience urinary stress incontinence due to pregnancy and childbirth.
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
- A. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
- B. Partner with high school nurses to educate students about the risks of drinking and driving.
- C. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
- D. Establish support groups for teenagers with alcohol abuse.
Correct Answer: C
Rationale: Diagnosing the community with ineffective health management patterns follows the data collection and analysis phase.
A nurse is assessing a community to determine the appropriateness of conducting a Type 2 diabetes screening. Which of the following questions would the nurse need to answer?
- A. What are the health benefits of screening for Type 2 diabetes?
- B. Is Type 2 diabetes a community problem?
- C. Can Type 2 diabetes be detected by screening?
- D. What is the cost-benefit ratio of implementing this screening?
Correct Answer: C
Rationale: The nurse needs to determine if Type 2 diabetes can be detected effectively through screening as part of the decision-making process.
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
- A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
- B. “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
- C. “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
- D. “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”
Correct Answer: A
Rationale: Group B Streptococcus screening is important as this infection can lead to severe complications for the infant.
A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action?
- A. Describes the strengths of the family
- B. Allows for creation of goals for the family
- C. Promotes behavioral change among family members
- D. Validates health problems with the family
Correct Answer: D
Rationale: A family nursing diagnosis helps identify and validate the family’s health issues, forming the basis for the development of appropriate interventions and goals.