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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.
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Nurses provide care to patients in secondary health care facilities. Which patients do the nurses anticipate will receive this type of care? Select all that apply.
- A. Patient seeking treatment at a community clinic for possible strep throat
- B. Patient treated in the hospital following a myocardial infarction
- C. Child brought to the emergency department following a seizure
- D. Individual with osteogenesis imperfecta being treated in a medical center
- E. Child visiting a specialist to correct a congenital heart defect
- F. Patient who has a hernia repair in an ambulatory care center
Correct Answer: B,C,F
Rationale: Secondary health care treats problems that require specialized clinical expertise, such as an MI, a seizure, and a hernia repair. Treating strep throat is primary health care. Tertiary health care involves management of rare and complex disorders, such as osteogenesis imperfecta and congenital heart malformations.
A nurse researcher follows current trends in health care delivery. Which present-day trends does the nurse observe? Select all that apply.
- A. Globalization of the economy and society
- B. Slowdown in technology development
- C. Decreasing diversity
- D. Increasing complexity of patient care
- E. Changing demographics
- F. Shortages of key health care professionals and educators
Correct Answer: A,D,E,F
Rationale: Trends to watch in health care delivery include globalization of the economy and society, increasing complexity of patient care, changing demographics, shortages of key health care professionals and educators, technology explosion, and increasing diversity. A slowdown in technology development and decreasing diversity are not current trends.
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 caring for patients in a primary care setting submits paperwork for reimbursement from managed care plans for services provided. What best describes managed care?
- A. System designed to control cost of care while maintaining quality
- B. Care coordination to maximize positive outcomes to contain costs
- C. Delivery of services from initial contact through ongoing care
- D. Based on a philosophy of ensuring death in comfort and dignity
Correct Answer: A
Rationale: Managed care is a way of providing care designed to control costs while maintaining the quality of care. The other options describe care coordination, continuum of care, and hospice care, respectively.
A nurse working in a primary care facility prepares insurance forms in which the provider is given a fixed monetary amount per enrollee in the health plan. What term do the nurses apply to this type of reimbursement?
- A. Capitation
- B. Prospective payment system
- C. Bundled payment
- D. Rate setting
Correct Answer: A
Rationale: Capitation plans give providers a fixed amount per enrollee in the health plan to build a payment plan that consists of the best standards of care at the lowest cost. The prospective payment system groups inpatient hospital services for Medicare patients into DRGs. With bundled payments, providers receive a fixed sum of money to provide a range of services. Rate setting means that the government could set targets or caps for spending on health care services.