Nokea
Medicare would be responsible for: (select all that apply)
- A. a hospital stay following a total knee replacement for a 70-year-old client.
- B. nursing home cost for a 67-year-old adult receiving hemodialysis.
- C. rehabilitation care costs for a 24-year-old client with a broken femur resulting from a fall at work.
- D. prescription cost for a young mother who meets eligibility for Aid to Families with Dependent Children (AFDC)
Correct Answer: A
Rationale: The correct answer is A because Medicare covers hospital stays for individuals aged 65 and older, which would include a 70-year-old client. Choice B is incorrect because Medicare typically covers dialysis for individuals with end-stage renal disease, not nursing home costs. Choice C is incorrect because Medicare does not typically cover rehabilitation care for individuals under 65. Choice D is incorrect because AFDC is a separate program from Medicare that provides assistance for low-income families, and prescription costs for the young mother would likely be covered under a different program.
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When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
- A. determining the percentage increase of supply usage from the last quarter to the current quarter.
- B. identifying the overall increase in the dollar amount of salaries paid for overtime.
- C. comparing productivity metrics across all nursing units in the facility.
- D. reconciling with current conditions the underlying assumptions on which the budget was based.
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate.
A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.
A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?
- A. Working toward setting realistic goals for both her mother and herself
- B. Finding the daughter in home help to assist with her mother's care
- C. Discuss with the patient the role her daughter will play in her care
- D. Encourage the daughter to regularly share her feelings with her mother
Correct Answer: A
Rationale: The correct answer is A because setting realistic goals is crucial for managing expectations and promoting effective caregiving. By helping the daughter understand the reality of the situation and setting achievable goals, the nurse can support both the mother's care and the daughter's emotional well-being. Option B does not address the daughter's emotional needs or the importance of realistic expectations. Option C focuses on the patient's perspective rather than the daughter's role as a caregiver. Option D, while beneficial for emotional expression, does not directly address the need for realistic goal-setting in caregiving.
Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?
- A. Strategic National Stockpile
- B. Metropolitan Medical Response System (MMRS)
- C. Commissioned Corps Readiness Force
- D. National Disaster Medical System
Correct Answer: D
Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters.
A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care.
B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care.
C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.
A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
- A. Peplau's interpersonal relations as a nursing process: man as an organism that exists in an unstable equilibrium
- B. Roy's adaptation model: assistance with the adaptation to stressors to facilitate the integration process of the client
- C. Orem's self-care deficit model: self-care, self-care deficits, and nursing systems
- D. Rogers' science of unitary human beings: humans as energy fields that interact constantly with the environment
Correct Answer: D
Rationale: The correct answer is D: Rogers' science of unitary human beings. This theory emphasizes the interconnectedness between humans and their environment as energy fields. Step 1: The nurse's belief that humans use creativity and critical thinking aligns with Rogers' theory of constant interaction with the environment through energy fields. Step 2: This theory views humans as holistic beings, emphasizing the balance and harmony between individuals and their surroundings. Step 3: Peplau's theory focuses more on interpersonal relations, Roy's on adaptation to stressors, and Orem's on self-care deficits, which are not directly related to the nurse's hypothesis. Therefore, Rogers' theory best fits the study's focus on the dynamic interaction between humans and their environment through creativity and critical thinking.
Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:
- A. Pareto chart.
- B. control chart.
- C. deployment chart.
- D. top-down flowchart.
Correct Answer: B
Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal.
A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time.
C: Deployment chart is not a standard tool in quality control or process monitoring.
D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.