Nokea
Nurses in acute care settings must work with other health care team members to maintain quality care while facing pressures to care for patients who are hospitalized for shorter periods of time than in the past. To ensure positive health outcomes when patients return to their homes, what action should the nurse prioritize?
- A. Promotion of health literacy during hospitalization
- B. Close communication with insurers
- C. Thorough and evidence-based discharge planning
- D. Participation in continuing education initiatives
Correct Answer: C
Rationale: Following discharges that occur after increasingly short hospital stays, nurses in the community care for patients who need high-technology acute care services as well as long-term care in the home. This is dependent on effective discharge planning to a greater degree than continuing education, communication with insurers, or promotion of health literacy.
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With increases in longevity, people have had to become more knowledgeable about their health and the professional health care that they receive. One outcome of this phenomenon is the development of organized self-care education programs. Which of the following do these programs prioritize?
- A. Adequate prenatal care
- B. Government advocacy and lobbying
- C. Judicious use of online communities
- D. Management of illness
Correct Answer: D
Rationale: Organized self-care education programs emphasize health promotion, disease prevention, management of illness, self-care, and judicious use of the professional health care system. Prenatal care, lobbying, and Internet activities are secondary.
You are admitting a patient to your medical unit after the patient has been transferred from the emergency department. What is your priority nursing action at this time?
- A. Identifying the immediate needs of the patient
- B. Checking the admitting physicians orders
- C. Obtaining a baseline set of vital signs
- D. Allowing the family to be with the patient
Correct Answer: A
Rationale: Among the nurses important functions in health care delivery, identifying the patients immediate needs and working in concert with the patient to address them is most important. The other nursing functions are important, but they are not the most important functions.
Advanced practice nursing roles have grown in number and in visibility in recent years. What characteristic sets these nurses apart from the registered nurse?
- A. Collaboration with other health care providers
- B. Education that goes beyond that of the RN
- C. Advanced documentation skills
- D. Ability to provide care in the surgical context
Correct Answer: B
Rationale: There is wide variety in APRN roles. However, a commonality is that they require education beyond that of the professional RN. All nurses collaborate with other health care providers to provide nursing care to their patients. Advanced documentation skills are not what sets advanced practice nurses apart from the staff nurse. RNs have the ability to provide care in the operating room.
The ANA has identified several phenomena toward which the focus of nursing care should be directed, and a nurse is planning care that reflects these priorities. Which of the nurses actions best demonstrates these priorities?
- A. Encouraging the patients dependence on caregivers
- B. Fostering the patients ability to make choices
- C. Teaching the patient about nurses roles in the health care system
- D. Assessing the patients adherence to treatment
Correct Answer: B
Rationale: The ANA identifies several focuses for nursing care and research, including the ability to make choices. The other answers are incorrect because they are not phenomena identified by the ANA.
A community health nurse has witnessed significant shifts in patterns of disease over the course of a four-decade career. Which of the following focuses most clearly demonstrates the changing pattern of disease in the United States?
- A. Type 1 diabetes management
- B. Treatment of community-acquired pneumonia
- C. Rehabilitation from traumatic brain injuries
- D. Management of acute Staphylococcus aureus infections
Correct Answer: A
Rationale: Management of chronic diseases such as diabetes is a priority focus of the current health care environment. This supersedes the treatment of acute infections and rehabilitation needs.