Nokea
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.
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A nurse working in a pediatric clinic provides codes for a patient's services to a third-party payer who pays all or most of the care. How does the nurse refer to this method of payment?
- A. Out-of-pocket payment
- B. Individual private insurance
- C. Employer-based group private insurance
- D. Government financing
Correct Answer: B
Rationale: The four basic modes of paying for health care are out-of-pocket payment, individual private insurance, employer-based group private insurance, and government financing. With individual private insurance, members pay monthly premiums either by themselves or in combination with employer payments. These plans are called third-party payers because the insurance company pays all or most of the cost of care. Out-of-pocket payment is paying for health care with cash payments. Employer-based private insurance is employer-sponsored coverage, and government financing is provided through Medicare and Medicaid, and other federally funded programs.
The caregiver for a patient who is immobile and requires tube feedings asks the nurse to explain respite care. How does the nurse best explain this type of care?
- A. It's a type of service that allows time away for caregivers.
- B. It provides comfort and end-of-life services for the terminally ill and their families.
- C. It is skilled care provided to older adults in a long-term care facility.
- D. It provides living units available to people without regular shelter.
Correct Answer: A
Rationale: Respite care is provided to enable a primary caregiver time away from the day-to-day responsibilities of homebound patients. The other options describe palliative care, long-term care, and homeless shelters, respectively.
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.
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.