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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.
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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.
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 nursing student is assisting with nursing care for patients in a primary care center. Based on the setting, what activities will the student expect to perform?
- A. Assisting with major surgery
- B. Performing health assessments
- C. Maintaining patients' function and independence
- D. Maintaining immunization records
Correct Answer: B
Rationale: Performing health assessments is a common role of the nurse in a primary care center. Assisting with major surgery is a role of the nurse in the hospital setting. Maintaining patients' function and independence is a role of the nurse in a rehabilitation or extended-care facility, and keeping student immunization records up to date is a role of the school nurse.
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 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.