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The Healthy People 2030 initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan?
- A. Increasing technological innovations
- B. Preventing treatable problems
- C. Applying a systematic approach to health improvement
- D. Increasing the quality and length of a healthy life
Correct Answer: D
Rationale: Two broad goals of the Healthy People 2030 initiative are to increase quality and years of healthy life and eliminate health disparities. Healthy People 2030 initiatives will help with treatable problems but will not prevent problems. The initiative does not apply a systematic approach to health improvement or increase technological innovations.
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The hospital is having a problem with healthcare-associated infections. A committee has been established to study the problem and make recommendations. The nurse working on the committee knows that this work addresses what?
- A. Inpatient quality indicators
- B. Prevention quality indicators
- C. National Patient Safety Goals
- D. Patient safety indicators
Correct Answer: C
Rationale: The Joint Commission has established National Patient Safety Goals that are updated annually. These safety goals have changed how patients are identified and prevent adverse effects. Some of the 2016 goals include reducing the risk of healthcare-associated infections. Patient safety indicators reflect the quality of care in hospitals but focus on potentially avoidable complications. Prevention indicators identify hospital admissions that could be avoided through high-quality outpatient care. Inpatient indicators reflect quality of care inside the hospital.
An HMO client obtained a second opinion regarding a diagnosis of colon cancer. There was no authorization obtained for this second opinion from the client or primary care provider. What is the consequence of this action?
- A. The client will be responsible for the entire bill for the second opinion.
- B. The client will still receive full coverage.
- C. The client will be dropped from the HMO for breaking the rules.
- D. The client will be fined by the HMO for not using the authorization process.
Correct Answer: A
Rationale: Members of an HMO must receive authorization for secondary care, such as second opinions from specialists or diagnostic testing. If members obtain unauthorized care, they are responsible for the entire bill. In this way, HMOs serve as gatekeepers for healthcare services. The member will not be fined or dropped from the program but will not receive coverage for the service rendered from the second opinion.
A client with terminal cancer is being referred to hospice services to assist with care of the client and the family in the home environment. What type of care does the nurse determine this is?
- A. Primary care
- B. Secondary care
- C. Tertiary care
- D. Acute care
Correct Answer: C
Rationale: Tertiary care focuses more on complex medical and surgical interventions, cancer care, rehabilitative services, long-term care such as burn care, and palliative and hospice care. This client is terminally ill and being referred for hospice service. Secondary care includes referrals to facilities for additional testing such as cardiac catheterization, consultation, and diagnosis as well as emergency and acute care interventions. The client does not fall into the acute care category. Primary care would include being seen by the client's primary physician.
What statement by the nurse shows an understanding of the vision of Healthy People 2030?
- A. The vision is a society in which all people can achieve their full potential for health'
- B. The vision is that they will find a cure for diabetes.'
- C. The vision is that everyone be within a normal weight.'
- D. The vision is that everyone will exercise once daily.'
Correct Answer: A
Rationale: The Healthy People 2030 campaign provides an overall action plan to improve the health and quality of life for all people living the United States. The U.S. Department of Health and Human Services identified these overarching health goals: Attain healthy, thriving lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all. Healthy People 2030 is not focused on an individual disease process, a 'normal' weight, or exercise for the individual as the overall goal.
After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is the client receiving?
- A. Secondary
- B. Tertiary
- C. Rehabilitation
- D. Primary
Correct Answer: B
Rationale: Hospitals where specialized technology is available provide tertiary care. Primary care is the initial contact that a client has, such as an appointment with a family practitioner. Secondary care includes referrals for additional testing. Rehabilitation is aimed at restoring a people to their fullest abilities.