Nokea
The nurse is aware of the various changes in the healthcare field. What important factor remains the same in this time of change?
- A. Nurses must provide safe, high-quality, cost-effective care to individuals, families, and communities.
- B. Nurses must inform clients that they will have to use facilities that are within their service area.
- C. Clients must become actively involved in the process of standardizing care.
- D. Nurses will have to work in unsafe conditions in order to provide care to clients.
Correct Answer: A
Rationale: In the midst of these dramatic changes and challenges, nurses must continue to provide safe, high-quality, cost-effective care to individuals, families, and communities. It is also imperative that nurses distinguish and communicate to clients the various choices that the clients may make about their healthcare. Clients have a choice as to location of care providers and are not limited to local facilities. Clients are not involved in standardizing care; this is a healthcare provider function. Nurses will not have to work in unsafe conditions in order to provide care to clients.
You may also like to solve these questions
A client is brought into the emergency department by the rescue squad after involvement in a motorcycle accident with a severe spinal cord injury. As what type of illness does the nurse view this event?
- A. Terminal
- B. Acute
- C. Chronic
- D. Catastrophic
Correct Answer: D
Rationale: Illness refers to a state of being sick and can be viewed as catastrophic or a sudden, traumatic illness, which has occurred with this client. The client has suffered a traumatic accident with serious injury and would be classified as catastrophic. This event is not chronic, terminal, or acute.
A client complaining of bloody urine has scheduled an appointment with a family practitioner. What type of care is the client receiving?
- A. Tertiary
- B. Secondary
- C. Skilled nursing care
- D. Primary
Correct Answer: D
Rationale: The first provider that clients contact about a health need provides primary care; this person is typically a family practitioner or nurse practitioner. Secondary care includes referrals to facilities for additional testing. Tertiary care focuses on more complex medical and surgical intervention. Skilled nursing care occurs in facilities or units that offer prolonged health maintenance or rehabilitative services.
The nurse informs the administrative assistant that a client is expected to come in for lab work. The administrative assistant asks why the nurse refers to the individual as a client. What is the best response by the nurse?
- A. We should refer to everyone as a client. They pay for our service.'
- B. That's how the physician wants us to refer to them.'
- C. Using the term client implies that they are an active partner in nursing care.'
- D. Using the term client is more respectful that using the term patient.'
Correct Answer: C
Rationale: A client is an active partner in nursing care, and the person receiving healthcare services should no longer play a passive, ill role. The use of the term client reflects the attitude of personal responsibility for health. Though clients may be paying for these services, some physicians may request their staff members to use this terminology, and some people may consider it to be a more respectful term than 'patient', these are not the primary reasons to refer to the individual as a client.
A client with chronic obstructive pulmonary disease visits a local long-term care facility once a week to lead a bingo game for the residents. How does the nurse determine that this client is achieving a high level of wellness?
- A. The client enjoys the activity that the nurse provides to the clients.
- B. The client finds satisfaction in socialization with the residents.
- C. The client is achieving a high quality of life within the limits of the illness.
- D. The client needs to feel a part of a group setting.
Correct Answer: C
Rationale: Clients with chronic illness can achieve a high level of wellness if they can experience a high quality of life within the limits of that illness. By engaging in a personal and social activity weekly, this client would be considered healthy. Although the client may enjoy the activity, find satisfaction in socialization, or need to feel a part of a group, choosing to take part in an activity that promotes a high quality of life within the limits of the client's illness is what demonstrates wellness to the nurse.
A client comes to the clinic and reports being ill for several weeks but does not have insurance and has delayed care. What does the nurse understand about the overall healthcare reform goals that will address issues such as this client?
- A. The goal of healthcare reform is to provide care to women, infants, and children.
- B. The goal of healthcare reform is to provide more healthcare programs to address illness.
- C. The goal of healthcare reform is to provide quality healthcare for those that can afford it.
- D. The goal of healthcare reform is to provide affordable healthcare to more citizens.
Correct Answer: D
Rationale: The overall goal of healthcare reform is to provide affordable healthcare to more U.S. citizens. Other goals are to reduce the insurance companies' control of healthcare and to provide more assistance to senior citizens on fixed incomes. Providing care to women, infants and children and offering more healthcare programs to address illness may be results of healthcare reform but are not themselves the overall goal. Healthcare reform seeks to provide quality healthcare that is affordable to as many U.S. citizens as possible, not to only provide it to those who can already afford it.