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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.
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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.
Nursing students learn advance practice nurses can write medication prescriptions. Which roles may be performed by an advanced practice registered nurse? Select all that apply.
- A. Primary care provider
- B. Hospitalist
- C. Physical therapist
- D. Anesthetist
- E. Midwife
- F. Pharmacist
Correct Answer: A,D,E
Rationale: The Advanced Practice Registered Nurse (APRN) is a registered nurse educated at the master's or post-master's level in a specific role and for a specific population. Whether they are nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse midwives, APRNs play a pivotal role in the future of health care. Hospitalists are health care providers who provide care to patients in the emergency department or hospital. Physical therapists and pharmacists have distinct training and roles outside of APRN scope.
Nursing students are reviewing information about health care delivery systems in post conference. Which statements describing current U.S. health care delivery practices should be included in the discussion? Select all that apply.
- A. Access to care depends only on the ability to pay, not the availability of services.
- B. The Patient Protection and Affordable Care Act provides private health care insurance to underserved populations.
- C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits.
- D. The uninsured pay for more than one third of their care out of pocket and are usually charged lower amounts for their care than the insured pay.
- E. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do.
- F. Quality of care can be defined as the right care for the right person at the right time.
Correct Answer: C,E,F
Rationale: The Health Insurance Marketplace is designed to help people more easily find health insurance that fits their budget. All plans in the Marketplace offer comprehensive coverage, from doctors to medications to hospital visits. There are many fewer primary care providers in the United States than there were 50 years ago. Quality is the right care for the right person at the right time. Access to care depends on both the ability to pay and the availability of services. The Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one third of their care out of pocket and are often charged higher amounts for their care than the insured pay.
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.
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.