Nokea
The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?
- A. A doctor
- B. A staff nurse
- C. One insurance provider
- D. A hospital
Correct Answer: A
Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.
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A healthcare professional is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following procedural plans is the healthcare professional following?
- A. patient classification categories
- B. diagnostic related groups
- C. Care map / clinical practice guideline
- D. functional nursing
Correct Answer: C
Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care.
Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.
Which action directly resulted from the contribution made by Linda Richards?
- A. Using an antiseptic before administering an injection
- B. Exploring the psychosocial needs of the patient
- C. Documenting patient care in the medical record
- D. Listening to a patient describe his or her symptoms
Correct Answer: C
Rationale: The correct answer is C because Linda Richards was the first professionally trained nurse in the United States and she established the practice of documenting patient care in medical records. This action is directly linked to her contribution as it improved the organization and continuity of patient care. Exploring psychosocial needs (B) and listening to patient symptoms (D) are important nursing practices, but they were not specifically attributed to Linda Richards. Using antiseptic before injections (A) is important for infection control, but it was not directly related to Linda Richards' contribution.
During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?
- A. Interpreter
- B. Social worker
- C. Occupational therapist
- D. Spiritual advisor
Correct Answer: A
Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.
Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?
- A. Hammurabi
- B. Florence Nightingale
- C. Hippocrates
- D. Apollo
Correct Answer: C
Rationale: The correct answer is C: Hippocrates. Hippocrates is credited with creating a written record of health care practices and is known as the "Father of Medicine." He emphasized observational and logical approaches to medicine, moving away from superstition and myth. Hammurabi is known for his code of laws, not health care practices. Florence Nightingale is known for her contributions to nursing. Apollo is a Greek god associated with healing, but he is not a historical figure credited with creating a written record of health care practices.
What is the difference between mediation and binding arbitration based on the statement provided?
- A. Mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor
- B. Mediation uses a trained person to facilitate negotiations without making a final decision
- C. Binding arbitration is a formal process where an arbitrator's decision is final and must be adhered to by both parties
- D. Binding arbitration requires both labor and management to engage in discussions to find the least harmful resolution
Correct Answer: C
Rationale: The correct answer is C because binding arbitration involves a formal process where an arbitrator's decision is final and binding on both parties. This means that both labor and management must adhere to the arbitrator's decision, making it a legally enforceable resolution.
Choice A is incorrect because mediation is not necessarily sanctioned by the NLRB; it is a voluntary process where a neutral mediator helps parties reach a mutually acceptable agreement.
Choice B is incorrect because mediation does not involve a final decision-maker; it focuses on facilitating negotiations and helping parties communicate and reach a resolution on their own terms.
Choice D is incorrect because binding arbitration does not require both parties to engage in discussions to find a resolution; instead, it involves the arbitrator making a final decision that both parties must accept.