Nokea
This certificate of inspection is health policy enforced at which level of government?
- A. Local
- B. State
- C. Federal
- D. International
Correct Answer: B
Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.
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A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is which type of arrangement?
- A. Health maintenance organization
- B. Preferred provider organization
- C. Fee-for-service arrangement
- D. Philanthropic agency
Correct Answer: B
Rationale: The correct answer is B: Preferred provider organization (PPO). PPOs offer reduced rates to covered members who use specific healthcare providers within their network. This arrangement incentivizes members to choose in-network providers, resulting in cost savings for both the insurer and the member. In contrast, A (Health maintenance organization) focuses on preventive care and requires members to select a primary care physician, C (Fee-for-service arrangement) allows members to choose any provider with varying reimbursement rates, and D (Philanthropic agency) is not related to health insurance arrangements.
A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
- A. Actually observe the delegatee perform the assigned task.
- B. Ask the delegatee how many times he/she has performed the task.
- C. Ask the patient if the care provided was satisfactory.
- D. Ask other nurses if they feel the delegatee is competent.
Correct Answer: A
Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
- A. more secure.
- B. less secure.
- C. equivalent.
- D. not comparable with the paper-and-pencil record.
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
- A. "Let's talk only about one movie you recently watched."
- B. "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
- C. "I know your shift has been busy. What went wrong?"
- D. "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics.
Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report.
Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.
A nurse explaining the above graph indicates the frequency of falls in 2011 to detect and possibly explain causes of variation. The peaks in June were attributed to regular staff vacations during which agency nurses were used. The nurse is employed in which role?
- A. Case Manager
- B. Quality Manager
- C. Forensic Nurse
- D. Occupational Health Nurse
Correct Answer: B
Rationale: Step 1: The nurse's role involves analyzing data to identify causes of variation in falls, indicating a focus on quality improvement.
Step 2: As a Quality Manager, the nurse is responsible for monitoring and improving the quality of care provided.
Step 3: Case Managers focus on coordinating patient care, Forensic Nurses deal with legal aspects, and Occupational Health Nurses focus on workplace health.
Step 4: Therefore, the nurse's role aligns most closely with a Quality Manager in this scenario, making choice B the correct answer.