Nokea
What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
- A. Reducing the spread of infection
- B. Promoting physical activity
- C. Educating on medication administration
- D. Promoting child safety in transportation
Correct Answer: A
Rationale: The correct answer is A: Reducing the spread of infection. In the late industrialization era, poor sanitation and overcrowding led to rampant infectious diseases. Healthcare workers needed to focus on infection control measures to prevent the spread of diseases. This includes promoting hand hygiene, proper waste disposal, and sanitation practices. By addressing the spread of infection, healthcare workers could significantly improve public health outcomes.
Incorrect choices:
B: Promoting physical activity - While physical activity is important for overall health, in the late industrialization era, infectious diseases were more pressing issues.
C: Educating on medication administration - Although important, medication administration was not a primary concern in an era where infectious diseases were rampant.
D: Promoting child safety in transportation - This issue is important for child safety but was not as crucial as addressing the spread of infectious diseases in the late industrialization era.
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While supervising the care of several clients, which action requires intervention by the charge nurse?
- A. A nurse photocopies a client's diagnostic test results.
- B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
- C. The unit secretary faxes a client's laboratory results to the provider.
- D. An RN stays with a client to discuss her understanding of her vital signs that were requested.
Correct Answer: A
Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations.
- Choice B is correct as assistive personnel can document vital signs on the client's record under supervision.
- Choice C is acceptable as long as the unit secretary is authorized to fax the client's results.
- Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.
Medicaid, which is financed by what part of the government, is jointly funded by which two entities?
- A. State
- B. Federal
- C. County
- D. State and federal
Correct Answer: D
Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.
Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?
- A. total patient care
- B. team nursing
- C. functional nursing
- D. partnership nursing
Correct Answer: A
Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship.
Summary of other choices:
B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care.
C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient.
D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.
Which title identifies a nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers?
- A. Team leader in nursing care delivery
- B. Case manager
- C. Nurse manager
- D. Coordinator of patient-centered care delivery
Correct Answer: B
Rationale: The correct answer is B: Case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves ensuring continuity of care, facilitating communication, and advocating for the patient's needs. Choice A, team leader in nursing care delivery, focuses on leading a team of nurses but does not encompass the broader coordination of care. Choice C, nurse manager, involves overseeing a unit or department rather than individual patient care. Choice D, coordinator of patient-centered care delivery, lacks the specific focus on following the patient through the entire care process.
A healthcare professional is interested in locating reliable information concerning non-invasive blood glucose monitoring. Information is found, and the author is a scientist who conducted studies within the last year on the effectiveness of a non-invasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company excite.com. The healthcare professional is concerned about what component associated with this information?
- A. Accuracy
- B. Currency
- C. Authority
- D. Objectivity
Correct Answer: D
Rationale: The correct answer is D: Objectivity. The healthcare professional should be concerned about objectivity because the funding received from a pharmaceutical company may introduce bias into the study results. The author's objectivity could be compromised due to potential influence from the funding source. It is essential to ensure that the information provided is unbiased and not influenced by external interests.
Summary:
A: Accuracy - Accuracy relates to the correctness of information, which may not necessarily be compromised by the funding source in this scenario.
B: Currency - Currency refers to the timeliness of information, which is not directly impacted by the funding source.
C: Authority - Authority pertains to the expertise and credibility of the author, and while the funding source may raise concerns about bias, it does not directly question the author's authority.