Nokea
Which form of managed care restricts providers to caring for individuals who are members of their organization?
- A. Fee-for-service plan
- B. Health maintenance organization (HMO)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: B
Rationale: Health maintenance organizations (HMOs) restrict care to members of the organization, focusing on preventative care.
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A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: Functional focus involves assessing how visual patterns, such as the ability to drive, impact lifestyle.
The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: C
Rationale: Validity refers to a test’s ability to correctly distinguish between diseased and nondiseased individuals.
The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor’s daughter passed away last year as a result of SIDS. Which of the following statements would be the best response from the nurse?
- A. “You should place the infant in the bed with you until 6 months of age.”
- B. “You should never give the infant a pacifier while she is sleeping.”
- C. “You should try to stop smoking.”
- D. “You should place the infant on her stomach.”
Correct Answer: C
Rationale: Stopping smoking is crucial to reducing the risk of SIDS. Additionally, the infant should be placed on her back to sleep, and pacifiers are safe for sleep.
A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation?
- A. It considers the unique differences among children, pregnant women, and elderly people.
- B. It contains well-researched data that are reviewed on an annual basis.
- C. It is prescriptive in the amount of nutrients that are needed on a daily basis.
- D. It serves as an overall guideline for the population.
Correct Answer: D
Rationale: DRIs provide guidelines for populations, offering general guidance rather than specific daily nutrient amounts.
Which middle-aged adult has successfully navigated Erikson’s generativity vs. stagnation stage?
- A. "A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week."
- B. "A 63-year-old man who regrets his career choice and feels he cannot change careers."
- C. "A 45-year-old woman who resents having to care for her aging mother-in-law."
- D. "A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself."
Correct Answer: A
Rationale: Generativity involves a sense of productivity and helping others, demonstrated by volunteering.