Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?
- A. Health maintenance organization (HMO)
- B. Health savings account (HSA)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: C
Rationale: PPOs consist of providers who offer discounted rates in exchange for faster claim payments.
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A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
- A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
- B. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
- C. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
- D. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
Correct Answer: A
Rationale: Interobserver reliability measures the consistency of test results when performed by different observers under similar conditions.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Dysfunction in insulin management reflects problems with health management and personal beliefs about health.
Which of the following recommendations should be included in a driver’s education course?
- A. Carpooling with friends
- B. Avoiding talking on cell phones
- C. Driving during daytime hours
- D. Wearing safety belt
Correct Answer: B
Rationale: Avoiding distractions such as cell phones and wearing a safety belt are crucial for reducing accidents.
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
- A. The bedroom is located on the second floor.
- B. She has a pet cat.
- C. There is an area rug in the living room.
- D. She has a 1-year-old child.
Correct Answer: B
Rationale: Handling cat litter can expose pregnant women to toxoplasmosis, which can affect the fetus.
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
- A. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem.
- B. Ignore the comment because pica is acceptable in some rural Black cultures.
- C. Encourage the client to eat it with plenty of water because of the risk of constipation.
- D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
Correct Answer: D
Rationale: Pica can lead to health complications, and the nurse should stress the importance of a proper diet in a culturally sensitive way.