Nokea
Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
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During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?
- A. Nightmares
- B. Night terrors
- C. Enuresis
- D. Hunger
Correct Answer: A
Rationale: Nightmares are common in preschoolers and often cause nighttime awakenings.
When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: The amount of leisure time is a subjective finding related to the person’s lifestyle, impacting nursing care.
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. requires interventions for problem drinking.
- B. lacks evidence of problem drinking.
- C. requires interventions for sexually transmitted disease risks.
- D. lacks evidence of sexually transmitted disease risks.
Correct Answer: A
Rationale: A score of 2 or higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.
Which nurse is functioning as a care manager?
- A. Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
- B. Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
- C. Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
- D. Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation
Correct Answer: A
Rationale: Care managers help determine what medical care is necessary, monitor care, and arrange for individuals to receive the most cost-effective care in the most appropriate settings. They must collaborate with providers and with the client/family. Care managers are especially helpful following a client after discharge and clients with complex needs. A nurse working with a family to coordinate service after a hospitalization is a good example of services provided by a care manager.
A nurse is providing education about safety precautions for people to take when using complementary/alternative medicine (CAM). Which of the following information would be included in this presentation?
- A. Most treatments are covered by insurance.
- B. The U.S. Food and Drug Administration regulates the quality of dietary supplements.
- C. It is important to research and understand the treatment before starting to use it.
- D. There are minimal interactions between the treatments prescribed by allopathic and holistic medicine providers.
Correct Answer: C
Rationale: It is important to research and understand the treatment and ensure it is appropriate for the individual and the purpose.