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Why is it important for healthcare professionals to have an understanding of healthcare issues in the United States?
- A. To ensure proper documentation of patient insurance information.
- B. Reimbursement policies often dictate the services that can be offered to the public.
- C. The quality of care provided is influenced by the patient's insurance coverage.
- D. Proficiency in healthcare issues is essential for graduating as a practical nurse.
Correct Answer: B
Rationale: The correct answer is B because reimbursement policies in the US healthcare system heavily influence the services that can be provided to the public. Healthcare professionals need to understand these policies to ensure they are delivering appropriate care within the constraints of reimbursement guidelines. This understanding allows for better decision-making in treatment options and resource allocation.
Choice A is incorrect as understanding healthcare issues goes beyond just documenting patient insurance information. Choice C is incorrect because while insurance coverage can impact care quality, it is not the main reason why healthcare professionals need to understand healthcare issues. Choice D is incorrect as proficiency in healthcare issues is important for all healthcare professionals, not just practical nurses.
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Which statement accurately describes the NFLPN?
- A. It represents both registered nurses (RNs) and LPNs.
- B. It represents LPNs/LVNs only.
- C. It is open to anyone interested in nursing.
- D. It is open to anyone in the healthcare field.
Correct Answer: B
Rationale: The correct answer is B: It represents LPNs/LVNs only. The National Federation of Licensed Practical Nurses (NFLPN) is an organization specifically dedicated to advocating for and supporting licensed practical nurses (LPNs) and licensed vocational nurses (LVNs). This answer is correct because the NFLPN's primary focus is on LPNs/LVNs and their professional development.
Choice A is incorrect because the NFLPN does not represent registered nurses (RNs), only LPNs/LVNs. Choice C is incorrect because the organization is not open to anyone interested in nursing, but specifically caters to LPNs/LVNs. Choice D is incorrect because the NFLPN is not open to anyone in the healthcare field, but rather focuses solely on LPNs/LVNs.
When considering factors like high risk for falls, infection protocols, and special communication needs to determine the mix and number of staff needed on a telemetry unit, what is being utilized?
- A. diagnostic related groups
- B. clinical pathways
- C. case management
- D. Patient classification system
Correct Answer: D
Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources.
Incorrect choices:
A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement.
B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis.
C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.
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.
A client with a terminal illness is concerned about performing self-care after discharge. Which of the following statements should the nurse make?
- A. A social worker will address your concerns after discharge.
- B. You should plan to go to a skilled nursing facility after discharge.
- C. Your case manager will coordinate the resources you will need.
- D. You will need hospice care until you feel stronger.
Correct Answer: C
Rationale: The correct answer is C: Your case manager will coordinate the resources you will need. This statement reassures the client that a professional will help organize the necessary support services. A social worker (A) may not specifically address self-care needs. Going to a skilled nursing facility (B) may not be necessary if resources can be coordinated at home. Hospice care (D) is typically for end-of-life care and may not address the client's concerns about self-care after discharge.
Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
- A. There is no central agency governing the healthcare system.
- B. Access to healthcare is available to all persons regardless of ability to pay.
- C. Legal risk must be considered when providing healthcare.
- D. High-tech equipment is available but payment for its use is troublesome to the system.
Correct Answer: B
Rationale: The correct answer is B. Access to healthcare in the U.S. is not universally available regardless of ability to pay. This is inaccurate as many individuals face financial barriers to healthcare due to lack of insurance or high costs. Choice A is true as there is no central agency governing the U.S. healthcare system. Choice C is also true as legal risk is an important consideration in healthcare delivery. Choice D is true as high-tech equipment availability and payment issues are challenges in the healthcare system.