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You are working on a large medical unit with 30 patients who require medications, therapies, dressing changes, and pain management. Nursing staff for the day shift consists of two RNs, three LPNs, and three CNAs. Which type of nursing care delivery would you expect to work best on this unit?
- A. Team nursing
- B. Client-centered care
- C. Primary care nursing
- D. Case management
Correct Answer: A
Rationale: Team nursing is effective in settings with multiple staff types and high patient loads, allowing collaborative care.
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A cost-efficient way to provide care to people who are confined to their homes because of illness or disability is the use of:
- A. the hospital outpatient department.
- B. a skilled nursing facility.
- C. the health department.
- D. home health care.
Correct Answer: D
Rationale: Home health care is a cost-effective option for providing care to homebound patients.
Which of the following would NOT be considered medically necessary by an insurance company?
- A. Surgery to remove an infected gallbladder
- B. Breast implants to increase breast size
- C. Breast implants after breast cancer surgery
- D. Botox injections to decrease facial wrinkles
- E. Skin grafts to repair a spider bite injury
Correct Answer: B, D
Rationale: Cosmetic procedures like breast implants for enhancement and Botox for wrinkles are typically not deemed medically necessary.
Eligibility for the HIS is:
- A. based on having a CDIB.
- B. available to all people with at least 25% Indian blood.
- C. set by each tribe.
- D. determined by presenting a family genealogy.
- E. determined by blood type.
Correct Answer: A, C
Rationale: Eligibility for Indian Health Service (HIS) requires a Certificate of Degree of Indian Blood (CDIB) and is often determined by tribal enrollment criteria.
A patient who is terminally ill with cancer is no longer being treated with radiation or chemotherapy (cancer-attacking medication). The most appropriate level of care for this patient would be:
- A. home health care.
- B. hospice.
- C. a skilled nursing facility.
- D. a long-term care acute hospital.
Correct Answer: B
Rationale: Hospice care is designed for terminally ill patients focusing on comfort and quality of life.
Which member of the therapy staff would be consulted if a patient had difficulty swallowing?
- A. Speech therapist
- B. Physical therapist
- C. Occupational therapist
- D. Respiratory therapist
Correct Answer: A
Rationale: Speech therapists specialize in treating swallowing difficulties.