Question 1

Which individual is best served by receiving care at an adult day care center?

Accepted Answer

Adult day care centers provide services for individuals who need supervision because of physical or safety needs but are not candidates for nursing home placement. The center would provide supervision during the day, and the patient's wife would assist at other times. The patient who needs a nebulizer treatment to control an acute asthma attack would go to an urgent care center. The person who has been referred for carpal tunnel surgery would go to an ambulatory surgical center. The patient who is a new diabetic and needs teaching could be referred to a community health nursing service or an outpatient clinic.

Question 2

Which agencies are considered part of the U.S. Public Health Service? (Select all that apply.)

Accepted Answer

These agencies are part of the USPHS, a division of the Department of Health and Human Services. The American Cancer Society is a voluntary agency. The Veterans Administration is an official agency, but it is not under the USPHS.

Question 3

The Visiting Nurse Association is a public voluntary agency that has which of the following characteristics? (Select all that apply.)

Accepted Answer

The Visiting Nurse Association is a public voluntary agency that has the following characteristics: It provides home nursing care for persons with acute and chronic diseases. Care includes health supervision, education, counseling, bedside care, and carrying out physicians orders. It is engaged in health teaching. It frequently involves the family in the care of its own members. It assists with referrals for patients to other community services. It is staffed primarily by nurses with the bachelor of science nursing (BSN) degree (not LPN/LVNs) and by home health aides trained for specific tasks of personal bedside care.

Question 4

At a patient care planning conference, the nurse hears the remark, "We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the

Accepted Answer

Local health departments are examples of official public health agencies.

Question 5

A resident who is terminally ill and his family are considering hospice. They ask the nurse for information about hospice. Which of the following would be information the nurse could correctly relay? (Select all that apply.)

Accepted Answer

Relaying that the cost of hospice is more than the cost of hospital care is inappropriate for the nurse to convey to the family. Usually the nurse does not know comparative costs.

Question 6

An example of a voluntary health agency that is focused on research and education of the public is

Accepted Answer

The American Heart Association is a voluntary health agency, supported by voluntary donations, that focuses on research and education on heart disease and stroke. The Alcohol, Drug Abuse, and Mental Health Administration is an official agency. The Visiting Nurse Association is a public voluntary agency that provides home care to persons with acute and chronic diseases. St. Jude's Children Hospital is a nonprofit hospital.

Question 7

A patient who had a cerebrovascular accident needs nursing care, physical therapy, and speech therapy. The patient's spouse would like to provide care at home but needs assistance. During the planning conference, the nurse should suggest that the agency that could best meet the patient's needs is

Accepted Answer

Home health agencies provide home health services supervised by a licensed health professional in the patient's home.

Question 8

After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. The best answer would be

Accepted Answer

Rehabilitation services are used after patients have stabilized following an illness or injury. The focus of rehabilitation is the return of function and prevention of further disability.

Question 9

___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.

Accepted Answer

The answer of ___________________ are for-profit hospitals operated for the...

Question 10

Which of the following are types of health care agencies in which the LPN/LVN would most likely find work? (Select all that apply.)

Accepted Answer

Board and care home residences offer housing and custodial care and usually do not employ licensed staff. Intermediate care facilities provide health-related care to persons who do not require acute or skilled nursing services but who need facility placement. Care is usually provided by CNAs. Skilled nursing facilities rely heavily on LPN/LVNs. Adult day care centers are more likely to hire CNAs and personal care assistants who are supervised by RNs. Hospices often employ LPN/LVNs.

Question 11

Accountability of private health care agencies is assumed by the

Accepted Answer

Proprietary agencies are accountable to the owners of the agency.

Question 12

The United States Public Health Service (USPHS) is funded by

Accepted Answer

The USPHS is an official health care agency funded by tax dollars.

Question 13

Knowing that Alcoholics Anonymous is a nonprofit group that receives no taxpayer money and is aimed at meeting the needs of a selected population segment would help the nurse to classify it as a

Accepted Answer

Alcoholics Anonymous (AA) is a voluntary agency. Voluntary agencies are nonprofit and often provide services complementary to official health agencies. AA meets the needs of a selected population segment and complements the official agency, Alcohol, Drug Abuse, and Mental Health Administration.

Question 14

A patient tells the nurse, "I was treated for an asthma attack at a freestanding ambulatory services center." The nurse correctly identifies the treatment as taking place at a/an

Accepted Answer

An urgent care center provides services for walk-in patients who do not have an appointment and who usually have no family physician and do not wish to go to the more expensive emergency room. The other facilities listed would not have been able to provide care to this patient.

Question 15

A nurse working in the emergency department who must obtain data to identify the patient's primary care provider should ask the patient about

Accepted Answer

Primary care is the term used to describe the point at which an individual enters the health care system. This is often the referring party or agency.

Question 16

A nurse is asked, "What does it mean if a health care agency is described as 'proprietary'?" The nurse should respond

Accepted Answer

Proprietary agencies operate for profit. The remaining options describe other categories of health care agencies.

Question 17

A nurse is asked about public health care agencies. Which of the following would help the nurse frame a comprehensive response? (Select all that apply.)

Accepted Answer

There are two types of public health care agencies: official, which are tax supported, and voluntary, which are supported primarily by voluntary contributions. Official agencies tend to focus on disease prevention and wellness promotion, whereas the focus of voluntary agencies is usually research and education.

Question 18

An elderly patient is to be discharged from the acute care hospital with left-sided weakness, difficulty swallowing, and inability to independently perform ADLs, therefore requiring daily physical therapy. The patient has no family and lives in a high-rise apartment building. Referral to which level of long-term care would the nurse likely recommend at the care planning conference?

Accepted Answer

The patient requires the ongoing assistance of trained medical professionals, including nurses, doctors, and physical therapists. A skilled nursing facility should be recommended.

Question 19

An example of a public sector health care agency supported primarily by U.S. taxpayer dollars is the

Accepted Answer

The U.S. Public Health Service (USPHS) is an official health care agency under the umbrella of the Department of Health and Human Services, supported by tax money and accountable to the government. Kaiser Permanente is a private health care agency. The American Cancer Society is an example of a voluntary agency. The World Health Organization is an international health organization funded through fees paid by member nations of the UN.

Question 20

The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.

Accepted Answer

The answer of The health care agency that provides information...

Quiz 18: Health Care Settings: Potential Job Sites