Deck 1: Concepts and Trends in Health Care 1

Question 1

When providing care to a client, what perspective does the nurse follow?

A) Viewing the client's health as treating the client's body
B) Viewing the client's health in terms of the client's health beliefs
C) Viewing the client's health as a balance of body, mind, and spirit
D) Viewing the client's health along with the client's family's health

Answer 1

Viewing the client's health as a balance of body, mind, and spirit

Question 2

The Healthy People initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan?

A) Increasing technological innovations
B) Preventing treatable problems
C) Applying a systematic approach to health improvement
D) Increasing the quality and length of a healthy life

Answer 2

Increasing the quality and length of a healthy life

Question 3

After hip surgery a client is admitted to the rehabilitation hospital. What type of care is the client receiving?

A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary

Answer 3

Tertiary

Question 4

A client who has been hospitalized for a week has developed a pressure ulcer on the sacrum. This case highlights which potential quality concern according to the Agency for Healthcare Research and Quality?

A) Prevention quality indicator
B) Inpatient quality indicator
C) Patient safety indicator
D) Pediatric quality indicator

Question 5

Managed care organizations are insurers that carefully plan and closely supervise the distribution of healthcare services. What is one of the goals of managed care?

A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care

Question 6

In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is likely to jeopardize the quality of care?

A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in healthcare systems

Question 7

A 17-year-old client is having protected sex one to two times a week in a monogamous relationship. What is the client participating in?

A) Health promotion
B) Health maintenance
C) Illness prevention
D) Wellness

Question 8

A client with a diagnosis of arthritis is having pathologic changes. What are these pathologic changes attributable to?

A) Health
B) Illness
C) Disease
D) Wellness

Question 9

Unlicensed assistive personnel are performing duties that nurses once provided. This change is an effect of which of the following?

A) Trends in healthcare
B) Integrated delivery systems
C) Cost-driven changes
D) Health maintenance

Question 10

A client believes that restoring optimal health takes more than treating the body; the client believes that the mind and spirit must be addressed as well. What is this perspective of health?

A) Wellness
B) Equilibrium
C) Holism
D) Balance of body

Question 11

The hospital is having a problem with specimen accuracy. A committee has been established to study the problem and make recommendations. The nurse working on the committee knows that this work addresses what?

A) Inpatient quality indicators
B) Prevention quality indicators
C) National Patient Safety Goals
D) Patient safety indicators

Question 12

Two clients are having joint replacement surgery on different joints. The nurse manager of the unit knows that there is a predetermined payment for this procedure because of what?

A) Social Security
B) Medicare and Medicaid
C) Diagnosis-related groups
D) Private pay insurance

Question 13

For those with no healthcare insurance, what healthcare delivery method do they access that involves long waits and no follow-up care?

A) Secondary care in a diagnostic center
B) Primary care in an emergency department
C) Tertiary care in a specialty hospital
D) Skilled nursing care in a nursing home

Question 14

A pregnant woman has seen her OB-GYN for her eight-week checkup and now needs to go to the lab for an alpha-fetoprotein test. This referral for testing is an example of what type of care?

A) Tertiary
B) Diagnostic
C) Secondary
D) Primary

Question 15

An older man has been sick for three weeks but will not seek medical help even though he is able to get to the doctor's office. The client does not know what his insurance will cover. The client has many medical bills from treatments not covered and does not want to be faced with more. Why is this client waiting to obtain medical treatment?

A) Cost
B) Language
C) Accessibility
D) Culture

Question 16

What is an entitlement program designed to serve the poor that is administered by the state?

A) Wellness program
B) Medicare
C) Medigap
D) Medicaid

Question 17

A client complaining of bloody urine has scheduled an appointment with a family practitioner. What type of care is the client receiving?

A) Tertiary
B) Secondary
C) Convalescent
D) Primary

Question 18

Fifteen years ago a client's right leg was lost in a motor vehicle accident. Since then, the client and the client's spouse have formed a walking group to raise money for the homeless. Why would the client be considered healthy?

A) The client is married and is moving on.
B) The client is experiencing high quality of life within the limits of the physical condition.
C) The client is facing various states of health and illness.
D) The client is physiologically and psychologically stable.

Question 19

A single parent with two children and limited resources is seeking financial assistance for medical care. What is the most likely source of the funding that is being sought?

A) Medicaid
B) Medicare
C) Medigap
D) Mutual coverage

Question 20

When caring for a client in today's healthcare arena, it is important for the nurse to include which action to promote national healthcare goals?

A) Communicating with clients about various choices they can make about healthcare
B) Helping the client and family members to live a life free of mental and physical illnesses
C) Giving information about preventive measures for various diseases
D) Visiting clients regularly after they have been discharged from the hospital

Question 21

What method for financing healthcare is based on the ability to keep clients healthy and out of the hospital through periodic screening, health education, and preventive services?

A) Managed care
B) Prospective payment
C) Health maintenance
D) Physician hospital organizations