Deck 6: Health Care Delivery Systems

Question 1

A client is being prepared for discharge following an extensive illness. The client continues to require IV antibiotics, is not able to complete ADLs (activities of daily living) without assistance, and has no family available to assist in the recovery phase. The nurse should make a recommendation for this client to:

A) stay in the hospital until the client is fully capable of self-care.
B) remain in the hospital until the antibiotic course is completed.
C) go to a custodial care facility.
D) be discharged to an extended care facility.

Answer 1

be discharged to an extended care facility.

Question 2

A nurse has begun working in a hospital that provides services in all specialty areas (medical, surgical, paediatrics, obstetrics). This hospital is classified as which of the following?

A) General hospital.
B) Short-term hospital.
C) Long-term care hospital.
D) Specialty hospital.

Answer 2

General hospital.

Question 3

Which of the following is not an example of primary health care service?

A) Immunisation programs supplied through a doctor's surgery.
B) Screening for industrial deafness at a worksite.
C) Outreach clinics by the Royal Flying Doctor Service.
D) Teaching living skills to spinal injury clients.

Answer 3

Teaching living skills to spinal injury clients.

Question 4

The spouse of a client diagnosed with Stage I/II Alzheimer's disease must continue to work full-time. The spouse tells the occupational health nurse that the client has started to wander outside the house, forgets to turn off the stove after preparing food, and tries to drive the car if the client finds the keys. The nurse should recommend which of the following?

A) Long-term care placement for the client.
B) That the spouse considers flexible working hours.
C) Hire a day carer to work for the dole.
D) Placing the client in an adult daycare environment.

Question 5

An elderly client is being discharged home after breaking her leg when she fell over in the garden. The nurse is coordinating her discharge and realises that the client will need to learn some new strategies to manage her normal activities of daily living. The nurse refers the client to:

A) the physiotherapist.
B) the social worker.
C) the occupational therapist.
D) the podiatrist.

Question 6

Privately-owned clinics are used in many communities because:

A) they provide competition for the public hospitals.
B) they don't cost as much to run.
C) they free up hospital beds for really sick people.
D) private health insurance pays for it.

Question 7

The hospital is planning to train the nurses in its employ to not only provide basic nursing care, but also perform ECG testing, phlebotomy and some respiratory therapy interventions. This hospital is an example of which delivery model?

A) Case management.
B) Clinical pathways.
C) Patient-focused care.
D) Shared governance.

Question 8

The goal of tertiary prevention is best described by which of the following?

A) Local hospitals are responsible for their community's health.
B) Help people to move to their previous level of health.
C) Federal government is responsible for tertiary prevention.
D) Providing an immunisation program to Aboriginal communities.

Question 9

The delivery model whereby multidisciplinary teams assume collaborative responsibility for planning, assessing needs and coordinating, implementing and evaluating care for groups of clients from preadmission to discharge is known as:

A) patient-focused care.
B) differentiated practice.
C) managed care.
D) case management.

Question 10

A client has just been referred from the acute care service to hospice care and the spouse asks the hospice nurse why the client needs the change in services. The best response by the nurse is:

A) "An interdisciplinary health care service has a flexible way of meeting your spouse's changing needs."
B) "An interdisciplinary health care service will improve your spouse's health."
C) "There is no need for acute care any longer."
D) "Hospice care is cheaper than acute care."

Question 11

The Ottawa Charter (1986) provided the basis for the advancement of which of the following?

A) Providing immunisation clinics and school services.
B) Recognising the advantages of staying healthy and avoiding illness.
C) Teaching smoking cessation classes to adolescents.
D) Evaluating regional industrial centres for environmental pollution.

Question 12

An elderly client has no family in the same community, lives alone in a small house, and is having greater difficulty with mobility due to advanced osteoarthritis. Cognitively, this client is alert, able to manage her own business matters, and does her own cooking, but does not enjoy "cooking for one". The home health care nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. The nurse should recommend that the client:

A) consider moving to an assisted living centre.
B) see a psychiatrist since the client appears depressed.
C) start thinking about long-term care.
D) check out joint replacement options for the osteoarthritis.

Question 13

Primary Health Care providers include:

A) general practice services.
B) immunisation program clinics.
C) rural hospitals.
D) All of the above.
E) None of the above.

Question 14

A new graduate nurse is looking for employment and is hoping to find a facility that utilises nursing personnel based on their educational preparation and skill set. Which of the following systems implements this practice?

A) Managed care.
B) Shared governance.
C) Differentiated practice.
D) Patient-focused care.

Question 15

Hospitals are classified by:

A) where they are geographically placed.
B) the services that they provide.
C) who funds them for primary health care.
D) how big the community is.

Question 16

A client is in the end stages of cancer. A growing field of nursing and tertiary prevention services is that of:

A) palliative care.
B) health restoration.
C) rehabilitation.
D) acute care.

Question 17

An experienced RN is competent in knowledge of the computerised charting system and management skills and is to assume the team leader role on a regular basis. These two characteristics are the basis of which system?

A) Primary nursing.
B) Team nursing.
C) Case method.
D) Differentiated practice.

Question 18

A health care delivery system that focuses on diagnosis, treatment and minimising further disability is an example of:

A) primary health care.
B) secondary health care.
C) tertiary health care.
D) community health care.

Question 19

The monitoring of noise levels in an industrial area is an example of:

A) primary health care.
B) secondary health care.
C) tertiary health care.
D) community health care.

Question 20

A nurse is transferring to a facility where RNs, ENs and PCAs are responsible for providing coordinated nursing care to a group of clients. Which of the following delivery systems would most resemble this system?

A) Team nursing.
B) Case method.
C) Functional method.
D) Shared governance.

Question 21

Which of the following factors is now said to contribute to the greatest causes of ill health among Indigenous Australians?

A) Living in cities and regional areas.
B) Lower income level and access to GPs.
C) Living conditions, entrenched violence and suicide.
D) Lower educational status and lower employment levels.

Question 22

A client now stays in hospital for a much shorter time than years ago because:

A) there aren't enough beds for the bigger population.
B) technology has made a lot of surgery available as an outpatient.
C) the doctors decide what is best for them.
D) the food is not as good as at home.

Question 23

An Indigenous client is admitted to the hospital following a motor vehicle accident. The nurse was checking his immunisation status, when he stated that he had not accessed any health services for several years. This happened because:

A) Indigenous people cannot access health services.
B) Indigenous people prefer to use the witch doctor.
C) Indigenous people suffer cultural risks when going to hospitals.
D) Indigenous people are healthier than white people.

Question 24

A client who is at least 65 years of age is asking the nurse how he will afford his hospitalisation, which has now been extended and involves extremely expensive drugs. Much of this care should be covered by:

A) private health insurance.
B) Veterans' Affairs.
C) Pharmaceutical Benefits Scheme.
D) Medicare.

Question 25

Which of the following has been identified as a reason for the increased cost of health expenditure in Australia?

A) Increase of appointments of paramedical technologists.
B) More people recognise that health is everyone's right.
C) Increase in the request for physical therapy.
D) Decrease in the appointment of case managers.

Question 26

Which of the following factors have an effect on health care delivery?

A) Increased use of complementary and alternative medicine.
B) Decrease in chronic disease.
C) Decrease in the number of elderly.
D) Consumer knowledge and expectation.

Question 27

A clinic in a rural area depends primarily on the services of a nurse practitioner. The nurse practitioner provides which of the following services?

A) Acute and obstetric care.
B) Emergency care services.
C) Comprehensive primary care, medication and referral.
D) Specialised care.

Question 28

Assessing the functional level of older people will include which of the following?

A) Assessing and planning the activities of daily living.
B) Evaluating the activities of daily living and instrumental activities of daily living.
C) Assessing the requirements of older people.
D) Assessing, planning and implementing the activities of daily living.