Question 1

A focus of healthcare today is community-based care. What is community-based care?&#10;A) care provided to patients within a defined geographic area&#10;B) a focus on providing appropriate care for mental health&#10;C) a focus on the health of the community&#10;D) an emphasis on population-based care

Accepted Answer

Community-based care involves providing healthcare services to patients within a defined geographic area, often in local clinics or facilities. The goal is to provide more accessible and coordinated care that is tailored to the specific needs of the community. This approach emphasizes preventative care, chronic disease management, and collaboration with local resources and organizations.

Question 2

Which of the following is a result of the effect of increasing healthcare costs on hospital admissions?&#10;A) decreased length of hospital stay&#10;B) decreased number of surgeries&#10;C) increased hospital admissions&#10;D) fewer surgeries in ambulatory centers

Accepted Answer

Increasing healthcare costs often lead to a decrease in the length of hospital stay since insurers typically limit the number of days they will pay for a hospital stay, forcing hospitals to discharge patients earlier than they otherwise would. This is also known as "cost-shifting." Therefore, A is the correct choice. B is not necessarily a result of increasing healthcare costs on hospital admissions. C is not necessarily true because increasing healthcare costs may discourage people from seeking hospital care. D is irrelevant to the question.

Question 3

How can a nurse best provide care to patients whose cultural and religious backgrounds are different from the nurse's?&#10;A) ignore differences and treat everyone the same&#10;B) respect values and beliefs even if they differ from the nurse's beliefs&#10;C) convince patients to change to the nurse's beliefs&#10;D) refuse to care for patients with different beliefs

Accepted Answer

It is essential for the nurse to respect the values and beliefs of patients from diverse cultural and religious backgrounds. Ignoring these differences or trying to convince patients to change their beliefs can lead to a breakdown in trust and hinder effective communication. Refusing to care for patients based on their beliefs goes against the ethical principles of nursing and denies patients access to healthcare. Therefore, respecting patients' values and beliefs is the best approach for providing culturally sensitive care.

Question 4

A nurse is admitting a patient to the hospital for surgery. Which of the following pieces of information must be obtained from the patient? Select all that apply.&#10;A) address&#10;B) date of birth&#10;C) admitting physician&#10;D) symptoms experienced&#10;E) Immunizations&#10;F) religious preference&#10;G) admitting diagnosis

Accepted Answer

The answer of A nurse is admitting a patient to...

Question 5

A nurse is preparing a room for a new patient. Which of the following is an accepted guideline for this activity? Select all that apply.&#10;A) Position the bed in the highest position for ambulatory patients.&#10;B) Open the bed by folding back the top linens.&#10;C) Assemble routine equipment and supplies.&#10;D) Provide a hospital gown to be worn by the patient at all times.&#10;E) If lab work has not been done, provide a container for a clean urine specimen.&#10;F) Adjust the temperature to 65&#176;F and turn off overhead lights.

Accepted Answer

Positioning the bed in the highest position is not necessary for all patients and may not be appropriate for those who are frail or have mobility issues. Providing a hospital gown at all times is not necessary unless the patient is unable to wear their own clothing. Adjusting the temperature and turning off lights should be done based on the individual patient's preferences. Folding back the top linens, assembling routine equipment and supplies, and providing a container for a clean urine specimen are all accepted guidelines for preparing a room for a new patient.

Question 6

Regardless of the type of ambulatory care facility, what need is common to all patients cared for?&#10;A) referrals&#10;B) teaching&#10;C) advocacy&#10;D) surgery

Accepted Answer

Teaching is a common need for all patients regardless of the type of ambulatory care facility. Patients require education on their health conditions, medications, treatments, and preventive measures to manage their health effectively. Referrals and surgery needs may vary based on the type of care facility, and advocacy needs may depend on the patient's individual situation. Therefore, teaching is the best choice as a common need for all patients.

Question 7

What information does HIPAA mandate be given to patients upon admission to a healthcare facility?&#10;A) what type of insurance is necessary for care&#10;B) who will be providing different types of care&#10;C) what different levels of care are provided&#10;D) how health information will be used

Accepted Answer

HIPAA mandates that patients be informed of how their health information will be used and shared. This includes explanations of when their information may be disclosed for treatment, payment, and healthcare operations purposes, as well as their rights to access and control their own health information. Information about insurance, care providers, and levels of care may also be provided to patients, but it is not specifically mandated by HIPAA.

Question 8

A patient is being transferred from a hospital to a long-term care facility. What will happen to the patient's medical record (chart)?&#10;A) It goes with the patient to the facility.&#10;B) It remains in the hospital records.&#10;C) It is shredded by special personnel.&#10;D) The original and a copy go with the patient.

Accepted Answer

The original medical record remains with the hospital as part of their records, while a copy may be sent to the long-term care facility for continuity of care.

Question 9

What is the rationale for conducting discharge planning?&#10;A) to ensure the best possible care in the acute care setting&#10;B) to provide a means of documenting nursing care&#10;C) to enlist family members in providing home care&#10;D) to ensure patient and family needs are met consistently

Accepted Answer

The rationale for conducting discharge planning is to ensure that patient and family needs are met consistently. This includes ensuring patients have the resources and support necessary to continue their care at home or in another setting. It also involves coordinating with other healthcare professionals to ensure a smooth transition of care.

Question 10

Which of the following patients would not be discharged to be cared for by the family?&#10;A) a patient who needs sterile dressings changed&#10;B) a patient with a feeding tube in place&#10;C) a patient receiving IV medications&#10;D) a patient who lacks knowledge of the treatment plan

Accepted Answer

A patient who lacks knowledge of the treatment plan would not be discharged to family care, as understanding the treatment plan is crucial for effective home care and recovery.

Deck 7: Continuity of Care