Deck 46: Health Care Systems

Question 1

At a local seminar discussing healthcare resources,the nurse discusses the phenomenon that healthcare resources are declining while costs for health care are increasing.An older adult in attendance asks the speaker why it has become so difficult to obtain needed care and services.Which response by the nurse is the most appropriate?

A) "There is increased cost due to the increased incidence of malpractice lawsuits."
B) "There is a decrease in the number of adults needing care."
C) "There are not enough medications produced for those who need them."
D) "There are plenty of nurses but not enough doctors."

Answer 1

"There is increased cost due to the increased incidence of malpractice lawsuits."

Question 2

The local clinic staff has noticed an increase in the flu this season and request more vaccine from the Centers for Disease Control and Prevention (CDC).The nurse knows that the CDC will control the vaccine distribution by considering which factors? Select all that apply.

A) The amount of vaccine being requested by local health departments
B) The speed at which the vaccine becomes available
C) Who gets the available vaccine
D) Ensuring that only medical personnel can receive the vaccine
E) Ensuring that only babies and military personnel receive the vaccine

Answer 2

The amount of vaccine being requested by local health departments
The speed at which the vaccine becomes available
Who gets the available vaccine

Question 3

The nurse understands that some factors affect health care delivery by creating new opportunities for the healthcare sector.Which would affect healthcare delivery?

A) Advances in technology requiring specialized personnel
B) Healthcare literacy programs
C) Changing demographics that increase the need for new jobs
D) Managed care frameworks that coordinate clients and insurance plans

Answer 3

Advances in technology requiring specialized personnel

Question 4

The nurse knows that communication among healthcare team members is essential during mass casualty events.Which is essential when communicating under these circumstances?

A) Providing concise, accurate, and timely information
B) Preparing for ethical challenges
C) Documenting to prevent legal issues
D) Coordinating care between management and clinicians

Question 5

The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu.The nurse discusses the need for flu shots with the client,who states,"I cannot afford the shots.I do not have health insurance." Which suggestion by the nurse is most appropriate?

A) Seek preventive care at the local health department.
B) Find a primary care physician who will give free care.
C) Obtain the flu shot at a local pharmacy.
D) Get the shot every year in the emergency department.

Question 6

Nursing students are discussing the uninsured and the underinsured in the United States.The students believe that clients should have access to the healthcare system when needed.One student plans to relocate from Massachusetts to Mississippi for which reason?

A) More older adults live in Mississippi than elsewhere in the United States.
B) Massachusetts clients have fewer healthcare needs than those living elsewhere in the United States.
C) The need for services is greater in Mississippi than elsewhere in the United States due to a decreasing number of healthcare providers.
D) Salaries for nurses are higher in Mississippi than elsewhere in the United States.

Question 7

A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN)degree.After considering projected changes in health care and the population cared for in the community,the student might consider selecting which elective course?

A) A course on medical Spanish
B) A psychology course on young adults
C) A personal finance class
D) A class on the effect of illness on a young child

Question 8

A client asks the nurse,"How am I going to pay for a surgery? I'm broke,but I've been so sick." Which statement regarding the Affordable Care Act (ACA)may be applicable to this client's situation?

A) "The ACA extends coverage to the working poor who do not qualify for public assistance and whose employers do not offer health insurance."
B) "Unfortunately, you will probably be denied coverage because of your existing condition."
C) "Most insurance premiums will be more and some less; you will have to shop around."
D) "Because the rate of inflation is slowing, the ACA will also help curb medical costs."

Question 9

The nurse is assessing an older adult client in the free clinic.The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit.The nurse assesses the client for possible causes for this increase.After determining that the client has not changed dietary and exercise habits,which conclusion by the nurse is the most appropriate?

A) The client has increased egg consumption.
B) The client may not be taking medications as prescribed.
C) The client needs more aerobic activity.
D) The client may be experiencing high triglyceride levels.

Question 10

The nurse is taking care of a client being discharged but will need home nursing care,physical therapy,and speech therapy.Which framework helps the client who has multiple care needs?

A) Case management
B) Client-focused care
C) Managed care
D) Multidisciplinary nursing teams

Question 11

The nurse taking care of a client in the clinic notes that the client comes in twice per week,but never seems to have anything majorly wrong.Which is a benefit of providing education about self-care to this client?

A) The client's perception of need will change, promoting appropriate and timely health care.
B) The client will continue to come to the clinic seeking help until someone helps the client.
C) The client will seek affordable insurance by which to gain appropriate health care.
D) The client will learn to seek healthcare services from legitimate sources.

Question 12

A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues.Which aspects of the Affordable Care Act (ACA)affect children favorably? Select all that apply.

A) Insurance companies cannot deny coverage based on preexisting conditions.
B) Insurance companies cannot drop children who have serious illnesses.
C) Benefits are paid through private benefactors.
D) All children are covered regardless of whether the parents are covered.
E) The government must make appropriate arrangements for children of laypeople.

Question 13

A young mother brings her children to the health department for routine immunizations.The mother is crying because she lost her job and fears that her asthmatic daughter may be denied appropriate health care because she is unable to pay for it.The nurse realizes that many clients are experiencing these fears.Which action by the nurse would have the greatest impact for all clients who experience this fear?

A) Reminding the client that everything will be fine
B) Becoming involved in the American Nurses Association (ANA)
C) Moving to an area that needs healthcare workers
D) Giving the client medications and supplies from the clinic at no charge

Question 14

The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured client.Which statement regarding the consequences of being uninsured or underinsured is appropriate for the educator to share with the students?

A) "Delays of diagnoses lead to higher mortality and morbidity rates."
B) "Delays in health coverage for children put the health provider at risk for litigation."
C) "The client's children are at risk of contracting diseases for which others are immunized."
D) "Older adults are less likely to be treated for falls."

Question 15

A nurse educator is teaching a group of students about managed care.The educator knows that the students have understood the concept when they state that managed care has which emphasis? Select all that apply.

A) Bringing services to the client
B) Integration of health care services
C) Cost-effective care
D) Preventive services
E) Health promotion

Question 16

The nurse is caring for a client who sustained multiple injuries in an automobile accident.As a part of secondary prevention for this client,which does the nurse include in the plan of care?

A) Promote wellness.
B) Detect early disease.
C) Restore the client to previous functioning.
D) Prevent the progression of more symptoms.

Question 17

The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA)of 1986 to prevent which action by emergency services?

A) Refusing to treat uninsured clients
B) Servicing suburban clients only
C) Stopping the poor from using emergency services as primary care
D) Providing free examinations to the poor

Question 18

The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG)testing,phlebotomy,and some respiratory therapy interventions.This clinic is providing client-focused care.Which are the benefits of this delivery model? Select all that apply.

A) Collaboration among many disciplines in providing client care
B) Decreased steps to provide client care
C) Decreased personnel required to provide client care
D) Ease in tracking client progress
E) Cost-effective care resulting in improved outcomes

Question 19

A nurse is planning a community health fair at a local community center.Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply.

A) The ability to change and modify goals as health needs change
B) The ability for clients to be able to assess and evaluate their health needs
C) The ability for the client to promote health in other individuals
D) The ability to promote cost-saving techniques to healthcare providers
E) The ability to prevent disease by imitating nursing techniques

Question 20

A client in the clinic asks the nurse about a medication seen on television.When the nurse suggests a generic,cheaper version of the medication,the client is resistant to this recommendation.When planning care for this client,which is true regarding the healthcare treatment choices of consumers?

A) Inappropriate healthcare treatment choices by consumers have contributed to increases in healthcare costs.
B) The continued lack of accurate diagnoses by the primary medical team has contributed to increases in healthcare costs.
C) Better treatments leading to an increase in medical expenses for more research have contributed to increases in healthcare costs.
D) Decreased longevity due to an increase in chronic diseases has contributed to increases in healthcare costs.

Question 21

The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources.Which method does the educator include in the teaching session regarding this topic?

A) Denying coverage for services not supported by research
B) Covering clients for preexisting conditions only
C) Providing self-care allowances for covered individuals
D) Increasing healthcare costs through organ donation

Question 22

As a working professional,the nurse knows that one reason to join the American Nurses Association (ANA)is for which opportunity?

A) To participate in national discussions about resources
B) To gain local and national notoriety
C) To determine how to fight for resources locally
D) To advocate for resources through different business sources

Question 23

The nurse is planning care for a number of clients who have been victims of a hurricane.Which is the priority nursing diagnosis to include in the plan of care for the victims?

A) Chronic Confusion
B) Decreased Cardiac Output
C) Risk for Post-Trauma Syndrome
D) Fatigue

Question 24

During a mass casualty event,the demand for nursing skills increases and calls for which implementation?

A) Reverse triage
B) Assessment skills
C) Collaboration with primary caregivers
D) Triage skills

Question 25

The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?

A) Decontamination
B) Rapid triage
C) Reverse triage
D) Emergency medical treatment

Question 26

The charge nurse assesses clients during a mass casualty incident (MCI)and transfers some to other units and some are discharged to home.In planning for the admission of critically ill clients from the emergency department,which nurses will the charge nurse assign the new clients to when admitted to the unit?

A) Risk-reduction knowledge
B) Advanced assessment skills
C) Impeccable ethics
D) Exceptional self-care methods

Question 27

A group of nurses attend an in-service regarding emergency preparedness for the hospital.One of the nurses has three small children and lives in a two-story house in the suburbs.After the class,the nurse plans to initiate which action to enhance family safety?

A) Installing deadbolt locks on the doors
B) Obtaining a fire escape ladder for the second floor of the home
C) Planning to purchase a generator for the house
D) Buying a water purification system in the home

Question 28

The nurse is participating on a local council as an advisor regarding community needs during an emergency.Which recommendation regarding community needs during an emergency response does the nurse include when advising the council?

A) A coordinated response to emergencies.
B) A comprehensive disaster plan.
C) Programs to restore the community.
D) The identification of potential hazards to the community.

Question 29

A nurse recently attended a seminar that discussed the many threats to homeland security.The nurse is responsible for planning for emergencies from bioterrorism as nurse manager of the emergency department.Which agents does the nurse include when planning for bioterrorism? Select all that apply.

A) Anthrax
B) Tuberculosis
C) Cancer
D) Flu
E) Smallpox

Question 30

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department.Which resources will the nurse manager utilize to help nurses understand their roles and responsibilities during an emergency response? Select all that apply.

A) The American Nurses Association (ANA)
B) The Federal Emergency Management Agency (FEMA)
C) The AMA
D) The Red Cross

Question 31

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.As part of the emergency response,the charge nurses in the emergency department (ED)and intensive care unit (ICU)are responsible for which tasks? Select all that apply.

A) Assigning care for the clients as they are admitted to the unit
B) Assuring that there are enough pain medications available
C) Assessing the acuity of the current clients on the unit
D) Delegating staff nurses to gather needed supplies for the arriving clients
E) Notifying the operating room of the potential influx of clients needing surgery

Question 32

The nurse is working with an emergency response team following massive flooding caused by a hurricane.When working with the Clinical Outreach Communication Activity (COCA)team of the Centers for Disease Control and Prevention (CDC),the COCA is responsible for which action?

A) Provide two-way communication between clinicians and the CDC.
B) Provide communication between doctors in the field during a disaster and their healthcare team.
C) Provide resources to the community during times of disaster.
D) Provide expert advice to nurses during natural disasters.