Deck 1: The Health Care System and Contemporary Nursing

Question 1

The nurse is a member of a health care team that includes a physician and other health care providers. These providers work together to ensure the client is relieved of suffering, has diseases cured, and experiences enhanced health and performance. Which of the following are the levels of care represented by this team of health care providers? (Select all that apply.)

A) Sustain life
B) Maintain health
C) Regain health
D) Minimize injury
E) Maximize cost
F) Attain enhanced health

Answer 1

Sustain life
Maintain health
Regain health
Attain enhanced health

Question 2

The nurse is attending a master's degree program in efforts to be educationally prepared to serve as a hospital leader. The nurse realizes that this educational preparation will:

A) hinder the nurse's ability to work with physicians.
B) be viewed as not supporting the profession of nursing by other nurses.
C) ensure the nurse is biased towards clinicians' interests.
D) prepare the nurse to serve as strong clinical support with the ability to integrate business and caring.

Answer 2

prepare the nurse to serve as strong clinical support with the ability to integrate business and caring.

Question 3

A client tells the nurse that she is disappointed that her employer is offering a health maintenance organization for a health care benefit. Which of the following can the nurse use as responses to the client as advantages of this type of health plan? (Select all that apply.)

A) "Since there is a nursing shortage, clients need to stay out of the hospital."
B) "This type of plan provides wellness care at a minimal cost to keep people healthy."
C) "This type of plan helps clients avoid illnesses with high costs."
D) "An HMO standardizes diagnostic and treatment decisions across the nation."
E) "This type of plan ensures coordinated services from wellness to death."
F) "This type of plan costs as much as the traditional plans, but the insurance companies get the extra money from premiums."

Answer 3

"This type of plan provides wellness care at a minimal cost to keep people healthy."
"This type of plan helps clients avoid illnesses with high costs."
"An HMO standardizes diagnostic and treatment decisions across the nation."
"This type of plan ensures coordinated services from wellness to death."

Question 4

The nurse is providing care at a time that is the most beneficial to the client. The nurse is implementing which of the following Joint Commission Dimensions of Quality Performance?

A) Safety
B) Timeliness
C) Efficiency
D) Availability

Question 5

The nurse is providing care while adhering to safety as a Joint Commission Dimension of Quality Performance. Which of the following did the nurse provide to the client?

A) Using a needleless device when providing intravenous medications
B) Keeping the siderails of the bed in the down position after providing a pain medication to a client
C) Having the client sit in a wheelchair with the wheels in the unlocked position
D) Placing cloth towels over a spill in the room of an ambulatory client

Question 6

The nurse is experiencing pain and fatigue in both arms when using the computer to document client care. Which of the following can the nurse do to reduce these symptoms?

A) Refuse to use the computer and document using a pen and paper.
B) Stand up when using the computer.
C) Adjust the keyboard and chair to reduce the pressure on the wrists and arms.
D) Ask another nurse to input the information for client care activities.

Question 7

The nurse suspects that another health care colleague may be chemically dependent when which of the following is assessed? (Select all that apply.)

A) Prolonged work "breaks"
B) Clinical care omissions
C) Mood stability
D) Extraordinary accomplishments
E) Heavy use of fragrances
F) Inability to recall recent events

Question 8

The nurse is instructing a client on self-administration of insulin so that the client will not need a health care provider to do this activity. The nurse is implementing which of the following aspects of Virginia Henderson's theory of nursing?

A) A caring relationship
B) Helping the client achieve independence from the nurse's assistance as quickly as possible
C) Integration of objective and subjective data
D) Application of critical thinking

Question 9

A client tells the nurse that he does not have a primary care physician but rather makes an appointment with a doctor who specializes in the area in which he is experiencing a problem. The nurse realizes this client is at risk for which of the following?

A) Fragmented care
B) Overpayment of services
C) Inability to sustain health
D) Finding an appropriate general practitioner

Question 10

The nurse has incorporated several criteria that are essential for being a member of a profession. Which of the following has this nurse done? (Select all that apply.)

A) Has passed the licensure examination
B) Works regularly scheduled shifts
C) Completed a bachelor's degree in nursing
D) Limits absences from work
E) Joined the American Nurses Association
F) Reads evidenced-based information to incorporate into planning client care

Question 11

The nurse ensures that a client's bedspace is neat and clean with the call light within easy reach. The nurse is focusing on which nursing theorist who realized the importance of the environment for care?

A) Florence Nightingale
B) Sister Callista Roy
C) Dorothea Orem
D) Martha Rogers

Question 12

A client tells the nurse that he has an HMO for his health insurance. The nurse understands that the purpose of this type of health plan is to:

A) ensure payment is made to Medicare for services rendered.
B) maximize the utilization of health care resources.
C) efficiently manage costs while providing quality care.
D) focus on the illness when providing care.

Question 13

The nurse is planning and providing care while adhering to the American Nurses Association definition of professional nursing. Which of the following does the nurse include when implementing client care?

A) Follows the NANDA nursing diagnoses process
B) Integrates objective and subjective data
C) Respects cultural diversity of peers
D) Acknowledges the experience and training of physicians

Question 14

A client is admitted with a highly communicable disease. The nurses do not want to participate in the care of this client. Which of the following should be done to ensure the client receives the highest quality of care?

A) Adhere to strict standard precautions.
B) Plan to have the client transferred to another health care organization.
C) Ask the physician if the client can be cared for in the home.
D) Suspend the nurses without pay who refuse to care for the client.

Question 15

The nurse has shifted her practice from an illness focus to a health focus. Which of the following has this nurse implemented?

A) Standardized care plans
B) Critical pathways
C) Instructing a client on relaxation techniques to aid with sleep
D) Holding around-the-clock medication when a client is asleep

Question 16

A client tells the nurse that all hospitals care about is doing the minimum for a client regardless of the outcome. Which of the following should the nurse respond to this client?

A) "It does feel like that sometimes."
B) "Health insurance companies have caused this problem."
C) "The doctors will get paid regardless of the clients' outcomes."
D) "There are quality programs in place to make sure clients receive the best quality of care regardless of the cost."

Question 17

The nurse has been an employee of an organization for 2 years and is considering a job change. Which of the following does this nurse's plan suggest to any future employers?

A) The nurse moves to other jobs too frequently.
B) The nurse is inflexible.
C) The nurse is searching for a more challenging environment with career opportunities.
D) The nurse is willing to sacrifice home and personal life for a job.

Question 18

The nurse is planning care for a client and reviewing appropriate educational materials to use for discharge instructions. Which domains of nursing is this nurse implementing? (Select all that apply.)

A) Nursing process
B) Clinical practice
C) Education
D) Literature
E) Administration
F) Research