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:

Accepted Answer

The client is not capable of self-care and has no family available to assist, so staying in the hospital or going to a custodial care facility would not be appropriate. The client still requires IV antibiotics, so remaining in the hospital until the course is completed could mean an extended stay, which may not be the best option for the client. Discharging to an extended care facility would provide the necessary support and assistance for the client to continue their recovery and complete their antibiotic therapy.

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?

Accepted Answer

A general hospital is a facility that provides a wide range of medical and surgical services, including specialty care in areas such as obstetrics, pediatrics, internal medicine, cardiology, and other medical and surgical specialties. This type of hospital provides care to patients who require short-term hospitalization, as well as those who require more long-term care. As the question describes a hospital that provides services in all specialty areas, it is classified as a general hospital.

Question 3

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

Accepted Answer

Primary health care services typically include preventive and basic care measures that are directly accessible to individuals in a community. Teaching living skills to spinal injury clients is more specialized and rehabilitative, focusing on adapting to life after a significant health event, rather than primary health care which aims at prevention, initial treatment, and health education.

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?

Accepted Answer

Placing the client in an adult daycare environment provides a safe and supervised setting for the individual with Alzheimer's, addressing the concerns of wandering, forgetting to turn off the stove, and attempting to drive. This allows the spouse to continue working full-time while ensuring the safety and care of the client.

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:

Accepted Answer

The client needs to learn new strategies to manage her normal activities of daily living, which is the role of an occupational therapist. The physiotherapist would assist with physical rehabilitation after the injury, the social worker would assist with broader social and emotional needs, and the podiatrist would focus on foot and ankle issues.

Question 6

Privately-owned clinics are used in many communities because:

Accepted Answer

Privately-owned clinics can help free up hospital beds by treating less severe cases, allowing hospitals to focus on more critical patients.

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?

Accepted Answer

The hospital is implementing a patient-focused care model by training nurses to perform additional interventions beyond basic nursing care, in order to better meet the needs of patients.

Question 8

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

Accepted Answer

Tertiary prevention is focused on helping individuals recover from illness or injury and restore them to their previous level of health. Local hospitals or the federal government may play a role in implementing tertiary prevention strategies, but the overall goal is to support individuals in their recovery process. Providing an immunisation program is an example of primary prevention, which aims to prevent illness or injury before it occurs.

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:

Accepted Answer

The delivery model described in the question is known as case management. This model involves a team approach in which members from different disciplines work together to coordinate care for a group of clients from preadmission to discharge. The goal is to ensure that each client receives appropriate, coordinated care and that resources are used efficiently. Patient-focused care emphasizes the individual patient's needs and preferences, while differentiated practice refers to the use of different skill sets and competencies within a profession. Managed care is a broader term that refers to systems designed to control the cost and quality of healthcare services.

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:

Accepted Answer

The best response by the hospice nurse would be to explain that hospice care is an interdisciplinary service that can meet the changing needs of the client at this stage of their illness. This response acknowledges the spouse's question and provides information to help them understand the rationale for the referral to hospice care. Option B is not accurate as hospice care does not aim to improve the person's health but rather to provide comfort and quality of life. Option C is too vague, and option D is not ethical or appropriate to mention as a reason for a change in services.

Question 11

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

Accepted Answer

The Ottawa Charter (1986) focused on promoting health and preventing ill-health through five main action areas, including building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. The charter has provided the basis for advancing the idea of recognising the advantages of staying healthy and avoiding illness, which is one of the main action areas. The other options are not directly related to the action areas outlined in the charter.

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:

Accepted Answer

Moving to an assisted living center can provide the client with access to social activities, communal meals, and assistance with daily activities, such as cooking, that the client may find difficult due to mobility issues and decreased energy. This can help address the client's weight loss and lack of interest in activities. However, it is important to discuss this option with the client and ensure that it aligns with their preferences and goals.

Question 13

Primary Health Care providers include:

Accepted Answer

Primary Health Care providers include a range of services such as general practice services that provide ongoing medical care for individuals and families, immunisation program clinics that provide vaccinations to prevent communicable diseases and rural hospitals that offer medical services to local communities. Therefore, the correct answer is D, All 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?

Accepted Answer

Differentiated practice is a system that utilizes nursing personnel based on their educational preparation and skill set. It involves differentiating the roles and responsibilities of nurses based on their levels of education and expertise, which can lead to more efficient and effective patient care. Managed care is a system of healthcare delivery that focuses on cost containment and utilization management. Shared governance is a decision-making model that involves nurses at all levels of the organization in decision making. Patient-focused care is a approach to healthcare delivery that focuses on meeting the individual needs and preferences of patients.

Question 15

Hospitals are classified by:

Accepted Answer

Hospitals are classified based on the services that they provide, such as general hospitals that offer a range of medical and surgical services, specialized hospitals that treat specific conditions such as cancer, and psychiatric hospitals that focus on mental health disorders. The other options do not accurately classify hospitals.

Question 16

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

Accepted Answer

Palliative care focuses on improving the quality of life for patients with serious illnesses, including those nearing the end of life. This type of care provides comfort and support for both the patient and their family.

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?

Accepted Answer

The answer of An experienced RN is competent in knowledge...

Question 18

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

Accepted Answer

A health care delivery system that focuses on diagnosis, treatment, and minimizing further disability is generally classified as secondary health care, which involves specialized medical knowledge and technology to manage specific diseases or conditions. Primary health care, on the other hand, focuses on prevention, health promotion, and the treatment of common illnesses and injuries, while tertiary health care involves highly specialized and complex medical care for rare and complicated diseases or conditions. Community health care refers to health services provided to a defined community, such as a neighborhood or population group.

Question 19

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

Accepted Answer

The answer of The monitoring of noise levels in an...

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?

Accepted Answer

Team nursing involves a team of RNs, ENs, and PCAs working together to provide coordinated care to a group of clients. It is a collaborative approach to care that emphasizes communication and teamwork among staff members. This delivery system most closely resembles the described system in the question. The case method involves a single nurse being responsible for the care of a group of clients and making all decisions regarding their care. The functional method involves dividing tasks among staff members based on their specific skills and training. Shared governance involves the participation of staff members in decision-making processes related to patient care and organizational operations. While shared governance may be part of the described system, it does not fully resemble it. Therefore, the best choice is A) Team nursing.

Quiz 6: Health Care Delivery Systems

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?