Question 1

Characteristics of primary nursing include: (Select all that apply.)

Accepted Answer

Primary care reduces fragmentation of care between shifts. Care is planned by one nurse to cover a 24-hour period using ancillary workers to increase the productivity. An associate nurse may take on direction of care in the absence of the primary nurse.

Question 2

In 1991, the American Nurses Association (ANA) published the Standards of Nursing Practice. These standards are designed to: (Select all that apply.)

Accepted Answer

The Standards of Nursing Practice generally define activities in which nurses may engage, set standards for nursing care and delivery, and thereby protect the nurse, patient, and health care agency.

Question 3

In the United States, the Young Women's Christian Association (YMCA) in New York opened The ____________ School, the first practical nursing school.

Accepted Answer

The answer of In the United States, the Young Women's...

Question 4

Which nursing care delivery system has been fully embraced by the nursing community and is identified as one of the seven QSEN competencies?

Accepted Answer

Patient-centered care has been described since the 1950s, but came to the forefront in 2001 when the Institute of Medicine (IOM) targeted six areas for improvement in the US health care system, including safety, effective, patient-centered, timely, efficient, and equitable (Cliff, 2012). Patient-centered care has been fully embraced by the nursing community, and is identified as one of the seven QSEN competencies (QSEN.org, 2015).

Question 5

It is appropriate for practical nurses to provide direct patient care to persons in a hospital under the supervision of a:

Accepted Answer

Practical nurses provide direct patient care under the direct supervision of a registered nurse, physician, or dentist.

Question 6

A state's Nurse Practice Act is designed to protect the:

Accepted Answer

Nurse Practice Acts are designed to protect the public.

Question 7

Such health services as surgical procedures, restorative care, and home health care would be classified as ________ care.

Accepted Answer

The answer of Such health services as surgical procedures, restorative...

Question 8

Which nursing care delivery systems have some nursing schools adopted as the foundation of their education programs?

Accepted Answer

Relationship-based care appeared in the early 2000s (Koloroutis, 2004) and emphasizes three critical relationships: (a) the relationship between caregivers and the patients and families they serve; (b) the caregiver's relationship with him- or herself; (c) the relationship among health team members (UCLA Department of Nursing, 2015). The motivation behind relationship-based care was to promote a cultural transformation by improving relationships to foster care for the patient. Some schools of nursing have adopted relationship-based care as the foundation of their nursing education curriculum.

Question 9

Preferred provider organizations (PPOs) use ____________ to finance their services and pay the physical cost of the service.

Accepted Answer

The answer of Preferred provider organizations (PPOs) use ____________ to...

Question 10

The Standards of Nursing Practice are designed to direct LPNs to:

Accepted Answer

The Standards of Nursing Practice are designed to guide the LPN to deliver safe, knowledgeable care.

Question 11

During the Civil War, nursing schools offered education to women both in England and in the United States. The schools in the United States differed from those in Europe because in US schools: (Select all that apply.)

Accepted Answer

In the United States, the students staffed the hospital and worked without pay. There were no formal classes; education was achieved through work. There was no set curriculum, and content varied depending on the type of cases present in the hospital. Instruction was done at the bedside by the physician and therefore came from a medical viewpoint.

Question 12

Which of the following is considered a positive aspect of the Affordable Care Act?

Accepted Answer

The Patient Protection and Affordable Care Act is being phased in over several years. There are positive and negative aspects to this act, and many people have strong opinions about it. Since 2013 there have been insurance exchanges, along with requirements for uninsured people to purchase health insurance. Starting in 2015 people who have failed to purchase health insurance are being penalized on their income taxes. Provisions in the bill now prevent denial of insurance to those with preexisting illnesses who formerly could not buy health insurance, and young adults have been allowed to remain on their parents' insurance through age 26. Starting in 2013 affluent people began paying an extra 3.8% tax on unearned income; drug manufacturers and the insurance industry are paying large annual fees to help cover the overall costs. Costs of the Medicare program will be contained by reducing payments to hospitals and health care providers. As coverage under the Affordable Care Act has expanded, the national uninsured rate has fallen from 16% to 11% of people under age 65 (people over age 65 are generally have universal coverage by Medicare). People who have benefitted the most from this coverage include people ages 18-34, blacks, Hispanics, and those living in rural areas (Quealy and Sanger-Katz, 2014). It is expected that the emphasis on prevention and coordinated care will produce a shift in nursing from the hospital to the community. There are many controversial parts of the bill, and the country is divided about whether the bill should be repealed and other health care legislation written. What happens in the Congress in the coming years will determine if all parts of the legislation will remain.

Question 13

An example of the role of an LPN as a delegator is: (Select all that apply.)

Accepted Answer

Delegation under the scope of the practice of an LPN is the assignment of a certified nursing assistant to certain nursing care or other nonmedical staff to aspects of patient care.

Question 14

An example of tertiary health care is:

Accepted Answer

Tertiary health care includes extended care, chronic disease management, medical homes, in-home personal care, and hospice care.

Quiz 1: Nursing and the Health Care System