Question 1

The prepayment plan developed in 1929 is

Accepted Answer

The 1929 Blue Cross Plan offered a form of prepayment insurance. Medicare and Medicaid are government entitlement programs. Health maintenance organizations arose as cost-containment measures, and physicians are reimbursed at a fixed rate for each person enrolled.

Question 2

An applicant was denied employment with a health care agency because she is a recovering alcoholic. This action by the agency violates the

Accepted Answer

In 1990 the Americans with Disabilities Act was passed to eliminate discrimination against persons with physical or mental disabilities. The Age Discrimination and Employment Act protects individuals over the age of 65. The Civil Rights Act protects individuals from employment discrimination on the basis of qualifications unrelated to job performance (such as race) and promotes employment based on ability and merit. The Occupational Safety and Health Act requires places of employment to be free of hazards and requires they write and enact safety policies.

Question 3

The nurse who is delegating care to unlicensed assistive personnel should keep in mind that most of these workers have an educational background consisting of

Accepted Answer

Other than on-the-job experience, unlicensed assistive personnel have very little formal training.

Question 4

When unit staffing includes unlicensed assistive personnel, the nurse is aware that

Accepted Answer

Nurses remain accountable for client outcomes whether or not the specific tasks are performed by nurses or by nurse extenders.

Question 5

When a nurse is able to work effectively in more than one care area (e.g., general medical-surgical, and cardiac care unit), the nurse is said to be

Accepted Answer

In an attempt the make the most effective use of available personnel, nurses may be cross-trained to work skillfully in two or more specialty care areas. A skill mix is the ratio of RNs to LPNs and assistive personnel to deliver the highest quality care while controlling cost.

Question 6

Using a nursing intensity classification system, the nurse manager assesses that the client requiring the greatest amount of care is the

Accepted Answer

The craniotomy client will need high-level assessment and highly technological procedures. The other clients, although ill, have common care problems that require no more than routine care investment.

Question 7

A planned program of loss prevention and liability control best defines

Accepted Answer

Risk management is a planned program of loss prevention to identify and analyze risks in an effort to reduce accidents and injuries. Client satisfaction data are usually collected after a client is discharged from a hospital or other care setting. Quality assurance is a multi-leveled plan with components such as strategic planning, budgeting, performance improvement, and other elements. A clinical pathway is a plan that directs client care and recovery from predictable problems.

Question 8

A registered nurse (RN) seeking work in a voluntary health agency would choose a

Accepted Answer

Voluntary agencies are not-for-profit, tax-exempt organizations designed to meet health care needs of the public.

Question 9

A client injured in an automobile accident is now stable but permanently ventilator-dependent and has little potential for further improvement. The client is to be transferred to post-acute care services. The nurse manager recommends a

Accepted Answer

Long-term care is the option for a client who is stable and has little recovery potential. Long-term care units are more cost-effective when acute care is no longer needed. The general medical-surgical unit is for acute situations, not a chronic case. In this case, the client has little recovery potential; if the client had the potential to gain further functional ability, a rehabilitation unit would be best. A transitional unit is a type of post-acute setting in between intensive care and a more general medical-surgical floor.

Question 10

A client experiences chest pain with electrocardiographic changes during an appointment with the primary care physician, and the physician orders hospital admission for cardiac monitoring. This type of admission is a(n)

Accepted Answer

A direct admission is the process followed when a client is determined to need hospital or nursing care while in a physician's office.

Question 11

A client for whom the nurse would provide post-acute care is the

Accepted Answer

Post-acute care areas are designed for clients who are out of the fragile phase of their illness and need routine monitoring and rehabilitation. After childbirth and kidney stone removal, the client would most likely need inpatient care at a hospital. A client receiving anti-hypertensive medications would most likely be followed in an ambulatory care setting.

Question 12

A registered nurse (RN) is considering delegating some tasks to unlicensed assistive personnel (UAP). Which of the following things should the nurse consider when making this decision? (Select all that apply.)

Accepted Answer

Other considerations include the following: Has there been proper direction and communication about what is expected? Is the task simple and direct? Whether or not the UAP wants to do the task is not part of the legal aspects of making the decision to delegate.

Question 13

While administering an antibiotic to a client with an infection, the nurse explains the importance of completing the full course of antibiotic therapy. This is an example of

Accepted Answer

Informal education continues throughout the course of nursing care in the form of directions and explanations. Formal education is a formal presentation.

Question 14

A hospital staff nurse is collaborating with a nurse case manager in planning the care of a client with a below-the-knee amputation. The primary role of the case manager is

Accepted Answer

Case managers are nurses who coordinate the care of a group of clients, monitor the implementation of interdisciplinary care plans, and maintain communication with third-party payers and referral sources.

Quiz 6: Acute Health Care