NUR 190 EAQ - Coordinated Care

Which statement is true regarding private pay?

Private pay involves payment directly from individuals.

While reviewing laboratory results of clients seen at the maternity clinic, the nurse notes that one client's maternal serum alpha-fetoprotein level is lower than expected. What does the nurse recognizes that this may be associated with?

Down syndrome.

What is the priority nursing care for the client receiving anthracycline chemotherapy?

Instructing the client to report a chronic cough and shortness of breath.

The emergency department nurse is conducting an interview and assisting with the physical examination of a female sexual assault victim. What is most important for the nurse to document on this client's record?

Statements by the client about the sexual assault and the rapist.

A client who has been diagnosed with a bipolar disorder has been admitted to the psychiatric unit. The nurse recognizes that providing adequate nutrition during the manic phase may be a challenge. Why would adequate nutritional intake be a challenge?

The client is too busy keeping active to eat.

Which type of home health agency has a community-based board of directors?

Voluntary.

A woman who has just delivered an infant asks to take the placenta home with her upon discharge. What is the most appropriate response by the nurse?

"I need to check the hospital protocol for our policy on that practice."

A nurse manager is selecting direct care nurses for a client-care project. The manager asks a direct care nurse about treatment priorities. Which answer provided by the direct care nurse would be appropriate?

"I will give preference to the problems that have the greatest urgency."

Which statement by the unlicensed assistive personnel (UAP) indicates a correct understanding of the UAP's role?

"I will take clients' vital signs after their procedures are over."

Which members of interdisciplinary team in a long-term facility are involved in management of the facility? Select all that apply.

-Administrator -Director of nursing

Which assets of the nurse as a licensed health care professional help in planning effective nursing care? Select all that apply.

-Critical thinking. -Diagnostic reasoning. -Ability to synthesize information.

The licensed practical nurse (LPN) is about to start working in a long-term care setting. Which statement does the LPN know to be true about the ethical and legal issues in such a setting? Select all that apply.

-Do not resuscitate (DNR) orders are always legally formal. -Advance directives help promote dignity in the last stages of life.

Which characteristics should a nurse focus on to become an effective transformational leader? Select all that apply.

-Inspiring a shared vision. -Improving interpersonal skills. -Being able to motivate the nursing staff.

A client with postural hypotension requires nursing care. Which task can be safely delegated by the registered nurse to unlicensed nursing personnel (UNP)? Select all that apply. Incorrect 1

-Managing foot care of the client. -Maintaining oral hygiene of the client.

Which qualities of a leader indicate a transformational approach to leadership? Select all that apply.

-Possessing charismatic behavior. -Possessing intellectually stimulating behavior. -Having inspirational and motivational behavior.

Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data?

Client A, with chronic hypertension and stable vitals.

A client is admitted to the hospital because of multiple chronic health problems. What is the priority nursing intervention at this time?

Conducting a multidisciplinary staff conference early during the client's hospitalization.

Which type of continuing care should a client expect if discharged home with a drug infusion device to continue treatment for a leg wound?

Home care.

The primary health care provider advises chemotherapy followed by mastectomy to a client who is being treated for breast cancer. The client refuses this course. Which piece of legislation includes the responsibility of protecting the right of the client to refuse treatment?

Patient Self-Determination Act.

What is the goal of the American Hospital Association (AHA) with respect to clients' rights?

To promote clients' knowledge regarding their rights as consumers of health care.

An organization having poor work flow was suffering financial losses. A team member introduced creative solutions that were publicly recognized by leadership. Which leadership theory is at work in this scenario?

Transformational theory.

Within minutes of giving birth to a healthy infant, the client displays symptoms of respiratory distress. An amniotic fluid embolism is suspected. In addition to respiratory distress, for what other complication should the nurse assess the client?

Uncontrolled bleeding.

Which act creates incentives for Medicare and Medicaid providers to improve staffing in long-term care facilities?

The Patient Protection and Affordable Care Act (PPACA.)

A licensed practical nurse discusses the role of a clinical nurse specialist in caring for a client with muscular dystrophy with a nursing student. Which statement by the nursing student about the duties of the clinical nurse specialist is correct?

"A clinical nurse specialist provides the client's care instructions to the caregivers."

The registered nurse is explaining basic rules for documentation to a licensed practical nurse (LPN). Which statements made by the LPN indicate effective learning? Select all that apply.

"I will document the details when observed." "I will record in the chart using black ink pen."

A licensed practical nurse discusses hospice care with a nursing student. Which statements made by the nursing student indicates a need for further discussion? Select all that apply.

"The hospice Medicare benefit for bereavement care is not provided after the death of the client." "Hospice care can be provided to all order adults requiring hospitalization for the treatment of an illness."

The nurse leader directs the nursing staff during the care of a client who is experiencing cardiac arrest. Which type of leadership should the nurse leader exhibit in the situation?

Autocratic leadership.

A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation?

Autonomy.

What is the time period required to recertify a home care treatment plan in order for the client to continue to receive services?

Every 60 days.

A client on the psychiatric unit is undergoing a pretreatment evaluation for electroconvulsive therapy (ECT). Because of the client's profoundly depressed behavior, the nurse doubts that the client can provide informed consent. What should the nurse's initial intervention be?

Having the client verbalize her understanding and the outcomes of the procedure.

Which health insurance program is a state-operated of medical assistance to people with low incomes?

Medicaid.

A 65-year-old client who is diagnosed with a disability is receiving home health care. The health agency receives the fee from the reimbursement source. Which system would pay the health agency?

Medicare.

A nurse is planning care for a client admitted to the unit with a diagnosis of bipolar disorder, manic phase. In which type of room should the nurse tell the admissions clerk to place this client?

Private.

A client who was injured in a traffic accident is admitted to the emergency department. Upon assessment, the primary health-care provider diagnoses the condition as a knee fracture and performs a surgery. Which system would pay the health agency based on the client's diagnosis?

Prospective Payment System (PPS.)

The student nurse is assisting the registered nurse (RN) in collecting feedback from superiors and peers. The questions they are asking address comments to the RN about his or her work quality that affects the environment and overall productivity. Which theory does the student nurse think the RN is applying practically as a leader?

Style theory.

A client is worried about what to expect after having a pancreatoduodenectomy (Whipple procedure) for cancer of the pancreas. What is most important for the nurse to know when helping this client plan for the future?

The stage and grade of the client's cancer.