chapters 1-6 med surg

a group of nurses discussing changes in a health care system agreed that future changes will be most greatly influenced by some key factors. What do these include? Select all that apply 1. Advances in medical technology 2. aging of the population 3. increase in chronic health problems 4. level of education of clients workforce shortages

1. Advances in medical technology 2. aging of the population 3. increase in chronic health problems

An elderly client demonstrating early stage dementia has just had surgical repair to a fractured left hip no family member attends the discharge planning conference to discuss the next appropriate actions. Which members of the health care team will be instrumental in securing placement in a rehabilitation Center for further treatment? 1. All of the options are correct 2. social workers 3. physicians 4. nurses

1. All of the options are correct

A nurse is working with an adult client who is scheduled for an annual physical exam. The nurse explains that some screening diagnostic tests may be done, such as blood pressure, blood cholesterol, an electrocardiogram. What comment by the client indicates an understanding of the purpose of screening test? 1. I may need more tests depending on the results of the screening test 2. the doctor can prescribe medications based on these tests 3. the test determine if I have a serious illness 4. you will be checking my blood pressure and taking blood

1. I may need more tests depending on the results of the screening test

Many Americans are underserved in healthcare due to multiple factors and use emergency departments for primary care. A client who is homeless presents with a high fever and persistent cough. A client is diagnosed with walking pneumonia and is given an oral antibiotic for treatment. What is of significant concern regarding the client's treatment? 1. No follow-up care 2. lack of payment for services 3. intravenous medication would be more effective 4. incorrect diagnosis

1. No follow-up care

Which tool is often used by case managers to help plan and coordinate care? 1. Standards of care 2. outcome data 3. bottom line 4. service cost measurement

1. Standards of care

definitions of nursing have changed as nursing has evolved. responsibilities of nursing, as defined by the ANA, include which of the following? Select all that apply. 1. administer treatment to clients 2. interpret client data 3. perform a thorough assessment of assigned clients 4. prescribe medication after assessing the client 5. supervise the work of other healthcare providers

1. administer treatment to clients 2. interpret client data 3. perform a thorough assessment of assigned clients

a nurse fulfills many roles. which task are nursing responsibilities? 1. all are correct 2. advocating for the best care for clients 3. changing client briefs 4. bathing clients

1. all are correct

An important role for a non advanced practice nurse within the health care delivery system is to participate in: 1. disease prevention and health promotion activities 2. treatment decisions regarding help restoration 3. determining medication administration Diagnosis and treatment of disease

1. disease prevention and health promotion activities

nurses provide care in a variety of settings period which of the following is an example of a nurse providing care in a primary care setting? 1. the nurse explains the need for follow up postoperative physical therapy 2. The nurse gives a tetanus booster to a healthy 40 year old 3. The nurse prepares a client for a colonoscopy procedure 4. the nurse teaches a client about the effects of anesthesia

2. The nurse gives a tetanus booster to a healthy 40 year old

A client is admitted to a same day surgery facility for a liver biopsy. Which of the following statements best reflects the clients understanding of a stay at this facility? 1. i will be cared for by a technician following a procedure 2. i will be here for a few hours to ensure there are no problems after the biopsy 3. i will be transferred to a recovery room at the hospital after the test 4. I will have the procedure and go home right after its done

2. i will be here for a few hours to ensure there are no problems after the biopsy

student nurses are reviewing nursing roles. A student is correct in stating that nurses not only care for people when they are ill but also are involved with which of the following? select all that apply. 1. managing health finances 2. preventing illness 3. providing spiritual comfort 4. teaching clients self care 5. transferring clients to other healthcare settings

2. preventing illness 3. providing spiritual comfort 4. teaching clients self care

A client presents with a family history of heart disease and is in need for further testing. Which of the following facilities might be the appropriate referral for cardiac catheterization? 1. Primary care 2. secondary care 3. none of the options are correct 4. tertiary care

2. secondary care

a licensed practical nurse is employed at a physician's office that is part of an organization that provides clients referrals to his practice. In exchange the physicians office offers services at a reduced cost. what is this practice a part of? 1. An HMO - health maintenance organization 2. A PHO - physician hospital organization 3. A PPO - preferred provider organization 4. A PPS - prospective payment system

3. A PPO - preferred provider organization

Traditionally, private insurance, self insurance systems, and Medicare paid for health care. Health care costs were calculated by each procedure, test, ETC. Performed, which encouraged unneeded testing and procedures to increase collective fees. Medicare implemented cost controlling strategies in 1983. What system is used to classify clients with a similar diagnosis? 1. Medicare 2. Medicaid 3. diagnosis related groups 4. perspective payment system

3. diagnosis related groups

While managing health care cost in an admirable goal, what is an unintended consequence of such measures? 1. Decreased nurse to client ratios 2. increased quality of care 3. increased acuity levels in noncritical care settings 4. decreased numbers of hospitals

3. increased acuity levels in noncritical care settings

After a client has a physical examination, the healthcare provider orders blood test and a consult with a neurologist. In a review of the clients new insurance plan, what type of service does the consultation fall under? 1. Acute care 2. primary care 3. secondary care 4. tertiary care

3. secondary care

A nurse working within integrated delivery system benefits from the fact that nurses working within a network : 1. can delegate all care to UAP 2. Remain in their traditional role 3. none of the options are correct 4. have greater ability to take an active role in patient advocacy

4. have greater ability to take an active role in patient advocacy

A client who is recovering from a hip replacement requires further rehabilitation. the client is most likely to be transferred from an acute care facility to which of the following? 1. ambulatory care facility 2. subacute care facility 3. intermediate care facility 4. skilled care facility

4. skilled care facility

what are the types of illness

Acute - catastrophic - chronic - terminal

An example of a strategy to enhance health as part of health promotion is consuming a diet rich in: 1. Grains 2. Vitamin A 3. Proteins 4. vitamin C

Grains b/c health promotion means engaging in big picture strategies like consuming a diet rich in grains and complex carb, exercising regularly, balancing work in leisure activities, and practicing stress reduction techniques.

Who qualifies for Medicare?

Persons 65 years or older, people with permanent kidney failure, permanently disabled workers

the nurse is meeting with a group of clients to discuss health promotion activities in an effort to target poor lifestyle habits. Which of the following activities promote health? Select all that apply. 1. engage in activities to manage stress 2. exercise for 30-40 minutes five times a week 3. increase fiber in the diet 4. reduce caloric intake 5. sleep at least 6 hours a week

engage in activities to manage stress exercise for 30-40 minutes five times a week increase fiber in the diet

What type of nursing is this example: one nurse takes all of the vital signs, someone else takes makes all the beds, a third nurse does all of the dressing changes etc

functional nursing b/c task are divided pg 17

what does Medicaid help provide?

health coverage for people and families with limited income and resources

The financial stability of health maintenance organizations is based on: 1. providing entertainment programs for clients in order to distract clients from their illness 2. keeping clients satisfied by providing them with a regular financial assistance in looking after their medical requirements 3. keeping clients healthy and out of the hospital through Periodic screening, health education, in preventive services 4. Maintaining these statistics an recordings of all the clients admitted to the hospitals on a regular basis

keeping clients healthy and out of the hospital through Periodic screening, health education, in preventive services

who are the members of the health care team

the client - MD - RN - LPN - UAP - case manager - physical therapist - social worker - dietitian - pharmacist - healthcare administrator

a client with chronic illness always reports feeling great. what does this tell the nurse about the client? 1. the client is able to define health in a positive way 2. the client is able to dismiss the chronic illness 3. the client is able to engage in meaningful activities 4. the client is able to put on a positive demeanor

the client is able to engage in meaningful activities

an LPN is assigned to serve her units quality improvement committee. Which of the following statements by the nurse manager is correct in explaining the primary purpose of this committee? 1. the purpose of the quality improvement committee is to audit client care based on standard measures 2. the purpose of the quality improvement committee is to determine safe nurse client ratios 3. the purpose of the quality improvement committee is to develop systems to improve client care 4. the purpose of the quality improvement committee is to establish standards of care

the purpose of the quality improvement committee is to audit client care based on standard measures