Fundamentals ATI Health Care Delivery Module
A nurse is teaching a client about hospice care. Which of the following statements by the client indicates an understanding of the teaching? "I understand that services provided will include just what is needed to keep me comfortable." "While I am receiving hospice care, I will continue treatment for my illness." "I need to be in the hospital to receive hospice care." "The hospice team will no longer support my family after I have passed away."
"I understand that services provided will include just what is needed to keep me comfortable."
A nurse is teaching about Medicaid to a client who is concerned about paying for health care. Which of the following statements should the nurse make? "Your income will determine if you are eligible for Medicaid." "You must be 65 or older to qualify for medicaid." "Laboratory services are not covered by Medicaid." "Medicaid is fully funded by the federal government."
"Your income will determine if you are eligible for Medicaid."
A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following members can assist the client with the refill? (Select all that apply) -Social Worker -APRN -PA -Pharmacist -Physician
-APRN -PA -Physician
A nurse is reviewing a report by the Institute of Medicine (IOM). Which of the following competencies should the nurse identify health care professionals need in order to reduce errors? (Select all that apply) -Competition -Cooperation -Communication -Resolution -Coordination
-Cooperation -Communication -Coordination
A nurse is caring for a client who has Parkinson's disease and needs assistance with ADL's. Which of the following referrals should the nurse anticipate the provider to prescribe? (Select all that apply) -Social worker -Dietician -Physical Therapist -Occupation Therapist
-Dietician -Physical Therapist -Occupation Therapist
A nurse is hired to be a case manager in a facility. Which of the following services should the nurse expert perform? -Facilitate transfer of clients to meet the required level of care -Perform physical assessments on clients -Administer medications to clients -Provide wound care to clients
-Facilitate transfer of clients to meet the required level of care
A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should the nurse include? -Initiatives to reduce health care disparities -Activities to improve social determinants of health -Providing prevention care services. -Improving access to health care -Reducing the infection rate
-Improving access to health care -Activities to improve social determinants of health -Initiatives to reduce health care disparities
A nurse is competing the Minimum Data Set (MDS) assessment for a resident in a skilled-nursing facility. Which of the following information should the nurse include in the assessment? (Select all that apply) Input from members of the clients interdisciplinary team -The client's cognitive status -Description of the client's home environment -Each physical therapy visit -The client's need for assistance with activities of daily living.
-Input from members of the interdisciplinary team. -Client's cognitive status. -Each physical therapy visit. -Clients need for assistance with ADLs.
A community health nurse is teaching newly licensed nurse about the social determinants of health. Which of the following should the newly licensed nurse identify as a physical determinant of health? -Limited income to purchase food -Poor quality school system -Inability to read food labels -Poor air quality
-Poor air quality
A nurse is discussing hospice care with a newly licensed nurse. Which of the following should the nurse identify as the goal of hospice care? -Provide comfort measures for clients who are receiving active treatment for illness. -Allow a clients caregiver to take a break from caring for their loved one. -Provide care for a client who has less than 6 months to live. -Offer services such as strength exercises for the client within the clients home.
-Provide care for a client who has less than 6 months to live.
A nurse is teaching a class about the Hospital-Acquired Condition Reduction Program (HACRP). Which of the following information should the nurse include? -The HACRP reimburses a medical facility based on the clients primary diagnosis. -The HACRP links Medicare payments to health care quality -The HACRP determines the length of hospitalization for the clients who have the same diagnosis. -The HACRP is not used in the acute care setting.
-The HACRP links Medicare payments to health care quality
A nurse is teaching about the Affordable Care Act. What should she include? The ACA does not provide coverage for pre-existing conditions. The ACA enforces a lifetime limit to covered benefits Clients who have insurance pay a fee for preventable screenings. A focus of the ACA is disease prevention.
A focus of the ACA is disease prevention.
A graduate nurse notes that a hospital with Pathway to Excellence recognition is hiring staff. Which of the following should the nurse expect from this facility? (Select all that apply) -The facility has practices in place that lead to a healthy workplace environment. -The facility must have underwent an on-site review to receive the Pathway to Excellence award. -The facility emphasizes shared governance. -The facility emphasizes practices that positively affect a nurse's well-being. -The facility focuses on improving clinical quality indicators.
-The facility has practices in place that lead to a healthy workplace environment. -The facility emphasizes shared governance. -The facility emphasizes practices that positively affect a nurse's well-being.
A nurse is discussing social determinants of health with a newly licensed nurse. The nurse should include that which of the following factors contribute to the neighborhood and built environment determinant category? (Select all that apply) Access to foods that support healthy eating patterns. Access to healthcare Crime and violence. Environment conditions. Civic Participation
Access to foods that support healthy eating patterns.Crime and violence.Environment conditions.
A nurse is caring for a client who reports that they have lost their job and do not have insurance. Which of the following social determinants of health is challenging for this client? -Economic Stability -Education -Social and community context -The neighborhood environment
Economic Stability
A nurse in a providers office is speaking with a client about a Press Ganey survey. The nurse should inform the client that this survey will be conducted by which of the following methods? Email Automated phone attendant Postal Mail Telephone Call
A nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred to for further treatment. A skilled nursing facility Long-term care hospital Assisted Living Hospice Care
Long term care hospital (LTCH)
A nurse is teaching about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS). What should she include?
Measures client satisfaction.
A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging MRI test. Which of the following is the nurse obtaining? Fee-for-Service Diagnosis-related group (DRG) Retrospective Review Precertification
Precertification
A nurse is teaching a newly licensed nurse about Medicare reimbursement. Which of the following should the nurse include in the teaching? -Diagnosis-related groups (DRG's) establish reimbursement amounts based on the clients' length of hospitalization. -Reimbursement amounts will be adjusted for clients who contract HAC. -Clients must recover before the facility can be reimbursed. -The Inpatient Prospective Payment System (IPPS) allows for facilities to be reimbursed in advance for client care.
Reimbursement amounts will be adjusted for clients who contract HAC
A nurse is teaching a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include? TJC is a for-profit organization Accreditation by TJC is required for all inpatient facilities. Accreditation by TJC is restricted to inpatient facilities. TJC ensures organizations remain up to date with state guidelines.
TJC ensures organizations remain up to date with state guidelines.
A home health nurse is caring for a client who is receiving hospice care. The client's parter reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the nurse recommend? A skilled nursing facility A long term care hospital Respite care Assisted living
respite care