Week 1: Ch. 1: Health Care Delivery and Evidence-Based Nursing Practice

The Joint Commission

A client has been admitted in the emergency care unit with conditions of respiratory distress and pneumonia. The client's condition worsens and requires mechanical ventilation. While visiting this client in the hospital, the family observes members of the health care team washing their hands upon entering and leaving the room. By implementing recommended hand hygiene measures, which organization's goals is the health care team supporting?

"Home care nurses need to have high-level assessment skills."

A home care nurse is preparing a presentation for a group of nursing students about the area of practice. Which statement would the nurse most likely include when describing this practice area?

Safety and security

A nurse is caring for a patient who is experiencing fear, anxiety, and feelings of powerlessness after receiving a diagnosis of cancer. The nurse develops a teaching plan focusing on the patient's diagnosis and treatment options to promote the patient's sense of control over the situation. Using Maslow's Hierarchy of Human Needs, which of the following categories is the nurse attempting to meet?

Community nursing center

A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following?

Practitioner

A nurse working in a community-based health center is engaged in teaching a client about her medications. The nurse is acting as which of the following?

agent facilitating relations between a health insurance company and providers.

A preferred provider organization is described as a(n)

"The nurse case manager contacted my insurance company and has arranged for the home health nurse and physical therapist to visit me as soon as I get home."

A student nurse observes a nurse case manager coordinating discharge for a patient diagnosed with congestive heart failure (CHF). Which statement made by the patient indicates to the student that the patient understands the role of the case manager?

Cost of health care services. Quality delivery of services. Appropriate standards of care.

Quality assurance (QA) programs were put into place in the 1980s by the Joint Commission to establish and maintain accountability to the public. These programs are responsible to the public for maintaining certain standards. Choose all of the activities that apply to QA programs.

The new state's boards of nursing

An advanced practice registered nurse (APRN) specializing in adult-gerontology has accepted a new position in a different state. Which governing body does the APRN need to consult to verify prescriptive authority in the new state?

aging and becoming more culturally diverse.

Future healthcare policy in the United States will be significanly affected by a population that is:

Prescribing of medications. Direct care provision. Collaboration with other disciplines.

Students are comparing and contrasting the roles and functions of nurse practitioners and clinical nurse specialists. The students demonstrate understanding of these roles when they identify which of the following as associated with nurse practitioners? Select all that apply.

Interdisciplinary teamwork

The nurse educator is planning a teaching session for nursing students related to the treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

Improve the health status of the community. Promote wellness. Reduce the spread of disease.

The nurse is practicing in a community-based setting. What outcomes may be achieved by the nurse's community interventions?

Shared accountability for care

The nurse is working at an institution that uses a collaborative practice model. Which of the following would most likely be reflected at this institution?

Secondary prevention

The nurse working in the clinic has had several incidences of positive chlamydia cultures return in women with pelvic pain. The nurse understands that early diagnosis and treatment are essential measures in which to reduce contagion and limit the complications related to this infection. What type of prevention will the nurse use when these infections are treated?

Encourage positive health characteristics within the limits of the disease.

To address the needs of a chronically ill patient and promote the concept of wellness, a nursing care plan should outline steps to:

Constipation. Fear. Loneliness. Helplessness. Failure to achieve potential.

Using Maslow's hierarchy of needs, place the following problems in their order of priority.

Appropriateness of services

Which is a goal of case management?

Diabetes

Which of the following disorders, which is linked to obesity, is on the rise in the United States?

Continuous quality improvement (CQI)

Which program focuses on processes used to provide care?

Committed to the patient, whether an individual, family, group or community, to promote health, safety and individual rights.

he American Nurses Association's Code of Ethics provides practice guidelines, based on universal moral principles, for all nurses. Select the statement that reflects the nurse's primary commitment within this framework. The nurse is: