perspectives test 2- practice questions

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right direction for the nursing assistant? -"Discontinue the IV solution." -"Dispose of the disconnected IV set." -"Inspect the site for thrombophlebitis." -"Check the infusion rate."

"Dispose of the disconnected IV set."

A nurse finds that a client has infiltration around the IV access and that the device needs to be removed. What explanation should the nurse give to reduce the client's anxiety? -"The infiltration is causing you pain and you will be very relieved when I remove the IV line." -"You should relax and take deep breaths; the procedure is very minor and will be over soon." -"I know that you are anxious, but removal will be painless and the IV location needs to be changed." -"It will be a painless procedure and there is nothing to worry about; many clients do fine with this."

"I know that you are anxious, but removal will be painless and the IV location needs to be changed."

A female client reports to her primary care physician with complaints of recent aggravated chest pain. The physician orders a cardiac stress test. The client tells the nurse that she does not want to take the test and feels she should instead continue with her current medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse? -"Emergency equipment is always kept ready." -"Tell me more about how you are feeling." -"Don't you want to improve your health?" -"Most people tolerate the procedure quite well."

"Tell me more about how you are feeling."

A client is scheduled for thoracentesis, a painful procedure that is performed to drain fluid from the pleural space. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? -"I will be by your side throughout the procedure; the procedure will be painless if you don't move." -"The needle causes pain when it goes in, but I will be by your side throughout and will help you hold your position." -"The procedure may take only 2 to 3 minutes, so you might get through it by mentally counting up to 120." -"You may feel uncomfortable when the needle goes in, but remember that the stakes for this are very high."

"The needle causes pain when it goes in, but I will be by your side throughout and will help you hold your position."

A client reports to the primary health care facility with complaints of chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply? -"The physician wants to monitor you and control your pain." -"Yes, you had a heart attack; this is why you are here with us." -"Yes, you had a heart attack, but the damage is very minimal." -"No; we can assure you that you will not have a heart attack."

"The physician wants to monitor you and control your pain."

The administrators of the hospital where a licensed practical nurse works have recently announced a plan to transition from paper-based medical records to electronic health records (HER). Many members of the care team support this transition but many remain skeptical. Which of the following criticisms of EHR is most valid? A) "They need to consider the fact that it can be incredibly expensive to change to an EHR." B) "An EHR is certainly high-tech, but it comes at a high price of decreased patient safety." C) "There's no doubt that an EHR is innovative, but there really aren't any benefits beyond that." D) "A lot of people are predicting that the government might soon make laws to limit the transitions to an EHR."

"They need to consider the fact that it can be incredibly expensive to change to an EHR."

A nurse is examining a 3-year-old child with conjunctivitis. During the examination, the child starts crying and refuses to sit still. Which of the following statements is appropriate for the nurse to tell the child? -"Would you like to see my flashlight?" -"Don't be scared, the light will not hurt you." -"I know you are upset; we can do this later." -"If you sit still, this will be over in no time."

"Would you like to see my flashlight?"

A nurse pays a house visit to a client who is on total parenteral nutrition. The client expresses that he misses enjoying food with his family. What is the most appropriate response by the nurse? "Tell me more about how it feels to eat with your family." -"You can sit with your family at meal times, even though you don't eat." -"In a few weeks you may be allowed to eat a little; you may enjoy then." -"I know that you must be missing your favorite foods."

-"Tell me more about how it feels to eat with your family."

Hospitals are categorized by a number of different criteria, including ownership, the care that is provided, and the size of the hospital. Which of the following hospitals is funded by the federal government? A) A county hospital B) A hospital affiliated with a university C) A Veterans Administration hospital D) A proprietary hospital

A Veterans Administration hospital

A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should the nurse suggest for this student? -A hospital-based diplomas -A baccalaureate nursing programs -An associate degree programs -A continuing nursing programs

A baccalaureate nursing programs

A 72-year-old woman lives with a number of chronic health problems and she has been informed that she will need to have hip replacement surgery. The woman is having difficulty navigating the complexity of the health care system in order to maximize her health outcomes. Which of the following individuals would be most helpful in assisting the woman? A) A coordinated care manager B) A nurse practitioner C) A patient advocate D) A family physician

A coordinated care manager

While approval of institutions that provide health care is mandatory, accreditation is usually voluntary. What health care institution would require mandatory accreditation? A) A hospital that receives funding from Medicare B) An assisted living facility that employs licensed vocational nurses C) A physician's office where controlled medications are prescribed D) A long-term care facility with more than 10 residents

A hospital that receives funding from Medicare

An LPN is newly recruited to the hospital. As a part of the orientation program, the nurse is informed that the nursing staff follows the primary nursing approach of the nursing model. Which of the following nursing models describes primary care nursing? A) The nursing staff is headed by a team leader. B) A single nurse plans and provides nursing care. C) A head nurse assigns tasks to other members. D) A nurse manager plans the nursing care of clients.

A single nurse plans and provides nursing care.

A middle-aged client is distraught at receiving a diagnosis of type 2 diabetes in spite of being conscientious about her health for the majority of her adult life. The client tells the nurse, "I can't believe I no longer have my health." The nurse should be aware that the World Health Organization defines health as A) The absence of acute and chronic health issues that affect the client's quality of life. B) A level of function that is equal to or superior to individuals of similar age. C) The ability to contribute unimpeded to the quality of life on oneself and others. D) A state of physical, mental, and social well-being.

A state of physical, mental, and social well-being.

A nurse is caring for a client diagnosed with pancreatitis. Which of the following is a priority need for nursing management? A) Acute pain in the abdomen B) Depression due to recurrent symptoms C) Inability to take care of family D) Lack of self-confidence

Acute pain in the abdomen

Through experience, a nurse has found that the judicious application of affective touch can benefit clients in certain circumstances. -An elderly client who has just learned that her husband has been diagnosed with Alzheimer disease -A man whose fractured tibia is being set by the cast team at the bedside -A woman who is being extubated in the postanesthetic recovery unit after surgery -A client in his early twenties who has a history of schizophrenia and who is experiencing

An elderly client who has just learned that her husband has been diagnosed with Alzheimer disease

A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which of the following actions by the nurse indicates active listening? -Listening to the client silently -Interrupting to clarify meaning after each sentence -Asking for clarifications and repetitions when needed -Talking about the nurse's own experience

Asking for clarifications and repetitions when needed

A client is brought to the emergency department with a head injury. Which nursing skills should the nurse put into immediate use? -Assessment skills -Caring skills -Counseling skills -Comforting skills

Assessment skills

A client reports to the emergency department with ankle pain due to a minor road accident. By asking the client to describe the accident, what type of nursing skill is the nurse using? -Assessment skills -Comforting skills -Counseling skills -Caring skills

Assessment skills

In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind the delegation guidelines, which statement denotes the right task for the LPN? -Make beds with the help of unlicensed assistive personnel. -Assist clients with nasogastric tube feeds. -Take orders from an in-house physician. -Assess the client's needs and start an intravenous line.

Assist clients with nasogastric tube feeds.

After experiencing an ST-wave elevation myocardial infarction, a 64-year-old man has been admitted to the cardiac unit of the hospital for care. The nurse has completed a comprehensive assessment and is creating a plan of care that is holistic in its focus. How can the nurse best integrate the principles of holism into the client's care? A) By creating a plan of care that utilizes the knowledge and skills of disciplines other than nursing B) By continually evaluating the efficacy of nursing interventions and by making changes as needed C) By prioritizing the client's spiritual and psychosocial needs over his physical needs D) By integrating each of the various dimensions of the client's identity into his care

By integrating each of the various dimensions of the client's identity into his care

A client with medically complicated pregnancy has expressed frustration about the disparities in advice and treatment that she has received at various sites over the past several months. How can the nurse best ensure that there is continuity in the care that the client receives? A) Communicate clearly and frequently with other care providers B) Ensure that client education is provided whenever possible C) Explain the rationale for each assessment and treatment that the client receives D) Maximize the number of people who contribute to a client's care

Communicate clearly and frequently with other care providers

A team of nurses who provide care in a community hospital have been encouraged to participate in continuing educational activities. Why is continuing education needed in nursing? -Continuing education helps to delineate the distinctions between nurses and physicians. -Continuing education increases the public visibility of individual nurses and the nursing profession. -Continuing education has the potential to partially alleviate the nursing shortage. -Continuing education allows for safer division of labor on hospital units and more effective delegation of tasks.

Continuing education has the potential to partially alleviate the nursing shortage.

One of the nursing achievements in the Crimean War was that the death rate of soldiers dropped from 60% to 1%. What is the most appropriate reason for the fall in the death rate? -Increased motivation among the soldiers -Decreased rate of infection and gangrene -Increased funds due to donations by families -Organized education and training of nurses

Decreased rate of infection and gangrene

Beginning with Florence Nightingale, many definitions of nursing have been put forth by individual nurses and by nursing organizations. Which of the following statements best describes an aspect of the changes in these definitions over time? -Drawing a clear distinction between the art of nursing and science of nursing -Definitions of nursing that have become narrower in scope over time -Characterization of nursing as a discipline that is a distinct alternative to medical treatment -Definition of an independent health care practice that is not solely dependent on physicians

Definition of an independent health care practice that is not solely dependent on physicians

A nurse at a health care facility provides information, assistance, and encouragement to clients during the various phases of nursing care. In which of the following activities does the nurse use counseling skills? -Educating a group of young girls about AIDS -Telling a client to localize the pain in his abdomen -Encouraging a client to walk without support -Assisting a breastfeeding mother in feeding her child

Educating a group of young girls about AIDS

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? -Indifference -Pity -Sympathy -Empathy

Empathy

A nurse is caring for a terminally ill client whose death is imminent. The nurse has developed a close relationship with the family. Which of the following is the most appropriate intervention? -Encourage family discussions of feelings. -Make decisions for the family in difficult situations. -Remain with the family but maintain silence. -Tell the family to leave the client alone.

Encourage family discussions of feelings.

A client who is disabled due to stroke is discharged from a health care unit and an LPN is assigned to provide nursing care to the client at home. This is an example of which kind of care? A) Extended care B) Secondary care C) Tertiary care D) Primary care

Extended care

A nurse is caring for a client who has undergone total hip replacement and is advised to continue physiotherapy after discharge. Which of the following levels of care is the outpatient physiotherapy center? A) Continuity of care B) Extended care C) Secondary care D) Tertiary care

Extended care

In a nursing unit, the nurse-in-charge delegates the tasks in the shift. A nursing assistant is assigned to make beds and help the clients ambulate. Another nurse is assigned to assist clients with changing positions, and another nurse to administer drugs. Which type of nursing care is being implemented? A) Team nursing B) Functional nursing C) Primary nursing D) Nurse-managed care

Functional nursing

A nurse has become involved in political efforts to ensure that a greater percentage of Americans have access to affordable health care, regardless of their individual circumstances. This view of health is reflective of what belief? A) Health is a limited resource. B) Health is a right. C) Health is inevitable. D) Health is personal responsibility.

Health is a right

The nurse has arranged to start an IV line for a client with pancreatitis. The nurse notes that the client appears anxious about the procedure. Which of the following is the most appropriate response by the nurse to decrease the client's anxiety? -"I will start an IV, which should not take much time." - "I will start an IV with an 18 gauge needle." -"I will start an IV that will add fluids directly to the blood stream." -"I will start an IV, which should not cause you any pain."

I will start an IV that will add fluids directly to the blood stream."

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease? A) It has a late onset in life. B) It is a sequel (consequence) of acute illness and is preventable. C) It is resistant to treatment. D) It has a gradual onset and lasts for a long time.

It has a gradual onset and lasts for a long time.

A nurse is asking a client health-related questions during a medical assessment. The client has developed lesions on the skin and warts around the mouth. Which of the following factors affect oral communication? -Literacy -Time of day -The nurse's age -Client's lifestyle

Literacy

A nurse had learned that more than 8% of Americans are currently living with diabetes mellitus. This statistic represents what epidemiological concept? A) Morbidity B) Mortality C) Distribution D) Onset

Morbidity

A nurse is working with a client who is in postoperative day 2 following a total knee replacement. The client has briefly mobilized using a wheeled walker and with the assistance of the physical therapist. However, the client is reluctant to progress further with mobilization for fear of injuring herself. In response to this, the nurse has liaised with the physical therapist to create a plan of care that creates specific goals for the client's mobility. In doing so, this nurse has exemplified what role? -Nurse as educator -Nurse as caregiver -Nurse as delegator -Nurse as collaborator

Nurse as collaborator

The managers of a small long-term care facility have proposed that medication administration be no longer performed by LP/VNs or registered nurses and those unlicensed care personnel begin providing residents' medications. How should the nurses at the facility best respond to this proposal? A) Ensure that the unlicensed care providers receive adequate training B) Elicit input from the residents themselves and their family members C) Oppose the delegation of nursing duties to non-nursing personnel D)Advocate for a pay increase for the unlicensed care personnel in light of their increased responsibilities

Oppose the delegation of nursing duties to non-nursing personnel

A licensed practical nurse provides care on a postsurgical unit of a large, urban hospital. The nurse is aware that nursing documentation about patients is used in the administration of the prospective payment system (PPS) that applies to many patients' care. How would the principles of the PPS relate to patient care? A) PPS is used to determine patients' health care costs before they receive care. B) PPS is used to calculate the amount of care that a patient may receive before having to pay privately. C) PPS is used to accurately and efficiently determine a patient's medical diagnosis and care plan. D) PPS is used to communicate between care providers and relevant government departments.

PPS is used to determine patients' health care costs before they receive care.

A nurse who has been practicing for three decades has seen significant changes in the roles that clients are expected to perform in the course of their care. Which of the following is a role that clients are normally expected to perform while they are receiving care? -Bring a high level of knowledge about their disease or health problem -Avoid consuming an inordinate amount of caregivers' time -Participate actively in the planning and execution of their care -Defer to the nurse's knowledge and authority

Participate actively in the planning and execution of their care

Continuous quality improvement (CQI) through quality assurance (QA) and quality improvement (QI) programs are part of a continual evaluation process and are required by some accrediting agencies such as the JCAHO. A nurse who provides care in a hospital setting can expect to contribute to the CQI process in what way? A) Creating the strategy for evaluating the quality of care in the hospital B) Liaising and communicating between the hospital and the JCAHO C) Participating actively in the surveys and evaluations that are used to determine quality of care D) Draft the CQI report that will be submitted to the accrediting agency

Participating actively in the surveys and evaluations that are used to determine quality of care

A nurse has completed a hospital-based educational program that has allowed the nurse to become cross-trained. A nurse who is cross-trained is able to -Perform certain non-nursing duties in addition to traditional nursing duties -Adopt a work schedule that deviates from the normal shift rotation at the hospital -Orientate new graduates and nursing students to the hospital -Retire with full benefits at an earlier date than a nurse who is not cross-trained

Perform certain non-nursing duties in addition to traditional nursing duties

A client with quadriplegia is admitted to the health care facility. The client requires highly individualized care. Which of the following nursing care approaches is likely most suitable for this client? A) Functional nursing B) Case-method nursing C) Primary nursing D) Team nursing

Primary nursing

The scope and character of nursing practice underwent significant changes in the years following the Civil War. Which of the following activities exemplified nursing practice in the early years of the 20th century? -Providing basic health care to recent immigrants to the United States -Contributing to the scientific knowledge base of nursing by conducting research -Participating in collaborative practice with physicians -Establishing school nursing as a recognized specialty in urban settings

Providing basic health care to recent immigrants to the United States

A nursing student has begun a clinical placement at a large hospital that serves a diverse population. The student has consequently acquired a new appreciation for the fact that nursing combines art with science. Which of the following is the clearest manifestation of the scientific basis for nursing? -Mentoring students and junior nurses -Providing evidence-based nursing care -Maintaining an attitude of curiosity -Participating in continuing educational activities

Providing evidence-based nursing care

A nurse is reading the goals stated in the Healthy People 2020 report. Which of the following goals is targeted in the Healthy People 2020 report? A) Ensuring equal access to health services between urban and rural areas B) Eradicating sexually transmitted infections C) Providing free treatment to clients with cancer D) Reducing infections caused by key food-borne pathogens

Reducing infections caused by key food-borne pathogens

A nurse is caring for a client with myasthenia gravis, and disease which affects the client's ability to speak. The client is having difficulty forming words and his tone is nasal. Which of the following is an effective communication strategy for this client? -Engage the client in a lengthy discussion to strengthen his voice. -Encourage the client to speak quickly while talking. -Repeat what the client has said to verify the meaning. -Nod continuously when the client is talking.

Repeat what the client has said to verify the meaning.

A client undergoes a knee replacement surgery and is included in the diagnostic-related group (DRG) 209. Which of the following is true about knee replacement surgery under the DRG system? A) Replacement and surgeries are not reimbursed. B) Replacement and surgeries are reimbursed at a predetermined rate. C) Replacement and surgeries are reimbursed after 1 year. D) Replacement and surgeries are not insured.

Replacement and surgeries are reimbursed at a predetermined rate.

A client experiencing symptoms of cardiomyopathy is referred to the cardiac specialist for diagnosis and consultation. Consultation and diagnostic tests are included in which level of the health care system? A) Primary care B) Secondary care C) Tertiary care D) Extended care

Secondary care

A nurse is caring for a client who is confined to bed due to paralysis. The client has a medical history of stroke, hypertension, and diabetes mellitus for the past 5 years, besides having asthma since childhood. Which of the following is the best example of a secondary illness seen in the client? A) Diabetes mellitus B) Asthma C) Hypertension D) Stroke

Stroke

A nurse visits a female victim of sexual assault for the fourth visit. The client expresses that she is unable to cope with the trauma. Even though the assault occurred quite some time ago, she feels as if it just happened yesterday. What is the most appropriate response by the nurse? -"We should move on from the strong feelings associated with this incident." -"In reality, the rape did not occur yesterday; it has been over one month now." -"Tell me more about the aspects that makes you feel as if it happened yesterday." -"Can you do something to alleviate the fear of being assaulted again?"

Tell me more about the aspects that makes you feel as if it happened yesterday."

A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by which of the following? A) Permanent relief from the signs and symptoms B) Temporary disappearance of signs and symptoms associated with the disease C) Periodic occurrence in clients with long-standing diseases D) Reactivation of the disease and presence of symptoms

Temporary disappearance of signs and symptoms associated with the disease

A rural community has experienced a significant outbreak of measles among children in the area. Nurses in this community would primarily be in contact with what agency in the Department of Health and Human Services (DHHS)? A) The Centers for Disease Control and Prevention (CDC) B) The Food and Drug Administration (FDA) C) The Health Resources and Services Administration (HRSA) D) National Institutes of Health (NIH)

The Centers for Disease Control and Prevention (CDC)

A licensed practical nurse is aware that the costs associated with health care have been rising steadily and are predicted to continue to rise for the foreseeable future. These increases in costs are the result of what factors? A) The shortage of nurses and the need to educate more physicians and other care providers B) The aging of the American population and increasing costs for disease treatment C) The rise of antibiotic resistant organisms ("superbugs") and nosocomial (hospital-acquired) infections D) Population shifts from urban areas to rural areas and the increased costs of provided care in remote locations

The aging of the American population and increasing costs for disease treatment

A nurse is caring for a child with Huntington's chorea, a hereditary condition. Which of the following statements is true of hereditary conditions? A) The symptoms are manifested immediately after birth. B) The condition is due to maternal exposure to toxins. C) The condition is acquired from genes of one or both parents. D) The course is associated with exacerbations and remissions.

The condition is acquired from genes of one or both parents

A patient who was diagnosed with skin cancer several months ago has found her experiences within the health care system to be emotionally challenging. What aspect of the health care system typically presents users with the greatest challenge? A) The health care system can be complicated and confusing B) The health care system is unable to provide effective treatments for most health problems. C) The quality of care in the health care system has been declining for several decades. D) Communication between care providers and clients is insufficient.

The health care system can be complicated and confusing

A client admitted for hernioplasty is discharged 2 days later than the calculated time due to postoperative complications. The client is insured through a capitation scheme. In the event of late discharge of the client, who is at loss? A) The client B) The hospital C) The insurers D) The physicians

The hospital

A 50-year-old client reports to a primary care unit with an open wound due to a fall in the bathroom. Which of the following nursing actions represents caring skills? -The nurse cleans the wound and applies a dressing to it. -The nurse inspects and examines the wound for swelling. -The nurse tells the client to take care while on slippery surfaces. -The nurse informs the client that the wound is small and will heal easily.

The nurse cleans the wound and applies a dressing to it.

A nurse and an elderly client with chronic back pain are in the working phase of the nurse-client relationship. Which of the following activities occur in the working phase? -The client identifies one or more health problems. -The nurse tries to avoid retarding the client's independence. -The nurse is courteous and actively listens to the client. -The nurse ensures that the client manages independently.

The nurse tries to avoid retarding the client's independence.

A client arrives at a health care facility complaining of diarrhea and abdominal pain for the past 24 hours. The physician diagnoses the client with gastritis, an acute illness. Why is gastritis considered an acute illness? A) The onset is sudden. B) It lasts for a long time. C) It is difficult to treat. D) It is not curable.

The onset is sudden

A nursing student is conducting a client interview in order to determine the client's health history. The student's instructor observes that the student frequently twists her hair with her fingers while asking the client questions. What is the most plausible meaning of the student's nonverbal communication? -The student feels insecure during the interview -The student is unconsciously conveying authority -The student is unsure how to interpret the client's responses -The student feels superior to the client in some way

The student feels insecure during the interview

A nurse is working with an adult client who has been admitted with hyperglycemia following a period of poor glycemic control. The nurse has many similarities to the client with regard to age, gender, and socioeconomic status but is careful to utilize therapeutic communication techniques rather than social communication. How does therapeutic communication differ from social communication? -Therapeutic communication relies heavily on technical medical vocabulary while social communication uses colloquialisms. -Therapeutic communication focuses primarily on problems while social communication addresses positive aspects of the client's life. -Therapeutic communication focuses on the requirements of the nurse while social communication is more reciprocal. -Therapeutic communication is focused on a particular goal while social communication is more superficial in content.

Therapeutic communication is focused on a particular goal while social communication is more superficial in content.

The two most common ways that people for health care are through private health insurance and government health insurance. Which of the following aspects of this current arrangement presents the greatest challenge to policymakers and citizens alike? A) Government health insurance and private health insurance require separate health care institutions. B) There are millions of Americans who have neither private nor government health insurance. C) Private health care insurance is unable to pay for many of the treatments that are covered by government health care insurance. D)Licensed practical/vocational nurses are not able to secure employment in institutions that are funded by government health insurance.

There are millions of Americans who have neither private nor government health insurance.

A licensed practical nurse has recently participated in the approval process at a hospital. What is the primary purpose of health care regulation procedures such as approval? A) To allow employees to maintain accountability to one another B) To provide members of the public with choices in their health care C) To ensure that a hospital's financial records are available to the public D) To ensure that specific standards for the quality of care are met

To ensure that specific standards for the quality of care are met

Training schools for nurses were established in the United States after the Civil War. The standards of US schools deviated from those of Nightingale paradigm. Which of the following statements is true about US training schools during this period of history? -Training schools were affiliated with a few select hospitals. -Training of nurses provided no financial advantages to the hospital. -Training was formal, based on scientific nursing care. -Training schools eliminated the need to pay employees.

Training schools eliminated the need to pay employees.

A nurse is caring for an elderly client. What strategy should the nurse include in order to facilitate effective communication? -React only to the facts during conversation. -React enthusiastically during conversation. -Use active listening during communication. -Use an authoritarian approach toward the client.

Use active listening during communication.

Medicare was first established by the Social Security Act of 1965. Medicare is best described as A) an alternative to private health insurance for low-income Americans. B) a government program that sponsors health promotion and illness prevention initiatives. C) a government health insurance plan for Americans in the age 65 and older. D) a system of prospective payment that helps to control health care costs.

a government health insurance plan for Americans in the age 65 and older.

On March 23, 2010, sweeping health care reforms were signed into law by President Obama. The primary goal of this new legislation is to A) increase the quality of care that is provided in health care institutions. B) abolish private health care insurance over the next several years. C) implement health promotion and disease prevention programs. D) ensure that all Americans have access to health care services.

ensure that all Americans have access to health care services.

The diagnosis-related groups (DRGs) method of payment was developed by the federal government in the 1980s. The DRG payment system establishes A) a minimum level of health care for every American who experiences illness or injury. B) an obligation for citizens to participate in health promotion activities. C) shared responsibility for health care between the individuals and the government. D) fixed rates for health care treatments using rates that are based on patient variables.

fixed rates for health care treatments using rates that are based on patient variables.

Which of the following health care insurance programs is likely the most suitable for a 68-year- old client? A) Medicaid B) Medicare C) Capitation D) AmeriCare

medicare