Med Surg Chapter 2

Which factor has affected the way in which health care is delivered? A) Lack of alternative health care delivery systems B) Increased hospital revenues C) Increased length of stay D) Diagnosis-related groups (DRGs)

D) Diagnosis-related groups (DRGs)

A nurse acts as preceptor to a student nurse who is performing discharge planning for a client. What statement made by the student nurse about discharge planning indicates that the student needs additional teaching? A) "Discharge planning occurs when the patient is discharged." B) "Discharge planning involves a multidisciplinary team." C) "Discharge planning involves the client." D) "Discharge planning begins once the client is on the unit."

A) "Discharge planning occurs when the patient is discharged."

A home health nurse is admitting a new client to home care services. Which action(s) should the nurse perform during medication reconciliation? Select all that apply. A) Assess for use of herbal remedies. B) Encourage the use of multiple pharmacies. C) Check for duplicate medications. D) Assure the proper frequency of administration. E) Check that the correct dose is being administered.

A) Assess for use of herbal remedies. C) Check for duplicate medications. D) Assure the proper frequency of administration. E) Check that the correct dose is being administered.

A home health nurse has been working for several months with a client who is receiving rehabilitative services. The nurse is aware that maintaining the client's confidentiality is a priority. How can the nurse best protect the client's right to confidentiality? A) Keep the client's medical record secured at all times. B) Avoid bringing the client's medical record to the home. C) Discuss the client's condition and care only when the client is alone in the home. D) Ask the client to avoid discussing the client's home care with friends and neighbors.

A) Keep the client's medical record secured at all times.

A nurse educator for a local home care company is teaching staff nurses on the use of the Outcome and Assessment Information Set (OASIS). What statement will the nurse include when teaching about the OASIS? A) "Demographic information remains confidential as required by HIPAA." B) "Results are used to improve overall quality improvement efforts." C) "This document is required but is only used for reimbursement." D) "This document is optional but provides important data."

B) "Results are used to improve overall quality improvement efforts."

A community health nurse is aware that restoration of health often depends on appropriate interventions performed early in the course of a disease. Which client is most likely to seek health care late in the course of his or her disease process and deteriorate more quickly than other clients? A) A client who is 88 years old and who has enjoyed relatively good health B) A client who has been homeless for an extended period of time C) A teenage boy D) A client who is a second-generation immigrant

B) A client who has been homeless for an extended period of time

A nurse provides community-based care and acts as the case manager for a small town about 60 miles (100 km) from a major health care center. When planning care in the community, what is the most important variable in community-based nursing that the nurse should integrate into planning? A) Transportation costs to the medical center B) Community resources available to clients C) Possible charges for any services provided D) Eligibility requirements for services

B) Community resources available to clients

A home health nurse is collaborating with a hospice nurse in order to transfer the care of a woman who has a diagnosis of lung cancer. To qualify for hospice care, the client must meet what criterion? A) The client must be medically inappropriate for hospital care. B) The client must be in the final 6 months of his or her life. C)The client must have a diagnosis that is associated with high morbidity and mortality. D) The client's family must demonstrate that they are unable to provide care.

B) The client must be in the final 6 months of his or her life.

In a team meeting for a nursing home client, the nurse proposes the strategy to treat client's newly developed lower leg wound and prevent recurrence, fulfilling which of the six essential features of contemporary nursing practice? A) integration of objective data with knowledge gained from an appreciation of the patient's or group's subjective experience B) application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking C) attention to the range of human experiences and responses to health and illness within the physical and social environments D) provision of a caring relationship that facilitates health and healing

B) application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking

An LPN has returned to school to complete a bachelor's degree on the way to licensure as an RN. As an RN, the nurse will: A) have a largely unchanged role, but will have better pay, better benefits, and a choice of shifts. B) have more complex responsibilities involving the management and coordination of care provided to a group of clients. C) work longer shifts and be responsible for the care of a higher number of patients. D) perform many of the same tasks but will have much more extensive reporting and continuing education requirements.

B) have more complex responsibilities involving the management and coordination of care provided to a group of clients.

A client has had a total knee replacement and will need to walk with a two-wheeled walker for 6 weeks. The client is being discharged home with a referral for home health care. What assessment should the nurse prioritize during the initial nursing assessment in the home? A) Qualification for government subsidies B) Costs related to the visits C) Characteristics of the home environment D) Assistance of family and neighbors

C) Characteristics of the home environment

The hospital nurse is planning for a client's discharge. What is the initial action the nurse should take when planning discharge for a client? A) Getting physical therapy involved in care B) Making a social services referral C) Identifying the client's specific needs D) Asking the dietitian to meet with the client

C) Identifying the client's specific needs

A community health nurse is helping develop teaching on the role of the community health nurse and how this discipline can help the community. What does the nurse describe as a key component of community-based care? A) Improving quality improvement B) Improving hospital payer reimbursement C) Improving quality of life D) Improving hospital compliance

C) Improving quality of life

Which capability corresponds with home health care? A) Is unable to care for those living in substandard conditions B) Uses a wide variety of supplies and equipment C) Improvises when providing care D) Retains maximal control over the client's lifestyle

C) Improvises when providing care

Nursing care is provided in an increasingly diverse variety of settings. Despite the variety in settings, some characteristics of professional nursing practice are required in any and every setting. These characteristics include: A) independent practice. B) advanced education. C) cultural competence. D) certification in a chosen specialty.

C) cultural competence.

Within the public health system there has been an increased demand for medical, nursing, and social services. The nurse should recognize what phenomenon as the basis for this increased demand? A) Increasing profit potential for home health services B) Increased use of complementary and alternative therapies C) The rise in income disparity D) The growing number of older adults in the population

D) The growing number of older adults in the population