Quiz 6 Questions
A nurse is teaching patients about health care information. Which patient will the nurse assess closely for literacy levels? -A patient with a high-school diploma -A patient with a college degree -A patient 68 years old
-A patient 68 years old About 9 out of 10 people in the United States experience challenges in using health care information. Patients who are especially vulnerable are the elderly (age 65+), immigrants, persons with low incomes, persons who do not have a high-school diploma or GED, and persons with chronic mental and/or physical health conditions. A patients with high-school and college education are not identified in the vulnerable populations.
A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring? -Accessibility of health care services -Outcomes of health conditions -Incidence of diseases -Prevalence of complications
-Accessibility of health care services While health disparities are the differences among populations in the incidence, prevalence, and outcomes of health conditions, diseases and related complications, health care disparities are differences among populations in the availability, accessibility, and quality of health care services (e.g. screening, diagnostic, treatment, management, and rehabilitation) aimed at prevention, treatment, and management of diseases and their complications.
A nurse is working in community-based nursing. Which competency is priority for this nurse? -Collaborator -Change agent -Caregiver -Case manager
-Caregiver First and foremost is the role of caregiver. While collaborator, change agent, and case manager are important, they are not the priority.
A nurse is assessing a patient's ethnohistory. Which question should the nurse ask? -Which caregivers do you seek when you are sick? -How different is your life here from back home? -How different is what we do from what your family does when you are sick? -What language do you speak at home?
-How different is your life here from back home? An ethnohistory question is the following: How different is your life here from back home? Caring beliefs and practice questions include the following: Which caregivers do you seek when you are sick and How different is what we do from what your family does when you are sick? The language and communication is the following: What language do you speak at home?
A nurse is completing a minimum data set. Which area is the nurse working? -Nursing center -Adult day care center -Psychiatric facility -Rehabilitation center
-Nursing center Nurses who work in a nursing center (nursing home or nursing facility) are required to complete a minimum data set on each patient. Minimum data set is not needed for psychiatric, rehabilitation, or adult day care centers. Patients who suffer emotional and behavioral problems such as depression, violent behavior, and eating disorders often require special counseling and treatment in psychiatric facilities. Rehabilitation restores a person to the fullest physical, mental, social, vocational, and economic potential possible. Patients require rehabilitation after a physical or mental illness, injury, or chemical addiction. Adult day care centers provide a variety of health and social services to specific patient populations who live alone or with family in the community. Services offered during the day allow family members to maintain their lifestyles and employment and still provide home care for their relatives.
A nurse is using research findings to improve clinical practice. Which technique is the nurse using? -Nursing-sensitive outcomes -Utilization review committees -Performance improvement -Integrated delivery networks
-Performance improvement Performance improvement activities are typically clinical projects conceived in response to identified clinical problems and designed to use research findings to improve clinical practice. Larger health care systems have integrated delivery networks (IDNs) that include a network of facilities, providers, and services organized to deliver a continuum of care to a population of patients at a capitated cost in a particular setting. Nursing-sensitive outcomes are patient outcomes and nursing workforce characteristics that are directly related to nursing care such as changes in patients' symptom experiences, functional status, safety, psychological distress, registered nurse (RN) job satisfaction, total nursing hours per patient day, and costs. Medicare-qualified hospitals had physician-supervised utilization review (UR) committees to review the admissions and to identify and eliminate overuse of diagnostic and treatment services ordered by physicians caring for patients on Medicare.
A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care? -Provides care that makes the nurse the leader in determining what is needed -Provides care that is based on meanings generated by predetermined criteria -Provides care that is the same as the values of the professional health care system -Provides care that fits the patient's valued life patterns and set of meanings
-Provides care that fits the patient's valued life patterns and set of meanings The goal of transcultural nursing is to provide culturally congruent care, or care that fits the person's life patterns, values, and system of meaning. Patterns and meanings are generated from people themselves, rather than from predetermined criteria. Discovering patients' cultural values, beliefs, and practices as they relate to nursing and health care requires you to assume the role of learner (not become the leader) and to partner with your patients and their families to determine what is needed to provide meaningful and beneficial nursing care. Culturally congruent care is sometimes different from the values and meanings of the professional health care system.
A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using? -Focus on the family. -Implement change on a grand scale. -Reduce disparities. -Document staff satisfaction.
-Reduce disparities. Organizations can implement equity-focused quality improvement by recognizing disparities and committing to reducing them. Staff diversity is a priority for equity-focused quality improvement, not staff satisfaction. While the family is important, the focus is on the patients. Organizations should start by implementing a change on a small scale (pilot testing), learning from each test, and refining the intervention through performance improvement cycles (e.g., plan, do, study, and act).
A nurse working in a community hospital's emergency department provides care to a patient having chest pain. Which level of care is the nurse providing? -Preventive care -Restorative care -Continuing care -Tertiary care
-Tertiary care Hospital emergency departments, urgent care centers, critical care units, and inpatient medical-surgical units provide secondary and tertiary levels of care. Patients recovering from an acute or chronic illness or disability often require additional services (restorative care) to return to their previous level of function or reach a new level of function limited by their illness or disability. Continuing care is available within institutional settings (e.g., nursing centers or nursing homes, group homes, and retirement communities), communities (e.g., adult day care and senior centers), or the home (e.g., home care, home-delivered meals, and hospice). Preventive care is more disease oriented and focused on reducing and controlling risk factors for disease through activities such as immunization and occupational health programs.
The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse's action? -To prevent needs of the local population groups -To prevent individual illness -To prevent community outbreak of illness -To prevent outbreak of illness in the family
-To prevent community outbreak of illness The nurse is trying to prevent a community outbreak of illness. By focusing on subpopulations (children), the community health nurse cares for the community as a whole and considers the individual or the family as only one member of a group at risk. Community-based nursing, as opposed to community health nursing, focuses on the needs of the individual or family. Public health nursing focuses on meeting the population groups' needs.