Deck 46: Healthcare Systems

Question 1

The local clinic staff has noticed an increase in the flu this season and requested more vaccine from the Centers for Disease Control and Prevention (CDC).The nurse knows that the CDC will control the vaccine distribution by considering which factors? Select all that apply.

A)The amount of vaccine being requested by local health departments
B)The speed at which the vaccine becomes available
C)Who gets the available vaccine
D)Ensuring that only medical personnel can receive the vaccine
E)Ensuring that only babies and military personnel receive the vaccine

Answer 1

The amount of vaccine being requested by local health departments
The speed at which the vaccine becomes available
Who gets the available vaccine

Question 2

If more older adults live in Mississippi than elsewhere in the United States and clients in Massachusetts have much greater access to health services than clients elsewhere in the United States,then what does this imply about access of older adults to healthcare in Mississippi?

A)The likelihood is that more specialists serving older populations will work in Mississippi than in Massachusetts.
B)Their access to healthcare should be roughly equal to that of older adults living in Massachusetts but with a different mix of providers.
C)The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers.
D)There will be much more robust rural services for older adults in Mississippi than in Massachusetts.

Answer 2

The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers.

Question 3

A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues.Which aspects of the Affordable Care Act (ACA)affect children favorably? Select all that apply.

A)Insurance companies cannot deny coverage based on preexisting conditions.
B)Insurance companies cannot drop children who have serious illnesses.
C)Benefits are paid through private benefactors.
D)All children are covered regardless of whether the parents are covered.
E)The government must make appropriate arrangements for children based on need.

Answer 3

Insurance companies cannot deny coverage based on preexisting conditions.
Insurance companies cannot drop children who have serious illnesses.

Question 4

A young mother brings her children to the health department for routine immunizations.The mother is crying because she lost her job and fears that her asthmatic daughter may be denied appropriate healthcare because she is unable to pay for it.The nurse realizes that many clients are experiencing these fears.Which action by the nurse would have the greatest impact for all clients who experience this fear?

A)Reminding the client that everything will be fine
B)Becoming involved in the American Nurses Association (ANA)
C)Moving to an area that needs healthcare workers
D)Giving the client medications and supplies from the clinic at no charge

Question 5

Why should job seekers in the healthcare sector pay attention to advances in healthcare technology?

A)Advances in technology require specialized personnel.
B)Advances in technology involve policies and strategies at the organizational level.
C)Changing demographics increase the need for new jobs.
D)Technology plays a role in health literacy.

Question 6

The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA)of 1986 to prevent which action by emergency services?

A)Refusing to treat uninsured clients
B)Servicing suburban clients only
C)Stopping the poor from using emergency services as primary care
D)Providing free examinations to the poor

Question 7

The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu.The nurse discusses the need for flu shots with the client,who states,"I cannot afford the shots.I do not have health insurance." Which suggestion by the nurse is most appropriate?

A)Seek preventive care at the local health department.
B)Find a primary care physician who will give free care.
C)Obtain the flu shot at a local pharmacy.
D)Get the shot every year in the emergency department.

Question 8

The nurse is assessing an older adult client in the free clinic.The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit.The nurse assesses the client for possible causes for this increase.After determining that the client has not changed dietary and exercise habits,which conclusion by the nurse is the most appropriate?

A)The client has increased egg consumption.
B)The client may not be taking medications as prescribed.
C)The client needs more aerobic activity.
D)The client may be experiencing high triglyceride levels.

Question 9

The nurse knows that communication among healthcare team members is essential during mass casualty events (MCEs).Which is essential when communicating under these circumstances?

A)Providing concise,accurate,and timely information
B)Preparing for ethical challenges
C)Documenting to prevent legal issues
D)Coordinating care between management and clinicians

Question 10

A client in the clinic asks the nurse about a medication seen on television.When the nurse suggests a generic,cheaper version of the medication,the client is resistant to this recommendation.This is an example of which of the following?

A)Healthcare treatment choices that drive up costs
B)Factually misleading advertisements by pharmaceutical manufacturers
C)Client-focused care
D)The need for stricter Food and Drug Administration (FDA)safeguards for consumers

Question 11

A client asks the nurse,"How am I going to pay for a surgery? I'm broke,but I've been so sick." Which statement regarding the Affordable Care Act (ACA)may be applicable to this client's situation?

A)"The ACA extends coverage to people who do not qualify for public assistance and whose employers do not offer health insurance."
B)"Unfortunately,you will probably be denied coverage because of your existing condition."
C)"Most insurance premiums will be more and some less;you will have to shop around."
D)"Because the rate of inflation is slowing,the ACA will also help curb medical costs."

Question 12

At a local seminar discussing healthcare resources,the nurse discusses the phenomenon that healthcare resources are declining while costs for healthcare are increasing.An older adult in attendance asks the speaker why it has become so difficult to obtain needed care and services.Which response by the nurse is the most appropriate?

A)"There is increased cost due to the increased incidence of malpractice lawsuits."
B)"There is a decrease in the number of adults needing care."
C)"There are not enough medications produced for those who need them."
D)"There are plenty of nurses but not enough doctors."

Question 13

A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN)degree.After considering projected changes in healthcare and the population cared for in the community,which includes an expanding minority population composed largely of immigrants arriving from Central and South America as well as older adults as the fastest-growing demographic,the student might consider selecting which elective course?

A)A course on medical Spanish
B)A psychology course on young adults
C)A personal finance class
D)A class on the effect of illness on a young child

Question 14

A nurse is planning a community health fair at a local community center.Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply.

A)The ability to change and modify goals as health needs change
B)The ability for clients to be able to assess and evaluate their health needs
C)The ability for the client to promote health in other individuals
D)The ability to promote cost-saving techniques to healthcare providers
E)The ability to prevent disease by imitating nursing techniques

Question 15

The nurse is caring for a client who sustained multiple injuries in an automobile accident.As a part of secondary prevention for this client,which does the nurse include in the plan of care?

A)Promote wellness.
B)Detect early disease.
C)Restore the client to previous functioning.
D)Prevent the progression of more symptoms.

Question 16

The nurse is taking care of a client who is being discharged but will need home nursing care,physical therapy,and speech therapy.Which framework helps the client who has multiple care needs?

A)Case management
B)Client-focused care
C)Managed care
D)A health maintenance organization

Question 17

The nurse taking care of a client in the clinic notes that the client comes in twice per week,but never seems to have anything majorly wrong.Which is a benefit of providing education about self-care to this client?

A)The client's perception of need will change,promoting appropriate and timely healthcare.
B)The client will continue to come to the clinic seeking help until someone helps the client.
C)The client will seek affordable insurance by which to gain appropriate healthcare.
D)The client will learn to seek healthcare services from legitimate sources.

Question 18

A nurse educator is teaching a group of students about managed care.The educator knows that the students have understood the concept when they state that managed care has which emphasis? Select all that apply.

A)Bringing services of multiple providers to the client
B)Organizing healthcare services around the stated needs of the client
C)Cost-effective care
D)Preventive services
E)Health promotion

Question 19

The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG)testing,phlebotomy,and some respiratory therapy interventions.This clinic is providing client-focused care.Which of the following actions shows this delivery model in action?

A)Many disciplines collaborate to provide client care.
B)Client care is carefully managed to control costs.
C)If a client complains of breathing difficulty,nurses concentrate on respiratory therapy for that client.
D)Client progress is efficiently tracked.

Question 20

The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured clients.Which of the following is the best example of this problem for the educator to share with the students?

A)"Delays of diagnoses lead to higher mortality and morbidity rates."
B)"Delays in health coverage for children put the health provider at risk for litigation."
C)"Immunizations are free for children at public health clinics."
D)"Older adults are less likely to be treated for falls."

Question 21

A railway accident causes the release of a dangerous chemical compound into the atmosphere.The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone in this incident?

A)Decontamination
B)Rapid triage
C)Reverse triage
D)Emergency medical treatment

Question 22

The nurse is working with an emergency response team following massive flooding caused by a hurricane.What will working with the Clinical Outreach Communication Activity (COCA)team enable the nurse to do?

A)Have two-way communication with the Centers for Disease Control and Prevention (CDC)concerning infection risks.
B)Facilitate communication between doctors in the field during a disaster and their healthcare team.
C)Provide resources to the community during times of disaster.
D)Provide expert advice to other nurses during natural disasters.

Question 23

The nurse is participating on a local council as an advisor regarding community needs during an emergency.Which recommendation regarding community needs during an emergency that the nurse might include when advising the council would be involved in the emergency response phase?

A)A coordinated emergency preparedness plan
B)Assembling disaster kits
C)Programs to restore the community
D)The identification of potential hazards to the community

Question 24

A nurse is performing START triage for clients injured in a terrorist attack.Which client would the nurse classify as expectant?

A)Client is breathing but has an absent radial pulse.
B)Client has a respiratory rate below 30.
C)Client is apneic after positioning of an airway.
D)Client is breathing adequately with a radial pulse but does not obey commands.

Question 25

Terrorists have detonated a bomb in the downtown area of a major city,destroying part of a hotel,damaging nearby buildings,and killing or injuring an unknown number of people.A nurse in an emergency department handling many clients injured in the explosion receives a phone call from the babysitter for her children aged 5,6,and 9,who says she's been watching the event unfold on TV since it happened.The nurse's family lives in a suburb more than 20 miles from the downtown.What should the nurse say?

A)"Explain to the children that the people who did this are sick and will be punished for what they've done."
B)"Please continue to watch the TV coverage with my kids in the room to ensure that you know what's going on at all times."
C)"Please tell my children I'm alright but turn off the television and play a game with them to get them thinking about something else."
D)"If you plan to continue to watch the TV coverage,please do it on the TV in my bedroom away from the kids."

Question 26

As a working professional concerned with proper resource allocation,the nurse knows that one reason to join the American Nurses Association (ANA)is for which opportunity?

A)To participate in national discussions about resources
B)To draw attention to the nurse's credentials
C)To determine how to fight for resources locally
D)To advocate for resources through different business sources

Question 27

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department.The American Nurses Association (ANA)is a resource the nurse manager can use to help nurses understand which of the following during an emergency response?

A)The ethics of emergency response
B)The procedure for working in a hot zone during a hazardous material incident
C)The role of the incident commander in a disaster response
D)The best means of communicating with agencies such as the Centers for Disease Control and Prevention (CDC)during a crisis

Question 28

A nurse recently attended a seminar that discussed the many threats to homeland security.As nurse manager of the emergency department,the nurse is responsible for planning for emergencies from bioterrorism.Which agents does the nurse include when planning for bioterrorism? Select all that apply.

A)Anthrax
B)Tuberculosis
C)Cancer
D)Flu
E)Smallpox

Question 29

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.As part of the emergency response,the charge nurses in the emergency department (ED)and intensive care unit (ICU)are responsible for which tasks? Select all that apply.

A)Assigning care for the clients as they are admitted to the unit
B)Exceeding their scope of practice when and if required
C)Assessing the priority of the current clients for the ED or ICU
D)Delegating staff nurses to gather needed supplies for the arriving clients
E)Providing any care that any patient needs

Question 30

The charge nurse assesses clients during a mass casualty incident (MCI)and transfers some to other units but discharges others to home.In planning for the admission of critically ill clients from the emergency department,to which nurses will the charge nurse assign the new clients when admitted to the unit?

A)Nurses with risk-reduction knowledge
B)Nurses with advanced assessment skills
C)Nurses with impeccable ethics
D)Nurses with exceptional self-care methods

Question 31

The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources.Which method does the educator include in the teaching session regarding this topic?

A)Denying coverage for services not supported by research
B)Covering clients for preexisting conditions only
C)Providing health savings accounts for covered individuals
D)Covering organ donations

Question 32

A nurse is responding in the aftermath of a hurricane.Hundreds of clients demand attention.The nurse will implement which of the following in assessing the priority of these clients?

A)Reverse triage
B)Standard emergency department triage
C)A disaster response plan
D)American Nurses Association (ANA)ethics rules

Question 33

A group of nurses attend an in-service regarding emergency preparedness for the hospital.One of the nurses has three small children and lives in a two-story house in the suburbs.After the class,the nurse plans to initiate which action to enhance family safety?

A)Training her family in performing nursing interventions to take part in an emergency response
B)Obtaining a fire escape ladder for the second floor of the home
C)Developing a plan for her family to join her in the event of an emergency
D)Ensuring she and her family move to a safe area unlikely to be involved in a disaster

Question 34

The detonation of several incendiary devices in a suburban area has caused widespread fires.A nursing home nearest one of the largest fires needs to be evacuated.What is the concern a nurse working in the home will have for his clients in this situation?

A)Socioeconomic limitations
B)Diminished sensory awareness
C)Inadequate thermoregulation mechanisms
D)Limited mobility