Chapter 2

Question 1

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”?

Answer 1

Act

Question 2

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

Answer 2

Preventive care

Question 3

The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?

Answer 3

restorative care

Question 4

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

Answer 4

upon admission

Question 5

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

Answer 5

skilled nursing

Question 6

system of family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness.

Answer 6

hospice

Question 7

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?

Answer 7

Tertiary care

Question 8

a service that provides short-term relief or “time off” for people providing home care to an individual who is ill, disabled, or frail.

Answer 8

Respite care

Question 9

offers an attractive long-term care setting with an environment more like home and greater resident autonomy.

Answer 9

Assisted living

Question 10

A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?

a. Screening
b. Education
c. Dependence
d. Counseling

Answer 10

B. Education

Question 11

A nurse is completing a minimum data set. Which area is the nurse working?

a. Nursing center
b. Psychiatric facility
c. Rehabilitation center
d. Adult day care center

Answer 11

A. nursing center

Question 12

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).

Answer 12

continuing care

Question 13

more disease oriented and focused on reducing and controlling risk factors for disease through activities such as immunization and occupational health programs.

Answer 13

preventive care

Question 14

a national and interdisciplinary group of health care leaders, recommended 21 competencies for health care professionals in the twenty-first century.

Answer 14

Pew Health Professions Commission

Question 15

standardized survey developed to measure patient perceptions of their hospital experience.

Answer 15

The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)

Question 16

program that recognizes health care organizations that achieve excellence in nursing practice.

Answer 16

The Magnet Recognition Program

Question 17

What is PDSA

Answer 17

plan, do, study, act

Question 18

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?

a. A family can choose whether to have health insurance with no consequences.
b. Primary care physician payments from Medicaid services can equal Medicare.
c. Adult children up to age 26 are allowed coverage on the parent’s plan.
d. Private insurance companies can deny coverage for any reason.

Answer 18

C.
Adult children up to the age of 26, regardless of student status, are allowed to be covered under their parents’ health insurance plan

Question 19

providers receive a fixed amount per patient or enrollee of a health care plan.

Answer 19

capitation

Question 20

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?

a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.

Answer 20

C

Question 21

This type of care involves emergency care, acute medical-surgical care, and radiological procedures.

Answer 21

secondary acute care

Question 22

This type of care involves assisted living, psychiatric care, and older-adult day care.

Answer 22

continuing care

Question 23

This type of care includes intensive care and subacute care.

Answer 23

tertiary care

Question 24

This type of care includes cardiovascular and pulmonary rehabilitation, sports medicine, spinal cord injury programs, and home care.

Answer 24

restorative care

Question 25

Which government-instituted programs should the nurse include in a teaching session about
controlling health care costs? (Select all that apply.)
a. Professional standards review organizations
b. Prospective payment systems
c. Diagnosis-related groups
d. Third-party payers
e. “Never events”

Answer 25

A,B,C

Question 26

A nurse is teaching the staff about the Institute of Medicine competencies. Which examples
indicate the staff has a correct understanding of the teaching? (Select all that apply.)
a. Use informatics.
b. Use transparency.
c. Apply globalization.
d. Apply quality improvement.
e. Use evidence-based practice.

Answer 26

A,D,E

Question 27

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the
nurse evaluate? (Select all that apply.)
a. Patient satisfaction level
b. Hospital readmission rates
c. Nursing hours per patient day
d. Patient falls/falls with injuries
e. Value stream analysis for quality

Answer 27

B,C,D

Question 28

A nurse is working in a health care organization that has achieved Magnet status. Which
components are indicators of this status? (Select all that apply.)
a. Empirical quality results
b. Structural empowerment
c. Transformational leadership
d. Exemplary professional practice
e. Willingness to recommend the agency

Answer 28

A,B,C,D

Question 29

A nurse is teaching about the different types of health care plans. Match the correct information
to the type of health care plans the nurse should include in the teaching session.
a. Insurance for low-income families
b. Federal insurance for people aged 65 and older
c. Health maintenance focus to specific group of voluntarily enrolled people
d. Services at a discount for companies under contract
1. Preferred provider organization
2. Managed care organization
3. Medicaid
4. Medicare

Answer 29

1. D
2. C
3. A
4. B