Chapter 18--Health Care Agencies

Chapter 18--Health Care Agencies MULTIPLE CHOICE 1. A client is being admitted to a restorative care facility. The nurse realizes the goal of restorative care is to: 1. help the client die. 2. help the family c ...

Chapter 18--Health Care Agencies MULTIPLE CHOICE 1. A client is being admitted to a restorative care facility. The nurse realizes the goal of restorative care is to: 1. help the client die. 2. help the family cope. 3. regain an optimal level of functioning. 4. increase health care costs. PTS: 1 DIF: Analyze REF: Restorative Care Agencies 2. A client is relocating to a facility that will provide personal care services, 24-hour supervision, social activities, and health care services. The nurse realizes the client is relocating to: 1. adult day care. 2. long-term care 3. hospice. 4. assisted living. PTS: 1 DIF: Analyze REF: Continuing Care Agencies 3. A client tells the nurse that he is a veteran of a foreign war and utilizes those benefits. The nurse realizes that the client most likely is receiving benefits for: 1. health care. 2. housing. 3. banking. 4. retirement. PTS: 1 DIF: Analyze REF: The Veterans Affairs Health System 4. A client tells the nurse that someone telephones her at home to ask how she is doing, if she is following her physician’s treatment plan, and then provides instruction on ways to improve her health with the diagnosis of type 2 diabetes mellitus. The nurse realizes this client is experiencing which of the following care delivery systems? 1. Team 2. Modular 3. Primary 4. Integrated PTS: 1 DIF: Analyze REF: The Future of Health Care Agencies 5. A client tells the nurse that he has a place to go to receive current information and the annual flu vaccination, and he has a small gym and outdoor walking track. The nurse realizes this client is utilizing which type of health care service? 1. Preventive care 2. Primary care 3. Secondary care 4. Tertiary care PTS: 1 DIF: Analyze REF: Preventive Care Agencies 6. A client goes to a free-standing clinic to be seen by a doctor for a mild stomach ailment. The client has utilized which of the following types of health care services? 1. Preventive care 2. Primary care 3. Secondary care 4. Tertiary care PTS: 1 DIF: Analyze REF: Primary Care Agencies 7. A client is admitted to a secondary care service facility. Which of the following types of care will this client most likely receive in this facility? 1. Education for a healthy lifestyle 2. Complex treatment 3. Emergent care 4. Physical therapy PTS: 1 DIF: Analyze REF: Secondary Care Agencies 8. A client who is on a waiting list for a liver transplant has been notified to report to the hospital within 2 hours. The type of facility equipped to perform a liver transplant would be considered: 1. preventive. 2. primary. 3. tertiary. 4. restorative. ANS: 3 PTS: 1 DIF: Analyze REF: Tertiary Care Agencies 9. When assessing a client’s financial and health care insurance coverage information, the client says that since she does not have any income, she gets health care insurance through the state. The nurse realizes the client most likely is receiving: 1. Veteran’s benefits. 2. Medicaid. 3. HMO. 4. Medicare. PTS: 1 DIF: Analyze REF: Continuing Care Costs and Financing 10. A client is receiving continuing care for a health care problem. Which of the following types of agencies will this client most likely receive care? 1. Acute care hospital 2. Adult daycare 3. Specialty care hospital 4. Physician’s office PTS: 1 DIF: Apply REF: Figure 18-4 Continuum of Care Across Agencies 11. The nurse is employed by an agency that matches client needs with the nurses’ strengths. This type of agency is utilizing which of the following models? 1. Synergy 2. Environment 3. Primary care 4. Disease management PTS: 1 DIF: Analyze REF: Synergy Model 12. The nurse is attending a continuing education program. The clinical competency that will be supported by this educational program would be: 1. advocacy. 2. moral agency. 3. diversity. 4. facilitation of learning. PTS: 1 DIF: Analyze REF: Nurse Competencies 13. The nurse is utilizing the SBAR technique when communicating client care issues. Which of the following would represent the letter B in this technique? 1. Background 2. Back rub 3. Baseline 4. Breath sounds PTS: 1 DIF: Apply REF: Table 18-1 SBAR Technique for Communication MULTIPLE RESPONSE 1. A client tells the nurse that he has health insurance benefits made possible through public financing. The nurse realizes that which of the following types of health care would be available through this route? (Select all that apply.) 1. Military Health Services System 2. Department of Veterans Affairs 3. HMOs 4. PPOs 5. Medicare and Medicaid 6. MCOs PTS: 1 DIF: Analyze REF: Health Care Cost and Financing 2. A client tells the nurse that she has difficulty accessing health care. List the reasons for this client’s inability to access health care. (Select all that apply.) 1. Availability 2. Accessibility 3. Accommodation 4. Affordability 5. Acceptability 6. Achievement PTS: 1 DIF: Analyze REF: Access to Health Care 3. A health care organization utilizes the classic model to evaluate the quality of care provided to clients. List the elements of this model used to evaluate quality. (Select all that apply.) 1. Length of stay 2. Structure 3. Readmission rates 4. Outcomes 5. Infection rates 6. Process PTS: 1 DIF: Analyze REF: Health Care Quality 4. A client recovering from a motor vehicle accident will have injuries that will cause the client to be permanently disabled. The nurse realizes that which of the following will occur during this client’s future? (Select all that apply.) 1. Lack of appropriate resources 2. Experience disparities in health care 3. Increase health care insurance premiums 4. Frequent expression of dissatisfaction with health care 5. Lack of ability to find life insurance 6. Higher use of health care services PTS: 1 DIF: Analyze REF: Restorative Care Agencies 5. The nurse is participating in a quality improvement study to collect data about a client concern. List purpose of the data. (Select all that apply.) 1. Understand structures 2. Control processes 3. Improve structures 4. Establish baselines 5. Measure improvement 6. Identify the blame PTS: 1 DIF: Apply REF: Health Care Quality