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NUR 101 unit 1 questions (2).
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NUR 101 unit 1 questionsNursing students are reviewing information about health care delivery systems in preparation for
a quiz the next day. Which statements describe current U.S. health care delivery practices?
Select all that apply.
A. Access to care depends only on the ability to pay, not the availability of services.
B. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
D. The uninsured pay for more than one third of their care out of pocket and are usually charged
lower amounts for their care than the insured pay.
E. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
F. Quality of care can be defined as the right care for the right person at the right time. -
ANS-c,e,f
A nurse is providing health care to patients in a health care facility. Which of these patients are
receiving secondary health care? Select all that apply.
A. A patient enters a community clinic with signs of strep throat.
B. A patient is admitted to the hospital following a myocardial infarction.
C. A mother brings her son to the emergency department following a seizure.
D. A patient with osteogenesis imperfecta is being treated in a medical center.
E. A mother brings her son to a specialist to correct a congenital heart defect.
F. A woman has a hernia repair in an ambulatory care center. - ANS-b,c,f
A nurse working in a primary care facility prepares insurance forms in which the provider is
given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
A. Capitation
B. Prospective payment system
C. Bundled payment
D. Rate setting - ANS-a
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party payer
who pays all or most of the care. This is an example of what mode of health care payment?
A. Out-of-pocket payment
B. Individual private insurance
C. Employer-based group private insurance
D. Government financing - ANS-b
A nurse researcher keeps current on the trends to watch in health care delivery. What trends are
likely included? Select all that apply.
,A. Globalization of the economy and society
B. Slowdown in technology development
C. Decreasing diversity
D. Increasing complexity of patient care
E. Changing demographics
F. Shortages of key health care professionals and educators - ANS-a,d,e,f
A nurse is caring for patients in a primary care center. What is the most likely role of this nurse
based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date - ANS-b
A caregiver asks a nurse to explain respite care. How would the nurse respond?
A. "Respite care is a service that allows time away for caregivers."
B. "Respite care is a special service for the terminally ill and their family."
C. "Respite care is direct care provided to people in a long-term care facility."
D. "Respite care provides living units for people without regular shelter." - ANS-a
A nurse caring for patients in a primary care setting submits paperwork for reimbursement from
managed care plans for services performed. Which purpose best describes managed care as a
framework for health care?
A. A design to control the cost of care while maintaining the quality of care
B. Care coordination to maximize positive outcomes to contain costs
C. The delivery of services from initial contact through ongoing care
D. Based on a philosophy of ensuring death in comfort and dignity - ANS-a
A nurse cares for dying patients by providing physical, psychological, social, and spiritual care
for the patients, their families, and other loved ones. What type of care is the nurse providing?
A. Respite care
B. Palliative care
C. Hospice care
D. Extended care - ANS-c
Nurses provide care to patients as collaborative members of the health care team. Which roles
may be performed by the advanced practice registered nurse? Select all that apply.
A. Primary care provider
B. Hospitalist
C. Physical therapist
D. Anesthetist
E. Midwife
F. Pharmacist - ANS-a,d,e,f
,A state attorney decides to charge a nurse with manslaughter for allegedly administering a
lethal medication. This is an example of what type of law?
A. Public law
B. Private law
C. Civil law
D. Criminal law - ANS-d
Newly hired nurses in a busy suburban hospital are required to read the state nurse practice act
as part of their training. Which topics are covered by this act? Select all that apply.
A. Violations that may result in disciplinary action
B. Clinical procedures
C. Medication administration
D. Scope of practice
E. Delegation policies
F. Medicare reimbursement - ANS-a,d
A nurse in a NICU fails to monitor a premature newborn according to the protocols in place, and
is charged with malpractice. What is the term for those bringing the charges against the nurse?
A. Appellates
B. Defendants
C. Plaintiffs
D. Attorneys - ANS-c
A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital
signs during routine eye surgery, leading to the death of the patient. The nurse's attorney
explained in court that the nurse was granted recognition in a specialty area of nursing. What is
the term for this type of credential?
A. Accreditation
B. Licensure
C. Certification
D. Board approval - ANS-c
Review of a patient's record revealed that no one obtained informed consent for the heart
surgery that was performed on the patient. Which intentional tort has been committed?
A. Assault
B. Battery
C. Invasion of privacy
D. False imprisonment - ANS-b
A veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a
75-year-old woman who died after slipping into a coma during routine outpatient hernia surgery.
The nurse admitted failing to monitor the woman's vital signs during the procedure. The surgeon
who performed the procedure called the nurse's action pure negligence, stating that the patient
could have been saved. The patient was a vibrant grandmother of 10 who had walked three
, quarters of a mile the morning of her surgery and had sung in her church choir the day before.
What criteria must be established to prove that the nurse is guilty of malpractice or negligence in
this case?
A. The surgeon who performed the procedure called the nurse's action pure negligence, saying
that the patient could have been saved.
B. The fact that this patient should not have died since she was a healthy grandmother of 10,
who was physically active and involve - ANS-d
An attorney is representing a patient's family who is suing a nurse for wrongful death. The
attorney calls the nurse and asks to talk about the case to obtain a better understanding of the
nurse's actions. How should the nurse respond?
A. "I'm sorry, but I can't talk with you; you will have to contact my attorney."
B. "I will answer your questions so you'll understand how the situation occurred.
C. "I hope I won't be blamed for the death because it was so busy that day."
D. "First tell me why you are doing this to me. This could ruin my career!" - ANS-a
A nurse administers the wrong medication to a patient and the patient is harmed. The health
care provider who ordered the medication did not read the documentation that the patient was
allergic to the drug. Which statement is true regarding liability for the administration of the wrong
medication?
A. The nurse is not responsible, because the nurse was following the doctor's orders.
B. Only the nurse is responsible, because the nurse actually administered the medication.
C. Only the health care provider is responsible, because the health care provider actually
ordered the drug.
D. Both the nurse and the health care provider are responsible for their respective actions. -
ANS-d
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door.
After calling for assistance and examining the patient for injury, the nurse helps the patient back
to bed and then fills out an incident report. Which statements accurately describe steps of this
procedure and why it is performed? Select all that apply.
A. An incident report is used as disciplinary action against staff members.
B. An incident report is used as a means of identifying risks.
C. An incident report is used for quality control.
D. The facility manager completes the incident report.
E. An incident report makes facts available in case litigation occurs.
F. Filing of an incident report should be documented in the patient record. - ANS-b
A nursing student asks the charge nurse about legal liability when performing clinical practice.
Which statement regarding liability is true?
A. Students are not responsible for their acts of negligence resulting in patient injury.
B. Student nurses are held to the same standard of care that would be used to evaluate the
actions of a registered nurse.
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