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NUR303 Ch 11 Test With Complete Solution
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NUR303 Ch 11 Test WithComplete Solution
The nurse is caring for a group of clients. In the nursing plan of care for
which client would the nurse include secondary care?
· An older adult client who needs a medication refill
· A middle-aged client who comes into the office with new-onset angina
· An adolescent client who needs a sports physical
· A pediatric client who is diagnosed with strep-AANWER · A middle-aged
client who comes into the office with new-onset angina
Which of the following indicates how the introduction of diagnosis-related
groups by Medicare in 1983 has been affecting hospitals?
· Benefits and compensation can never be changed per year.
· Medicare will only pay for that amount of money preassigned for the
treatment of a case diagnosis.
· Part A Medicare is optional and is paid through a monthly premium.
· Part B of Medicare covers most inpatient and outpatient costs. - ANS ·
Medicare pays only the amount of money preassigned to a treatment for a
diagnosis.
Which therapist is most likely to focus on teaching a client to hold a
toothbrush with an adaptive device and brush the teeth?
,· An occupational therapist
· A respiratory therapist
· A speech therapist
· A physical therapist - ANS · An occupational therapist
A nurse is working with a client to choose a new health care plan. The client
states a need to be able to choose the desired health care provider. Based on
the stated needs, which of the following plans best meets the needs of this
client?
· POS
· PPO
· LTC
· HMO - ANWER · PPO
A nurse has an older adult home care client who lives alone and does not
have family living near. On a recent visit, the nurse notices he is loose in his
clothes and has difficulty letting the nurse leave when it is time to end the
visit. The nurse talks with him and learns he has not been cooking for
himself, and he cannot easily get to the grocery store. What service can the
nurse offer as an immediate response until a long-range plan can be made?
• Encourage him to go into an assisted living home.
• Offer to have the social worker see him
• Refer him to the dietitian
• Enroll the client in Meals on Wheels. - ANSWER • Enroll the client in Meals
,on Wheels.
The single most significant factor in admitting someone to a long-term care
facility is:
• Multiple chronic illnesses
• Age of the person
• Not having a family member nearby
· Inability to provide self-care - ANS · Inability to provide self-care
For which nursing role would the ambulatory care facility be the most likely
setting?
· Teaching individual or group
· Making home visits
· Serving as an administrator or manager
· Providing direct client care - ANS · Providing direct client care
The nurse is caring for a client with a tracheostomy whose pulse oximeter has
just alarmed, indicating the client's oxygen saturation to be 77%. The nurse
has repositioned the client and applied supplemental oxygen, interventions
that have increased the client's oxygen levels to 80% and have slightly
reduced his work of breathing. The client is not in acute distress, and his level
of consciousness remains high. The nurse should call which practitioner?
Occupational therapist Physical therapist Health care provider Respiratory
therapist ANSWER Respiratory therapist
A clinical nurse specialist is preparing a presentation for a group of
, colleagues about the status of the current health care delivery system. The
nurse would also like to present some trends that might impact health care
delivery in the foreseeable future. For which information is the nurse most
likely to present?
· Increase in available health information due to technology
• There is a greater focus on the management of illness
• More knowledge-empowered consumers are seeking health services
• There are numerous significant health practitioners available to deliver the
care
• Fewer multicultural patients accessing services - ANSWER
Technology has provided easy access to health information
More knowledgeable consumers are accessing health services
The nurse is caring for multiple clients with chronic disabilities that need to
be evaluated for long-term care. After evaluating each of the clients, the
nurse determines that the most appropriate client to provide long-term care
for is:
A. A client who sustained a severe back injury from a motor vehicle accident
that requires continued physical therapy
A client who had a cerebrovascular accident who experiences impairment of
mobility and inability to perform ADLs.
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