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Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno All Chapters (1-72) | A+ COMPLETEGUIDE$18.99
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Managed careorganizationsareinsurersthat carefullyplan andcloselysupervisethe
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distribution ofhealthcare services. Whatis oneof thegoals ofmanaged care?
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A) Preventing illness through screening and promotion of health activities v v v v v v v v
B) Improvingtrainingofhealthcareprofessionals
C) Eliminatinghealthdisparities betweensegmentsofthepopulation v
D) Providinghospiceorhomehospicecare v
Ans: A
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Preventingillnessthroughscreeningandpromotionofhealthactivitiesisoneofthegoalsof
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managedcare.Improvedtrainingofhealthcareprofessionalsisthepriorityforinternational
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health and notthe goal ofmanaged care. Eliminating health disparities betweenthe
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segmentsofpopulationisagoalofHealthyPeople2020.Providing hospiceorhomehospice
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careisonlyforterminallyillclients.
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2. Inanefforttocutcosts,hospitalshaveinstitutedmanychanges.Whichofthese
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cost-cutting factorsismostlikelytojeopardizethequalityofcare?
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A) Using unlicensed assistive personnel v v v
B) Increasingnumbers ofclients inhospitals v v
C) Notdevotingenoughtimetotheclient
D) Theriseofmedicalcarecostsin healthcaresystems
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Ans: A
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Hospitals areusing unlicensed assistivepersonnel to perform some duties practical and
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registerednursesonceprovided.Manyareconcernedthattheuseofunlicensedassistive
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vpersonnelwilljeopardizethequalityofcare.Increasingnumbersofclientsinhospitals,not
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devotingenoughtimetotheclient,ortheriseofmedicalcostsarelesslikelytojeopardize
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thequalityofcare.
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3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
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walking group to raise money for the homeless in his area. Which of the following has
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contributed tohimbeing viewed as “healthy”?
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A) Theclientismarried and ismovingon.
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vB) The client is experiencing high quality of life within the limits of the physical
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condition.
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C) Theclientisfacingvariousstatesofhealthandillness.
D) Theclientisphysiologicallyandpsychologicallystable. v
Ans: B
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Clientsadaptphysically, emotionally,andsocially, enablingthemtomaintaincomfort, v v v
stability,andself-expression.Clientswithchronicillnesscanachieveahighlevelof wellness
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andexperiencehighqualityoflife.Marriageisanaspectofqualityoflifebutdoes notdefinethe
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qualityoftheclient'slife.Allclientsexperiencevariousstatesofhealthand illness.
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,4. A17-year-old client ishavingprotected sex onetotwo timesa weekin a monogamous
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relationship.Whatistheclientparticipatingin?
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A) Healthpromotion
B) Healthmaintenance
C) Illnessprevention
D) Wellness
Ans: B
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Feedback:
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Protectingone'scurrentlevelofhealthbypracticingsafesextopreventillnessisanexample of a
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health maintenance activity. Health promotionstrategies areused to enhance health, such as
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eatingadiet highinfiber. Illnesspreventionincludesidentifyingriskfactorssuchas
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hypertension.Wellnessisthebalanceoftotalwell-being.
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5. Aclientcomplaining ofbloodyurinehas scheduled anappointmentwithafamily v v v v
practitioner.What type ofcareis theclient receiving?
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A) Tertiary
B) Secondary
C) Skillednursing care v
D) Primary
Ans: D
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Feedback:
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Thefirstproviderthatclientscontactaboutahealthneedprovidesprimarycare;thisperson is
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typically afamilypractitioner ornursepractitioner. Secondarycareincludesreferrals to
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facilitiesforadditionaltesting.Tertiarycarefocusesonmorecomplexmedicalandsurgical
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intervention.Skilled nursing care occurs infacilitiesor unitsthatofferprolonged health
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maintenanceorrehabilitativeservices.
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, 6. Afterhipsurgery, a clientisadmittedtotherehabilitationhospital.Whattypeofcareisthe
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clientreceiving?
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A) Secondary
B) Tertiary
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C) Rehabilitation
D) Primary
Ans: B
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Feedback:
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Hospitalswherespecializedtechnologyisavailableprovidetertiarycare. Primarycareistheinitial
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contact thata clienthas,such asan appointment with afamilypractitioner.Secondarycareincludes
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vreferrals for additional testing. Rehabilitation is aimed at restoringa person to his orherfullest ability.
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7. The hospitalis havingaproblem withhealthcare-associated infections.Acommitteehas
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beenestablishedtostudytheproblemandmakerecommendations.Thenurseworkingon
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thecommittee knows that this workaddresses what?
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A) Inpatientqualityindicators
B) Preventionquality indicators v v
C) National Patient Safety Goals v v v
D) Patientsafetyindicators
Ans: C
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Feedback:
The JointCommissionhasestablishedNationalPatient SafetyGoals thatareupdated annually.
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Thesesafetygoalshavechangedhowpatientsareidentifiedandpreventadverse effects.
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Someofthe 2012 goals includereducingthe riskof
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healthcare-associated infections. Patient safety indicators reflect the quality ofcare in
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hospitalsbutfocusonpotentiallyavoidablecomplications.Preventionindicatorsidentify
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hospitaladmissionsthatcouldbeavoidedthroughhigh-qualityoutpatientcare.Inpatient
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indicators reflect qualityof care insidethe hospital.
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