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NURS3209 - Exam 2 Study Q&A A+ Graded
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NURS3209 - Exam 2 Study Q&A A+ GradedA client who has bleeding tendencies has a deficiency in which vitamin?
Vitamin A
Vitamin B
Vitamin C
Vitamin K
Vitamin K
Vitamin K deficiencies are manifested in two ways: an increased tendency to
hemorrhage and hemorrhagic disease of the newborn, which is common in premature
or anoxic newborns. Vitamin K helps to make various proteins that are needed for blood
clotting and the building of bones
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Which scenario is using a prospective payment plan to reimburse for services?
An older adult client is admitted to the hospital and treated for pneumonia. The hospital
is reimbursed based on a predetermined fixed price.
A client is hospitalized for an emergency appendectomy. Since the hospital is a
preferred provider the fee for service was discounted.
A client with chronic heart failure is offered health care teaching and preventative
services for free.
A child is hospitalized and treated for a fractured femur. The hospital receives a preset
fee for each member regardless of whether the member required services.
An older adult client is admitted to the hospital and treated for pneumonia. The hospital
is reimbursed based on a predetermined fixed price.
A prospective payment system uses financial incentives to decrease total healthcare
charges by reimbursing hospitals on a fixed rate basis. Reimbursement is based on the
diagnostic-related group (DRG). Therefore, the scenario in which the hospital is
,reimbursed is an example of a prospective payment plan. The other scenarios
demonstrate other types of payment plans.
Which statements are true of primary health care? Select all that apply.
It is essential health care based on sound methods and technology.
It is made universally accessible to individuals and families in the community.
It does not require the full participation of the individual and family.
It brings health care close to where people live and work.
It is the same concept as primary care in that it refers to the delivery of health care.
It is essential health care based on sound methods and technology.
It is made universally accessible to individuals and families in the community.
It brings health care close to where people live and work.
Primary health care is defined as essential health care based on practical, scientifically
sound, and socially acceptable methods and technology and made universally
accessible to individuals and families in the community through their full participation
and at a cost the community can afford. It brings health care as close as possible to
where people live and work. Primary health care should not be confused with primary
care. Primary care refers to the delivery of health care services, including the initial
contact and ongoing care.
The Nursing Agenda for Health Care Reform (American Nurses Association [ANA])
identifies the recipients of health care. This reform's main focus is on:
accurate assessment in the acute health care setting.
health promotion.
better connectivity through the use of technology.
high-quality disease management.
health promotion
,Recent health care reform efforts, in particular the Affordable Care Act (ACA), have
made strides toward realizing nursing's vision of health care that is focused on health
promotion, delivered where the individual needs it, and focused on wellness rather than
disease management; however, there is much work still to be done as the effects of the
ACA become known. Health care is currently focused on high-quality disease
management and technology and not the prevention of disease. Accurate assessments
are already part of the admission process in all health care settings.
A nurse has an older adult home care client who lives alone with no family nearby. On a
recent visit, the nurse notices that his clothes are very loose, and he has difficulty letting
the nurse leave when the visit is ending. After talking with him, the nurse learns that he
has not been cooking for himself and he can't get to the grocery store easily. What
service could the nurse suggest as an immediate response until a long-term plan can be
formed?
Refer him to the dietitian.
Enroll the client in Meals on Wheels.
Suggest he go to an assisted living facility.
Have the social worker counsel him.
Enroll the client in Meals on Wheels
The best option that can be arranged quickly is to enroll the client in Meals on Wheels, a
voluntary agency. The other responses may be helpful in later planning for a long-term
situation.
In the 1980s, the nursing care delivery model shifted from a team nursing model to a:
primary nursing model.
managed care model.
modular care model.
clinical specialist model.
primary nursing model
, In the 1980s, the nursing care delivery model shifted from a team nursing model, in
which a team of nurses collaboratively provide care to a given client during a stay, to a
primary nursing model, in which one registered nurse (RN) is responsible for providing
all care needed by a given client during the client's stay (either directly or by delegating
to others). The managed care model is an approach to health care delivery that seeks to
contain the costs of health care while providing quality care. Modular nursing is similar
to team nursing except that the clients assigned to a given team of nurses are grouped
according to geographical location on the unit. A clinical specialist is a nurse who has
additional training in a medical specialty, such as cardiology.
The nurse is assessing the client for muscle mass, tone, and strength and determines
that there is increased tone that interferes with movement. How does the nurse
document this finding?
hypertrophy.
atrophy.
flaccidity.
spasticity.
spasticity.
Adequate skeletal muscle mass, tone, and strength are prerequisites to appropriate
body movement and work performance. Spasticity, or hypertonicity, is defined as
increased tone that interferes with movement. Spasticity is caused by neurologic
impairments, and is often described as a stiffness, tightness, or pulling of the muscle.
Hypertrophy refers to increased muscle mass resulting from exercise or training.
Atrophy describes muscle mass that is decreased through disuse or neurologic
impairment. Flaccidity, or hypotonicity, results from disuse or neurologic impairments,
and is described as a weakness of paralysis.
A client is to do quadriceps drills as an isometric exercise after surgery. The nurse
provides which information about this exercise? Select all that apply.
"The muscle you are tightening is the one on the front of the thigh."
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