Managed care organizations are insurers that carefully plan and closely supervise the
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distribution of healthcare services. What is one of the goals of managed care?
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A) Preventing illness through screening and promotion of health activities v v v v v v v v
B) Improving training of healthcare professionals v v v v
C) Eliminating health disparities between segments of the population v v v v v v v
D) Providing hospice or home hospice care v v v v v
Ans: A
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Feedback:
Preventing illness through screening and promotion of health activities is one of the goals of
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managed care. Improved training of healthcare professionals is the priority for international
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health and not the goal of managed care. Eliminating health disparities between the
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segments of population is a goal of Healthy People 2020. Providing hospiceor home hospice
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care is only for terminally ill clients.
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2. In an effort to cut costs, hospitals have instituted many changes. Which of these
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cost-cutting factors is most likely to jeopardize the quality of care?
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A) Using unlicensed assistive personnel v v v
B) Increasing numbers of clients in hospitals v v v v v
C) Not devoting enough time to the client v v v v v v
D) The rise of medical care costs in healthcare systems v v v v v v v v
Ans: A
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Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
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registered nurses once provided. Many are concerned that the use of unlicensed assistive
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personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals, not
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devoting enough time to the client, or the rise of medical costs are less likely to jeopardize
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the quality of care.
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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 to him being viewed as “healthy”?
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A) The client is married and is moving on. v v v v v v v
B) The client is experiencing high quality of life within the limits of the physical
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condition.
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C) The client is facing various states of health and illness.
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D) The client is physiologically and psychologically stable.
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Ans: B
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Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
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stability, and self-expression. Clients with chronic illness can achieve a high level of
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wellness and experience high quality of life. Marriage is an aspect of quality of life butdoes
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not define the quality of the client's life. All clients experience various states of health and
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illness.
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,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
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relationship. What is the client participating in?
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A) Health promotion v
B) Health maintenance v
C) Illness prevention v
D) Wellness
Ans: B
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Feedback:
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Protecting one's current level of health by practicing safe sex to prevent illness is an example
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of a health maintenance activity. Health promotion strategies are used to enhance health,
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such as eating a diet high in fiber. Illness prevention includes identifying risk factors such as
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hypertension. Wellness is the balance of total well-being.
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5. A client complaining of bloody urine has scheduled an appointment with a family
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practitioner. What type of care is the client receiving?
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A) Tertiary
B) Secondary
C) Skilled nursing care v v
D) Primary
Ans: D
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Feedback:
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The first provider that clients contact about a health need provides primary care; this person
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is typically a family practitioner or nurse practitioner. Secondary care includesreferrals to
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facilities for additional testing. Tertiary care focuses on more complex medical and surgical
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intervention. Skilled nursing care occurs in facilities or units thatoffer prolonged health
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maintenance or rehabilitative services.
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, 6. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care isthe
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client receiving?
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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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Hospitals where specialized technology is available provide tertiary care. Primary care is the initial
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contact that a client has, such as an appointment with a family practitioner.Secondary careincludes
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referrals for additional testing. Rehabilitation is aimed at restoring a person to his or her fullest
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ability.
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7. The hospital is having a problem with healthcare-associated infections. A committee has
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been established to study the problem and make recommendations. The nurse working on
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the committee knows that this work addresses what?
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A) Inpatient quality indicators v v
B) Prevention quality indicators v v
C) National Patient Safety Goals
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D) Patientsafety indicators v v
Ans: C
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Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
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annually. These safety goals have changed how patients are identified and prevent adverse
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effects. Some of the 2012 goals include reducing the risk of
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healthcare-associated infections. Patient safety indicators reflect the quality of care in v v v v v v v v v v
hospitals but focus on potentially avoidable complications. Prevention indicators identify
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hospital admissions that could be avoided through high-quality outpatient care.Inpatient
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indicators reflect quality of care inside the hospital.
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