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A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology cente...

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A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (Select all that apply.)


A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers - correct answer A, B, D - Correct: Restorative health care involves
intermediate follow-up care for restoring health and promoting self-care.


C-Incorrect: Diagnostic centers are a type of secondary health care. Secondary health care
includes the diagnosis and treatment of acute injury or illness.


E- Incorrect: An oncology center is a type of tertiary health care. Tertiary health care is
specialized and highly technical care.


A nurse is explaining the various types of health care coverage clients might have to a group of
nurses. Which of the following health care financing mechanisms should the nurse include as
federally funded? (Select all that apply.)


A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization (EPO)
E. Medicaid - correct answer B, E- Correct: Medicare and Medicaid are federally funded.


A, C, D - Incorrect: PPOs, Long-term care insurance, and EPOs are privately funded.

,A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. Which of the following actions should the nurse include as a primary health care
strategy?


A. Collaborating with providers to perform obesity screenings during routine office visits.
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have
obesity.
C. Providing specialized intraoperative training in surgical treatments for obesity.
D. Educating acute care nurses about postoperative complications related to obesity. - correct
answer A- Correct: Identify obesity screenings at office visits as an example of primary health
care. Primary health care emphasizes health promotion and disease control.


B- Incorrect: Rehabilitation care is an example of restorative health care.
C- Incorrect: Specialized and highly technical care is an example of tertiary health care.
D- Incorrect: Acute care is an example of secondary health care.


A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the
following tasks should the nurse identify as the responsibility of state licensing boards?


A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining whether medications are safe for administration to clients - correct answer B-
Correct: Identify that state licensing boards are responsible for ensuring that health care
providers and agencies comply with state regulations


A.- Incorrect: Identify that utilization review committees have the responsibility of monitoring
for appropriate diagnosis and treatment according to evidence-based practice.

,C- Incorrect: Identify that the Joint Commission has the responsibility of setting quality
standards for accreditation of health care facilities
D-Incorrect: Identify that the U.S FDA has the responsibility of determining whether
medications are safe for administration to clients.


A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. Which of the following examples of care or care settings should the nurse classify as
tertiary care? (Select all that apply.)


A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care - correct answer A,B, and C- Correct: Tertiary health care involves the
provision of specialized and highly technical care.


D- Incorrect: Cardiac rehabilitation is an example of restorative care and also of tertiary
prevention, but not of tertiary care.
E-Incorrect: Home health care is an example of restorative care.


List the six (6) Quality and Safety Education for Nurses (QSEN) competencies, along with a brief
description of each. - correct answer 1. Safety: Minimization of risk factors that could cause
injury or harm while promoting quality care and maintaining a secure environment for clients,
self, and others


2. Patient-Centered Care: Provision of caring and compassionate, culturally sensitive care that
addresses clients' physiological, psychological, sociological, spiritual, and cultural needs,
preferences, and values


3. Evidence-based Practice: Use of current knowledge from research and other credible sources
on which to base clinical judgement and client care.

, 4. Informatics: Use of information technology as a communication and information-gathering
tool that supports clinical decision-making and scientifically based nursing practice


5. Quality Improvement: Care-related and organizational processes that involve the
development and implementation of a plan to improve health care services and better meet
clients' needs


6. teamwork and Collaboration: Delivery of client care in partnership with multidisciplinary
members of the health care team to achieve continuity of care and positive client outcomes


A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)


A. A client who has terminal cancer requests hospice care in the home
B. A client asks about community resources available for older adults
C. A client states, "I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge
E. A client states, "I do not understand how to use a nebulizer." - correct answer A, B, D: Correct:
Initiate a referral for a social worker to provide information and assistance in coordinating
hospice care, availability of community resources, and obtaining medical equipment after d/c.


C- Incorrect: Religious sacraments or prayers require a referral for spiritual support staff.


E- Incorrect: Provide client teaching for concerns regarding the use of a nebulizer. If additional
information is needed, initiate a referral for a respiratory therapist.


A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the
following members of the interprofessional care team?

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