WALDEN UNIVERSITY NURS 6052-38 WEEK 4
DISCUSSION COMPREHENSIVE TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ *Medicaid*. Answer: - Joint federal and state program with limited
income and resources.
- Also offers benefits not normally covered by Medicare.
- Spend down- some states offer program
- Dual eligibility for Medicare & Medicaid
◉ *Affordable Care Act*. Answer: - Protected people's choice of
doctors.
- *Put an end to lifetime limits on the care a person could receive.*
-*Now children with pre-existing conditions acquire and keep
coverage.*
◉ * Affordable Care Act Facts*. Answer: - Bundled payments
- Insurance reforms:
Prohibit cancellation for illness
Eliminate preexisting condition clauses
,Prohibit lifetime limits
State health insurance exchanges
Health insurance marketplace
Standardized report of their health insurance coverage
Extended the period from 19 to 26 for young adults
Required insurers to spend 80%
- Support for nursing education & nursing students
- Nurse-managed clinics
- Expansion of school-based health centers
- Support for transitional care and chronic disease management
- Accountable care organizations
- Medical homes
- Free preventative services for women
- Penalties for high readmission rates
- Medicaid expanded
- Hospital value-based purchasing (Patient Satisfaction + Quality ÷
Cost)
- Medicare pays hospitals for quality of care not quantity of services
provided.
◉ *Patient Protection and Affordable Care Act (Obamacare)*.
Answer: - Enacted in 2010
,- Focuses primarily on:
. Health insurance coverage for all
. Health care costs
. Preventive care
- Controversial
- Law designed to give consumers more control over their healthcare
by allowing them to make informed decisions based on knowing all
their options.
- Ability to compare and choose health insurance coverage that best
meets their needs.
- New "Patient Bill of Rights"
◉ *Breast Self-Examination Techniques*. Answer: Patterns using a
circular motion:
- Spiral
- Pie-shaped wedges
- Up and down
◉ *Changes to assess during breast self exam*:. Answer: - Changes
in *shape, size, contour, or symmetry*
- *Skin discoloration or dimpling, bumps/lumps*
- *Sores or scaly skin*
, - *Discharge or puckering of the nipple*
- *Hard, fixed, non-tender* (cancerous lumps)
◉ Normoactive bowel sounds. Answer: 5-34 bowel sounds/min.
◉ Hyperactive bowel sounds. Answer: Greater than 34 bowel
sounds/min.
- Could be caused by diarrhea, GI bleed, etc...
◉ Hypoactive bowel sounds. Answer: Less than 5 bowel
sounds/min.
- Could be caused by pregnancy.
◉ *Rebound Tenderness (Blumberg Sign)*. Answer: - Tests for
appendicitis
- RLQ pain
- Press in on abdomen and then go.
- Ask if patient felt any pain.
- If yes, ask if they felt pain when you pressed in or let go.
- If they felt the pain *when you let go* then that's a positive
______________ sign.
◉ *Swing-to crutch gait*
DISCUSSION COMPREHENSIVE TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ *Medicaid*. Answer: - Joint federal and state program with limited
income and resources.
- Also offers benefits not normally covered by Medicare.
- Spend down- some states offer program
- Dual eligibility for Medicare & Medicaid
◉ *Affordable Care Act*. Answer: - Protected people's choice of
doctors.
- *Put an end to lifetime limits on the care a person could receive.*
-*Now children with pre-existing conditions acquire and keep
coverage.*
◉ * Affordable Care Act Facts*. Answer: - Bundled payments
- Insurance reforms:
Prohibit cancellation for illness
Eliminate preexisting condition clauses
,Prohibit lifetime limits
State health insurance exchanges
Health insurance marketplace
Standardized report of their health insurance coverage
Extended the period from 19 to 26 for young adults
Required insurers to spend 80%
- Support for nursing education & nursing students
- Nurse-managed clinics
- Expansion of school-based health centers
- Support for transitional care and chronic disease management
- Accountable care organizations
- Medical homes
- Free preventative services for women
- Penalties for high readmission rates
- Medicaid expanded
- Hospital value-based purchasing (Patient Satisfaction + Quality ÷
Cost)
- Medicare pays hospitals for quality of care not quantity of services
provided.
◉ *Patient Protection and Affordable Care Act (Obamacare)*.
Answer: - Enacted in 2010
,- Focuses primarily on:
. Health insurance coverage for all
. Health care costs
. Preventive care
- Controversial
- Law designed to give consumers more control over their healthcare
by allowing them to make informed decisions based on knowing all
their options.
- Ability to compare and choose health insurance coverage that best
meets their needs.
- New "Patient Bill of Rights"
◉ *Breast Self-Examination Techniques*. Answer: Patterns using a
circular motion:
- Spiral
- Pie-shaped wedges
- Up and down
◉ *Changes to assess during breast self exam*:. Answer: - Changes
in *shape, size, contour, or symmetry*
- *Skin discoloration or dimpling, bumps/lumps*
- *Sores or scaly skin*
, - *Discharge or puckering of the nipple*
- *Hard, fixed, non-tender* (cancerous lumps)
◉ Normoactive bowel sounds. Answer: 5-34 bowel sounds/min.
◉ Hyperactive bowel sounds. Answer: Greater than 34 bowel
sounds/min.
- Could be caused by diarrhea, GI bleed, etc...
◉ Hypoactive bowel sounds. Answer: Less than 5 bowel
sounds/min.
- Could be caused by pregnancy.
◉ *Rebound Tenderness (Blumberg Sign)*. Answer: - Tests for
appendicitis
- RLQ pain
- Press in on abdomen and then go.
- Ask if patient felt any pain.
- If yes, ask if they felt pain when you pressed in or let go.
- If they felt the pain *when you let go* then that's a positive
______________ sign.
◉ *Swing-to crutch gait*
