5th Edition Final EXAM 100+ QUESTIONS &
ANSWERS / ADVANCED FOR CARE OF
FAMILY|AGRADE
Charge Nurse Capacity in Long-Term Care - ANSWER//Acts under general supervision
by the RN available on site or by phone.
Health Maintenance Organization (HMO) - ANSWER//Contact the insurance company
for coverage details as services may be limited.
Vocational nurse responsibility - ANSWER//Lack of knowledge at discharge about
medication effects and side effects is a concern that should be addressed by the
vocational nurse.
Charge nurse supervision - ANSWER//The vocational nurse in the capacity of the
charge nurse in a long-term care facility acts with the general supervision of an RN
available on site or by phone.
Health Maintenance Organization (HMO) - ANSWER//HMOs are a kind of managed
care accomplished by paying providers to care for groups of patients for a set capitation
fee and by limiting services.
Deductible - ANSWER//The deductible is the annual amount the insured must pay out-
of-pocket prior to the insurance company assuming the cost.
Medicare Part A coverage - ANSWER//Medicare Part A covers inpatient hospital
expenses, drugs, x-rays, laboratory work, and intensive care.
Insurance coverage inquiry - ANSWER//Contact the insurance company for coverage
details as services may be limited.
,Patient confusion about deductible - ANSWER//The patient complains to the nurse that
he is confused about his 'deductible' that he owes the hospital.
Patient education on HMO - ANSWER//The nurse is educating a patient that is a
member of a health maintenance organization (HMO).
Charge nurse role in long-term care - ANSWER//According to most state NPAs, the
vocational nurse acting as charge nurse in a long-term care facility acts under general
supervision by the RN available on site or by phone.
Patient's out-of-pocket expenses - ANSWER//An annual amount of money the patient
must pay out-of-pocket for medical care.
Inpatient hospital costs - ANSWER//Medicare Part A covers inpatient hospital costs.
Reimbursement to physician - ANSWER//Medicare Part B pays the physician.
Outpatient hospital services - ANSWER//Medicare Part A does not cover outpatient
hospital services.
Ambulance transportation coverage - ANSWER//Medicare Part A does not cover
ambulance transportation.
Documentation of care - ANSWER//Patients are not required to provide detailed
documentation of all care received for his condition.
Second opinion requirement - ANSWER//Patients are not required to seek the opinion
of an alternate health care provider.
Specialist consultation wait time - ANSWER//Patients are not required to wait at least 6
months to see a specialist.
Nursing Process Step: Implementation - ANSWER//Implementation is a step in the
nursing process.
Cognitive Level: Application - ANSWER//Application is a cognitive level in nursing
education.
Cognitive Level: Comprehension - ANSWER//Comprehension is a cognitive level in
nursing education.
Safe, Effective Care Environment - ANSWER//NCLEX: Safe, Effective Care
Environment: Coordinated Care.
,Diagnosis-Related Groups (DRGs) - ANSWER//A prospective payment plan in which
hospitals receive a flat fee for each patient's diagnostic category regardless of the
length of time in the hospital.
Medicaid - ANSWER//A joint effort of federal and state governments geared primarily for
low-income people with no insurance.
Healthy People 2020 - ANSWER//A program focusing on expanding ongoing programs
to include support and information to reduce infant mortality, cancer, cardiovascular
disease, and HIV/AIDS, and to increase effective immunizations, healthy eating habits,
and healthy weight.
Holistic Care - ANSWER//Care that addresses the physiologic, psychological, social,
cultural, and spiritual needs of the patient.
Empathy in Nursing - ANSWER//Demonstrating that the nurse perceives the patient's
feelings but does not share the emotion.
Cost-Containment in DRGs - ANSWER//Hospitals treat and discharge patients quickly
to keep excess payment.
Nursing Process Step: Implementation - ANSWER//The phase in the nursing process
where the planned interventions are executed.
Nursing Process Step: Assessment - ANSWER//The phase in the nursing process
where the nurse gathers information about the patient's health status.
Nursing Process Step: Planning - ANSWER//The phase in the nursing process where
the nurse develops a plan of care based on the assessment.
Cognitive Level: Comprehension - ANSWER//The level of understanding that involves
grasping the meaning of information.
Cognitive Level: Application - ANSWER//The level of understanding that involves using
information in new situations.
Cognitive Level: Analysis - ANSWER//The level of understanding that involves breaking
down information into parts to understand it better.
NCLEX: Safe, Effective Care Environment - ANSWER//A category in the NCLEX exam
focused on providing safe and effective care.
NCLEX: Psychosocial Integrity - ANSWER//A category in the NCLEX exam focused on
the psychological and social aspects of patient care.
, Patient Discharge - ANSWER//The process of releasing a patient from a healthcare
facility after treatment.
Infant Mortality Reduction - ANSWER//An objective of Healthy People 2020 aimed at
decreasing the number of infant deaths.
Cancer Prevention - ANSWER//An objective of Healthy People 2020 aimed at reducing
the incidence of cancer.
Cardiovascular Disease Prevention - ANSWER//An objective of Healthy People 2020
aimed at reducing the incidence of cardiovascular diseases.
HIV/AIDS Prevention - ANSWER//An objective of Healthy People 2020 aimed at
reducing the incidence of HIV/AIDS.
Effective Immunizations - ANSWER//An objective of Healthy People 2020 aimed at
increasing the rate of immunizations.
Healthy Eating Habits - ANSWER//An objective of Healthy People 2020 aimed at
promoting better dietary practices.
Healthy Weight - ANSWER//An objective of Healthy People 2020 aimed at promoting
maintaining a healthy weight.
Therapeutic Relationship - ANSWER//The therapeutic relationship is focused on the
patient and is goal directed and designed to meet only the needs of the patient and
does not extend past the period of hospitalization.
Empathetic Response - ANSWER//This response is an empathetic response that allows
for further exploration of the patient's feelings.
Hostile Behavior - ANSWER//Allowing hostile patients to make reasonable requests
defuses the anger and allows patients to vent their feelings.
Manipulative Behavior - ANSWER//A matter-of-fact response to a manipulative request
limits the effect of the manipulation, thereby helping the nurse to avoid becoming
defensive or being swayed by flattery.
Therapeutic Communication - ANSWER//A response that demonstrates understanding
and allows the patient to express their feelings.
Goal Directed - ANSWER//Therapeutic relationships are goal directed.
Patient Needs - ANSWER//Therapeutic relationships meet the needs of each person in
the relationship.
Formal Boundaries - ANSWER//Therapeutic relationships lack formal boundaries.
Hospitalization Period - ANSWER//Therapeutic relationships do not extend past the
hospitalization period.