NURSING 110 quiz3- 13,14,17,18,21,28-1.

NURSING 110 quiz3- 13,14,17,18,21,28-1. 1. Which type of health-care system focuses on keeping the general public healthy so that citizens can continue to contribute to society and the economy? 1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system ANS: 4 2. Which type of services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and treatment of complex disorders? 1. Primary care 2. Secondary care 3. Tertiary care 4. Palliative care ANS: 2 3. With the recent development of the Gold Standards Framework, nurses working with which of the following have a defined process to improve the quality of life through communication, collaboration, support, and coordination of care? 1. Primary care 2. Secondary care 3. Hospice care 4. Rehabilitative care ANS: 3 4. The origins of the current nursing shortage can be traced back directly to the implementation of which of the following in the 1990s as a method of controlling health-care costs? 1. Telemedicine 2. Managed care 3. Electronic health records 4. Medicaid ANS: 2 5. A growing awareness of and interest in maintaining optimal health is resulting in a movement toward increasing which type of care as a means of promoting health? 1. Primary care 2. Secondary care 3. Tertiary care 4. Palliative care ANS: 1 6. Nurses led the way for implementing which legislative act because they saw it as a move to make the U.S. health-care system the best in the world for all U.S. citizens? 1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 7. In which type of system do individuals who can afford private health insurance or who can pay for their health care choose their care providers and receive health services? 1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system ANS: 1 8. Which country boasts one of the highest life expectancies (about 80 years) and lowest infant mortality rates of industrialized countries, which many attribute to the country’s universal single-payer health-care system? 1. Germany 2. Canada 3. United States 4. Switzerland ANS: 2 9. In an attempt to contain health-care costs, which type of organizations were introduced to review the quality, quantity, and cost of hospital care through Medicare? 1. Managed care organizations 2. Preferred provider organizations 3. Accountable care organizations 4. Professional standards review organization ANS: 4 10. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are frequently addressed by which type of nurse? 1. Public health nurse 2. Rural primary care nurse 3. School nurse 4. Home health care nurse ANS: 3 11. Most North Americans access primary health care in which location? 1. Hospitals 2. Community centers 3. Physician offices 4. Outpatient clinics ANS: 3 12. As the population continues to age, which type of centers are increasing in popularity because they allow clients to maintain the greatest amount of independence possible in a partially controlled and supervised living environment? 1. Rehabilitation centers 2. Extended care centers 3. Assisted living centers 4. Intermediate care centers ANS: 3 13. Which type of disease rates are notably higher in clients who live in rural areas of the United States? 1. Acute diseases 2. Infectious diseases 3. Chronic diseases 4. Childhood diseases ANS: 4 14. Which type of health insurance is now available to rural Americans who are self-employed or who do not have health insurance for other reasons? 1. Health maintenance organizations (HMOs) 2. Preferred provider organizations (PPOs) 3. Exclusive provider organizations (EPOs) 4. Health insurance purchasing cooperatives (HIPCs) ANS: 4 15. Which type of nurses are in a unique position to exercise their skills as care managers because they possess the appropriate clinical knowledge and skills and are intimately familiar with their communities and the cultural climate of their clientele? 1. Parish nurses 2. Primary care nurses 3. Long-term care nurses 4. Home health care nurses ANS: 1 1. Which organization now serves as the gold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information? 1. Leapfrog Group 2. The Joint Commission 3. Institute of Medicine 4. Centers for Medicare and Medicaid Services ANS: 1 2. Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be the answer to their quality issues? 1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement ANS: 1 3. When the Six Sigma process is used to analyze a problem, the five-step statistical process can be applied once which variation is detected? 1. Chance variation 2. Common variation 3. Assigned variation 4. Continuous variation ANS: 3 4. A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of the following and thereby improving the flow of processes? 1. Waste 2. Errors 3. Repetition 4. Paperwork ANS: 1 5. Since before 2010, nurses have been using the huddle, which is a highly modified and streamlined form of which process? 1. Six Sigma 2. Scrum 3. Risk management 4. Care management ANS: 2 6. What sixth competency was added to the Quality and Safety Education for Nurses (QSEN) model when the model was revised because of the important role this competency now plays in health care? 1. Safety 2. Quality improvement 3. Evidence-based practice 4. Informatics ANS: 4 7. One of the three core functions of the Quality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act? 1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 4 8. In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter? 1. Six Sigma 2. Quality assurance 3. Risk management 4. Care management ANS: 2 9. Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data? 1. Leapfrog Group 2. The Joint Commission 3. Agency for Healthcare Research and Quality 4. Centers for Medicare and Medicaid Services ANS: 3 10. With which approach does the care-delivery process receive close and constant scrutiny, and everyone is encouraged to think creatively to devise and test new ideas for improving quality? 1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement ANS: 4 11. The development of which of the following grew out of a need to assess, implement, and monitor cost-effective, high- quality client care in a systematic manner? 1. Benchmarks 2. Dashboards 3. Clinical pathways 4. Lean Six Sigma ANS: 3 12. The most accepted definition of which process is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on the solutions to complex issues? 1. Six Sigma 2. Scrum 3. Risk management 4. Care management ANS: 2 13. The huddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium? 1. Acute care units 2. Long-term care units 3. Intermediate care units 4. Rehabilitation units ANS: 1 14. Section 3501 of which legislative act mandated that the Agency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on the best quality-improvement practice innovations and strategies? 1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 15. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as which of following? 1. Huddles 2. Benchmarks 3. Dashboards 4. Clinical pathways ANS: 3 1. Florence Nightingale developed the Nightingale Rose, a type of which kind of chart that presented data about health conditions during the Crimean War? 1. Bar chart 2. Pie chart 3. Histogram 4. Infographic ANS: 2 2. The primary purpose of which legislative act was to allow patient records to be transferred from one provider or institution to another provider or institution? 1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 2 3. Some federal agencies have the authority, under which legislative act, to wiretap or access any electronic information they believe may be associated with a terrorist threat, including physicians’ and nurses’ records, laboratory records, and financial information? 1. Patriot Act 2. Affordable Care Act 3. Omnibus Budget Reconciliation Act 4. Health Insurance Portability and Accountability Act ANS: 1 4. Which role of an informatics nurse involves developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternative workaround to solve the issue? 1. Coordinator 2. Software developer 3. Tester 4. Trainer ANS: 2 5. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand in order to use some of the computer’s data? 1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 3 6. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is an example of which of the following? 1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 4 7. Title XIII of which legislative act created the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care? 1. Patriot Act 2. Affordable Care Act 3. American Recovery and Reinvestment Act 4. Health Insurance Portability and Accountability Act ANS: 3 8. HIPAA underwent a revision in 2013 that refined and clarified all previous provisions and rules and created which designation, officially titled the Medicare Electronic Health Records Incentive Program? 1. Exclusive use 2. Superior use 3. Proprietary use 4. Meaningful use ANS: 4 9. Which of the following was one of the major challenges that was faced by the meaningful use (MU) system? 1. Engaging clients and families in their health 2. Improving population and public health 3. Requirement for rapid implementation 4. Ensuring adequate privacy and security protection for personal health information ANS: 3 10. The strengths of the meaningful use (MU) system became one of the four components of which system introduced in 2019 that seeks improved health-care outcomes through a payment system that benefits the provider? 1. Value-based payment system 2. Quality-based payment system 3. Merit-based incentive payment system 4. Prospective payment system ANS: 3 11. Which educational degree is generally required for an entry-level informatics nurse specialist? 1. Licensed practical nurse (LPN) 2. Master of science in nursing (MSN) 3. Associate of science in nursing (ASN) 4. Bachelor of science in nursing (BSN) ANS: 4 12. The ability to make the computer perform tasks it was not intended to perform is referred to as which of the following? 1. Bypass 2. Workaround 3. Transition 4. Alternate ANS: 2 13. Which model is the one that nurse informaticists use to transform basic data into innovations that augment safe, quality health care? 1. Data to information model 2. Data to knowledge model 3. Data to wisdom model 4. Data to cognition model ANS: 3 14. Today’s smartphone has more memory and much faster computing power than a desktop computer from the year 2000. The smartphone demonstrates which quality by having more functionality in a smaller size? 1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 2 15. The development of advanced artificial intelligence systems was the first step toward which of the following? 1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 4 1. In 15 states, nurse practitioners (NPs) have which of the following, whereby state practice and licensure laws lessen the ability of NPs to engage in at least one element of full NP practice? 1. Reduced practice 2. Limited practice 3. Restricted practice 4. Impeded practice ANS: 1 2. Nurses employed at which type of hospitals have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size? 1. Teaching hospitals 2. Community hospitals 3. Magnet hospitals 4. Government hospitals ANS: 3 3. Grassroots refers to political movements that are started at which level by volunteers who give their time to support an issue that is important to them? 1. State level 2. Local level 3. Regional level 4. Federal level ANS: 2 4. Which of the following is always the most important factor in politics and dictates the kind of issues that legislators become involved in and present to the constituencies as the key issues? 1. Lobbying 2. Partisanship 3. Self-interest 4. Ideology ANS: 3 5. Which of the following is a type of court that is found at both the federal and state levels? 1. Circuit court 2. Appeals court 3. District court 4. Supreme court ANS: 4 6. The state nursing associations and other organizations, such as the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Critical-Care Nurses (AACN), are what types of groups to the American Nurses Association (ANA)? 1. Constituency groups 2. Pressure groups 3. Advocacy groups 4. Campaign groups ANS: 1 7. Which committee works cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid? 1. House Commerce Committee 2. House Ways and Means Committee 3. House and Senate Appropriations Committee 4. Senate Labor and Human Resources Committee ANS: 4 8. Some people consider which position to be the most powerful job in politics because it has control over the legislative calendar, which ultimately determines when many of the House session activities take place and even whether or when bills are introduced for consideration? 1. Majority leader 2. Majority whip 3. Minority leader 4. Minority whip ANS: 1 9. Which groups work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions? 1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups ANS: 4 10. The main focus of which type of groups is to change the way the public views an issue? 1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups ANS: 2 11. Which publication, the ANA legislative newsletter for nurses, reports on the activities of its nurse lobbyists and on significant issues in Congress and regulatory agencies? 1. American Nurse 2. American Journal of Nursing Newsline feature 3. Capitol Update 4. Nursing and Health Care’s Washington Focus ANS: 3 12. Which of the following are formed when the legislature divides into groups consisting of people with mutual interests? 1. Caucuses 2. Committees 3. Fringe groups 4. Advocacy groups ANS: 1 13. Which of the following, in many cases, is/are a convenient way to formulate policy with minimal involvement of the legislature? 1. Pocket vetoes 2. Political capital 3. Executive orders 4. Housekeeping bills ANS: 3 14. Legislators can use which tactic to move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be? 1. Pocket vetoes 2. Political capital 3. Executive orders 4. Housekeeping bills ANS: 4 15. Which of the following health-care-related issues is governed by the states? 1. Client safety 2. Nursing shortage 3. Tuition debts 4. Hospital regulation ANS: 4 1. Individuals who migrate to the United States from other countries may maintain many of their traditional cultural practices and languages while learning American culture, resulting in which phenomenon? 1. Culture shock 2. Acculturation 3. Multiculturalism 4. Subcultures ANS: 3 2. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is referred to as which of the following? 1. Ethnocentrism 2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 2 3. As it relates to nursing, which of the following can be regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures? 1. Ethnocentrism 2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 3 4. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand? 1. Simultaneous interpreting 2. Concurrent interpreting 3. Coincident interpreting 4. Synchronous interpreting ANS: 1 5. Developing which concept implies that health-care providers make a commitment to learn about other cultures and to immerse themselves in those cultures? 1. Cultural synergy 2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 1 6. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has committed which of the following? 1. Misgendering 2. Cisgendering 3. Transgendering 4. Demigendering ANS: 1 7. Which legislative act can be easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone? 1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 2 8. Which of the following represents a primary characteristic of diversity? 1. Education 2. Occupation 3. Gender expression 4. Socioeconomic status ANS: 3 9. Which of the following represents a secondary characteristic of diversity? 1. Race 2. Skin color 3. Religious beliefs 4. Residential status ANS: 4 10. A nurse assessing a non-American patient for cyanosis is struggling because she does not know the appropriate skin color for the patient’s ethnic group. How should this nurse proceed with her assessment? 1. Ask the patient if his or her skin appears discolored 2. Examine the patient’s oral mucosa 3. Attempt to find a nurse of the same ethnicity 4. Perform a chest auscultation ANS: 2 11. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is exhibiting which behavior? 1. Cultural synergy 2. Cultural relativism 3. Active obedience 4. Passive obedience ANS: 4 12. Some experts believe that for a person to truly be considered by which gender identity, the brain of the person has to be exposed to an unusual mix of hormones in utero so that even if a person is born with atypical genitalia, a person may not actually belong to that gender? 1. Intersex 2. Pansexual 3. Cisgender 4. Transgender ANS: 1 13. A nurse examining a transgender woman who has had bottom surgery should understand that this patient needs to have regular Pap smears, breast examinations, and mammography as well as which examination because the gland is not usually removed during gender affirmation surgery? 1. Testicular examination 2. Prostate examination 3. Thyroid examination 4. Parotid examination ANS: 2 14. As a nurse caring for a transgender client, it is important to assess and monitor transgender clients for which condition? 1. Bipolar disorder 2. Eating disorders 3. Schizophrenia 4. Suicidal ideation ANS: 4 15. As a nurse caring for a gay man, you should be aware of the worrisome statistic of the rise in incidence of which sexually transmitted disease among males who have sex with males (MSM) in the United States because contracting this disease increases the likelihood of HIV transmission? 1. Chlamydia 2. Gonorrhea 3. Syphilis 4. Human papillomavirus ANS: 3 1. Which type of questions test your ability to use information correctly and respond to the increase in the use of evidence- based practice in the health-care setting? 1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions 4. Exhibit item questions ANS: 4 2. On the NCLEX, interpreting electrocardiographic (ECG) strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are assessed through the use of which level of questioning? 1. Level 1 2. Level 2 3. Level 3 4. Level 4 ANS: 2 3. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are included in which phase of the nursing process? 1. Assessment phase 2. Analysis phase 3. Planning phase 4. Intervention and implementation phase ANS: 3 4. Questions regarding which phase of the nursing process are often worded very similarly and are relatively easy to identify after you have experienced a few of them? 1. Assessment questions 2. Analysis questions 3. Intervention and implementation questions 4. Evaluation questions ANS: 4 5. You need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with which confidence interval? 1. 85 percent confidence interval 2. 90 percent confidence interval 3. 95 percent confidence interval 4. 99 percent confidence interval ANS: 3 6. Because of increased concern about which of the following, it is probably safe to assume that the difficulty level of future calculation questions will increase markedly? 1. Medication errors 2. Polypharmacy 3. Antibiotic resistance 4. Herbal medications ANS: 1 7. Experts recommend that you take how many practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions? 1. 500 to 1500 2. 1500 to 3000 3. 3000 to 5000 4. 5000 to 6000 ANS: 3 8. By answering practice questions, you are becoming more familiar with and therefore more comfortable with the format of the examination. This process is referred to as which of the following? 1. Practice effect 2. Comfort effect 3. Habit effect 4. Method effect ANS: 1 9. The day before the exam, you eat foods or drink liquids with which vitamin because it has been shown to decrease short-term stress? 1. Vitamin B 2. Vitamin C 3. Vitamin E 4. Vitamin K ANS: 2 10. Which type of alternative format questions can be difficult, but if you think of them as true or false questions, they become easier? 1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions 4. Exhibit item questions ANS: 1 11. The space between when you start missing questions and then start getting them correct again is known as which of the following, and if that space is above the pass standard, then you will pass the exam? 1. Zone of expertise 2. Zone of knowledge 3. Zone of understanding 4. Zone of comprehension ANS: 2 12. Which category comprises the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX? 1. Safe and effective care environment needs 2. Physiological integrity needs 3. Psychosocial integrity needs 4. Health promotion and maintenance needs ANS: 2 13. One factor that increases the difficulty of answering which level of questions is that there is often more than one correct answer? 1. Level 1 2. Level 2 3. Level 3 4. Level 4 ANS: 3 14. While taking the NCLEX, you will find that questions pertaining to which area of nursing tend to be integrated into other areas even though they are a separate category? 1. Pharmacology 2. Endocrinology 3. Immunology 4. Hematology ANS: 1 15. If the computer can determine within what percentage accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, it will stop the test and ask you to complete a short survey? 1. 85 percent accuracy 2. 90 percent accuracy 3. 95 percent accuracy 4. 99 percent accuracy ANS: 3