ATI ADULT HEALTH STUDY GUIDE

1. 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.) • Home health care • Rehabilitation facilities • Diagnostic centers • Skilled nursing facilities • Oncology centers 2. 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? (Selectall that apply.) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid 3.A nurse manager is developing strategiesto care for the increasing number of clientswho 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 • Ensuring the availability of specializedbeds in rehabilitation centers for clients who have obesity • Providing specialized intraoperative training in surgical treatments for obesity • Educating acute care nurses about postoperative complications related to obesity 4. 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? • Monitoring evidence-based practice for clients who have a specific diagnosis • Ensuring that health care providers comply with regulations • Setting quality standards for accreditation of health care facilities • Determining whether medications are safe for administration to clients 5. 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 Spiritual support staff: Provides spiritual care(pastors, rabbis, priests). Example of when to refer: A client requests communion, or the family asks for prayer prior to the client undergoing a procedure. Registered dietitian: Assesses, plans for, and educates regarding nutrition needs. Designs special diets, and supervises meal preparation Example of when to refer: A client has a low albumin level and recently had an unexplained weight loss. Laboratory technician: Obtains specimens of body fluids, and performs diagnostic tests. Example of when to refer: A provider needs to see a client’s complete blood count (CBC) results immediately. Occupational therapist: Assesses and plans for clients to regain activities of daily living (ADL) skills, especially motor skills of the upper extremities. Example of when to refer: A client has difficulties using an eating utensil with their dominant hand following a stroke. Pharmacist: Provides, monitors, and evaluates medication. Supervises pharmacy technicians instates that allow this practice. Example of when to refer: A client is concerned about a new medication’s interactions with any of their other medications. Physical therapist: Assesses and plans for clients to increase musculoskeletal function, especially ofthe lower extremities, to maintain mobility. Example of when to refer: Following hip arthroplasty, a client requires assistance learning to ambulate and regain strength. Provider: Assesses, diagnoses, and treats disease and injury. Providers include medical doctors (MDs), doctors of osteopathy (DOs), advanced practice nurses (APNs), and physician assistants (PAs). State regulations vary in their requirements for supervision of APNs and PAs by a physician (MDs and DOs). Example of when to refer: A client has a temperature of 39º C (102.2º F), is achy and shaking, and reports feeling cold. Radiologic technologist: Positions clients and performs x-rays and other imaging procedures for providers to review for diagnosis of disorders of various body parts. Example of when to refer: A client reports severe pain in their hip after a fall, and the provider prescribes an x-ray of the client’s hip. Respiratory therapist: Evaluates respiratory status and provides respiratory treatments including oxygen therapy, chest physiotherapy, inhalation therapy, and mechanical ventilation