Test Bank For Health and Health Care Delivery in Canada 3rd
Edition By Valerie D. Thompson 9781771721691 Chapter 1-10
Complete Guide .
A home health nurse is planning care for an adult client who is being discharged from the hospital
after experiencing complications of diabetes mellitus. The client requires an extensive dressing
change twice per day, help with activities of daily living, and comprehensive education. To ensure
these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is
the nurse assuming by coordinating this client's care?
A) Health educator
B) Case manager
C) Client advocate
D) Health promoter - ANSWER: B
The nurse is discussing follow-up care with a client who is being discharged. The client and his family
cross their arms and state angrily that the care team's suggestions are not acceptable. Which
response by the nurse is appropriate?
A) "We will leave you alone to discuss your options."
B) "We only want what's best for you."
C) "Let's discuss other options that might work well for you and your family."
D) "Perhaps you did not understand the recommendations." - ANSWER: C
The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as
long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
A) Teach the client about nutrition and joint exercises.
B) Ask the client about the reasons for this goal.
C) Tell the client that activity limitations are inevitable with rheumatoid arthritis.
D) Provide referrals to other professionals who can help the client meet this goal. - ANSWER: D
A nurse is working as the designated leader of a group of healthcare providers in a community clinic
setting. The team members are working to decrease the number of adolescent pregnancies in the
community. They have defined the problem and are now focusing on objectives and considering
various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in
order to address the defined problem. Which of the competencies of collaboration does this
describe?
A) Decision making
B) Mutual respect
C) Trust
D) Communication - ANSWER: A
The nurse managers in a community hospital have been charged with reviewing the job descriptions
of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain
client care activities to UAP by nurses. To which group, organization, or individual would the
committee members direct their questions to obtain definitive answers about the parameters of
nurse delegation to UAP?
A) The hospital's Chief Nursing Officer
B) The hospital's Chief Executive Officer
C) The state board of nursing
D) The American Nurses Association - ANSWER: C
A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble
meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When
planning for this client's continued care, who will the nurse notify regarding the client's postdischarge
needs?
, A) The pharmacy
B) The case manager
C) The occupational therapist
D) The physical therapist - ANSWER: B
A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a
strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which
response by the nurse indicates an understanding of the client's position and a willingness to
collaborate regarding the discharge plan?
A) "You are not being cooperative in your plan of care."
B) "This plan of care was ordered by the physician."
C) "Let's talk about your objections and possible solutions or alternatives."
D) "I will ask your family to help convince you that this plan of care is best." - ANSWER: C
A nurse who is caring for an adult client in the intensive care unit (ICU) is given a verbal prescription
by a first-year medical resident. The nurse determines that the best course of action is to check with
the attending healthcare provider before implementing the prescription. What is the most likely
reason why the nurse is experiencing conflict regarding this situation?
A) The resident seems unsure of the prescription.
B) The nurse only takes prescription orders from attending healthcare providers.
C) The nurse does not like first-year residents.
D) The nurse may not trust the resident to make the best care decisions. - ANSWER: D
A community hospital wants to implement a labor—delivery—recovery—postpartum unit to replace
the labor and delivery and mother/baby units. The nurses who work on the mother/baby unit are
concerned they will not be able to care for laboring mothers and may lose their jobs. The nurse
manager for both units supports the plan for an integrated unit, reports that jobs will not be lost, and
involves the team members in the planning process, which includes cross-training all nursing staff.
Based on the information presented, what causes of conflict may occur despite the nurse manager's
effort for a smooth transition? Select all that apply.
A) Mistrust
B) Miscommunication
C) Ambiguous role expectations
D) Resistance to change
E) Ineffective leadership - ANSWER: A,D
A case manager assembles a team of healthcare professionals, including a client's primary healthcare
provider, physical therapist, and social worker, for the purpose of collaborative discharge planning
and decision making. Which type of team did the case manager assemble?
A) Intradisciplinary team
B) Interdisciplinary team
C) Interorganizational team
D) Management team - ANSWER: B
In arranging community services for a client who is diagnosed with schizophrenia, the nurse case
manager discusses options with the assertive community treatment (ACT) team. Which team
disciplines should the nurse expect will be part of the client's ACT interdisciplinary team?
A) Psychiatrists, nurses, social workers, employment counselors
B) Speech pathologists, occupational therapists, nurses, physicians
C) Teachers, school administrators, psychiatrists, nurses
D) Transportation providers, nurses, physicians, social workers - ANSWER: A
A nurse, who works in a clinic environment, places great emphasis on cost control, customer
satisfaction, health promotion, and preventive services. The primary focus of this nurse is
representative of which type of healthcare system?
A) Functional method
B) Client-focused care
Edition By Valerie D. Thompson 9781771721691 Chapter 1-10
Complete Guide .
A home health nurse is planning care for an adult client who is being discharged from the hospital
after experiencing complications of diabetes mellitus. The client requires an extensive dressing
change twice per day, help with activities of daily living, and comprehensive education. To ensure
these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is
the nurse assuming by coordinating this client's care?
A) Health educator
B) Case manager
C) Client advocate
D) Health promoter - ANSWER: B
The nurse is discussing follow-up care with a client who is being discharged. The client and his family
cross their arms and state angrily that the care team's suggestions are not acceptable. Which
response by the nurse is appropriate?
A) "We will leave you alone to discuss your options."
B) "We only want what's best for you."
C) "Let's discuss other options that might work well for you and your family."
D) "Perhaps you did not understand the recommendations." - ANSWER: C
The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as
long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
A) Teach the client about nutrition and joint exercises.
B) Ask the client about the reasons for this goal.
C) Tell the client that activity limitations are inevitable with rheumatoid arthritis.
D) Provide referrals to other professionals who can help the client meet this goal. - ANSWER: D
A nurse is working as the designated leader of a group of healthcare providers in a community clinic
setting. The team members are working to decrease the number of adolescent pregnancies in the
community. They have defined the problem and are now focusing on objectives and considering
various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in
order to address the defined problem. Which of the competencies of collaboration does this
describe?
A) Decision making
B) Mutual respect
C) Trust
D) Communication - ANSWER: A
The nurse managers in a community hospital have been charged with reviewing the job descriptions
of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain
client care activities to UAP by nurses. To which group, organization, or individual would the
committee members direct their questions to obtain definitive answers about the parameters of
nurse delegation to UAP?
A) The hospital's Chief Nursing Officer
B) The hospital's Chief Executive Officer
C) The state board of nursing
D) The American Nurses Association - ANSWER: C
A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble
meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When
planning for this client's continued care, who will the nurse notify regarding the client's postdischarge
needs?
, A) The pharmacy
B) The case manager
C) The occupational therapist
D) The physical therapist - ANSWER: B
A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a
strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which
response by the nurse indicates an understanding of the client's position and a willingness to
collaborate regarding the discharge plan?
A) "You are not being cooperative in your plan of care."
B) "This plan of care was ordered by the physician."
C) "Let's talk about your objections and possible solutions or alternatives."
D) "I will ask your family to help convince you that this plan of care is best." - ANSWER: C
A nurse who is caring for an adult client in the intensive care unit (ICU) is given a verbal prescription
by a first-year medical resident. The nurse determines that the best course of action is to check with
the attending healthcare provider before implementing the prescription. What is the most likely
reason why the nurse is experiencing conflict regarding this situation?
A) The resident seems unsure of the prescription.
B) The nurse only takes prescription orders from attending healthcare providers.
C) The nurse does not like first-year residents.
D) The nurse may not trust the resident to make the best care decisions. - ANSWER: D
A community hospital wants to implement a labor—delivery—recovery—postpartum unit to replace
the labor and delivery and mother/baby units. The nurses who work on the mother/baby unit are
concerned they will not be able to care for laboring mothers and may lose their jobs. The nurse
manager for both units supports the plan for an integrated unit, reports that jobs will not be lost, and
involves the team members in the planning process, which includes cross-training all nursing staff.
Based on the information presented, what causes of conflict may occur despite the nurse manager's
effort for a smooth transition? Select all that apply.
A) Mistrust
B) Miscommunication
C) Ambiguous role expectations
D) Resistance to change
E) Ineffective leadership - ANSWER: A,D
A case manager assembles a team of healthcare professionals, including a client's primary healthcare
provider, physical therapist, and social worker, for the purpose of collaborative discharge planning
and decision making. Which type of team did the case manager assemble?
A) Intradisciplinary team
B) Interdisciplinary team
C) Interorganizational team
D) Management team - ANSWER: B
In arranging community services for a client who is diagnosed with schizophrenia, the nurse case
manager discusses options with the assertive community treatment (ACT) team. Which team
disciplines should the nurse expect will be part of the client's ACT interdisciplinary team?
A) Psychiatrists, nurses, social workers, employment counselors
B) Speech pathologists, occupational therapists, nurses, physicians
C) Teachers, school administrators, psychiatrists, nurses
D) Transportation providers, nurses, physicians, social workers - ANSWER: A
A nurse, who works in a clinic environment, places great emphasis on cost control, customer
satisfaction, health promotion, and preventive services. The primary focus of this nurse is
representative of which type of healthcare system?
A) Functional method
B) Client-focused care
