QUESTIONS AND DETAILED ANSWERS
RATIONALES 2023-2024 UPDATE ALREADY A D D D D
GRADE WITH COMPLETE SOLUTION
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1) A nurse manager is developing strategies to care for the increasing
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numberof clients who have obesity. Which of the following actions should the
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nurse include as a primary health care strategy?
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A. Collaborating with providers to perform obesity screenings during routine
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office visits
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B. Ensuring the availability of specialized beds in rehabilitation centers for
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clients who have obesity
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C. Providing specialized intraoperative training in surgical treatments for obesity
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D. Educating acute care nurses about postoperative complications related
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to obesity - ANSWER- A
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RATIONALE: identify obesity screenings at office visit as an example of
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primary healthcare. primary healthcare emphasizes health promotion and disease
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control, is often delivered during office visit, and includes screenings.
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Ch. 1) A nurse is discussing restorative health care with a newly licensed
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nurse. Which of the following examples should the nurse include in the
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teaching? (Select all that apply.)
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A. Home health care D D
B. Rehabilitation facilities D
C. Diagnostic centers D
,D. Skilled nursing facilities
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E. Oncology centers - ANSWER- A, B, D
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RATIONALE:: A. Restorative health care involves immediate follow up care
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for restoring health and prolonged self-care home healthcare is a type of
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restorative healthcare
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B. Rehabilitation facilities are a type of restorative health care
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D. Skilled nursing facilities are a type of restorative healthcare
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Ch. 1) A nurse is explaining the various types of health clients might have to a
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group care coverage of nurses. Which of the following health care financing
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mechanisms should the nurse include as federally funded? (Select all that
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apply.)
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A. Preferred provider organization (PPO)
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B. Medicare
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C. Long-term care insurance
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D. Exclusive provider organization (EPO) E. Medicaid - ANSWER- B, E
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RATIONALE: Medicare and Medicaid are federally funded.
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PPOs, Long-term care insurance and EPOs are privately funded
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Ch. 1) A nurse is discussing the purpose of regulatory agencies during a staff
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meeting. Which of the following tasks should the nurse identify as the
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responsibility of state licensing boards?
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A. Monitoring evidence-based practice for clients who have a specific diagnosis
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B. Ensuring that health care providers comply with regulations
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C. Setting quality standards for accreditation of health care facilities
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,D. Determining whether medications are safe for administration to clients
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- ANSWER- B
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RATIONALE:: identify that state licensing boards are responsible for ensuring
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that healthcare providers and agencies comply with state regulations.
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Ch. 1) A nurse is explaining the various levels of health care services to a
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group of newly licensed nurses. Which of the following examples of care or
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care settings should the nurse classify as tertiary care? (Select all that apply)
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A. Intensive care unit D D
B. Oncology treatment center D D
C. Burn center D
D. Cardiac rehabilitation D
E. Home health care - ANSWER- A, B, C
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RATIONALE:: tertiary healthcare involves the provision of specialized and highly
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technical care (icu, oncology treatment center, and burn centers)
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Ch. 2) A nurse is caring for a group of clients on a medical-surgical unit. For
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which of the following client care needs should the nurse initiate a referral for a
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social worker? (Select all that apply.)
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A. A client who has terminal cancer requests hospice care in the home.
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B. A client asks about community resources available for older adults.
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C. A client states, "I would like to have my child baptized before surgery."
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D. A client requests an electric wheelchair for use after discharge.
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E. A client states, "I do not understand how to use a nebulizer." - ANSWER- A,
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B, D
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, RATIONALE: A. initiate a referral for a social worker to provide information
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and assistance in
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coordinating hospice care for a patient
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B. Initiate a referral for a social worker to provide information and assistance in
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coordinating care for community resources available for clients
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D. Initiate a referral for a social worker to assist the client in obtaining medical
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equipment for use after discharge
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Ch. 2) A goal for a client who has difficulty with self-feeding due to
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rheumatoid arthritis is to use adaptive devices. The nurse caring for the client
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should initiate a referral to which of the following members of the
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interprofessional care team?
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A. Social worker D
B. Certified nursing assistant
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C. Registered dietitian D
D. Occupational therapist - ANSWER- D D D D D
RATIONALE: an occupational therapist can assist clients who have physical
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challenges to use adaptive devices and strategies to help with self-care activities
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Ch. 2) A client who is postoperative following knee arthroplasty is concerned
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about the adverse effects of the medication prescribed for pain management.
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Which of the following members of the interprofessional care team can assist
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the client in understanding the medication's effects? (Select all that apply.)
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A. Provider
B. Certified nursing assistant
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C. Pharmacist
D. Registered nurse D