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A nurse is discussing the purpose of regulatory agencies during a staff meet
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ing. Which of the following tasks should the nurse identify as the responsib
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ility of state licensing boards?
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Ensuring that health care providers comply with regulations
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A nurse is explaining the various types of health care coverage clients might
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mhave to a group of nurses. Which of the following health care financing me
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chanisms should the nurse include as federally funded?
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Medicare and Medicaid m m
A nurse manager is developing strategies to care for the increasing number o
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f clients who have obesity. Which of the following actions should the nurse in
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clude as a primary health care strategy?
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Collaborating with providers to perform obesity screenings during routine office vis
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its
A nurse is explaining the various levels of health care services to a group of
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newly licensed nurses. Which of the following examples of care or care setti
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ngs should the nurse classify as tertiary care?
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Intensive care unit, oncology treatment center, and burn center
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A nurse is discussing restorative health care with a newly licensed nurse.
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Which of the following examples should the nurse include in the teaching?
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Home health care, rehabilitation facilities, and skilled nursing facilities
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A nurse provides an introduction to a client as the first step of a comprehe
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nsive physical examination. Which of the following strategies should the nu
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rse use with this client?
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Use a mix of open and closed ended questions, reduce environmental noise, and perform t
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he general surgery before the examination
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,A nurse is preparing to perform a comprehensive physical examination of
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an older adult client. Which of the following interventions should the nurse
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use in consideration of the client's age?
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Plan to allow plenty of time for position changes, make sure the client has any essent
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ial sensory aids in place, tell the client to take their time answering questions, and
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minvite the client to use the bathroom before beginning the examination
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A nurse in a provider's office is performing a physical examination of an
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adult client. Which part of the hands should the nurse use during palpitation f
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or optimal assessment of skin temperature?
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Dorsal surface m
A nurse is obtaining a health history for a client's comprehensive physical e
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xamination. After inspecting the client's abdomen, which of the following ski
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lls of the physical examination process should the nurse perform next? Ausc
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ultation
Licensed Providers Regi m m
stered Nurses Licensed Pr m m m
actical Nurses Advanced Pra
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ctice Nurses Medical Docto
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rs Pharmacists
m
Dentists Dietiti m
ans
Physical, respiratory, and occupational therapists
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What are some regulatory agencies in nursing?
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U.S. Department of Health and Human Services
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U.S. Food and Drug Administration (FDA) Sta
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te and local public health agencies
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What do State Licensing Boards ensure?
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,that health care providers and agencies comply with state regulations
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What does the Joint Commission do?
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Sets quality standards for accreditation of health care facilities What
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does the Professional Standards Review Organizations do? monit
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or health care services provided
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What do Utilization Review Committees do?
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monitor for appropriate diagnosis and treatment of hospitalized clients
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What is Medicare? m m
Is a publicly federally funded program for clients 65 years of age or older and those
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mwho have permanent disabilities
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What is Medicare part A?
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insurance for hospital stays, home health, and hospice
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What is Medicare part B?
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Insurance for outpatient and provider services; voluntary and requires a monthly prem
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ium
What is Medicare part C?
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Medical advantage or supplement plan (covers parts A and B, and sometimes D)
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What is Medicare part D?
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Medication coverage for those eligible and requires a monthly premium
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What is Medicaid? m m
a public federally funded program for clients who have low incomes (federally and state
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funded, individual states determine eligibility requirements)
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What is The Patient Protection and Affordable Care Act?
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a federal statute aimed at increasing access to health care for all individuals and in
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stituting an individual mandate for health insurance (decreases health care cost)
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What is State Children's Health Insurance Program?
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coverage for uninsured children up to age 19 at low cost to parents
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What are Social Determinants of Health (SDOH)?
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factors within the environment where a client lives that affect their health
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, What are the six categories of the SDOH?
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Neighborhood and built environment, social and community context, economic sta
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bility, food and nutrition, health and healthcare, and education
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What is the role of the nurse?
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advocate for improved access to health care services, perform individual risk as
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sessments, identify systems that support access to healthcare, identify and disc
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uss ethical issues that may affect an individual's access to healthcare, and partic
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ipate in policy development
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What is the goal of a primary health care system?
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to make comprehensive health care available and in close proximity to those who n
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eed it, with flexible cost to accommodate income variations for those who use ser
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vices
What are some barriers to health care?
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No health care insurance, inability to pay for services, language barriers, cultural barri
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ers, and lack of transportation
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What is Primary Prevention (intervention)?
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advocate for the availability of healthcare services, provide education on how to red
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uce environmental hazards, provide education about healthy nutrition and exercis
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e, provide education about immunization programs, and educate about proper hyg
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iene techniques m
What is Secondary Prevention (intervention)?
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perform environmental and cultural health assessments, and implement screenin
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g techniques to delay effects of advanced illness
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What is Tertiary Prevention (intervention)?
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assist in obtaining public transportation for clients, and provide resources for state
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and federally funded insurance programs
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What does Preventative Health Care focus on?
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educating and equipping clients to reduce and control risk factors for disease (ex. p
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rograms that promote immunization, stress management, occupational health, an
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d seat belt use)
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