Deck 6: Acute Health Care

Question 1

The prepayment plan developed in 1929 is

A) Blue Cross Health Insurance.
B) Medicare Insurance.
C) Medicaid Insurance.
D) Health Maintenance Organization.

Answer 1

Blue Cross Health Insurance.

Question 2

An applicant was denied employment with a health care agency because she is a recovering alcoholic. This action by the agency violates the

A) Age Discrimination and Employment Act.
B) Americans with Disabilities Act.
C) Civil Rights Act.
D) Occupational Safety and Health Act.

Answer 2

Americans with Disabilities Act.

Question 3

The nurse who is delegating care to unlicensed assistive personnel should keep in mind that most of these workers have an educational background consisting of

A) completion of high school.
B) less than 1 year of college.
C) more than 1 year of college.
D) on-the-job experience.

Answer 3

on-the-job experience.

Question 4

When unit staffing includes unlicensed assistive personnel, the nurse is aware that

A) delegating tasks to unlicensed assistive personnel is not in the scope of RN practice.
B) licensed personnel are accountable for the tasks delegated to the unlicensed personnel.
C) unlicensed assistive personnel do not have clinical duties on a client care unit.
D) unlicensed assistive personnel have formal training and function independently.

Question 5

When a nurse is able to work effectively in more than one care area (e.g., general medical-surgical, and cardiac care unit), the nurse is said to be

A) cross-trained.
B) flexibly assigned.
C) nursing intense.
D) skill mixed.

Question 6

Using a nursing intensity classification system, the nurse manager assesses that the client requiring the greatest amount of care is the

A) 24-year-old with a 3-day-old fractured femur in Russell's traction.
B) 37-year-old in isolation for hepatitis who is vomiting.
C) 42-year-old 1 day after a craniotomy.
D) 76-year-old 4 days after a cerebrovascular accident (CVA) who is comatose.

Question 7

A planned program of loss prevention and liability control best defines

A) client satisfaction.
B) clinical pathway.
C) quality assurance.
D) risk management.

Question 8

A registered nurse (RN) seeking work in a voluntary health agency would choose a

A) church-affiliated hospital.
B) proprietary hospital.
C) state university hospital.
D) veterans administration (VA) hospital.

Question 9

A client injured in an automobile accident is now stable but permanently ventilator-dependent and has little potential for further improvement. The client is to be transferred to post-acute care services. The nurse manager recommends a

A) general medical-surgical unit.
B) long-term care unit.
C) rehabilitation unit.
D) transitional unit.

Question 10

A client experiences chest pain with electrocardiographic changes during an appointment with the primary care physician, and the physician orders hospital admission for cardiac monitoring. This type of admission is a(n)

A) elective admission.
B) emergency admission.
C) direct admission.
D) scheduled admission.

Question 11

A client for whom the nurse would provide post-acute care is the

A) 38-year-old following cesarean birth.
B) 40-year-old recovering from kidney stone removal.
C) 60-year-old receiving a regulated regimen of anti-hypertensive medication.
D) 76-year-old needing rehabilitation after cardiac surgery.

Question 12

A registered nurse (RN) is considering delegating some tasks to unlicensed assistive personnel (UAP). Which of the following things should the nurse consider when making this decision? (Select all that apply.)

A) Does the task have exact, unchanging directions?
B) Does the UAP want to do the task?
C) Is an RN or other licensed personnel required to do this task?
D) Is the UAP competent to perform this task?
E) Is there a licensed provider, such as an RN, available to supervise?

Question 13

While administering an antibiotic to a client with an infection, the nurse explains the importance of completing the full course of antibiotic therapy. This is an example of

A) formal education.
B) giving advice.
C) informal education.
D) setting an example.

Question 14

A hospital staff nurse is collaborating with a nurse case manager in planning the care of a client with a below-the-knee amputation. The primary role of the case manager is

A) client education on specialized care.
B) coordination of care for the client.
C) direct care of the client's medical problems.
D) education of the staff nurse.