Deck 5: Ambulatory Health Care
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Deck 5: Ambulatory Health Care
1
Ambulatory care centers include
A) care available 24 hours a day, 7 days a week.
B) care for short-term medical-surgical procedures.
C) services for those unable to provide self-care after a procedure.
D) sleeping accommodations for a family member.
A) care available 24 hours a day, 7 days a week.
B) care for short-term medical-surgical procedures.
C) services for those unable to provide self-care after a procedure.
D) sleeping accommodations for a family member.
care for short-term medical-surgical procedures.
2
The ambulatory care center nurse assures a dubious client that she has been certified as an ambulatory nurse by
A) application to the Accreditation Association for Ambulatory Health Care.
B) membership in the National Committee for Quality Assurance.
C) passing a specialized examination.
D) working as an ambulatory care nurse for 5 years.
A) application to the Accreditation Association for Ambulatory Health Care.
B) membership in the National Committee for Quality Assurance.
C) passing a specialized examination.
D) working as an ambulatory care nurse for 5 years.
passing a specialized examination.
3
In a telephone consultation, the ambulatory care center nurse may
A) assess cardiac or fetal monitoring.
B) decide how soon the client should be seen at the center.
C) give advice based on the nurse's phone assessment.
D) teach a specific procedure based on approved protocols.
A) assess cardiac or fetal monitoring.
B) decide how soon the client should be seen at the center.
C) give advice based on the nurse's phone assessment.
D) teach a specific procedure based on approved protocols.
teach a specific procedure based on approved protocols.
4
The facility that could best represent an ambulatory care center is a
A) home health care agency.
B) hospital with less than 50 beds.
C) rehabilitation center.
D) student health center.
A) home health care agency.
B) hospital with less than 50 beds.
C) rehabilitation center.
D) student health center.
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5
In comparing the ambulatory care setting to an inpatient hospital setting, the nurse- instructor is correct in stating that the ambulatory care setting
A) has had so many cost increases that a visit is just as costly as the hospital.
B) is already in decline and offers limited employment opportunities.
C) may create a feeling of greater stress to the client than a hospital setting.
D) provides an environment where the client is less at risk for nosocomial infection.
A) has had so many cost increases that a visit is just as costly as the hospital.
B) is already in decline and offers limited employment opportunities.
C) may create a feeling of greater stress to the client than a hospital setting.
D) provides an environment where the client is less at risk for nosocomial infection.
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6
The purpose of the mutual recognition model (MRM), implemented through an interstate contract, is to
A) ensure an increasing supply of nurses entering the work force.
B) monitor the number of nurses working in more than one field of specialty.
C) provide educational incentives for nurses to continue working full-time.
D) reduce barriers to interstate nursing practice.
A) ensure an increasing supply of nurses entering the work force.
B) monitor the number of nurses working in more than one field of specialty.
C) provide educational incentives for nurses to continue working full-time.
D) reduce barriers to interstate nursing practice.
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7
The nurse explains that to work at an independent, nurse-supervised ambulatory care center, there is a minimum requirement of a(n)
A) associate degree.
B) bachelor's degree.
C) LVN/LPN.
D) master's degree.
A) associate degree.
B) bachelor's degree.
C) LVN/LPN.
D) master's degree.
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8
The nurse instructor describes an integrated delivery system and cites the example of
A) a hospital's alignment with several physician groups to increase hospital referral.
B) an outpatient clinic in the hospital.
C) enrollees of the system being "locked" into the system of care for services.
D) providers concerned about generating revenue.
A) a hospital's alignment with several physician groups to increase hospital referral.
B) an outpatient clinic in the hospital.
C) enrollees of the system being "locked" into the system of care for services.
D) providers concerned about generating revenue.
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9
The nurse contacts a client by follow-up telephone call after the client's visit to an ambulatory care center. The client who would benefit most from this intervention
A) has undergone cast removal.
B) has undergone same-day surgery.
C) is having blood pressure monitored.
D) is having blood sugar monitored.
A) has undergone cast removal.
B) has undergone same-day surgery.
C) is having blood pressure monitored.
D) is having blood sugar monitored.
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10
After each telehealth communication the nurse should
A) immediately document the content of the call in the client's record.
B) inform the physician of the information or teaching given.
C) schedule a later call to check on the client's progress.
D) send the client a written form of the pertinent information.
A) immediately document the content of the call in the client's record.
B) inform the physician of the information or teaching given.
C) schedule a later call to check on the client's progress.
D) send the client a written form of the pertinent information.
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11
One challenge for nurses working in ambulatory care centers is
A) clients give overall responsibility for self-care to the center.
B) duties are rigidly defined within the interdisciplinary team.
C) length of client visit is short, reducing assessment time.
D) use of telephones and computers eases assessment potential.
A) clients give overall responsibility for self-care to the center.
B) duties are rigidly defined within the interdisciplinary team.
C) length of client visit is short, reducing assessment time.
D) use of telephones and computers eases assessment potential.
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12
A nurse working in an ambulatory care setting would provide secondary prevention activities such as
A) carrying out hypertension screening.
B) giving instructions after minor surgery.
C) providing cardiac rehabilitation.
D) teaching young adults the benefits of good nutrition.
A) carrying out hypertension screening.
B) giving instructions after minor surgery.
C) providing cardiac rehabilitation.
D) teaching young adults the benefits of good nutrition.
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13
The nurse manager of an ambulatory care center assesses the center for environmental hazards to comply with guidelines of both the local state health department and the
A) Ambulatory Care Nursing Administration and Practice.
B) American Nurse's Credentialing Center.
C) Nurse Practice Act.
D) Occupational Safety and Health Administration.
A) Ambulatory Care Nursing Administration and Practice.
B) American Nurse's Credentialing Center.
C) Nurse Practice Act.
D) Occupational Safety and Health Administration.
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14
Ambulatory care nursing is an emerging field of nursing practice in which the nurse
A) deals with clients who are ambulatory and able to walk into the clinic.
B) is part of an interdisciplinary team offering primary, secondary, and tertiary care.
C) offers an integrated system of care to persons within walking distance of the clinic.
D) works only with clients who are not acutely ill.
A) deals with clients who are ambulatory and able to walk into the clinic.
B) is part of an interdisciplinary team offering primary, secondary, and tertiary care.
C) offers an integrated system of care to persons within walking distance of the clinic.
D) works only with clients who are not acutely ill.
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15
The facility least suited to the provision of primary health care is a(n)
A) ambulatory care center.
B) emergency department.
C) HMO.
D) hospital outpatient clinic.
A) ambulatory care center.
B) emergency department.
C) HMO.
D) hospital outpatient clinic.
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16
An ambulatory care center nurse who is counseling a young client with sickle cell anemia can best access evidence-based practice (EBP) guidelines from
A) consulting current nursing texts or journals.
B) integrated hospital care plans and protocols.
C) the Occupational Safety and Health Administration (OSHA).
D) the Agency for Healthcare Research and Quality (AHRQ).
A) consulting current nursing texts or journals.
B) integrated hospital care plans and protocols.
C) the Occupational Safety and Health Administration (OSHA).
D) the Agency for Healthcare Research and Quality (AHRQ).
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17
A health care service that provides a defined population with a stated range of services through prepayment of an annual or monthly capitation fee is a(n)
A) health maintenance organization (HMO).
B) nurse-managed ambulatory center.
C) outpatient service of a community hospital.
D) preferred provider organization (PPO).
A) health maintenance organization (HMO).
B) nurse-managed ambulatory center.
C) outpatient service of a community hospital.
D) preferred provider organization (PPO).
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18
The nurse-manager explains to a new nurse at the ambulatory clinic that the service for which the telephone nursing practice is not feasible is
A) assessing a client's needs based on the nurse's perception.
B) developing a collaborative plan of care with a client.
C) evaluating outcomes of practice and care.
D) prioritizing the urgency of a client's needs.
A) assessing a client's needs based on the nurse's perception.
B) developing a collaborative plan of care with a client.
C) evaluating outcomes of practice and care.
D) prioritizing the urgency of a client's needs.
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19
When considering culture as the nurse is designing health plans for clients, the ambulatory care center nurse will consider least the cultural concept of
A) making food modifications culturally appropriate.
B) recognizing that cultural family roles may be rigidly defined.
C) reflecting on research data describing culturally motivated responses.
D) understanding that some cultures reject female authority.
A) making food modifications culturally appropriate.
B) recognizing that cultural family roles may be rigidly defined.
C) reflecting on research data describing culturally motivated responses.
D) understanding that some cultures reject female authority.
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20
The nurse who is seeking legal guidance in delegating assignments to assist workers in an ambulatory care setting would best consult
A) agency protocols.
B) recently published texts.
C) the agency's legal counsel.
D) the state nurse practice act.
A) agency protocols.
B) recently published texts.
C) the agency's legal counsel.
D) the state nurse practice act.
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