Looking for Quiz 7 :
Community Nursing and Care Continuity
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When performing collaborative health care, the nurse must implement which of the following?
1) Assume a leadership role in directing the health care team.
2) Rely on the expertise of other health care team members.
3) Be physically present for the implementation of all aspects of the care plan.
4) Delegate decision-making authority to each health care provider.
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A collaborative health care is when several health care providers work in groups along with patients/clients, their caregivers, families, and communities in order to give high quality care. It requires the engagement of any health care provider, whose expertise can help in the improvement of the patient's health.
When performing collaborative care the nurse cannot take over leadership, and dictate her own terms of health care. The nurse cannot be there just physically. The decision making authority is also not provided to all health care providers.
Hence, the options 1, 3 and 4 are incorrect.
While performing a collaborative nursing intervention, the help of an expert health care provider is of utmost importance. The nurse must allow the expert personnel to implement any of the nursing interventions.
Hence, the correct answer is option
.
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A large disaster in a community resulted in the destruction of many family homes and many individuals were injured. The assistance of community health nurses and home health nurses is needed. The home health nurse is most likely to perform which of the following?
1) Provide for a safe water supply.
2) Monitor for communicable diseases.
3) Establish communication and support systems.
4) Assess and treat individual clients.
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Multiple Choice
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The health care industry has evolved with time. With increasing health cost, technology advancement, advanced client acuity, and easy access to good health care has made the health care industry advanced. Once, considered impossible care at home for critical patient is also possible now.
During a mass destruction, the nurses are not required to provide water supply. That is the job of another sector. A nurse is also not required to establish communication, as this will be looked after by the cops. During a mass destruction, mostly, people are inflicted with injuries that are not communicable, so the nurse need not worry about monitoring communicable diseases.
Hence, the options 1, 2 and 3 are incorrect.
During mass calamity or destruction, a nurse is required to attend to the injured individuals, and carry out lifesaving treatment. A nurse is a health care provider, and should be able to provide first aid to the injured.
Hence, the correct answer is option
.
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Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called "drive-through (or 24-hour) mastectomies" in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA's Health System Reform Agenda (ANA, 2008) states that (a) health care should be provided ln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person's ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
Which of the three agenda items listed do you consider the most important and why?
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The ANA's (American nurses association) Health System Reform Agenda clearly states that healthcare should provide follow-up care to the clients in the first point of the agenda. It also states that the hospital should respect client and his family. Three agenda items of ANA are as follows:
1. Health care should be provided in settings which give follow-up care and treatment at a reasonable price.
2. Healthcare should be available during convenient hours at every location to the clients with accommodation facility to the family. People with disabilities are ought to be provided services for the whole lifespan.
3. Healthcare should be culturally respectful and appropriate of clients and their families. They should involve the client in the decision making.
Out of these 3, the second agenda is most important in the current world. Developed countries have better healthcare services and facilities in comparison to the developing countries.
However, there is still scope of improvement. Developing countries have a poor healthcare infrastructure and the shortage of medicines, physicians and other basic needs of healthcare are still exist there.
The first agenda is related to the cost of the treatment provided. People have right to the reasonably priced healthcare. Many of the current medicines and treatment are so expensive due to high manufacturing and research cost.
Above all, pharmaceutical companies, biomedical instrument manufacturers, and private healthcare institutes are indulge in heavy profit-making. Therefore, ensuring the cost-effective healthcare is important too.
Healthcare system should take into minds the cultural, religious and psychological differences of the clients and their relatives. They must be provided with the accommodation facility and if possible, their doubts should be cleared. The client should be involved in the decision-making related his health care and treatments.
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Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called "drive-through (or 24-hour) mastectomies" in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA's Health System Reform Agenda (ANA, 2008) states that (a) health care should be provided ln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person's ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How does the mastectomy clinical example reflect or not reflect the agenda?
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Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called "drive-through (or 24-hour) mastectomies" in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA's Health System Reform Agenda (ANA, 2008) states that (a) health care should be provided ln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person's ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How might different community-based frameworks manage the clinical example?
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The nurse concludes that effective discharge planning (hospital to home) has been conducted when the client states which of the following?
1) "As soon as I get home, the nurse will come out, look at where I live, and see what kind of care I will need."
2) "All I need are my medications and a ride home. Then I'm all ready for discharge."
3) "When I visit my doctor in 10 days, they will show me how to change my bandages."
4) "I have the phone numbers of the home care nurse and the therapist who will visit me at home tomorrow."
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Which of the following is characteristic of nursing care provided in community-based health?
1) Clients are primarily those with identified illnesses.
2) Clients are individuals in groups according to their geographic commonalities.
3) Care is paid for by the community as a whole rather than by individuals.
4) All clients are case managed.
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The Pew Commission competencies for future practitioners included the need for providers to become skilled in which of the following?
1) Use of technology
2) Emphasizing practice in tertiary settings
3) Traditional clinical approaches
4) Making decisions for incompetent clients
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The ANA's Health System Reform Agenda (2008) included which of the following?
1) Primary health care should be based in acute care hospitals.
2) A minimum standard of health care for all persons should be paid for completely with public funds.
3) Case management should be focused on clients with enduring health care needs.
4) Essential services should be initiated simultaneously to avoid gaps.
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Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called "drive-through (or 24-hour) mastectomies" in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA's Health System Reform Agenda (ANA, 2008) states that (a) health care should be provided ln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person's ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How would the nurse use collaboration with insurance payers, women, or surgeons to resolve any concerns with the clinical example?
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