Online Practice Test 6

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 6 > NCLEX® Review Date/Time Submitted: July 5, 2012 at 1:53 AM (UTC/GMT)

Summary of Results 27% Correct of 15 Scored items: 4 Correct:  27% 11 Incorrect:  73% More information about scoring

1.		A nurse is considering working in a hospice setting. The nurse should understand that the primary function of the nurse in a hospice setting is which of the following? Your Answer: Providing client care in a home setting Correct Answer: Acting as a case manager
		Objective: Identify the roles of various health care professionals. Rationale: Hospice nurses serve primarily as case managers, supervising direct care provided by other members of the team. The other choices are some of the functions of the hospice nurse, but are not the primary function. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends
2.		Which fact should take priority when projecting future care for the frail elderly, people over age 85? Your Answer: They want to feel productive. Correct Answer: Ninety-five percent will live in their own homes.
		Objective: Describe the factors that affect health care delivery. Rationale: The frail elderly are projected to be the fastest-growing population in the United States. Only 5 percent are institutionalized, so the nurse must plan for home management of this population. The other choices are important, but home care needs must override any of the other facts. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge of practice, issues, and trends
3.		Which statement regarding the women's movement is most accurate? Your Answer: It has directed research examining women equally to men in health issues. Correct Answer: It has been instrumental in changing health care practices.
		Objective: Describe the factors that affect health care delivery. Rationale: The women's movement has been instrumental in changing health care practices. It is only now beginning to increase research regarding equality to men in health issues. The movement has increased emphasis on psychosocial aspects of women's health. It has changed the focus away from just the reproductive aspects of health. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends
4.		As demographic changes take place in North America, what are agencies doing to try to meet the challenges of these changes? Your Answer: They are implementing managed care programs. Correct Answer: Agencies are employing bilingual nurses.
		Objective: Describe the functions and purposes of the heath care agencies outlined in this chapter. Rationale: Agencies are employing bilingual nurses after recognizing the cultural and ethnic diversity in North America. Managed care is increasing, but is not a result of demographic changes in North America. There is limited access to health care for the homeless and poor. Although childcare needs are increasing, there is not increased emphasis on these needs due to demographic changes. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends
5.		Which medical condition would best be suited to the use of a nursing critical pathway? Your Answer: Fever of unknown origin Correct Answer: Hip replacement surgery
		Objective: Differentiate health care services based on primary, secondary, and tertiary disease prevention categories. Rationale: A critical pathway tracks the client's progress through assessment, interventions, treatments, and outcomes for conditions across a time line. Hip replacement surgery would have a specified time line, with specific interventions and treatments to get the client back to optimal functioning. The others do not have specific interventions and treatments to be able to track. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and process of elimination.
6.		What type of unit would the nurse be working on if the unit were self-contained, with multiskilled workers? Your Answer: Patient-focused unit
		Objective: Identify the roles of various health care professionals. Rationale: A patient-focused unit is self-contained, with its own admitting, pharmacy, lab, and radiology areas. Workers are crossed-trained, and perform multiple tasks. The other types of units are not self-contained. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends.
7.		Which statement best describes the federal Medicaid program? Your Answer: It is public assistance paid for out of general taxes.
		Objective: Compare various systems of payment for health care services. Rationale: Medicaid is a public assistance program of the federal government that is paid for out of general taxes. The other answers are specific to Medicare. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge of practice, issues, and trends.
8.		Which would be an example of tertiary health care? Your Answer: Care of the dying
		Objective: Differentiate health services based on primary, secondary, and tertiary disease prevention categories. Rationale: Tertiary health care involves rehabilitation and health restoration. The others are examples of primary and secondary health care. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends
9.		What governs payment under the prospective payment system? Your Answer: The length of the client's stay in the hospital Correct Answer: The record of admission
		Objective: Compare various systems of payment for health care categories. Rationale: The prospective payment system, with diagnosis-related groups (DRGs), is determined prior to hospital admission and is based on specific diagnosis. Therefore, the record of admission is the guiding force behind payment. The other answers do not govern payment. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends.
10.		A client belongs to a health maintenance organization. Which statement by the client indicates a misunderstanding about this system? Your Answer: "I will share in any surplus money in the HMO at the end of the year." Correct Answer: "I will pay a set fee for services."
		Objective: Compare various systems of payment for health care services. Rationale: Members of an HMO choose one primary care provider that directs their care, and they pay a set fee for the services provided. The other answers represent other types of group plans. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues, and trends
11.		A nurse working in an urban clinic has noticed an increase in tuberculosis among the clients. The nurse knows: Your Answer: The poor wait until the last minute for treatment. Correct Answer: Low income is inversely related to a higher infectious disease rates.
		This is an assumption not based on fact. Objective: Differentiate health care services based on primary, secondary, and tertiary disease prevention categories. Rationale: Low income is associated with higher incidences of infectious diseases such as tuberculosis and AIDS. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Planning Strategy: Use nursing knowledge of practice, issues, and trends
12.		The nurse plans for the discharge of an elderly client with angina associate with coronary artery disease. The client discloses that they live on the fifth floor of an apartment complex that does not have an elevator. The nurse decides to contact which member of the health care team? Your Answer: Occupational therapist Correct Answer: Social Worker
		Objective: Describe the functions and purposes of the health care agencies outlined in this chapter. Rationale: The health care team is composed of nurses, physicians, case managers, dentists, dietitians, occupational therapists, paramedical technologists, pharmacists, physical therapists, podiatrists, physician assistants, respiratory therapists, social workers, spiritual support persons, and unlicensed assistive personnel. Each specialty has an important role in assisting the client to become more independent. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge of practice, issues, and trends
13.		A teenage client confides in the nurse that they are having suicidal thoughts. The nurse quickly refers the teenager to: Your Answer: Rehabilitation Centers Correct Answer: Crisis Center
		Objective: Identify the roles of various health care professionals. Rationale: There are several outpatient services available to assist in emergency situations. Crisis centers are designed to provide emergency counseling services to help individuals cope with an immediate crisis. Long term counseling can be recommended by the primary care provider. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
14.		A client has had a total hip replacement and is ready to leave the hospital. The next logical step for the client would be discharge to: Your Answer: Home care Correct Answer: Rehabilitation setting
		Objective: Describe the functions and purposes of the health care agencies outlined in this chapter. Rationale: Primary prevention focuses on health promotion and illness prevention. Secondary prevention focuses on diagnosis and treatment, whereas, tertiary prevention correlates to rehabilitation services. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use knowledge of nursing process
15.		A client of Asian descent was admitted to the hospital with a fever and rash. When questioning the client about his medical history, the nurse knows to ask questions about:  Your Answer: Herbal or alternative therapies used
		Objective: Differentiate health care services based on primary, secondary, and tertiary disease prevention categories. Rationale: Non traditional health providers are playing increasing roles in health care. Therapies such as herbal, acupuncture, and holistic remedies can be used in conjunction with Western therapies. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Comprehension Strategy: Use nursing knowledge of practice, issues, and trends.