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chapter 11
| Question | Answer |
|---|---|
| A nurse would like to work in a mental health center. The nurse should work to strengthen which skills prior to applying for this position? Select all that apply. | Communication Counseling Referral |
| When conducting an education program for a group preparing for retirement, the nurse would include information about applying for Social Security benefits and Medicare insurance. The nurse would include in the education that Medicare is a federally funded | A prospective payment plan based on a predetermined fixed cost |
| The nurse must understand that Medicare is a | federal insurance program for older adults. It is based on a prospective payment plan that pays a predetermined fixed amount for in-hospital costs. |
| Which refers to a person's ability to find and to receive care from a health care provider? | Access to health care |
| The growth in home health care is largely attributed to which factor | Early discharge of clients from the hospital setting |
| Home health care is one of the most rapidly growing areas of the health care system. | The prospective payment system of reimbursement encourages early discharge from the hospital and has created a new, acutely ill population that needs skilled nursing care at home |
| Which is the main focus of care for a school nurse? | Community care |
| A nurse recommends palliative care for a client who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care | Relief from physical, mental, and spiritual distress |
| A hospitalized client with advanced metastatic lung cancer states, “I want to go home. I don’t have much time left. I want to be with my family.” Which type of care referral by the nurse is most appropriate? | Hospice |
| During a home care visit to a home-bound older client, the client's spouse, who is the caregiver, verbalizes anger, fatigue, and sleeplessness. Which recommendations by the nurse would be most effective in relieving caregiver role strain? | Respite care |
| only respite care | directly provides the spouse with a break from caregiving dutie |
| client has a complex medical history related to the consequences of diabetes. As a result of having diabetic nephropathy, the client now participates in the local hospital's dialysis program and has been referred to an ophthalmologist by the primary | Fragmentation of care |
| Fragmentation of care | occurs when multiple, specialized practitioners are involved in various aspects of a complex client's care. |