concepts final
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| The nurse is very observant of patient behavior because he recognizes that all behavior has meaning and is... | learned
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| An example of a public sector health care agency supported primarily by U.S. taxpayer dollars is the | U.S. Public Health Service.
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| An example of a voluntary health agency that is focused on research and education of the public is | the American Heart Association.
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| Accountability of private health care agencies is to the | . owners of the agency.
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| A patient asks the nurse, “What do health maintenance organizations (HMOs) do to reduce health care costs?” The response giving the best example of an HMO cost-containment method would be, “HMOs | d. provide services aimed at keeping members healthy.”
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| . A trend in health care that may negatively impact the number of practical nurses hired by an agency is | the increased use of unlicensed assistive personnel.
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| Knowing that Alcoholics Anonymous is a non-profit group that receives no taxpayer monies and is aimed at meeting the needs of a selected population segment would help the nurse classify it as a | voluntary agency.
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| After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. The best answer would be, | It will help you get back most, if not all of the function of your hand and will prevent further disability.”
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| The nurse explains that the individual who perceives a threat to self may experience a universal emotion of | anxiety
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| The nurse understands that the patient is seeking ways to deal with stress and resolve it when the nurse assesses | adaptation
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| A nurse is asked, “What does it mean if a health care agency is described as ‘proprietary’?” The nurse should respond, “It | operates for profit.”
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| A patient tells the nurse, “I was treated for an asthma attack at a free-standing ambulatory services center.” The nurse correctly identifies the treatment as taking place at a(n) | urgent care center.
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| Custodial care includes which of the following? | Getting in and out of bed
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| The Veteran's Administration hospitals are which type of hospitals? | Public hospitals
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| Which of the following is considered a private health care agency? | Family practice physicians
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| Which of the following types of health care delivery provides 8 hours of care per day, but does not always have licensed nurses available? | Intermittent/Intermediate care nursing home
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| Which of the following services focuses on the family and client's environment as well as restoring health? | Home health nursing
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| A 75-year-old man suffered a stroke with right extremity weakness and dysphasia and was acutely hospitalized for 4 days. The most appropriate discharge plan for this client would be to which setting? | A rehabilitation unit
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| Under the supervision of a registered nurse and in compliance with state regulations, a licensed practical nurse (LPN) may do which of the following in the home health setting? | Catheter care and ostomy care
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| In order to track a client’s progress, case management and managed care systems often use | Critical Pathways
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| When the nurse is asked by a patient, “Why is it necessary to have deductibles and copayments when I already have health insurance?” The best response would be, “They | prevent health care agencies from having huge deficits associated with uncompensated care.”
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| Medicare Part A does not pay for which of the following services | Twenty days post-hospitalization skilled nursing facility care for rehabilitation
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| Medicare Part B does not cover which of the following services? | Routine physicals = COVERS DOCTOR VISITS BUT NOT PHYSICALS
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| A benefit of asking and requiring nursing staff to work beyond a 12-hour shift to provide client coverage during the nursing shortage is which of the following? | Covers a staffing need caused by absences or increased client census
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| types of health care agencies in which the LPN would most likely find work | skilled nursing facility; hospice
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| A nurse is asked about public health care agencies. Which options below would help the nurse frame a comprehensive response? Public health agencies | are of two types: official and voluntary. ; emphasize disease prevention, wellness promotion, research, and education.
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| A student nurse asked to identify the types of services currently provided in the U.S. health care delivery system, should mention | 2. health promotion.
3. diagnosis and treatment.
4. illness prevention.
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| a. the amount one must pay at time of visit, hospital visit, prescription | Copayment
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| b. once a deductible is met, percentage of total bill paid by insurance company | Co insurance
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| a traditional method of payment- paid for each service they provide | Fee for service
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| d. a set of monthly fee charged by the provider of health care services for each member of the group | Capitation
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| e. yearly amount insured person must spend out of pocket for health care services before a policy will begin to pay | deductibles
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| f. a licensed health care person, whose health care services are covered by a health insurance plan | Health Care provider
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| The monthly fee a person must pay for health care insurance coverage is | Premium
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| the patient directly pays provider | Private pay
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| 1. The final stage of human growth and development is: | death
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| A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. The nurse is exhibiting a common reaction to the care of the dying, which is: | withdrawal
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| you learn that the client you are going to care for is in the second stage of Kubler-Ross’s five stages of grief after incurring damage to an eye in an accident and possible loss of eyesight. Which behaviors by the client would you expect to find? | being angry at the nurse or staff about minor things
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| 4. A perceived loss differs from an actual loss because it is: | C) easily overlooked.
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| Upon being told of her father’s death, the daughter cries out, “No! Oh, God, no!” The nurse recognizes this behavior as an example of the grief stage of: | denial
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| 6. Before approaching a grieving family member, the nurse should: | B) assess level of resolution.
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| The nurse recognizes that when a dying patient uses the call light frequently to ask the nurse to do many small tasks, the patient may be experiencing fear of | abandonment
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| 8. Before involving the family in care of the dying patient, the nurse should: | B) ask family members if they want to assist with care.
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| 9. The nurse prepares the family for the most common problem of the terminally ill patient that is caused by narcotics, which is | constipation
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| 10. When the nurse is developing a care plan for a terminally ill patient, a realistic goal might be that the patient will: | A) remain pain-free.
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| The patient lashes out at the hospice nurse, saying, “I’m not sold on this hospice thing. I’m not looking for Jesus, I’m just dying.” The most therapeutic response by the nurse would be | C. “Hospice service is about how to make your remaining time meaningful.”
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| 12. Following the death of a day-old infant, the nurse brings the baby to the parents to: | D) make the death a reality.
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| The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to: | C) care about them.!!!!!!!!!!!!!!!!!!!!!!!!!
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| 14. After a physician in the emergency department has pronounced a 2-year-old dead following a swimming pool accident, the mother tearfully says to the father, “I am so sorry. I am so sorry.” The nurse recognizes that the mother is expressing: | B) guilt.
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| 15. Which level of care of hospice provides 24 hour bedside care to a patient in their home or nursing facility to manage a symptom? | B) directs an agent to make health care decisions.
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| When a nurse informs a patient’s spouse that the patient has died, the spouse states, “You must be mistaken.” According to Kübler-Ross’s stages of dying theory, the spouse is demonstrating: | B) denial.
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| A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross's stages of dying theory? | Depression
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| 19. A nurse caring for the dying mother of a 7-year-old recognizes that the child: | A) associates death with aggression.
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| Loss is a natural part of our lives. The loss that is felt when one leaves home for college is an example of ______ loss. | Maturational
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| Place Kubler-Ross' stages of grieving and dying in the correct order. | 1. Denial and isolation
2. Anger
3. Bargaining
4. Depression
5. Acceptance
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| A patient is being cared for in the hospital and had the opportunity to formulate a Living Will and Durable Power of Attorney for Healthcare. These are examples of: | Advanced directives
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| The hospice nurse empathizes with the family when she clarifies that hospice service is initiated when ____ treatment is no longer effective. | curative
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| The physical needs of the dying patient should be of utmost importance to the nurse giving care. Which of the following descriptions would require an intervention? | Patient is soiled and needs clothing changed.
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| 27. The purpose of palliative care for a patient with a terminal illness is to: | Provide prevention, relief, reduction, or soothing of symptoms of a disease without providing a cure.
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| . As a nurse caring for a dying patient, you know that there are changes in vital signs. While doing your assessment, you would note the patient's vital signs to be: | Slow, weak and thready pulse; lowered blood pressure; rapid, shallow, irregular respirations
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| You are caring for a dying mother of a 6-year-old child. Based on the developmental age of the child, what beliefs might the child be feeling? | Believes wishes can be responsible for death
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| Which of the five aspects of human functioning must a nurse address when dealing with a grieving person? | A) Physical
B) Emotional
C) Intellectual
D) Socio-cultural (socio-economic)
E) Spiritual
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| Select the behavior to avoid when interacting with a person of a different culture. | stereotyping
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| What is ethnocentrism | Ethnocentrism is the belief that one’s way of doing things is better than the ways of people of different cultures
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| What is stereotyping | making false assumptions about others based on inaccurate generalizations
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| Mrs. Lee tells the nurse who asks why she ate so little of the food on her tray that her condition requires “hot” foods so she ate only “hot” foods on the tray. The nurse should | ask Mrs. Lee to make a list of foods she believes would help her condition.
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| A Native American patient keeps a small bunch of feathers on the over-the-bed table. They are in the way whenever the nurse serves a tray or sets up equipment for a treatment. A culturally competent action would be to | leave them where the patient wishes to place them.
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| A student nurse asks, “Does ethnocentrism have any negative consequences?” The most accurate reply is based on the understanding that | . ethnocentrism may give rise to prejudice, which may result in discrimination.
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| During a discussion on cultural diversity, a nurse asks for an example of an ethnic group. The most accurate response would be | c. Irish-Americans.
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| Which statement regarding cultural diversity can be used as a basis for caregiving? | Rules regarding appropriate amount of eye contact vary among cultures.
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| The nurse who is preparing a Muslim female for a physical examination is told by the patient, “I cannot undress completely.” The nurse will appropriately choose interventions based on the knowledge that Muslim women | observe standards of modesty requiring coverage from head to ankle.
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| Which statement by a nurse demonstrates cultural competence? | Without knowledge of cultural diversity, misunderstandings arise between patient and nurse.”
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| A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a | physician
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| The process of integrating parts of one’s own culture and adopting parts of the new culture is called | ACCULTURATION
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| Inaccurate generalizations/false assumptions about all members of a specific group without exception is called | stereotyping
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| A set of learned values, beliefs, customs, and practices that are shared by a group, and are passed from one generation to another | CULTURE
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| Unfair and unequal treatment or access to services based on race, culture, or other bias (rights and privileges are withheld) | discrimination
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| Physical separation based on location, gender, race, age or religion. (housing, schools, services) | segregation
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| Prejudgment or bias based on characteristics such as race, age, gender, etc. | prejudice
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| A person believes that the beliefs and practices of his or her particular culture are best | enthnocentrism
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| _______is a nation, community, or broad group of people, who establish particular purpose, beliefs, or standards of living and conduct. | society
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| A fixed impression of how ALL members of an ethnic group act or think | ethnic stereotype
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| Based on a person’s physical characteristics. (Ex. skin color, hair texture, body stature, hereditary traits( given to offspring) | Race
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| A group of people who share a common social and cultural heritage based on shared traditions, national origin and physical and biological characteristics. (Ex. Language, religion, food, music, dress) | ethnicity
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| Understanding and integrating the many variables in cultural and subcultural practices into all aspects of nursing care. | transcultural nursing
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| This shares many characteristics with the primary culture, but has characteristic patterns of behavior and ideals that distinguish it from the rest of a cultural group (nursing students, people who live in NYC, compared to Californians) | subculture
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| 1. In assessing the home for fall risks and increased safety for an 85-year-old, the home health nurse suggests that | excess furniture be removed.
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| Which concept of learning theory concentrates both on the cognitive process and the affective process and that learning is self motivated? | humanism
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| Learning is best demonstrated by | changes in behavior
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| Prejudice against older adults is termed... | ageism
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| There are three domains of learning in the Cognitivism learning theory. Which domain is implemented when a client with diabetes is demonstrating to the nurse how he obtains his own fasting blood sugar level? | psychomotor domain
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| A middle-aged (age 40-65) male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as | presbycusis
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| A middle-aged (age 40-65) woman complains about night sweats and mood swings. The nurse recognizes that these symptoms relate to | menopause.
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| The nurse reminds a middle adult patient that the task for the middle adult is to achieve generativity. Failure to achieve this task results in | stagnant (stagnation)
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