Fundamentals of Nursing

Amy Hall, Anne Griffin Perry, Patricia A Potter, Patricia Stockert

Chapter 2 The Health Care Delivery System - all with Video Answers

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Chapter Questions

Problem 1

Which of the following is an example of the principle of patient-centered care focused on continuity and transition?
a. The nurse asks the patient who in the family should have access to patient information
b. The nurse is teaching the patient how to change the wound dressing at home
c. The nurse responds promptly to the patient's request for pain medication
d. The nurse schedules the patient's diagnostic scan following the physical therapy session

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Problem 2

Which activity performed by the nurse is related to maintaining competency in nursing practice?
a. Asking another nurse about how to change the settings on a medication pump
b. Regularly attending unit staff meetings
c. Participating as a member of the professional nursing council
d. Attending a review course in preparation for the certification examination

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Problem 3

The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO?
a. This health plan is for people who cannot afford their own health insurance
b. This health plan is operated by the government to provide health care to older adults
c. This health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose
d. This is a fee-for-service plan in which you can choose any physician or hospital

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Problem 4

Which of the following is an example of the nurse participating in primary care activities?
a. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester
b. Working with patients in a cardiac rehabilitation program
c. Assessing a patient at an emergent care facility
d. Providing home wound care to a patient

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Problem 5

Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system?
a. Patient safety
b. Evidence-based practice
c. Patient satisfaction
d. Maintenance of competency

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Problem 6

Which of the following statements is true regarding Magnet status recognition for a hospital?
a. Nursing is run by a Magnet manager who makes decisions for the nursing units
b. Nurses in Magnet hospitals make all of the decisions on the clinical units
c. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need
d. Magnet is a special designation for hospitals that achieve excellence in nursing practice

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Problem 7

Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviation of a patient's fear and anxiety?
a. "Let's talk about the concerns that you have about going home."
b. "I'll get the medication prescriptions for you before discharge"
c. "I'll be back in 30 minutes to help you get cleaned up"
d. "I'll make a referral to the home health nurse for you"

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Problem 8

Which of the following is/are characteristics of managed care systems? (Select all that apply.)
a. Provider receives a predetermined payment for each patient in the program.
b. Payment is based on a set fee for each service provided.
c. System includes a voluntary prescription drug program for an additional cost.
d. System tries to reduce costs while keeping patients healthy.
e. Focus of care is on prevention and early intervention.

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Problem 9

Which of the following nursing activities is found in a tertiary health care environment?
a. Administering influenza immunizations at the senior independent living facility
b. Providing well-baby care in the clinic run by the local community health department
c. Admitting a patient following open heart surgery to the cardiovascular intensive care unit
d. Working the triage desk in the emergency department

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Problem 10

Which of the following activities performed by the nurse is/ are focused on the patient-centered care principle of physical comfort? (Select all that apply.)
a. Asking the patient what a tolerable level of pain is for him or her following surgery
b. Providing a back rub at bedtime
c. Offering the patient a warm washcloth for his or her hands before eating
d. Teaching the patient about the new antihypertensive medication ordered

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Problem 11

The nursing staff is developing a quality program for the floor. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.)
a. Number of medication errors committed by registered nurses (RNs)
b. Turnover rate of nurses on the unit
c. Incidence of patient falls
d. Number of certified RNs
5. Number of emergency department admissions per year

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Problem 12

The nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care?
a. Patient will be able to walk 200 feet without shortness of breath
b. Wound will heal without signs of infection
c. Patient will express concerns related to return to home
d. Patient will identify strategies to improve sleep habits

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Problem 13

When a nurse uses information and technology to communicate, locate and use knowledge, reduce and eliminate errors, and help make decisions, the nurse is working in which area?
1. Integrated delivery system
2. Health care patient system
3. Nursing informatics
4. Computerized nursing network

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Problem 13

A nurse is presenting information to a management class of nursing students on the topic of groups of inpatient hospital services that have a fixed reimbursement amount, with adjustments made on the basis of case severity and regional costs. The nurse is presenting information to the class on which topic?
a. Utilization review committee
b. Resource utilization group
c. Capitation payment system
d. Diagnosis-related groups

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Problem 14

Which of the following are examples of the principle of patient-centered care that is focused on respect, values, preferences, and expressed needs? (Select all that apply.)
1. Administer antihypertensive medications to patient daily.
2. Pulling the curtain around the patient bed before changing the wound dressing on the patient's leg
3. Allowing the patient to ask questions and express his or her concern about surgery
4. Explaining a colonoscopy procedure to the patient
5. Working with the family to bring in ethnic foods that the patient prefers

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Problem 14

When a nurse uses information and technology to communicate, locate and use knowledge, reduce and eliminate errors, and help make decisions, the nurse is working in which area?
a. Integrated delivery system
b. Health care patient system
c. Nursing informatics
d. Computerized nursing network

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Problem 15

Which of the following are examples of the principle of patient-centered care that is focused on respect, values, preferences, and expressed needs? (Select all that apply.)
a. Administer antihypertensive medications to patient daily.
b. Pulling the curtain around the patient bed before changing the wound dressing on the patient's leg
c. Allowing the patient to ask questions and express his or her concern about surgery
d. Explaining a colonoscopy procedure to the patient
e. Working with the family to bring in ethnic foods that the patient prefers

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