health care Flashcards

1
Q

a registered nurse in the Northwest territory provides care at a clinic serving Aboriginal patients. Which of the following facts will help him plan his care for this population? The Aboriginal peoples have:

a) higher rates of DM, TB, and smoking and a lower life expectancy than do non-aboriginal peoples
b) lower rates of heart disease but higher rates of cancer than do non-aboriginal peoples
c) higher than average educational levels but lower than average health outcomes
d) reduced healthcare needs in the Northwest Territory compared to those in other parts of Canada

A

A

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2
Q

Future directions for change in the Canadian Healthcare system include which of the following?

a) as primary care services are being increased, public health services require more integration with the other services
b) there will be a significant increase in the number of hospital beds while maintaining the level of primary care services
c) home health services are on the decline, but long-term care services are expected to increase
d) there will be a general expansion of all services, with the ratio of money spent in each area remaining constant

A

A

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3
Q

Models of care for provision of nursing services in canada include:

a) team, functional, and independent practice for nursing care
b) nurse practitioner led units of care for delivery of complex care
c) culturally congruent teams delivering healthcare
d) primary care using case management and a team nursing approach

A

D: Models of care for provision of nursing services in Canada include team, primary, and functional nursing as well as case management

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4
Q

A new nurse in Canada wishes to become politically active and join a nursing org that will address the reform of the system. Which of the following orgs should the nurse join?

a) Canadian Federation of Nurses Unions
b) Canadian Labour Congress
c) Canadian Nurses Association
d) Nursing Strategy for Canada

A

C: The Canadian Nurses Association is a strong voice for nurses and the public.

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5
Q

Which of the following is a key issue that the Canadian healthcare system must improve as it moves into a new era?

a) Quality of care marked by errors in healthcare
b) affordability of healthcare services for low-income and high-risk clients
c) appropriateness of services offered to citizens and noncitizens
d) ability to fund healthcare services for noncontributing members of the system

A

A: Quality of care and reduction of errors are key issues for the evolving Canadian healthcare system. Healthcare is accessible to all citizens, including low-income, unemployed, and high-risk clients

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6
Q

In order to practice as an RN in British Columbia, a person must have current practicing registration with the College of RN in B.C. Registration is described as:

a) the least restrictive level of regulation, requiring qualified practitioners to register with a professional body
b) the most restrictive level of regulation that allows only licensed individuals to perform specific interventions or care
c) a level of regulation that is granted only to individuals who meet certain educational and practice requirements
d) a higher level of designation indicating professional competency and expertise within a specialty practice area

A

A

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7
Q

The Canadian Healthcare system is based on several principles. Choose all that apply:

a) Equity of access for all
b) Nondiscrimination in access for care
c) National delivery systems of care
d) private, nonprofit funding

A

A and B

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8
Q
An Aboriginal patient who resides in BC develops abdominal pain while vacationing in Ottawa. She is hospitalized for 5 days. Which of the following principles applies when seeking healthcare in a nonresident territory?
Choose all that apply.
a) portability
b) accessibility 
c) universality 
d) accountability
A

A, B, C, and D

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9
Q

which of the following factors affect the delivery of healthcare in Canada? Choose all that apply

a) aging population
b) sparse population over large area
c) abundance of nurses
d) oversupply of physician specialists

A

A and B

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10
Q

Identify the statements that best portray the Canadian nursing workforce. Choose all that apply.

a) almost 10% of Canadian RN are male
b) the northwest territory has the highest number of RN’s per population
c) the majority of Canadian RN’s work in hospitals
d) many provinces require a BSN for entry into practice

A

B, C, and D:
95% of RN’s are females, majority working in hospitals. The NWT has the highest number of RN’s per population. 7 provinces/territory regulatory bodies have implemented the BSN for entry into practice.

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11
Q

which of the following issues will affect reform of the Canadian healthcare system?

a) increased interest in self-care
b) less emphasis on individual accountability for health
c) growing interest in complementary and alternative care
d) decreased use of preventative therapies

A

A and C:

there is increased emphasis on self-care and complementary and alternative healthcare in Canada

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12
Q

indicate which of the following factors influence the need for greater educational requirements and specializations for RN’s in Canada. Choose all the apply

a) changing technology
b) client acuity
c) clearly defined scope of practice
d) increased responsibility and accountability

A

A, B, and D:
electronic charting, new diagnostics, and monitoring devices and treatment regimes. Increasing demands on the healthcare system (sicker patients and fewer providers), nurses roles involve more responsibility and accountability for the care they provide

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13
Q

The nature of healthcare requires the development of healthcare teams and collaboration among its members. Which of the following statements represents an elements of this teamwork?

a) each group member of a team is the leader of the team
b) the organization sets the goals for its team
c) communication patterns in teams flow both up and down
d) team members are not legally responsible for decisions and outcomes

A

C

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14
Q

A client receives the care of a physician, a nurse, an occupational therapist, and a counselor working together as a team. What is the term for this type of healthcare?

a) Cross-discipline healthcare
b) comprehensive healthcare
c) holistic healthcare
d) interdisciplinary healthcare

A

D: involves collaboration and extensive communication between members of different health disciplines

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15
Q

A nurse will soon become a member of a newly established care team. Which of the following is a goal of team building?

a) acknowledging the individual achievements
b) providing client care based on the direction of the team leader
c) creating a type of synergy when addressing client care
d) allowing care to be determined by nurses who are not too close to the situation

A

C: creating a type of synergy in which the effect of everyone working together toward the shared goal results in a greater total effect than could be achieved by the sum of the efforts of everyone working individually.

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16
Q

An RN is responsible for organizing the care at a facility that has several UAP’s. Which of the following tasks can an RN delegate to a UAP?

a) performing an ongoing assessment
b) answering call lights
c) administering meds
d) counseling clients

A

B: any activity that requires knowledge and judgement that is unique to the function of an RN cannot be delegated to others.

17
Q

A nurse recognizes the importance of safety and efficiently delegating tasks in order to achieve a high standard of care. Which of the following is one of the 5 rights of delegation?

a) right education
b) right assessment
c) right circumstances
d) right motivation

A

C: the 5 rights of delegation include

right task, circumstances, person, direction/communication, and supervision/evaluation

18
Q

a nurse is aware of the pivotal role that motivation plays in the formation of effective teams and the provision of excellent nursing care. which of the following actions is most likely to motivate a team member?

a) ensure that the consequences of substandard performance are well-known
b) publicize those individuals who have made exceptional contributions and point out those who have failed to perform adequately
c) openly acknowledge team members who have made a particularly valuable contribution
d) be clear that only the highest levels of performance are acceptable to the team

A

C:

19
Q

An RN is responsible for overseeing the care that is provided, a practical nurse, and several unlicensed assistive personnel. Which of the following statements is true of the delegation that the RN performs?

a) the RN is accountable for the care that the other members of the team provide
b) the RN may only delegate tasks that are outside of her own scope of practice
c) the RN can delegate tasks that are outside the PN’s or UAP scope of practice if she first provides adequate teaching
d) once a task is delegated, the person who performs the tasks is solely responsible for the outcomes

A

A:
it is critical to remember that although you have asked someone else to carry out a nursing task, you are still accountable for the care that is given.
A person cannot be delegated a task that is outside his/her scope of practice, regardless of whether teaching is provided.