Health Planning for Acute Care Settings Flashcards
A nurse is teaching a class about the role of acute care in the nursing process. A student asks what type of prevention, if any, acute care mainly provides. The nurse replies:
a. primary
b. secondary
c. teritary
d. quaternary
c. teritary
A nurse is planning specific interventions that aim to reduce the rate of complications due to uncontrolled blood sugar levels in the diabetes population. The word population is being used in the ____ context.
a. public health
b. hospital setting
c. cultural
d. none of the above
b. hospital setting
A labor and delivery nurse is evaluating the hospital’s C-section rate and wants to see how it compares with national statistics. Which resource should the nurse check?
a. healthcare cost and utilization project
b. healthy people 2020
c. agency for healthcare research and qaulity
d. institutional review board
a. healthcare cost and utilization project
As part of a capstone project, a student nurse is reviewing hospital admissions and discharge data. The student nurse decides to use which group of data to track hospital admissions and review groups of related diagnoses?
a. ICD9 codes
b. major diagnostic categories (MDCs)
c. recidivism rates
d. ALOS statistics
b. major diagnostic categories (MDCs)
A nurse is partnering with a local television station to create a public service announcement discussing heart disease in women. The nurse explains that women often experience the symptoms of a heart attack differently than men. These symptoms can include:
a. abdominal pain
b. nausea
c. difficulty breathing
d. all of the above
d. all of the above
A nurse is looking to improve the care of women presenting to the ED with atypical symptoms of a heart attack. The nurse finds that the average door-to-balloon rate in their hospital is 64 minutes. How does the nurse proceed?
a. no need to address this - the door-to-balloon rate is well within the desired guidelines
b. perform a hospital and ED assessment to see where these patients are being held up
c. mandate EKGs for every patient who comes into the emergency room
d. create a separate wing of the emergency room especially for suspected cardiac patients
a. no need to address this - the door-to-balloon rate is well within the desired guidelines
A nurse is creating a study within the hospital that would require obtaining patient records for regular chart reviews. How should the nurse proceed?
a. Obtain the records from the EMR, or the medical records department as required by the hospital.
b. Inform the physician and patient about why the nurse needs to review the records and get copies per hospital policy.
c.Create a proposal to present to the Institutional Review Board for review.
d. The nurse is not able to use the records because it is a violation of HIPAA.
c. Create a proposal to present to the Institutional Review Board for review.
A nurse is reviewing the Healthy People 2020 objectives related to heart disease and stroke and decides to develop interventions to reduce hospitalizations of older people with heart failure. Which of the following is an example of an intervention at the level of secondary prevention?
a. admission of patients with a history of cardiac failure into an outpatient cardiac rehab facility
b. education about the danger of smoking and alcohol use in schools
c. having patients at high-risk take a daily, low-dose aspirin
d. promotion of good nutrition and exercise habits
c. having a patients high-risk take a daily, low-dose aspirin
A nurse is teaching new nurses how to optimize post-hospital discharge outcomes for patients. Which of the following actions should the nurses take?
a. Perform a discharge assessment before patients leave the hospital.
b. Perform a home health visit before the patient is discharged to assess if it is a safe environment to return to.
c. Order mandatory home health visits for all patients who have been hospitalized.
d. Have standardized discharge instructions for patients to follow when they return home.
a. perform a discharge assessment before patients leave the hospital
A nurse is looking to develop a new policy to address the rising rate of central line infections in their medical ICU. The nurse speaks with the nurse manager about utilizing the Plan-Do-Study-Act (PDSA) approach, instead of simply developing new ICU protocols. Which of the following is not a benefit of using this system?
a. New protocols can be tested before implementing them throughout the hospital ICUs.
b. The staff can work with manufacturers of the medical equipment to determine how the central line trays can be arranged more efficiently.
c. They can figure out what works on the large scale fairly quickly.
d. The nurses can figure out what other processes need to be addressed with the new policy changes.
c. They can figure out what works on the large scale fairly quickly.
A nurse is admitting a new patient through the emergency room after collapsing at home. The patient’s girlfriend states that he has been really sick the last few days and complained of feeling dizzy just before losing consciousness. The nurse takes the following vital signs: temperature of 38.7°C, pulse of 121 beats per minute, blood pressure of 87/52, and respiratory rate of 32 breaths per minute. The nurse observes that he is diaphoretic. After running a CBC, the white blood cell count is 14,532. After stabilizing him, the nurse calls the ICU to prepare them to treat which of the following?
a. shock
b. sepsis
c. DIC
d. heart failure
b. sepsis
A nurse is caring for a young child who is suspected of having meningitis. A spinal tap culture is pending. If it comes back positive for N. meningitidis, the nurse will need to:
a. discharge him from the hospital; it is appropriate for his family to care for him at home
b. inform the child’s daycare and other caregivers so they can monitor for symptoms of the infection
c. promptly admit the child to the ICU
d. double the dose of the antibiotics
b. inform the child’s daycare and other caregivers so they can monitor for symptoms of the infection
A nurse is caring for a patient in the emergency room. The physician orders hyperbaric oxygen therapy, antibiotics, and surgical debridement in the morning. The nurse knows that the doctor suspects:
a. cellulitis
b. necrotizing fascitis
c. toxic shock syndrome
d. sepsis
b. necrotizing fascitis
A nurse is presenting a lecture about pneumonia to a group of senior citizens in a community center. The nurse explains that people with which of the following risk factors are at a higher risk of developing the infection?
a. cigarette smoking, alcoholism, and heart failure
b. immunosuppression and hypertension
c. diabetes and gastritis
d. hypertension, diabetes, and heart failure
a. cigarette smoking, alcoholism, and heart failure
A nurse manager is presenting an in-service to the rest of the nurses on the floor. They are discussing the recent spread of Vancomycin-Resistant Enterococci (VRE) within the hospital and how to prevent transmission on their floor. The nurse manager mentions that the most effective method of reducing transmission of this infection is:
a. isolation precautions for every infectious patient on the floor
b. improved patient admission protocols
c. increased use of personal protective equipment
d. increased hand washing for all health-care workers
d. increased hand washing for all health-care workers
