Quizzes 6-8 Flashcards

1
Q

True or False:

Case management is the coordination of a plan or process to bring health services together as a common whole in a cost effective way.

Quiz 6

A

FALSE

**Case Management – **development & coordination of care for a selected client & family

  • Care Management – coordination of a plan or process to bring health services together as a common whole in a cost effective way
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2
Q

The student is providing a lecture on home healthcare funding via TRICARE. The first aspect of this lecture is to determine who is eligible. Please select the appropriate individuals who may be eligible for TRICARE.

a.) Medicare eligible individuals
b.) Military personnel & their dependents
c.) Medicaid eligible individuals

Quiz 6

A

b.) Military personnel & their dependents

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3
Q

To be reimbursed for home care when a patient has medicare the patient must meet the following criteria:

a.) Long-term care needed
b.) Reasonably necessary
c.) Have a care plan (OASIS) created
d.) Homebound
e.) Require skilled services
f.) Intermittent care
g.) SOAP note completed

Quiz 6

A

b.) Reasonably necessary
c.) Have a care plan (OASIS) created
d.) Homebound
f.) Require skilled services
g.) Intermittent care

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4
Q

What is a health professional shortage area (HPSA)?

a.) An area with a lack of medical care services as determined by the number of primary medical care healthcare providers per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years or older.

b.) A geographic area, population group, or medical facilitiy with shortages of healthcare professionals to a degree that a full complement of healthcare services is not possible.

Quiz 6

A

b.) A geographic area, population group, or medical facility with shortages of healthcare professionals to a degree that a full complement of healthcare services is not possible.

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5
Q

In what ways are population-based studies lacking in LGBTQ+ groups? (Select all that apply)

a.) Recognizing same-sex heads of households has not always been included in survey data.
b.) Overall population-based studies are lacking with the exception of HIV.
c.) Specific question on surveys related to sexual orientation are lacking.

Quiz 6

A

a.) Recognizing same-sex heads of households has not always been included in survey data.

b.) Overall population-based studies are lacking with the exception of HIV.

c.) Specific question on surveys related to sexual orientation are lacking.

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6
Q

The nurse is just coming on shift & notices that the patient’s chart indicates “CMO”. The admission diagnosis is brain cancer. Which type of order or intervention should the nurse most expect to see for this patient?

a.) Antibiotic to fight off an infection.
b.) Morphine for pain management.
c.) Chemotherapy for killing the cancer cells.
d.) Radiotherapy for reducing the size of the tumor.

Quiz 7

A

b.) Morphine for pain managment

CMO = Comfort Measures Only

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7
Q

The nurse provides palliative care to a patient with end-stage renal disease & a chronic upper respiratory infection. Which intervention should the nurse ensure are included in this type of care? (Select all that apply).

a.) Gently stretching the patient’s arms & legs to preserve range of motion.
b.) Providing the patient with a foot massage.
c.) Administering ordered analgesics.
d.) Clearing secretions from the patient’s airway for easier breathing
e.) Assisting with a kidney transplant

Quiz 7

A

a.) Gently stretching the patient’s arms & legs to preserve range of motion.
b.) Providing the patient with a foot massage.
c.) Administering ordered analgesics.
d.) Clearing secretions from the patient’s airway for easier breathing.

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8
Q

The nurse tells the student nurse that she checked on the wife o fth epatient they took care of last week who died. The nurse said she found the wife staring out of a window in a stupor, her face devoid of any emotion. When she spoke with her, the client seemed withdrawn & distant. The nurse asked the student nurse to explain which phase of grief this is associated with.

a.) Resolution
b.) Reorganization
c.) Numb shock
d.) Emotional turmoil

Quiz 7

A

c.) Numb shock

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9
Q

The lecture by Dr. Murphy covers physiological signs that death is imminent. Which signs should the nurse anticipate? (Select all that apply)

a.) Build up of saliva
b.) Signs of respiratory alkalosis
c.) Skin may appear dusky or gray & feel cold or clammy
d.) Deep breaths with periods of apnea
e.) Eyes may appear discolored, deeper set, or bruised

Quiz 7

A

a.) Build up of saliva
c.) Skin may appear dusky or gray & feel cold or clammy
e.) Eyes may appear discolored, deeper set, or bruised

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10
Q

True or False:

To avoid constipation with opioid use encourage yoru patients to use bulking agents such as psyllium.

Quiz 7

A

FALSE

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11
Q

True or False:

Most dying persons stop eating & drinking, and anorexia & dehydration are common & normal at the end of life. To avoid problems the nurse should encourage food & hydration hourly.

Quiz 7

A

FALSE

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12
Q

True or False:

It must be remembered that a dying patient will go through all the stages of death sequentially: denial, anger, bargaining, & acceptance.

Quiz 7

A

FALSE

  • stages of death are not always sequential
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13
Q

True or False:

Qualifying for Medicare Hospice benefit occurs when a Medical Director certifies that the patient is terminally ill & has 6 months or less to live.

Quiz 7

A

TRUE

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14
Q

The route of exposure is:

a.) The receptor population
b.) Exposure pathway
c.) Includes groundwater, surface water (lakes, ponds, rivers), air, surface soil, subsurface soil, sediment, & biota (plants & animals)
d.) How the contaminant enters the body

Quiz 8

A

d.) How the contaminant enters the body

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15
Q

Knowing how the contaminated drum that is buried & leaking is best described by…

a.) receptor population
b.) transport mechanism
c.) exposure pathway
d.) risk hazard ratio

Quiz 8

A

b.) transport mechanism

Transport Mechanism describes how the contaminant moves from the source to the point of exposure to people.

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16
Q

True or False:

The home care nurse provides care to an elderly senior, who lives with her daughter & granddaughter. She notices while in the home that it is an older home, most likely built before 1978. There is old pain & the windowsills are chipped. The nurse recommends a lead screening test for the granddaughter. The safe range of lead for children is 7-8 mcg/dL.

Quiz 8

A

FALSE

  • there is NO safe blood level of lead for children
17
Q

Select all that apply to the nurse when considering the principles of environmental health for nursing practice:

a.) Knowledge of environmental health concepts.
b.) Utilizing the precautionary principal when counseling & advising .
c.) Nurse participation in randomized control trials when evaluating contamination impact on humans.
d.) Nurses participate in research of best practices that promote a safe & healthy environment.
e.) Nurses participate in analytic research to find the cause of health conditions.

Quiz 8

A

a.) Knowledge of environmental health concepts.
b.) Utilizing the precautionary principal when counseling & advising.
d.) Nurses participate in research of best practices that promote a safe & healthy enviornment.

18
Q

What is a simple way to understand risk?

a.) Risk = hazard / exposure time
b.) Risk = variability of immune system, hazard / exposure time
c.) Risk = incidence / prevalence + hazard and risk ratio
d.) Risk = hazard + exposure

Quiz 8

A

d.) Risk = hazard + exposure

19
Q

Determine the type of exposure (biologic, chemical, physical, psychosocial) associated with each of these workplace hazards:

a.) Infectious agents
b.) Poisonous plants
c.) Aerosols
d.) Hazardous drug & toxin exposure
e.) Noise
f.) Falls
g.) Interpersonal problems

Quiz 8

A
  • a.) Infectious agent = biologic
  • b.) Poisonous plants = biologic
  • c.) Aerosols = chemical
  • d.) Hazardous drug & toxin exposoure = chemical
  • e.) Noise = physical hazard
  • f.) Falls = physical hazard
  • g.) Interpersonal problems = psychosocial
20
Q

True or False:

National Institute of Occupational Safety and Health (NIOSH) is the federal agency that sets exposure standards & is responsible for enforcement of safety & health legislation.

Quiz 8

A

FALSE

21
Q

Who was one of the first occupational health nurses?

a.) Lillian Wald
b.) Clara Barton
c.) Ada Mayo Steward

Quiz 8

A

c.) Ada Mayo Steward

22
Q

Which of the following competencies are required for an occupational nurse? (Select all that apply)

a.) Counseling
b.) Knowledge of existing health hazards in the workplace
c.) Toxicology, ergonomics, & epidemiology
d.) Maternal & pediatric experience
e.) Knowledge of enviornmental health concepts
f.) Management & budget skills
g.) Safety

Quiz 8

A

a.) Counseling
b.) Knowledge of existing health hazards in the workplace
c.) Toxicology, ergonomics, & epidemiology
e.) Knowledge of enviornmental health concepts
f.) Management & budget skills
g.) Safety