NU 270 Health Care Systems/Health Care Organizations Review Questions and Answers
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Course
NUR 270
Institution
NUR 270
A severe winter storm has prevented most staff members from getting to work on a busy medical-surgical unit. One registered nurse, two licensed practical nurses, and three nursing assistants have been able to get to work. A nurse-manager must decide which nursing care delivery system (model) (NCDS)...
NU 270 Health Care Systems/Health Care
Organizations Review Questions and
Answers
A severe winter storm has prevented most staff members from getting to work on a
busy medical-surgical unit. One registered nurse, two licensed practical nurses, and
three nursing assistants have been able to get to work. A nurse-manager must decide
which nursing care delivery system (model) (NCDS) should be implemented for the best
possible client care during this staffing crisis. The nurse-manager directs the staff to
implement which NCDS (NCDM)?
functional nursing
primary nursing
team nursing
case management ✅functional nursing
Explanation:
Functional nursing best uses the skills of all staff in a timely manner during this crisis.
This delivery system (model) requires the fewest staff and delegates tasks to those who
can best perform them. Team nursing doesn't allow for the best use of a limited number
of staff who must care for a large number of clients. Primary nursing and case
management require more registered nurses than are currently available.
A nurse implements a healthcare facility's disaster plan. Which action should be
performed first?
Turn off all cellular phones and pagers.
Instruct all essential off-duty personnel to report to the facility within 24 hours.
Identify a command center at which activities are coordinated.
Provide treatment for incoming clients according to time of admission. ✅Identify a
command center at which activities are coordinated.
Explanation:
During a disaster, having a command center to provide direction and coordinate
activities is crucial. Cellular phones and pagers may be essential communication tools
during a disaster. Essential off-duty personnel should respond to a disaster as quickly
as possible. Admitted clients should be triaged and treated in accordance with the
facility's triage policy.
Which intervention is an example of primary prevention?
obtaining a Papanicolaou (Pap) test to screen for cervical cancer
administering a measles, mumps, and rubella immunization to an infant
using occupational therapy to help a client cope with arthritis
administering digoxin to a client with heart failure ✅administering a measles, mumps,
and rubella immunization to an infant
Explanation:
,Immunizing an infant is an example of primary prevention, which aims to prevent health
problems. Administering digoxin to treat heart failure and obtaining a Pap test for
screening are examples of secondary prevention, which promotes early detection and
treatment of disease. Using occupational therapy to help a client cope with arthritis is an
example of tertiary prevention, which aims to help a client deal with the residual
consequences of a problem or to prevent the problem from recurring.
Which of the following is a true statement regarding safety during a home visit?
The nurse should take reactive measures.
The nurse should park his or her car away from the home.
The nurse should schedule visits according to the patient's lifestyle.
The nurse should never walk into a patient's home uninvited. ✅The nurse should
never walk into a patient's home uninvited.
Explanation:
The nurse should never walk into a patient's home uninvited. A plan of action should
always be established in case of emergencies. The nurse should park his or her car
close to the home. The scheduled visits should be only in the daylight hours.
Which is the primary criterion for admission to a long-term care facility?
Coexistence of multiple chronic health problems
Inability to provide self-care
Absence of family members locally
Advanced age ✅Inability to provide self-care
Explanation:
Long-term care facilities exist to provide care for individuals who are mentally or
physically unable to care for themselves independently. These individuals are frequently
older, have multiple health problems, and lack family caregivers, but these factors in
and of themselves are not criteria for admission to long-term care.
A physician is called to see a client with angina. During the visit the physician advises
the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the
physician is late for another visit, the physician requests that the nurse write down the
order for the physician. What should be the appropriate nursing action in this situation?
The nurse should inform the client of the change in medication.
The nurse should ask the physician to come back and write the order.
The nurse should write the order and implement it.
The nurse should remind the physician later to write the work order. ✅The nurse
should ask the physician to come back and write the order.
Explanation:
The nurse should ask the physician to come back and write down the order. Nurses are
discouraged from following any verbal orders, except in an emergency. The nurse
should never write an order on a physician's behalf because this is a wrong practice.
The client should be informed about the change of medications, but this is not an
appropriate action. The nurse should not leave the work for a later time, because the
nurse may forget it.
, You are the nurse employed in an acute care hospital. The head nurse states that you
will be caring for 12 clients with the help of two nurse assistants. This is considered to
be what type of nursing care delivery?
Tertiary care
Team nursing
Primary care
Modular nursing ✅Team nursing
Explanation:
Team nursing is the provision of care with a nurse supervising the work of one or more
aides.
According to the Joint Commission, which of the following is a focus of assessment
related to quality of pain?
Period of time pain has existed
Site of pain
Rating for present pain
Description in the client's own words ✅Description in the client's own words
Explanation:
The focus of pain assessment is the description in the client's own words.
One of the fastest growing venues of practice for the nurse is home health care. What is
the basis for the growth in this health care setting?
The preference of nurses to work during the day instead of evening or night shifts
The discharge home of clients who are more critically ill
The chronic nursing shortage
The focus on treatment of disease ✅The discharge home of clients who are more
critically ill
Explanation:
With shorter hospital stays and increased use of outpatient health care services, more
clients who are critically ill require nursing care in the home and community setting. The
other answers are incorrect because they are not the basis for the growth in nursing
care delivered in the home setting. The chronic nursing shortage and the focus on the
treatment of disease do not affect the growth in home health care, because both of
these factors have no more or less of an effect on home health care than they do care
provided in an acute care facility. Nurses, as a whole, do not necessarily prefer to work
during the day rather than at night; some prefer to work in the day and some prefer to
work at night. In any case, nurses work both day and night shifts in home health care
just as in an acute care facility.
A client who just underwent a mastectomy is due to arrive at the post-surgical care unit.
Which actions should the nurse prioritize when attempting to establish an effective
relationship with the client?
Explain and answer questions about the Health Insurance Portability and Accountability
Act (HIPAA).
Recognize and address the client's anxiety.
Address the client's potential learning needs.
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