Ch1 The Health Care System Test Questions & Answers

Test Generator Questions, Chapter 1, The Health Care System

Format:  Multiple Choice

Chapter Number:  1

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Remember

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header: 4, A Holistic Approach to Health Care

1. Which approach focuses on the physical and emotional care of a person?

A) Holistic

B) Modern

C) Team

D) Traditional

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header: 6, Health Care Organizations; 7, Table 1-1 Types of Health Care Organizations

2. Which is a type of health care organization? Select all that apply.

A) A hospital

B) A hostel

C) A subacute care unit

D) An assisted living facility

E) A home health agency

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  6, Health Care Organizations

3. Hospice organizations provide care for individuals who:

A) are dying and their families.

B) have been discharged from the hospital but still need skilled care.

C) are unable to care for themselves at home but do not need to be hospitalized.

D) live in their own homes but require skilled care.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  6, Structure of Health Care Organizations

4. The abbreviation DON usually stands for:

A) Director of nursing

B) Division of nursing

C) Doctorate of nursing

D) Directory of nursing

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  4, A Holistic Approach to Health Care

5. Which statement best defines the goal of holistic care?

A) All people are cared for by health care professionals.

B) Medical care is paid for by the government when necessary.

C) Providing care that is unique to the person’s needs.

D) Caring for a person’s mental needs.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  4,  A Holistic Approach to Health Care; 5, Figure 1-2

6. The focus of a health care team’s effort is:

A) to provide safe care.

B) the person needing care.

C) getting the person back into his or her home.

D) keeping the person free of pain.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  13, Paying for Health Care

7. What kind of health insurance system is federally funded? Select all that apply.

A) Precertification

B) Medicare

C) Medicaid

D) Managed care

E) Acute care

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  9, Patients, Residents, and Clients

8. A psychiatric client is one who is:

A) having his or her tonsils removed.

B) experiencing a mental health disorder.

C) receiving radiation for the treatment of cancer.

D) older than 65 years of age.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  9, Patients, Residents, and Clients

9. The basic reason a person needs health care is that:

A) he or she can’t care for himself or herself.

B) professional care is best.

C) he or she is ill, injured, or disabled.

D) he or she is recovering from surgery.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header: 13, Paying for Health Care

10. It is true that Medicare:

A) is available to those with limited income.

B) reimbursement requires state agency approval.

C) insurance is available to anyone 65 years of age or older.

D) is not designed to provide care for the disabled person.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  13, Paying for Health Care; 15, Figure 1-5

11. The nursing assistant helps in the completion of a client’s Minimum Data Set (MDS) by:

A) suggesting that the client socialize with other clients.

B) recording the actual help the client needs to feed himself or herself.

C) being sure the client has clean linen on his or her bed.

D) helping the client use the telephone to call a family member.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  13, Paying for Health Care

12. Medicare introduced diagnosis-related groups (DRGs) to:

A) influence how insurance companies reimburse for services.

B) get clients back in their homes as quickly as possible.

C) increase the need for subacute care services.

D) pay for the care given to the client.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  13, Paying for Health Care

13. The main goal of managed care systems is to:

A) provide holistic care.

B) allow for team health care delivery

C) reduce the cost of health care services

D) provide care for those who are not eligible for Medicare or Medicaid

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  2

Page and Header:  10, Oversight of the Health Care System

14. A resident in a long-term care facility asks the nursing assistant about an upcoming test the physician wants them to have done. Given the scope of practice, the best response to the resident’s question would be:

A) “I’m sure your doctor just wants to give you the best care possible.”

B) “I will let your nurse know that you have questions about your test so the nurse can give you the details.”

C) “After I get caught up on my work, I will get on my computer and try to get you some answers.”

D) “Do you remember what reports you shared with the doctor before the test was ordered?

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  10, Oversight of the Health Care System

15. Since a fellow teammate is taking a lunch break, the nursing assistant begins making rounds on the residents on the floor. One of the residents has dropped lunch food and drink on the floor. What action should the nursing assistant take first?

A) Make a note and report it to a peer as soon as the peer gets back from lunch.

B) Tell the residents’ nurse so the nurse can chart a more accurate I&O.

C) Get needed supplies and immediately clean up the spill before continuing rounds on other clients.

D) Ask the resident if the lunch is disliked and whether the resident would like to order different foods.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  12, Guidelines Box 1-1: Guidelines for Excelling at Your Job and Helping Your Facility Do Well During a Survey

16. The nursing assistant (NA) was providing care for a resident and noticed skin breakdown on the coccyx. What action should the nursing assistant take first?

A) Use a skin treatment the NA used when working at another facility.

B) Inform the resident’s nurse of the skin breakdown on the coccyx.

C) Follow the nursing home’s policy regarding the handling of soiled linens.

D) Cleanse the skin of incontinence and change the undergarment.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  12, Guidelines Box 1-1: Guidelines for Excelling at Your Job and Helping Your Facility Do Well During a Survey

17. The nursing assistant began to leave for a lunch break and remembered that one of the assigned residents needs to go back to bed after being up in the chair for 1 hour. What is the best action for the nursing assistant?

A) Get the resident back to bed after lunch because it only adds 30 minutes longer in the chair.

B) Leave a note on the clipboard for the fellow nursing assistant covering the break to do the task.

C) Go back and get the needed help to get the resident back to bed before going to the lunch break.

D) Ask available nursing assistants in another section to get the resident back to bed before leaving for lunch break.

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  2

Page and Header:  12, Guidelines Box 1-1: Guidelines for Excelling at Your Job and Helping Your Facility Do Well During a Survey

18. The nursing assistant is approached by a surveyor asking where the policy is for hazardous chemical spills. Given the scope of practice, the best response to the surveyor’s question would be:

A) “Our housekeeping is in charge of hazardous spills and might have the policy.”

B) “I don’t know, but I will find out for you by asking my nursing supervisor.”

C) “We never have any hazardous spills here, so we don’t have a policy.”

D) “I look up how to handle hazardous spills on the Internet and take care of it.”

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  2

Page and Header:  12, Guidelines Box 1-1: Guidelines for Excelling at Your Job and Helping Your Facility Do Well During a Survey

19. The nursing assistant is in the hall charting when another nursing assistant down the hall talks in a loud voice about a secret love affair that two of the residents are having. What is the best immediate action for the nursing assistant to take?

A) Congratulate the two residents at dinner while they are sitting around the table with their peers.

B) Walk over to the nursing assistant and remind the nursing assistant not to gossip about residents.

C) Ask the two residents separately if they are indeed having a secret love affair and for how long.

D) Report what the other nursing assistant had said in the hall to the nursing supervisor.

Difficulty:  Difficult

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  12, Guidelines Box 1-1: Guidelines for Excelling at Your Job and Helping Your Facility Do Well During a Survey

20. The nursing assistant attends a nursing school to become a registered nurse and has clinical at the same nursing home where the nursing assistant is employed. While at work, the nursing assistant is caring for a resident asking for comfort measures and pain medication. What best actions should the nursing assistant take? Select all that apply.

A) Choose comfort measures that helped previously.

B) Administer the pain medication as ordered.

C) Position the resident in a comfortable position.

D) Explain the role of the nursing assistant to the resident.

E) Articulate to the nurse the resident is in pain.