RN Health Care Delivery Assessment 2.0

A nurse in a provider's office is speaking with a client about a Press Ganey survey. The nurse should inform the client that this survey will be conducted by which of the following methods?

Email

Automated phone attendant

Postal mail

Telephone call

Email

A nurse is caring for a client who reports that they have recently lost their job and do not have insurance coverage. Which of the following social determinants of health is challenging for this client?

Economic stability

Education access and quality

Social and community context

The neighborhood environment

Economic stability

A nurse is teaching a client about hospice care. Which of the following statements by the client indicates an understanding of the teaching?

"I understand that services provided will include just what is needed to keep me comfortable."

"While I am receiving hospice care, I will continue treatment for my illness."

"I need to be in the hospital to receive hospice care."

"The hospice team will no longer support my family after I have passed away."

"I understand that services provided will include just what is needed to keep me comfortable."

A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should the nurse include? (Select all that apply.)

Initiatives to reduce health care disparities

Activities to improve social determinants of health

Providing prevention care services

Improving access to health care

Reducing the infection rate

Initiatives to reduce health care disparities

Activities to improve social determinants of health

Improving access to health care

A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging (MRI) test. Which of the following is the nurse obtaining?

Fee-for-service

Diagnosis-related group (DRG)

Retrospective review

Precertification

Precertification

A graduate nurse notes that a hospital with Pathway to Excellence® recognition is hiring staff. Which of the following should the nurse expect from this facility? (Select all that apply.)

The facility has practices in place that lead to a healthy workplace environment.

The facility must have underwent an on-site review to receive the Pathway to Excellence® award.

The facility emphasizes shared governance.

The facility emphasizes practices that positively affect a nurse's well-being.

The facility focuses on improving clinical quality indicators.

The facility has practices in place that lead to a healthy workplace environment.

The facility emphasizes shared governance.

The facility emphasizes practices that positively affect a nurse's well-being.

A community health nurse is teaching a newly licensed nurse about social determinants of health. Which of the following should the newly licensed nurse identify as a physical determinant of health?

Limited income to purchase food

Poor quality school system

Inability to read food labels

Poor air quality

Poor air quality

A nurse is caring for a client who has Parkinson's disease and needs assistance with ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? (Select all that apply.)

Social worker

Dietitian

Physical therapist

Occupational therapist

Dietitian

Physical therapist

Occupational therapist

A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following team members can assist the client with the refill? (Select all that apply.)

Social worker

Advanced practice registered nurse (APRN)

Physician assistant (PA)

Pharmacist

Physician

Advanced practice registered nurse (APRN)

Physician assistant (PA)

Physician

A nurse is reviewing a report by the Institute of Medicine (IOM). Which of the following competencies should the nurse identify health care professionals need in order to reduce errors? (Select all that apply.)

Competition

Cooperation

Communication

Resolution

Coordination.

Cooperation

Communication

Coordination.

A nurse is teaching a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

The ACA does not provide coverage for pre-existing conditions.

The ACA enforces a lifetime limit to covered benefits.

Clients who have insurance pay a fee for preventable screenings.

A focus of the ACA is disease prevention.

A nurse is teaching about Medicaid to a client who is concerned about paying for health care. Which of the following statements should the nurse make?

"Your income will determine if you are eligible for Medicaid."

"You must be age 65 or older to qualify for Medicaid."

"Laboratory services are not covered by Medicaid."

"Medicaid is fully funded by the federal government."

A nurse is hired to be a case manager in a facility. Which of the following services should the nurse expect to perform?

Facilitate transfer of clients to meet the required level of care.

Perform physical assessments on clients.

Administer medications to clients.

Provide wound care to clients.

Facilitate transfer of clients to meet the required level of care.

A nurse in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the following care facilities should the nurse anticipate the client be admitted to?

Skilled nursing facility

Long-term care hospital

Acute care hospital

Assisted living facility

Acute care hospital

A nurse is teaching a class about the Hospital-Acquired Condition Reduction Program (HACRP). Which of the following information should the nurse include?

The HACRP reimburses a medical facility based on the client's primary diagnosis.

The HACRP links Medicare payments to health care quality.

The HACRP determines the length of hospitalization for clients who have the same diagnosis.

The HACRP is not used in the acute care setting.

The HACRP links Medicare payments to health care quality.

A nurse is discussing social determinants of health with a newly licensed nurse. The nurse should include that which of the following factors contribute to the neighborhood and built environment determinant category? (Select all that apply.)

Access to foods that support healthy eating patterns

Access to health care

Crime and violence

Environmental conditions

Civic participation

Access to foods that support healthy eating patterns

Crime and violence

Environmental conditions

A nurse is teaching a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include?

TJC is a for-profit organization.

Accreditation by TJC is required for all inpatient facilities.

Accreditation by TJC is restricted to inpatient facilities.

TJC ensures organizations remain up-to-date with state guidelines.

TJC ensures organizations remain up-to-date with state guidelines.

A nurse is teaching a newly licensed nurse about Medicare reimbursement. Which of the following should the nurse include in the teaching?

Diagnosis-related groups (DRGs) establish reimbursement amounts based on the client's length of hospitalization.

Reimbursement amounts will be adjusted for clients who contract hospital-acquired conditions (HAC).

Clients must recover before the facility can be reimbursed.

The Inpatient Prospective Payment System (IPPS) allows for facilities to be reimbursed in advance for client care.

Reimbursement amounts will be adjusted for clients who contract hospital-acquired conditions (HAC).

A nurse is discussing hospice care with a newly licensed nurse. Which of the following should the nurse identify as the goal of hospice care?

Provide comfort measures for clients who are receiving active treatment for illness.

Allow a client's caregiver to take a break from caring for their loved one.

Provide care for a client who has less than 6 months to live.

Offer services such as strength exercises for the client within the client's home.

Provide care for a client who has less than 6 months to live.

A nurse is completing the Minimum Data Set (MDS) assessment for a resident in a skilled-nursing facility. Which of the following information should the nurse include in the assessment? (Select all that apply.)

Input from members of the client's interdisciplinary team

The client's cognitive status

Description of the client's home environment

Each physical therapy visit

The client's need for assistance with activities of daily living

Input from members of the client's interdisciplinary team

The client's cognitive status

Each physical therapy visit

The client's need for assistance with activities of daily living

A nurse is teaching a newly licensed nurse about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include?

The HCAHPS tool is provided to clients upon admission to a facility.

The HCAHPS tool is issued to every client who is admitted to the facility.

The HCAHPS tool is issued to measure client satisfaction with the health care service.

The HCAHPS tool is emailed to clients.

The HCAHPS tool is issued to measure client satisfaction with the health care service.

A home health nurse is caring for a client who is receiving hospice care. The client's partner reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the nurse recommend?

A skilled nursing facility (SNF)

A long-term care hospital (LTCH)

Respite care

Assisted living

Respite care

A nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred to for further treatment?

Skilled nursing facility (SNF)

Long-term care hospital (LTCH)

Assisted living

Hospice care

Long-term care hospital (LTCH)