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NSG440 Ex 3 ExploreMore_24SP Flashcards | StudBud
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NSG440 Ex 3 ExploreMore_24SP
NSG440 Ex 3 ExploreMore_24SP
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Content review for ABSN NSG-440 Ex 3
Flashcards
53 cards
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Practice quiz
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Questions
53
Answers
1
Every Medicaid client is assigned a case manager.
False
True
2
Care mgmt strategy that targets chronic disease conditions that need long-term interventions.
Use Management
Disease Management
Demand Management
Critical Paths
3
Lack of case management presents risks of fragmented services including: (SATA)
Gaps in care
Miscommunication
High staffing ratios
Overuse or underuse in services
4
The occ health nurse works with employees with chronic diabetes to review medications and glucose screenings. This is:
Primary prevention
Tertiary prevention
Secondary prevention
5
In planning critical pathways, this program may have case mgmt benefits for complex disease management.
Preferred Provider Organizations (PPO)
Health Maintenance Organizations (HMO)
Medicaid plans
Medicare plans
6
When the nurse follows family request to not tell the client their prognosis, the principle of ___ is impacted.
Justice
Veracity
Autonomy
Beneficence
7
A parish nurse educates about healthy snacks for a young parents support group. This is ___ prevention.
Primary
Secondary
Tertiary
8
A school nurse finds two students with scabies. After sending the children home, what is the nurse's next step?
Informing the other students
Notify other parents of exposure and what symptoms to watch for
Report the outbreak to the state health department immediately
No other steps are needed
9
A school nurse screens for scoliosis of all fourth grade students. This is:
Tertiary Prevention
Primary Prevention
Secondary Prevention
10
An OH nurse teaches proper use of goggles after an employee is splashed in the eye. What level of prevention?
Secondary
Primary
Tertiary
11
This principle may be infringed if a provider preferred by client is not approved by case management system.
Veracity
Justice
Autonomy
Beneficence
12
Provides a formal communication link among all parties regarding plan of care. Case mgr as a:
liaison.
broker.
client advocate.
coordinator.
13
The client caregiver should be able to immediately repeat all education provided by nurse to demonstrate retention.
False
True
14
When would the case management nurse create a life care plan?
For a client needing transfer to a new care provider
With a non-compliant client
For family who require referral of client to long-term care
For the current & future care of a client w/catastrophic or chronic disease
15
A school nurse provides an asthma treatment after PE for a student. This is:
Tertiary Prevention
Secondary Prevention
Primary Prevention
16
A parish nurse provides a cooking class for church members with diabetes. This is ___ prevention.
Primary
Secondary
Tertiary
17
Which type of employee does the occupational health nurse know is at greatest risk for work-related injuries?
An older worker with new dentures.
A new employee hired less than a year ago.
An older worker with congestive heart failure.
A new parent who returns to work after maternity leave.
18
It is easier to provide case management in rural areas because of generally strong community support & access to care.
True
False
19
Hospice nurses know that the hospice philosophy includes keeping the patient as healthy as possible up until death.
False
True
20
The Home Health role may include collaboration but the nurse essentially fulfills all
skilled care
roles in the home.
True
False
21
This principle may be impaired if more attention is given to costs rather than improving health or relieving suffering.
Autonomy
Beneficence
Justice
Veracity
22
Case management would probably not be appropriate for a client with renal disease.
True
False
23
Distributing limited health care resources according to a health plan. Case mgr as a:
client advocate.
broker.
systems allocator.
liaison.
24
Case mgrs face conflict with this principle when quality providers refuse to accept managed care clients.
Justice
Veracity
Autonomy
Beneficence
25
The occ health nurse screens employees for hearing loss due to warehouse noise levels. This is:
Secondary prevention
Primary prevention
Tertiary prevention
26
Part of CM nursing process that includes advocating for client interest including provider contact & service negotiation
Diagnosis
Implementation
Assessment
Evaluation
27
Telehealth services would be appropriate for: (SATA)
Calling the receptionist to schedule a follow up visit
Videoconference call with a psychiatrist to discuss med changes
Client pre-operative education
Accessing the clinic hours on an internet browser
Triage of a client's cough
Daily weights and vitals for a cardiac client
28
Provides information and support for client & family with other care team members and services. Case mgr as a:
liaison.
coordinator.
broker.
client advocate.
29
Home health is provided for a variety of reasons. What client would
not
be an appropriate home health candidate?
Older frail adult needing assistance with insulin injections
New parents needing follow up education of their newborn
A 25-year-old man with a broken arm
A paraplegic client
30
A school nurse cleans a cut on the PE teacher’s forehead after she is hit with a soccer ball during class. This is:
Tertiary Prevention
Primary Prevention
Secondary Prevention
31
Part of CM nursing process that includes problem identification and conclusions from interprofessional meetings.
Diagnosis
Assessment
Implementation
Planning for outcomes
32
What is a reason that it may be difficult for the hospice team to provide comprehensive care to a client & their family?
Lack of collaboration of the hospice team
Short-staffing of the hospice team
Not enough time to provide life-saving treatments
Late referrals to hospice resulting in short time of care
33
A school nurse assists with a Kindergarten immunization clinic at the school. This is:
Primary Prevention
Secondary Prevention
Tertiary Prevention
34
Care mgmt strategy that provides clients with info to empower healthy choices & behaviors to improve health status.
Disease Management
Demand Management
Critical Paths
Use Management
35
The home health client's caregiver must be responsible for all ADLs regardless of their comfort in doing so.
False
True
36
A patient who was hospitalized & diagnosed with CHF & will be discharged would most likely need a ______ program.
Hospice Care
Therapeutic Care
Outpatient Care
Transitional Care
37
A school nurse teaches a kindergarten class about dental care. This is:
Secondary Prevention
Primary Prevention
Tertiary Prevention
38
All nurses are mandatory reporters, even though a child may have initially confided in the nurse.
True
False
39
The occ health nurse provides employee education on lifting & back safety in the workplace. This is:
Tertiary prevention
Primary prevention
Secondary prevention
40
The case mgr is coordinating the move of a client from an acute care unit to a rehab facility. This is:
transitional care services.
transportation management services.
collaboration services.
advocacy services.
41
Life care plans are for clients who have a catastrophic illness or a sustained injury that requires a change in care.
False
True
42
What is an important aspect of the Patient Self-Determination Act?
The right to refuse reporting of a required reportable communicable disease
The right to make autonomous decisions regarding care.
The right to receive care without cost.
The right to call a provider at their home.
43
Which type of employee might require additional care and follow up from the occupational health nurse?
A new employee wearing safety goggles on the plant floor.
A new parent who returns to work after maternity leave.
An older worker with new dentures.
An older worker with congestive heart failure.
44
The goal of advocacy in care management is to guarantee that clients can see the provider of their choice.
True
False
45
Part of CM nursing process that includes prioritization of problems
Planning for outcomes
Evaluation
Assessment
Diagnosis
46
Transitional care for the parish nurse is care that supports a client transition from one level of care to another.
True
False
47
School nurses are direct caregivers.
False
True
48
A parish nurse surveys the church’s teens and identifies risks of depression. This is ___ prevention.
Secondary
Tertiary
Primary
49
Acting as an agent for needed services based on client budget & cost limits of health care plan. Case mgr as a:
client advocate.
broker.
coordinator.
liaison.
50
A school nurse removed debris from a skinned knee and is applies saline to the cut. What level of prevention is this?
Tertiary
Primary
Secondary
51
Care mgmt strategy using a map of care in a timeline to achieve desired outcomes & reduce client care differences.
Demand Management
Disease Management
Critical Pathways
Use Management
52
Part of CM nursing process that includes examination of outcomes, reassessment, and discharge as appropriate
Evaluation
Planning for outcomes
Diagnosis
Assessment
53
Part of CM nursing process that includes case finding, screening and intake, and seeking referrals
Implementation
Assessment
Diagnosis
Planning for outcomes