Solutions - Chapter 7 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1TYK. The ANA’s Health System Reform Agenda (2008) included which of the following?
1.  Primary health care should be based in acute care hospitals.
2.  A minimum standard of health care for all persons should be paid for completely with public funds.
3.  Case management should be focused on clients with enduring health care needs.
4.  Essential services should be initiated simultaneously to avoid gaps.
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2CTC. Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called “drive-through (or 24-hour) mastectomies” in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA’s Health System Reform Agenda (ANA, 2008) states that (a) health care should be providedln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person’s ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
Which of the three agenda items listed do you consider the most important and why?
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2TYK. The Pew Commission competencies for future practitioners included the need for providers to become skilled in which of the following?
1.  Use of technology
2.  Emphasizing practice in tertiary settings
3.  Traditional clinical approaches
4.  Making decisions for incompetent clients
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3CTC. Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called “drive-through (or 24-hour) mastectomies” in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA’s Health System Reform Agenda (ANA, 2008) states that (a) health care should be providedln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person’s ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How might different community-based frameworks manage the clinical example?
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3TYK. Which of the following is characteristic of nursing care provided in community-based health?
1.  Clients are primarily those with identified illnesses.
2.  Clients are individuals in groups according to their geographic commonalities.
3.  Care is paid for by the community as a whole rather than by individuals.
4.  All clients are case managed.
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4CTC. Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called “drive-through (or 24-hour) mastectomies” in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA’s Health System Reform Agenda (ANA, 2008) states that (a) health care should be providedln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person’s ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How would the nurse use collaboration with insurance payers, women, or surgeons to resolve any concerns with the clinical example?
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4TYK. When performing collaborative health care, the nurse must implement which of the following?
1.  Assume a leadership role in directing the health care team.
2.  Rely on the expertise of other health care team members.
3. Be physically present for the implementation of all aspects of the care plan.
4.  Delegate decision-making authority to each health care provider.
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5TYK. The nurse concludes that effective discharge planning (hospital to home) has been conducted when the client states which of the following?
1.  “As soon as I get home, the nurse will come out, look at where I live, and see what kind of care I will need.”
2.  “All I need are my medications and a ride home. Then I’m all ready for discharge.”
3.  “When I visit my doctor in 10 days, they will show me how to change my bandages.”
4.  “I have the phone numbers of the home care nurse and the therapist who will visit me at home tomorrow.”
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6TYK. A large disaster in a community resulted in the destruction of many family homes and many individuals were injured. The assistance of community health nurses and home health nurses is needed. The home health nurse is most likely to perform which of the following?
1.  Provide for a safe water supply.
2.  Monitor for communicable diseases.
3.  Establish communication and support systems.
4.  Assess and treat individual clients.
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