Chapter 15: Health Planning for Acute Care Settings

Chapter 15: Health Planning for Acute Care Settings

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is teaching a class about the role of acute care in the nursing process. A student asks what type of prevention, if any, acute care mainly provides. The nurse replies:

A.	Primary
B.	Secondary
C.	Tertiary
D.	Quaternary

 

 

ANS:  C

Objective: 1. Describe the relationship between acute care and population health.

1. 349-350

Heading: Introduction

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing Roles; Health-Care System

Difficulty: Moderate

 

	Feedback
A	This is incorrect. Primary interventions aim to prevent disease or injury from the beginning. Most patients seen in an acute setting are beyond the primary intervention level.
B	This is incorrect. Secondary prevention interventions seek to diagnose people with disease at an early stage, so that treatment is effective.
C	This is correct. Tertiary prevention interventions are those aimed at treating disease and illness, which is also the goal of acute care. Most people being cared for in an acute setting are already ill and in need of treatment or management of their disease.
D	This is incorrect. Quaternary prevention interventions seek to identify patients who are at risk for the over treatment of disease and minimize their risk for complications.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles | Health-Care System

 

2. A nurse is planning specific interventions that aim to reduce the rate of complications due to uncontrolled blood sugar levels in the diabetes population. The word population is being used in the ____ context.

A.	Public health
B.	Hospital setting
C.	Cultural
D.	None of the above

 

 

ANS:  B

Objective: 1.Describe the relationship between acute care and population health.

1. 350-353

Heading: The Acute Care Setting and Population Health

Integrated Processes: Nursing Process

Client Need: Physiological Integrity: Reduction of Risk Potential

Cognitive Level: Application [Applying]

Concept: Metabolism; Critical Thinking; Health-Care System

Difficulty: Easy

	Feedback
A	This is incorrect. When using population in a public health context, it refers to people of the same social, economic, or cultural group.
B	This is correct. When referring to a population in the hospital, or acute care setting, it refers to a group of people who share a particular health concern (such as diabetes, as in this example) or hospital unit.
C	This is incorrect. When using population in a cultural context, it refers to people of the same ethnic or cultural group.
D	The correct answer is hospital setting. When referring to a population in this manner, it refers to a group of people who share a particular health concern (such as diabetes, as in this example) or hospital unit.

 

 

PTS:   1                    CON:  Metabolism | Critical Thinking | Health-Care System

 

3. A labor and delivery nurse is evaluating the hospital’s C-section rate and wants to see how it compares with national statistics. Which resource should the nurse check?

A.	Healthcare Cost and Utilization Project
B.	Healthy People 2020
C.	Agency for Healthcare Research and Quality
D.	Institutional Review Board

 

 

ANS:  A

Objective: 2. Identify the role of population level data in the development of the discipline of critical care.

1. 350-353

Heading: The Acute Care Setting and Population Health

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Pregnancy; Evidence-Based Practice; Nursing

Difficulty: Moderate

	Feedback
A	This is correct. The Healthcare Cost and Utilization Project tracks national health and hospital statistics. It should have the national C-section rates available for review.
B	This is incorrect. Healthy People 2020 is a set of national goals that aim to improve the health and well-being of all Americans. It does not track national statistics.
C	This is incorrect. The Agency for Healthcare Research and Quality tracks hospital morbidity and mortality rates for each hospital.
D	This is incorrect. The Institutional Review Board is a hospital-specific committee that reviews research projects within the hospital. They evaluate studies to ensure that they comply with standards used when conducting research with human subjects. It does not have anything to do with national statistics.

 

 

PTS:   1                    CON:  Pregnancy | Evidence-Based Practice | Nursing

 

4. As part of a capstone project, a student nurse is reviewing hospital admissions and discharge data. The student nurse decides to use which group of data to track hospital admissions and review groups of related diagnoses?

A.	ICD9 codes
B.	Major Diagnostic Categories (MDCs)
C.	Recidivism rates
D.	ALOS statistics

 

 

ANS:  B

Objective: 2. Identify the role of population level data in the development of the discipline of critical care.

1. 350-353

Heading: The Acute Care Setting and Population Health

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Nursing Roles; Evidence-Based Practice; Health-Care System

Difficulty: Moderate

	Feedback
A	ICD9 is a coding system that relates diagnoses to their discharge from the hospital and the specific care they receive in the hospital. The MDCs are a better group of data for what the nurse needs for the project.
B	This is correct. MDCs are Major Diagnostic Categories. It groups patients into similar diagnostic groups at their admission to the hospital. It can be used to track diagnoses within the hospital system.
C	This is incorrect. Recidivism rates are readmission rates within 30 days of discharge. It does not give insight into hospital admissions based on diagnoses.
D	This is incorrect. ALOS stands for average length of stay. It does not give any insight into hospital admissions based on diagnoses.

 

 

PTS:   1                    CON:  Nursing Roles | Evidence-Based Practice | Health-Care System