Chapter 07 Health Care Delivery Systems

Chapter 07 Health Care Delivery Systems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A client is in a rehabilitation center recovering from an accident in which the client sustained a C5and 6 fracture. The client now has some use of his arms and legs and is able to use a call bell andhold a spoon. The most appropriate short-term goal for this client is to:1)A)Eat in the client dining room.B)Go home with assistance in the home.C)Dress himself.D)Feed himself.Answer:DExplanation:A)Given the information that the client is able to hold a spoon, an appropriateshort-term goal is that the client is able to feed himself. Self-dressing will requiremuch more physical ability than self-feeding and, given the level of injury, maynot occur. Participating in a social setting during mealtime or being discharged arenot usually short-term goals.PlanningHealth Promotion and MaintenanceAnalysisB)Given the information that the client is able to hold a spoon, an appropriateshort-term goal is that the client is able to feed himself. Self-dressing will requiremuch more physical ability than self-feeding and, given the level of injury, maynot occur. Participating in a social setting during mealtime or being discharged arenot usually short-term goals.PlanningHealth Promotion and MaintenanceAnalysisC)Given the information that the client is able to hold a spoon, an appropriateshort-term goal is that the client is able to feed himself. Self-dressing will requiremuch more physical ability than self-feeding and, given the level of injury, maynot occur. Participating in a social setting during mealtime or being discharged arenot usually short-term goals.PlanningHealth Promotion and MaintenanceAnalysisD)Given the information that the client is able to hold a spoon, an appropriateshort-term goal is that the client is able to feed himself. Self-dressing will requiremuch more physical ability than self-feeding and, given the level of injury, maynot occur. Participating in a social setting during mealtime or being discharged arenot usually short-term goals.PlanningHealth Promotion and MaintenanceAnalysis2)A student nurse turns in a major client care plan to the instructor. The care plan identifies the clientby initials. Throughout the care plan, the student refers to the client both by her initials as well asher first name. This is:2)A)Appropriate because the client is never referred to by her full name.B)Inappropriate because it violates the Health Insurance Portability and Accountability Act(HIPAA).C)Inappropriate because it breaches the Patient Self-Determination Act.D)Appropriate because the nursing care plan is being used in an educational setting.Answer:B1
Explanation:A)The scenario presents a breach of confidentiality, which is unacceptable based onthe Patient’s Bill of Rights and the Health Insurance Portability and AccountabilityAct (HIPAA). The Patient Self-Determination Act deals with Medicare andMedicaid reimbursements and advance directives. It is allowable to discussindividual client care in an educational setting such as a nursing class and for anursing student to write a care plan about an individual client. Referring to a clientverbally or in writing in a way that the client can potentially be identified, such aswith the use of initials or a first name, is a breach of confidentiality.EvaluationSafe, Effective Care Environment-Coordinated CareApplicationB)The scenario presents a breach of confidentiality, which is unacceptable based onthe Patient’s Bill of Rights and the Health Insurance Portability and AccountabilityAct (HIPAA). The Patient Self-Determination Act deals with Medicare andMedicaid reimbursements and advance directives. It is allowable to discussindividual client care in an educational setting such as a nursing class and for anursing student to write a care plan about an individual client. Referring to a clientverbally or in writing in a way that the client can potentially be identified, such aswith the use of initials or a first name, is a breach of confidentiality.EvaluationSafe, Effective Care Environment-Coordinated CareApplicationC)The scenario presents a breach of confidentiality, which is unacceptable based onthe Patient’s Bill of Rights and the Health Insurance Portability and AccountabilityAct (HIPAA). The Patient Self-Determination Act deals with Medicare andMedicaid reimbursements and advance directives. It is allowable to discussindividual client care in an educational setting such as a nursing class and for anursing student to write a care plan about an individual client. Referring to a clientverbally or in writing in a way that the client can potentially be identified, such aswith the use of initials or a first name, is a breach of confidentiality.EvaluationSafe, Effective Care Environment-Coordinated CareApplicationD)The scenario presents a breach of confidentiality, which is unacceptable based onthe Patient’s Bill of Rights and the Health Insurance Portability and AccountabilityAct (HIPAA). The Patient Self-Determination Act deals with Medicare andMedicaid reimbursements and advance directives. It is allowable to discussindividual client care in an educational setting such as a nursing class and for anursing student to write a care plan about an individual client. Referring to a clientverbally or in writing in a way that the client can potentially be identified, such aswith the use of initials or a first name, is a breach of confidentiality.EvaluationSafe, Effective Care Environment-Coordinated CareApplication3)A client refuses the morning medications that are due to be administered at 10:00 a.m. What is themost appropriate initial response by the nurse to the client’s refusal?3)A)”Do you understand how important it is to take these medicines at the correct time?”B)”You have the right to refuse these medicines based on the Patient’s Bill of Rights.C)”I will have to call the doctor to report your refusal.”D)”Why don’t you want to take the medications this morning?”Answer:D2
Explanation:A)Initially, the nurse wants to collect more information about the reasons for therefusal. Based on this information, the nurse will determine his/her next action,which may include calling the physician. The goal is to encourage the client to takethe medicines. Saying that the client has the right to refuse medicines, asking if theclient understands the importance of taking the medicines, and telling the clientthat the doctor will have to be called block communication.AssessmentSafe, Effective Care Environment-Coordinated CareAnalysisB)Initially, the nurse wants to collect more information about the reasons for therefusal. Based on this information, the nurse will determine his/her next action,which may include calling the physician. The goal is to encourage the client to takethe medicines. Saying that the client has the right to refuse medicines, asking if theclient understands the importance of taking the medicines, and telling the clientthat the doctor will have to be called block communication.AssessmentSafe, Effective Care Environment-Coordinated CareAnalysisC)Initially, the nurse wants to collect more information about the reasons for therefusal. Based on this information, the nurse will determine his/her next action,which may include calling the physician. The goal is to encourage the client to takethe medicines. Saying that the client has the right to refuse medicines, asking if theclient understands the importance of taking the medicines, and telling the clientthat the doctor will have to be called block communication.AssessmentSafe, Effective Care Environment-Coordinated CareAnalysisD)Initially, the nurse wants to collect more information about the reasons for therefusal. Based on this information, the nurse will determine his/her next action,which may include calling the physician. The goal is to encourage the client to takethe medicines. Saying that the client has the right to refuse medicines, asking if theclient understands the importance of taking the medicines, and telling the clientthat the doctor will have to be called block communication.AssessmentSafe, Effective Care Environment-Coordinated CareAnalysis