Module 46 Healthcare Systems

Module 46   Healthcare Systems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Healthcare Systems

 

1) The nurse is caring for a client who sustained multiple injuries in an automobile accident. As a part of secondary prevention for this client, the nurse plans to do which of the following?

1. A) Promote wellness.
2. B) Detect early disease.
3. C) Restore the client to previous functioning.
4. D) Prevent the progression of more symptoms.

Answer:  D

Explanation:

1. A) Rehabilitation is tertiary prevention and is aimed at restoring the client to the previous level of functioning. Prevention of the progression of symptoms and early detection of disease are secondary preventions. Promoting wellness is considered primary prevention.
2. B) Rehabilitation is tertiary prevention and is aimed at restoring the client to the previous level of functioning. Prevention of the progression of symptoms and early detection of disease are secondary preventions. Promoting wellness is considered primary prevention.
3. C) Rehabilitation is tertiary prevention and is aimed at restoring the client to the previous level of functioning. Prevention of the progression of symptoms and early detection of disease are secondary preventions. Promoting wellness is considered primary prevention.
4. D) Rehabilitation is tertiary prevention and is aimed at restoring the client to the previous level of functioning. Prevention of the progression of symptoms and early detection of disease are secondary preventions. Promoting wellness is considered primary prevention.

Page Ref: 2596

Cognitive Level:  Understanding

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  1. Discuss the three levels of prevention and give examples of each level.

 

2) A nurse educator is teaching a group of students about managed care. The educator knows that the students have understood the concept when they state that managed care has an emphasis which of the following?

Select all that apply.

1. A) Bringing services to the client
2. B) Integration of health care services
3. C) Cost-effective care
4. D) Preventive services
5. E) Health promotion

Answer:  C, D, E

Explanation:

1. A) Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.
2. B) Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.
3. C) Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.
4. D) Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.
5. E) Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.

Page Ref: 2599

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  2. Differentiate different types of healthcare agencies and describe the type of healthcare service provided at each.

3) A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN) degree. After considering projected changes in health care and the population cared for in the community, the student might consider selecting which elective course?

1. A) A course on medical Spanish
2. B) A psychology course on young adults
3. C) A personal finance class
4. D) A class on the effect of illness on a young child

Answer:  A

Explanation:

2042. A) Minorities in the United States will likely be the majority by the year 2042. By becoming proficient at other languages, such as Spanish, the nurse will be better able to meet the needs of the clients who seek care within the community. The largest group of clients will be age 65 or older in the near future, so an extra class about an aging population would be more helpful than a class about children or young adults. The student might consider a class on the effects of finance and cost in the delivery of health care rather than personal finance.
2043. B) Minorities in the United States will likely be the majority by the year 2042. By becoming proficient at other languages, such as Spanish, the nurse will be better able to meet the needs of the clients who seek care within the community. The largest group of clients will be age 65 or older in the near future, so an extra class about an aging population would be more helpful than a class about children or young adults. The student might consider a class on the effects of finance and cost in the delivery of health care rather than personal finance.
2044. C) Minorities in the United States will likely be the majority by the year 2042. By becoming proficient at other languages, such as Spanish, the nurse will be better able to meet the needs of the clients who seek care within the community. The largest group of clients will be age 65 or older in the near future, so an extra class about an aging population would be more helpful than a class about children or young adults. The student might consider a class on the effects of finance and cost in the delivery of health care rather than personal finance.
2045. D) Minorities in the United States will likely be the majority by the year 2042. By becoming proficient at other languages, such as Spanish, the nurse will be better able to meet the needs of the clients who seek care within the community. The largest group of clients will be age 65 or older in the near future, so an extra class about an aging population would be more helpful than a class about children or young adults. The student might consider a class on the effects of finance and cost in the delivery of health care rather than personal finance.

Page Ref: 2599

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Planning

Learning Outcome:  3. List factors that influence the delivery of health care and explain how each factor affects the delivery of care.

 

4) The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG) testing, phlebotomy, and some respiratory therapy interventions. This clinic is providing client-focused care. Which of the following are the benefits of this delivery model?

Select all that apply.

1. A) Collaboration among many disciplines in providing client care
2. B) Decreased steps to provide client care
3. C) Decreased personnel required to provide client care
4. D) Ease in tracking client progress
5. E) Cost-effective care resulting in improved outcomes

Answer:  B, C

Explanation:

1. A) Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care, which results in decreased costs and improved outcomes. Case management is a way to integrate healthcare services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client’s progress in case management.
2. B) Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care, which results in decreased costs and improved outcomes. Case management is a way to integrate healthcare services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client’s progress in case management.
3. C) Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care, which results in decreased costs and improved outcomes. Case management is a way to integrate healthcare services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client’s progress in case management.

 

1. D) Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care, which results in decreased costs and improved outcomes. Case management is a way to integrate healthcare services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client’s progress in case management.
2. E) Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care, which results in decreased costs and improved outcomes. Case management is a way to integrate healthcare services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client’s progress in case management.

Page Ref: 2599

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  4. List different frameworks for delivering care and explain how they differ, including the advantages and disadvantages of each.