Chapter 1: Concepts and Trends in Health Care - Nurselytic

Questions 32

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ATI LPN TextBook-Based Test Bank

Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition

Chapter 1 : Concepts and Trends in Health Care Questions

Question 1 of 5

The nurse is aware of the various changes in the healthcare field. What important factor remains the same in this time of change?

Correct Answer: A

Rationale: In the midst of these dramatic changes and challenges, nurses must continue to provide safe, high-quality, cost-effective care to individuals, families, and communities. It is also imperative that nurses distinguish and communicate to clients the various choices that the clients may make about their healthcare. Clients have a choice as to location of care providers and are not limited to local facilities. Clients are not involved in standardizing care; this is a healthcare provider function. Nurses will not have to work in unsafe conditions in order to provide care to clients.

Question 2 of 5

What statement by the nurse shows an understanding of the vision of Healthy People 2030?

Correct Answer: A

Rationale: The Healthy People 2030 campaign provides an overall action plan to improve the health and quality of life for all people living the United States. The U.S. Department of Health and Human Services identified these overarching health goals: Attain healthy, thriving lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all. Healthy People 2030 is not focused on an individual disease process, a 'normal' weight, or exercise for the individual as the overall goal.

Question 3 of 5

Managed care organizations are insurers that carefully plan and closely supervise the distribution of healthcare services. What is one of the goals of managed care?

Correct Answer: A

Rationale: Preventing illness through screening and promotion of health activities is one of the goals of managed care. Improved training of healthcare professionals is the priority for international health and not the goal of managed care. Eliminating health disparities between the segments of population is a goal of Healthy People 2030. Providing hospice or home hospice care is only for terminally ill clients.

Question 4 of 5

In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is most likely to jeopardize the quality of care?

Correct Answer: A

Rationale: Hospitals are using unlicensed assistive personnel to perform some duties practical and registered nurses once provided. Many are concerned that the use of unlicensed assistive personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals, not devoting enough time to the client, or the rise of medical costs are less likely to jeopardize the quality of care.

Question 5 of 5

Since losing a leg years ago, the client and their spouse have formed a community walking group to raise money for the homeless in their area. Which of the following has contributed to the client being viewed as 'healthy'?

Correct Answer: B

Rationale: Clients adapt physically, emotionally, and socially, enabling them to maintain comfort, stability, and self-expression. Clients with chronic illness can achieve a high level of wellness and experience high quality of life. Marriage is an aspect that contributes to quality of life but does not by itself define the quality of the client's life. All clients experience various states of health and illness.

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