A patient is eligible to change health care providers and insurance and asks, "I am interested in health promotion activities; I walk, swim, and eat healthy. Which health insurance plan would support these activities rather than just pay for services when I am sick"? Which, if any, health insurance plan would best meet the needs of this patient?

Correct Answer: A

Rationale: The correct answer is A: Health Maintenance Organization (HMO). HMOs focus on preventive care and health promotion activities, such as regular check-ups, screenings, and wellness programs. They emphasize keeping patients healthy and offer incentives for healthy behaviors. This aligns with the patient's interest in health promotion activities like walking, swimming, and eating healthy. Choice B (Fee for Service) typically does not emphasize preventive care and may not provide the support for the patient's health promotion activities. Choice C (Preferred Provider Organization - PPO) may offer some preventive care services, but HMOs are more structured and proactive in promoting health and wellness. Choice D is incorrect because many health insurance plans, including HMOs, cover preventive care and health promotion activities to encourage overall well-being.

Correct Answer: C

Rationale: The correct answer is C: autonomy. Autonomy refers to a patient's right to make their own decisions about their healthcare, including the right to accept or refuse treatment. In this scenario, the 13-year-old female has expressed her desire to have the baby and give it up for adoption. By respecting her autonomy, healthcare providers must support her decision, even if it goes against her father's wishes. A: Deontology is a moral theory that emphasizes the importance of following moral rules and duties. While autonomy is a principle within deontology, the main focus in this scenario is on respecting the patient's autonomy rather than following a specific moral rule. B: Veracity refers to the principle of truth-telling. While honesty is important in healthcare, the main issue in this scenario is respecting the patient's autonomy rather than truth-telling. D: Beneficence refers to the duty to do good and promote the well-being of the patient. In this scenario, respecting the patient's autonomy is

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. The patient believes in the power of complementary alternative therapies to help the body heal itself. 2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal. 3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes. 4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms. Summary of why other choices are incorrect: A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing. C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself. D. While focusing on total lifestyle is important in alternative healing, this choice does not directly

Correct Answer: C

Rationale: The correct answer is C: Coercive. Managers with an authoritative behavioral style tend to use coercive power, which involves the ability to influence others through threats or punishment. This style relies on fear and control to achieve compliance. Informal power (A) is based on relationships and influence, expert power (B) is derived from knowledge and expertise, and reward power (D) is based on the ability to provide incentives. However, coercive power aligns most closely with an authoritative style as it emphasizes control and dominance over subordinates.

Correct Answer: A

Rationale: The correct answer is A: Work with the patient and family to create an advanced plan of care. This is the best way to avoid ethical dilemmas because it involves proactive decision-making and communication among all parties involved. By creating an advanced plan of care, the patient and family can outline the patient's preferences, values, and goals for future care, ensuring that decisions align with the patient's wishes. This helps prevent potential conflicts and ensures that everyone is on the same page regarding the patient's care. Choices B, C, and D are incorrect: B: Explaining cognitive decline does not directly address how to avoid ethical dilemmas and may cause unnecessary distress. C: Discussing religious and spiritual concerns is important but may not specifically address future ethical dilemmas related to care decisions. D: Identifying family members in control of decision-making does not necessarily prevent ethical dilemmas and may overlook the patient's autonomy and preferences.

Correct Answer: A

Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.

Correct Answer: A

Rationale: The correct answer is A: Caring for an aging population. This is a uniquely twenty-first-century issue as advancements in healthcare have increased life expectancy, leading to a larger elderly population with complex healthcare needs. Nurses must adapt their skills and knowledge to provide specialized care for this demographic. B: Increased patient acuity is a common challenge but not unique to the twenty-first century. Nurses have always dealt with varying levels of patient acuity. C: Access to health care services is an ongoing issue that has been prevalent for many years, not specifically unique to the twenty-first century. D: Expanding technology is also a significant challenge for nurses in the modern era, but it is not uniquely a twenty-first-century issue as technology has been advancing for decades.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates the use of telehealth in monitoring and providing remote care to a patient. In this scenario, a nurse is able to supervise and ensure the correct execution of peritoneal dialysis by observing the patient from a different location. This exemplifies the practical application of telehealth in enhancing patient care and safety. Choice A is incorrect because it describes a robot performing housekeeping chores, which is not directly related to telehealth or patient care. Choice B is incorrect as it focuses on computer software alerting about drug interactions, but it does not involve remote patient care or monitoring. Choice C is incorrect as it describes a physician dictating an admission history, which is not a direct example of telehealth involving remote patient monitoring or care.

Correct Answer: D

Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.