A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:- Nurselytic

Question 1 of 5

A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:

A. "Local government controls which benefits each county can provide to Medicaid recipients." B. "The federal government does not fund any part of Medicaid, so each state must find ways to pay for benefits." C. "Each state determines benefits on the basis of the present economy." D. "Medicaid is funded by both state and federal governments, but benefits vary from state to state."

Correct Answer: D

Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.

Question 2 of 5

Which organization provides federal funding for research?

A. National Institute of Nursing Research B. Robert Wood Johnson Foundation C. W. K. Kellogg Foundation D. Sigma Theta Tau International

Correct Answer: A

Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.

Question 3 of 5

What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?

A. Theories B. Constructs C. Systems D. Propositions

Correct Answer: A

Rationale: The correct answer is A: Theories. Theories are comprehensive explanations that scholars use to understand commonly occurring events by organizing and explaining a set of principles or laws. Theories help in predicting and controlling events based on established frameworks. Constructs (B) refer to abstract concepts within theories, systems (C) are organized structures of elements, and propositions (D) are statements that describe relationships between concepts, but they do not provide the comprehensive explanations that theories do.

Question 4 of 5

A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)

A. focusing on activities to be completed, rather than on objectives. B. planning for tomorrow today. C. making certain that the last hours are the most productive in tying up loose ends. D. maintaining a log of how the nurse spends time (no need to worry about using complete sentences).

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

Question 5 of 5

Which of the following situations would be appropriate for the supervisory level of initial direction and/or periodic inspection?

A. Experienced RNs work together to provide care for a group of patients newly diagnosed with meningitis. B. The RN assigns the LPN tasks within her scope of practice and checks back during the shift to ensure the tasks are completed correctly. C. A new graduate nurse is assigned care to a male patient with a hematocrit of 11.0 g of hemoglobin per deciliter and is receiving a blood transfusion. The charge nurse checks on the patient status every 15 to 30 minutes and asks the graduate to explain "next steps." D. No supervision is necessary since both are registered nurses.

Correct Answer: B

Rationale: The correct answer is B because the scenario describes a situation appropriate for the supervisory level of initial direction and periodic inspection. The RN assigning tasks to the LPN within her scope of practice and checking back ensures tasks are completed correctly, aligning with the supervisory role. This level of oversight is necessary for safe and effective patient care. Choice A is incorrect as experienced RNs working together do not require supervisory direction for caring for patients. Choice C involves the charge nurse providing frequent oversight to a new graduate nurse, which is more than just periodic inspection. Choice D is incorrect because regardless of both being registered nurses, supervision may still be necessary, especially when assigning tasks to a different level of healthcare provider like an LPN.

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