An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:

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Contemporary Issues in Nursing Questions

Question 1 of 9

An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:

Correct Answer: A

Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare. B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms. C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement. D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.

Question 2 of 9

A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?

Correct Answer: B

Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law. A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees. C: National Labor Relations Act - This is a duplicate choice. D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.

Question 3 of 9

A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?

Correct Answer: B

Rationale: The correct answer is B: Contact the elected representative's office by telephone to request support for the bill. This action is the most direct and effective way to influence the passage of the bill. By directly contacting the elected representative, the nurse can advocate for the importance of the bill and provide relevant information to garner their support. This direct communication with the decision-maker holds significant weight in influencing their vote on the bill. A: Explaining the rationale to the school board may be informative, but the school board may not have direct influence on the state legislature. C: Supporting a health advocate to run for election is a long-term strategy and may not have an immediate impact on the passage of the bill. D: Telling all students about the bill may raise awareness but may not directly influence the lawmakers' decisions.

Question 4 of 9

Studies conducted to determine enrollment trends in nursing schools have found that in the last years:

Correct Answer: A

Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry. Explanation: - Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements. - Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing. - Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question. - Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.

Question 5 of 9

A nurse who is licensed in Georgia and moves to Oregon:

Correct Answer: A

Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN® is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.

Question 6 of 9

When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?

Correct Answer: B

Rationale: The correct answer is B because nurses play a crucial role in advocating for violence prevention programs to create a safe work environment. Nurses can raise awareness, implement policies, and support victims. Incorrect answers: A: Trust in nursing doesn't prevent violence. Violence can still occur due to various factors. C: Verbal assault is recognized as a form of violence in the nursing profession. D: Evaluating all nurses for the risk of committing violence may not be feasible or effective in preventing violence.

Question 7 of 9

A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

Correct Answer: C

Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues. A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice. B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings. D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.

Question 8 of 9

In the preparedness phase for disasters, the community plans for a possible terrorist attack using anthrax as the weapon of destruction. What treatments and/or preparations would be needed?

Correct Answer: A

Rationale: The correct answer is A: Vaccines and Level B Personal Protection Equipment (PPE). In the preparedness phase for a terrorist attack using anthrax, vaccines are crucial for prevention. Level B PPE provides respiratory protection and skin protection against anthrax spores. This is essential for healthcare workers and first responders. Choice B is incorrect as it mentions treatment for burns, which is not relevant to anthrax exposure. Decontamination and Level A PPE are not specifically needed for anthrax. Choice C is incorrect as it mentions radioactive fallout, which is not relevant to anthrax. Social distancing is also not effective in preventing anthrax exposure. Choice D is incorrect as it mentions incendiary devices and treatment for burns, which are not related to anthrax exposure. Identifying and detecting propellants is also not relevant to anthrax preparedness.

Question 9 of 9

A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:

Correct Answer: A

Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.

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