How can the nurse best advocate for a patient who will be discharged from acute care to home?

Correct Answer: A

Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.

Correct Answer: A

Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.

Correct Answer: B

Rationale: The correct answer is B: Evil spirits. The natives believe in a spiritual or supernatural cause of illness, as evidenced by their rituals involving fires and drums to ward off or appease evil spirits. This belief aligns with cultural practices in many underdeveloped countries where illness is often attributed to spiritual factors rather than pathogens or genetics (choice A), tides and planets (choice C), or plants and animals (choice D). The rituals surrounding the sick person suggest a belief in the influence of evil spirits on health, making option B the most appropriate choice.

Correct Answer: C

Rationale: The correct answer is C: Modular. This care delivery model involves assigning specific patient care responsibilities to individual nurses and unlicensed assistive personnel based on room numbers. This modular approach allows for efficient and organized care delivery by dividing the workload based on room assignments. A: Partnership - This term refers to the collaborative relationship between healthcare providers and patients, not the specific care delivery model described in the question. B: Primary - The primary care delivery model focuses on a designated primary care provider who oversees and coordinates all aspects of a patient's care, which is different from the modular approach described in the question. D: Team - While teamwork is essential in healthcare, the term "team" does not specifically describe the care delivery model outlined in the question, which is based on room assignments and individual responsibilities.

Correct Answer: D

Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.

Correct Answer: A

Rationale: The correct answer is A: Credible threat. A credible threat refers to a specific target and method of attack identified by a reliable source. In this scenario, the bomb in the possession of a known terrorist group targeting a government building fits the definition of a credible threat. Choice B: Biological event is incorrect because it does not align with the given scenario of a known terrorist group targeting a government building with a bomb. Choice C: National disaster is incorrect as it does not accurately describe the specific situation of a targeted attack by a terrorist group. Choice D: All-hazards approach is incorrect because it is a comprehensive strategy for addressing various types of emergencies, not specifically focused on a credible threat like the one described in the question.

Correct Answer: A

Rationale: Customer satisfaction is primarily based on personal interactions with employees because positive interactions create a sense of trust, empathy, and understanding. Customers value feeling valued and appreciated by staff, which directly impacts their overall experience. In contrast, access to modern facilities and wide menu selection may enhance satisfaction, but they are secondary factors. Having to undergo fewer invasive procedures is irrelevant in the context of customer satisfaction in most industries.

Correct Answer: B

Rationale: The correct answer is B because reimbursement policies in the US healthcare system heavily influence the services that can be provided to the public. Healthcare professionals need to understand these policies to ensure they are delivering appropriate care within the constraints of reimbursement guidelines. This understanding allows for better decision-making in treatment options and resource allocation. Choice A is incorrect as understanding healthcare issues goes beyond just documenting patient insurance information. Choice C is incorrect because while insurance coverage can impact care quality, it is not the main reason why healthcare professionals need to understand healthcare issues. Choice D is incorrect as proficiency in healthcare issues is important for all healthcare professionals, not just practical nurses.

Correct Answer: B

Rationale: The correct answer is B: It represents LPNs/LVNs only. The National Federation of Licensed Practical Nurses (NFLPN) is an organization specifically dedicated to advocating for and supporting licensed practical nurses (LPNs) and licensed vocational nurses (LVNs). This answer is correct because the NFLPN's primary focus is on LPNs/LVNs and their professional development. Choice A is incorrect because the NFLPN does not represent registered nurses (RNs), only LPNs/LVNs. Choice C is incorrect because the organization is not open to anyone interested in nursing, but specifically caters to LPNs/LVNs. Choice D is incorrect because the NFLPN is not open to anyone in the healthcare field, but rather focuses solely on LPNs/LVNs.