The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

Correct Answer: A

Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.

Correct Answer: C

Rationale: The correct answer is C: Hippocrates. Hippocrates is credited with creating a written record of health care practices and is known as the "Father of Medicine." He emphasized observational and logical approaches to medicine, moving away from superstition and myth. Hammurabi is known for his code of laws, not health care practices. Florence Nightingale is known for her contributions to nursing. Apollo is a Greek god associated with healing, but he is not a historical figure credited with creating a written record of health care practices.

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: D

Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery. A: Patient classification system categorizes patients based on their clinical needs, not specific care plans. B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines. C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans. In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.

Correct Answer: C

Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care. Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.

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. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients. Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values. Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct. Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.

Correct Answer: C

Rationale: The correct answer is C: Home Health. The rationale is that Home Health agencies provide skilled nursing services for patients at home, including apnea monitoring for newborns. They can offer training to the guardian on how to use the equipment properly. Incorrect choices: A: Child Protective Services - This agency is not relevant for providing medical care or monitoring. B: Public Health - While public health agencies may provide some services, they typically do not offer home monitoring equipment or training. D: Women, Infants, and Children (WIC) - WIC provides supplemental nutrition, not medical monitoring services.

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.