Which title identifies a nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers?

Correct Answer: B

Rationale: The correct answer is B: Case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves ensuring continuity of care, facilitating communication, and advocating for the patient's needs. Choice A, team leader in nursing care delivery, focuses on leading a team of nurses but does not encompass the broader coordination of care. Choice C, nurse manager, involves overseeing a unit or department rather than individual patient care. Choice D, coordinator of patient-centered care delivery, lacks the specific focus on following the patient through the entire care process.

Correct Answer: C

Rationale: The correct answer is C: the length of the client's stay. Evaluating the cost-effectiveness of care involves considering the resources utilized, and the length of stay directly impacts costs. A shorter stay typically means lower costs without compromising quality. Age (A) does not directly impact cost-effectiveness. Community support groups (B) may contribute to the client's overall well-being but do not directly relate to cost-effectiveness. The type of insurance (D) may affect reimbursement but does not provide direct information on cost-effectiveness. Therefore, the length of the client's stay is the most relevant factor to assess cost-effectiveness.

Correct Answer: C

Rationale: The correct answer is C because Linda Richards was the first professionally trained nurse in the United States and she established the practice of documenting patient care in medical records. This action is directly linked to her contribution as it improved the organization and continuity of patient care. Exploring psychosocial needs (B) and listening to patient symptoms (D) are important nursing practices, but they were not specifically attributed to Linda Richards. Using antiseptic before injections (A) is important for infection control, but it was not directly related to Linda Richards' contribution.

Correct Answer: C

Rationale: The correct answer is C. Designing a research study is not typically within the scope of practice for a Licensed Practical Nurse (LPN). LPNs are primarily involved in providing direct patient care, such as administering medications, performing dressing changes, and reporting patient changes. Designing research studies usually requires advanced education and training beyond what an LPN receives, making it an inappropriate role for an LPN to participate in.

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: D

Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources. Incorrect choices: A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement. B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis. C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.

Correct Answer: A

Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.

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: B

Rationale: The correct answer is B because the charge nurse is considered part of the management team. As a member of the management team, participating in union activities would create a conflict of interest since the charge nurse is responsible for overseeing and directing other nurses. The charge nurse's role involves making decisions that impact the work environment and staffing, which aligns more closely with management responsibilities. Therefore, union participation would be inappropriate for the charge nurse as it could compromise their ability to effectively carry out their managerial duties. Choices A, C, and D are incorrect because they do not accurately reflect the relationship between the charge nurse role and unionization. Choice A suggests automatic arbitration of grievances by the Union, which may not be the case for a charge nurse. Choice C states the nurse is not eligible for collective bargaining activities, which is not specifically tied to the charge nurse role. Choice D suggests that the nurse can be represented by the union, which is inaccurate for a charge nurse who is typically considered part of the management team