Chapter 8 The Health Care Delivery System

Chapter 8  The Health Care Delivery System

Complete Chapter Questions And Answers
 

Sample Questions

1.
Which of the following clients is the most appropriate candidate for receiving outpatient care?
A)
A client whose complaints of irregular bowel movements have necessitated a colonoscopy
B)
A woman who has previously borne two children and is entering the second stage of labor
C)
A man who is receiving treatment for sepsis after his blood cultures came back positive
D)
A client with a history of depression who is currently expressing suicidal ideation
Ans:
A

Feedback:

Outpatient services are appropriate for clients who are medically stable but who require diagnostic testing, such as a colonoscopy. Clients in active labor and clients who are actively septic or suicidal require close monitoring and frequent interventions, which can only be safely provided on an inpatient basis.

2.
After many years of advanced practice nursing, a nurse has recently enrolled in a nurse practitioner program. This nurse has been attracted to the program by the potential to provide primary care for clients after graduation, an opportunity that is most likely to exist in which of the following settings?
A)
A rural health center
B)
A long-term care facility
C)
A university hospital
D)
A community hospital
Ans:
A

Feedback:

Many rural health centers employ few health care providers, and primary care is often provided by a nurse practitioner (NP). A nurse practitioner may provide care in a long-term care facility or hospital, but in these settings, the NP is less likely to be the provider of primary care to clients.

3.
Which of the following phrases best describes hospitals today?
A)
Focus on chronic illnesses
B)
Focus on acute care needs
C)
Primary care centers
D)
Voluntary agencies
Ans:
B

Feedback:

Hospitals have become acute care providers for people who are too ill to care for themselves at home, who are severely injured, who require surgery or complicated treatment, or who are having babies. Hospitals rarely focus on chronic illnesses, and they are not primary care centers. Hospitals are not classified as voluntary agencies.

4.
A man is scheduled for hospital outpatient surgery. He tells the nurse, “I don’t know what that word, outpatient, means.” How would the nurse respond?
A)
“It means you will have surgery in the hospital and stay for 2 days.”
B)
“It means the surgeon will come to your home to do the surgery.”
C)
“Why would you ask such a question? Don’t worry about it.”
D)
“You will have surgery and go home that same day.”
Ans:
D

Feedback:

In addition to providing acute care, hospitals have many services for outpatients (those who require health care but do not need to stay in the facility). Clients who have outpatient surgery have the procedure, return to their hospital room for recovery, and then are discharged home on the same day.

5.
A nurse in a walk-in health care setting provides technical services (e.g., administering medications), determines the priority of care needs, and provides client teaching on all aspects of care. Which of the following terms best describes this type of health care setting?
A)
Hospital
B)
Physician’s office
C)
Ambulatory center
D)
Long-term care
Ans:
C

Feedback:

Nurses in ambulatory care centers (walk-in clinics) provide technical services (e.g., administering medications), determine the priority of care needs, and provide teaching about all aspects of care. Nurses employed in hospitals have many roles, including manager of other members of the health care team providing client care, administrator, nurse practitioner, clinical nurse specialist, patient educator, in-service educator, and researcher. In physician’s offices, advanced practice registered nurses (APRNs), nurse practitioners, midwives, or clinical nurse specialists work independently or collaboratively with physicians to make assessments and care for clients who require health maintenance or health promotion activities. Long-term care provides medical and nonmedical care for people with chronic illnesses or disabilities.