1. Which form of health care is of primary importance when dealing with managed care?
2 Disease prevention
3 Tertiary treatment
4 Secondary
... [Show More] treatment
ANS: 1
If people stay healthy, the cost of medical care declines. Systems of managed care focus on
containing or reducing costs, increasing client satisfaction, and improving the health or
functional status of the individual (Sultz and Young, 2004). Health promotion: Activities that
develop human attitudes and behaviors to maintain or enhance well-being.
Disease prevention: Activities that protect people from becoming ill because of actual or
potential health threats.
Tertiary prevention: Care that prevents further progression of disease.
Secondary prevention: Early diagnosis and treatment of illness (e.g., screening for hypertension).
DIF: C REF: 21 OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Management of Care
2. A nurse is consulting with a homeless family who has a 12-year-old disabled child. The nurse
suggests which of the following services to best assist with the childs health care needs?
1 Medicare
2 Medicaid
3 Long-term care insurance
4 An extended care faculty
ANS: 2
Medicaid is a federally funded, state-operated program that provides (1) health insurance to lowincome families and (2) health assistance to low-income people with long-term care (LTC)
disabilities.
Chapter 3. Community-Based Nursing Practice
MULTIPLE CHOICE
1. The student nurse isinvestigating different types of practice settings. In looking at
community health nursing, the student recognizes that it:
m
ANS: 4
Community health nursing strives to safeguard and improve the health of populations in the
community as well as providing direct care services to subpopulations within a community.
Public health nursing is concerned with trends and patterns influencing the incidence of disease
within populations. A community health nurse may be involved in direct client care for disease
within a community. Public health nursing focuses on the needs of populations. Community
health nursing has a broader focus, with an emphasis on the health of a community. The
community health nurse merges public health knowledge with nursing theory. The community
health nurse considers the needs of populations and is prepared to provide direct care services to
subpopulations within a community. Nurses who become expert in community health practice
may have advanced nursing degrees, yet the baccalaureate-prepared generalist also can become
quite competent in formulating and applying population-focused assessments and interventions.
DIF: A REF: 34 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment
2. As a community health nurse assisting the client and family with nutritional needs the
nurse should first:
1 Identify for the client the best foods to buy
2 Purchase foods at the lowest cost for the client
3 Ask the client and family what they think they should eat
4 Provide information on stores with the most reasonable pricing [Show Less]