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Understanding Healthcare Systems and Nursing Roles, Exams of Nursing

An in-depth analysis of various healthcare systems, focusing on primary, secondary, and tertiary care, as well as hospice care. It discusses the role of nurses in these systems, their responsibilities, and the challenges they face, such as the nursing shortage and the implementation of managed care. The document also covers the evolution of electronic health records and the shift towards promoting optimal health through primary care. It highlights the importance of care management, quality improvement, and cultural competence in nursing.

Typology: Exams

2023/2024

Available from 05/07/2024

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NC quiz3- 13,14,17,18,21,28-1.
1. Which type of health-care system focuses on keeping the general public healthy so that citizens can continue to
contribute to society and the economy?
1. Type 1 system
2. Type 2 system
3. Type 3 system
4. Type 4
system ANS: 4
2. Which type of services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis
and treatment of complex disorders?
1. Primary care
2. Secondary care
3. Tertiary care
4. Palliative care
ANS: 2
3. With the recent development of the Gold Standards Framework, nurses working with which of the following have a
defined process to improve the quality of life through communication, collaboration, support, and coordination of care?
1. Primary care
2. Secondary care
3. Hospice care
4. Rehabilitative care
ANS: 3
4. The origins of the current nursing shortage can be traced back directly to the implementation of which of the following
in the 1990s as a method of controlling health-care costs?
1. Telemedicine
2. Managed care
3. Electronic health records
4. Medicaid
ANS: 2
5. A growing awareness of and interest in maintaining optimal health is resulting in a movement toward increasing which
type of care as a means of promoting health?
1. Primary care
2. Secondary care
3. Tertiary care
4. Palliative care
ANS: 1
6. Nurses led the way for implementing which legislative act because they saw it as a move to make the U.S. health-care
system the best in the world for all U.S. citizens?
1. Affordable Care Act
2. Health Insurance Portability and Accountability Act
3. Omnibus Budget Reconciliation Act
4. Emergency Treatment and Active Labor
Act ANS: 1
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NC quiz3- 13,14,17,18,21,28-1.

  1. Which type of health-care system focuses on keeping the general public healthy so that citizens can continue to contribute to society and the economy?
  2. Type 1 system
  3. Type 2 system
  4. Type 3 system
  5. Type 4 system ANS: 4
  6. Which type of services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and treatment of complex disorders?
  7. Primary care
  8. Secondary care
  9. Tertiary care
  10. Palliative care ANS: 2
  11. With the recent development of the Gold Standards Framework, nurses working with which of the following have a defined process to improve the quality of life through communication, collaboration, support, and coordination of care?
  12. Primary care
  13. Secondary care
  14. Hospice care
  15. Rehabilitative care ANS: 3
  16. The origins of the current nursing shortage can be traced back directly to the implementation of which of the following in the 1990s as a method of controlling health-care costs?
  17. Telemedicine
  18. Managed care
  19. Electronic health records
  20. Medicaid ANS: 2
  21. A growing awareness of and interest in maintaining optimal health is resulting in a movement toward increasing which type of care as a means of promoting health?
  22. Primary care
  23. Secondary care
  24. Tertiary care
  25. Palliative care ANS: 1
  26. Nurses led the way for implementing which legislative act because they saw it as a move to make the U.S. health-care system the best in the world for all U.S. citizens?
  27. Affordable Care Act
  28. Health Insurance Portability and Accountability Act
  29. Omnibus Budget Reconciliation Act
  30. Emergency Treatment and Active Labor Act ANS: 1
  1. In which type of system do individuals who can afford private health insurance or who can pay for their health care choose their care providers and receive health services?
  2. Type 1 system
  3. Type 2 system
  4. Type 3 system
  5. Type 4 system ANS: 1
  1. Which type of nurses are in a unique position to exercise their skills as care managers because they possess the appropriate clinical knowledge and skills and are intimately familiar with their communities and the cultural climate of their clientele?
  2. Parish nurses
  3. Primary care nurses
  4. Long-term care nurses
  5. Home health care nurses ANS: 1
  6. Which organization now serves as the gold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?
  7. Leapfrog Group
  8. The Joint Commission
  9. Institute of Medicine
  10. Centers for Medicare and Medicaid Services ANS: 1
  11. Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be the answer to their quality issues?
  12. Six Sigma
  13. Risk management
  14. Care management
  15. Continuous quality improvement ANS: 1
  16. When the Six Sigma process is used to analyze a problem, the five-step statistical process can be applied once which variation is detected?
  17. Chance variation
  18. Common variation
  19. Assigned variation
  20. Continuous variation ANS: 3
  21. A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of the following and thereby improving the flow of processes?
  22. Waste
  23. Errors
  24. Repetition
  25. Paperwork ANS: 1
  26. Since before 2010, nurses have been using the huddle, which is a highly modified and streamlined form of which process?
  27. Six Sigma
  28. Scrum
  29. Risk management
  30. Care management ANS: 2
  31. What sixth competency was added to the Quality and Safety Education for Nurses (QSEN) model when the model was revised because of the important role this competency now plays in health care?
  32. Safety
  33. Quality improvement
  34. Evidence-based practice
  35. Informatics ANS: 4
  1. One of the three core functions of the Quality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act?
  2. Affordable Care Act
  3. Registered Nurse Safe Staffing Act
  4. Omnibus Budget Reconciliation Act
  5. Emergency Treatment and Active Labor Act ANS: 4
  6. In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter?
  7. Six Sigma
  8. Quality assurance
  9. Risk management
  10. Care management ANS: 2
  11. Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data?
  12. Leapfrog Group
  13. The Joint Commission
  14. Agency for Healthcare Research and Quality
  15. Centers for Medicare and Medicaid Services ANS: 3
  16. With which approach does the care-delivery process receive close and constant scrutiny, and everyone is encouraged to think creatively to devise and test new ideas for improving quality?
  17. Six Sigma
  18. Risk management
  19. Care management
  20. Continuous quality improvement ANS: 4
  21. The development of which of the following grew out of a need to assess, implement, and monitor cost-effective, high- quality client care in a systematic manner?
  22. Benchmarks
  23. Dashboards
  24. Clinical pathways
  25. Lean Six Sigma ANS: 3
  26. The most accepted definition of which process is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on the solutions to complex issues?
  27. Six Sigma
  28. Scrum
  29. Risk management
  30. Care management ANS: 2
  31. The huddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium?
  32. Acute care units
  33. Long-term care units
  34. Intermediate care units
  35. Rehabilitation units ANS: 1
  1. Interoperability ANS: 3
  1. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is an example of which of the following?
  2. Portability
  3. Scalability
  4. Integration
  5. Interoperability ANS: 4
  6. Title XIII of which legislative act created the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care?
  7. Patriot Act
  8. Affordable Care Act
  9. American Recovery and Reinvestment Act
  10. Health Insurance Portability and Accountability Act ANS: 3
  11. HIPAA underwent a revision in 2013 that refined and clarified all previous provisions and rules and created which designation, officially titled the Medicare Electronic Health Records Incentive Program?
  12. Exclusive use
  13. Superior use
  14. Proprietary use
  15. Meaningful use ANS: 4
  16. Which of the following was one of the major challenges that was faced by the meaningful use (MU) system?
  17. Engaging clients and families in their health
  18. Improving population and public health
  19. Requirement for rapid implementation
  20. Ensuring adequate privacy and security protection for personal health information ANS: 3
  21. The strengths of the meaningful use (MU) system became one of the four components of which system introduced in 2019 that seeks improved health-care outcomes through a payment system that benefits the provider?
  22. Value-based payment system
  23. Quality-based payment system
  24. Merit-based incentive payment system
  25. Prospective payment system ANS: 3
  26. Which educational degree is generally required for an entry-level informatics nurse specialist?
  27. Licensed practical nurse (LPN)
  28. Master of science in nursing (MSN)
  29. Associate of science in nursing (ASN)
  30. Bachelor of science in nursing (BSN) ANS: 4
  31. The ability to make the computer perform tasks it was not intended to perform is referred to as which of the following?
  32. Bypass
  33. Workaround
  34. Transition
  35. Alternate ANS: 2
  1. Which of the following is a type of court that is found at both the federal and state levels?
  2. Circuit court
  3. Appeals court
  4. District court
  5. Supreme court ANS: 4
  6. The state nursing associations and other organizations, such as the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Critical-Care Nurses (AACN), are what types of groups to the American Nurses Association (ANA)?
  7. Constituency groups
  8. Pressure groups
  9. Advocacy groups
  10. Campaign groups ANS: 1
  11. Which committee works cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid?
  12. House Commerce Committee
  13. House Ways and Means Committee
  14. House and Senate Appropriations Committee
  15. Senate Labor and Human Resources Committee ANS: 4
  16. Some people consider which position to be the most powerful job in politics because it has control over the legislative calendar, which ultimately determines when many of the House session activities take place and even whether or when bills are introduced for consideration?
  17. Majority leader
  18. Majority whip
  19. Minority leader
  20. Minority whip ANS: 1
  21. Which groups work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions?
  22. Fringe groups
  23. Advocate groups
  24. Consumer groups
  25. Constituency groups ANS: 4
  26. The main focus of which type of groups is to change the way the public views an issue?
  27. Fringe groups
  28. Advocate groups
  29. Consumer groups
  30. Constituency groups ANS: 2
  31. Which publication, the ANA legislative newsletter for nurses, reports on the activities of its nurse lobbyists and on significant issues in Congress and regulatory agencies?
  32. American Nurse
  33. American Journal of Nursing Newsline feature
  34. Capitol Update
  35. Nursing and Health Care’s Washington Focus ANS: 3
  1. Which of the following are formed when the legislature divides into groups consisting of people with mutual interests?
  2. Caucuses
  3. Committees
  4. Fringe groups
  5. Advocacy groups ANS: 1
  6. Which of the following, in many cases, is/are a convenient way to formulate policy with minimal involvement of the legislature?
  7. Pocket vetoes
  8. Political capital
  9. Executive orders
  10. Housekeeping bills ANS: 3
  11. Legislators can use which tactic to move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be?
  12. Pocket vetoes
  13. Political capital
  14. Executive orders
  15. Housekeeping bills ANS: 4
  16. Which of the following health-care-related issues is governed by the states?
  17. Client safety
  18. Nursing shortage
  19. Tuition debts
  20. Hospital regulation ANS: 4
  21. Individuals who migrate to the United States from other countries may maintain many of their traditional cultural practices and languages while learning American culture, resulting in which phenomenon?
  22. Culture shock
  23. Acculturation
  24. Multiculturalism
  25. Subcultures ANS: 3
  26. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is referred to as which of the following?
  27. Ethnocentrism
  28. Cultural relativism
  29. Cultural competence
  30. Multiculturalism ANS: 2
  31. As it relates to nursing, which of the following can be regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures?
  32. Ethnocentrism
  33. Cultural relativism
  34. Cultural competence
  35. Multiculturalism ANS: 3
  1. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is exhibiting which behavior?
  2. Cultural synergy
  3. Cultural relativism
  4. Active obedience
  5. Passive obedience ANS: 4
  6. Some experts believe that for a person to truly be considered by which gender identity, the brain of the person has to be exposed to an unusual mix of hormones in utero so that even if a person is born with atypical genitalia, a person may not actually belong to that gender?
  7. Intersex
  8. Pansexual
  9. Cisgender
  10. Transgender ANS: 1
  11. A nurse examining a transgender woman who has had bottom surgery should understand that this patient needs to have regular Pap smears, breast examinations, and mammography as well as which examination because the gland is not usually removed during gender affirmation surgery?
  12. Testicular examination
  13. Prostate examination
  14. Thyroid examination
  15. Parotid examination ANS: 2
  16. As a nurse caring for a transgender client, it is important to assess and monitor transgender clients for which condition?
  17. Bipolar disorder
  18. Eating disorders
  19. Schizophrenia
  20. Suicidal ideation ANS: 4
  21. As a nurse caring for a gay man, you should be aware of the worrisome statistic of the rise in incidence of which sexually transmitted disease among males who have sex with males (MSM) in the United States because contracting this disease increases the likelihood of HIV transmission?
  22. Chlamydia
  23. Gonorrhea
  24. Syphilis
  25. Human papillomavirus ANS: 3
  26. Which type of questions test your ability to use information correctly and respond to the increase in the use of evidence- based practice in the health-care setting?
  27. Multiple-response questions
  28. Sequencing items questions
  29. Hot spot questions
  30. Exhibit item questions ANS: 4
  31. On the NCLEX, interpreting electrocardiographic (ECG) strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are assessed through the use of which level of questioning?
  32. Level 1
  33. Level 2
    1. Level
    1. Level
  • ANS:
  1. Which type of alternative format questions can be difficult, but if you think of them as true or false questions, they become easier?
  2. Multiple-response questions
  3. Sequencing items questions
  4. Hot spot questions
  5. Exhibit item questions ANS: 1
  6. The space between when you start missing questions and then start getting them correct again is known as which of the following, and if that space is above the pass standard, then you will pass the exam?
  7. Zone of expertise
  8. Zone of knowledge
  9. Zone of understanding
  10. Zone of comprehension ANS: 2
  11. Which category comprises the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX?
  12. Safe and effective care environment needs
  13. Physiological integrity needs
  14. Psychosocial integrity needs
  15. Health promotion and maintenance needs ANS: 2
  16. One factor that increases the difficulty of answering which level of questions is that there is often more than one correct answer?
  17. Level 1
  18. Level 2
  19. Level 3
  20. Level 4 ANS: 3
  21. While taking the NCLEX, you will find that questions pertaining to which area of nursing tend to be integrated into other areas even though they are a separate category?
  22. Pharmacology
  23. Endocrinology
  24. Immunology
  25. Hematology ANS: 1
  26. If the computer can determine within what percentage accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, it will stop the test and ask you to complete a short survey?
  27. 85 percent accuracy
  28. 90 percent accuracy
  29. 95 percent accuracy
  30. 99 percent accuracy ANS: 3