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NCLEX Nursing (N14 Health Promotion) Quiz sobre Chapter 3 Practice Test, criado por N R em 27-07-2021.

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Chapter 3 Practice Test

Questão 1 de 33

1

Which addition to a community best demonstrates the concept of the Healthy People 2020 report?

Selecione uma das seguintes:

  • New cardiothoracic intensive care unit at a major hospital

  • New rehabilitation center

  • New recreational health center

  • New children’s hospital

Explicação

Questão 2 de 33

1

Which of the following statements is correct concerning the Affordable Care Act (ACA), signed into law in March 2010?

Selecione uma das seguintes:

  • Penalties are imposed for persons who fail to acquire health insurance

  • The ACA was challenged in 2012, requiring Supreme Court mandated revisions

  • It passed secondary to bipartisan support

  • All of the above statements are correct

Explicação

Questão 3 de 33

1

Which of the following persons would be eligible to participate in the market place exchange program?

Selecione uma das seguintes:

  • Individual covered by the Children’s Health Insurance Program (CHIP)

  • An individual looking to shop for a better plan than what his employer provides

  • A newly unemployed individual who has lost his health care insurance

  • Anyone may participate in the Market Place Exchange Program

Explicação

Questão 4 de 33

1

Health insurance plans, offered under the market place exchange program, must include which of the following features?

Selecione uma das seguintes:

  • Low deductibles and low out-of-pocket costs

  • Birth control coverage

  • Dental coverage

  • Uniform monthly premiums for all persons

Explicação

Questão 5 de 33

1

The Health of the Nation is an annual report prepared by the US Department of Health and Human Services. Which of the following statements would accurately represent findings for the 2014 report?

Selecione uma das seguintes:

  • Cancer is the number one cause of deaths, followed by heart disease

  • Life expectancy has increased for women and remained static for men

  • Suicide and drug-related deaths have decreased secondary to education programs

  • Smoking for persons 18 years and over has dropped

Explicação

Questão 6 de 33

1

Healthy People 2020 would be most concerned with which of the following healthcare issues?

Selecione uma das seguintes:

  • Promoting reform regarding deaths from gun violence

  • Evaluating the merits of single-payer healthcare

  • Treating vulnerable populations

  • Eliminating healthcare fraud which consumes available funds

Explicação

Questão 7 de 33

1

Which of the following individuals is statistically the most likely to have a child who will succumb to a cause of infant mortality?

Selecione uma das seguintes:

  • A 30-year-old teacher who insists on delivering her baby at home, with a midwife

  • A 17-year-old African American with credits toward her GED and in good health

  • An Asian woman who is having a C-section due to small pelvis

  • A 26-year-old accountant who quit smoking 18 months ago when she moved to NY

Explicação

Questão 8 de 33

1

Which nurse is at risk of making a medical error?

Selecione uma das seguintes:

  • A nurse working overtime

  • A nurse who works in a hospital that advocates multidisciplinary care

  • A nurse caring for four care recipients during the shift

  • A nurse who attends regular continuing education programs

Explicação

Questão 9 de 33

1

The person known as the father of British and American public health is

Selecione uma das seguintes:

  • Lillian Wald

  • Edwin Chadwick

  • Lemuel Shattuck

  • Paul Ehrlich.

Explicação

Questão 10 de 33

1

A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by

Selecione uma das seguintes:

  • administering and reading the purified protein derivative (PPD) of all close contacts

  • providing direct observed therapy (DOT) for the individual with TB.

  • isolating the person because it is likely drug resistant

  • telling the person to wear a mask when leaving the home.

Explicação

Questão 11 de 33

1

A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?

Selecione uma das seguintes:

  • Physician as medical director

  • Interdisciplinary staff

  • Nurse as chief manager

  • Partnership with an academic institution

Explicação

Questão 12 de 33

1

Considering the provider and care recipient perspective, which of the following is the most autonomous form of insurance?

Selecione uma das seguintes:

  • Fee-for-service plan

  • Health maintenance organization (HMO)

  • Preferred provider organization (PPO)

  • Independent practice association (IPA)

Explicação

Questão 13 de 33

1

Which could result in a change in a nurse practitioner’s practice?

Selecione uma das seguintes:

  • Holding a master’s degree or higher

  • Moving to another state when she gets married

  • Caring for Medicare care recipients

  • Changing to another office within the same practice

Explicação

Questão 14 de 33

1

Which health care provider represents a primary care provider?

Selecione uma das seguintes:

  • Psychiatric advanced practice nurse

  • Clinical nurse specialist

  • Pediatric nurse practitioner

  • Acute care nurse practitioner

Explicação

Questão 15 de 33

1

Which form of managed care restricts providers to caring for individuals who are members of their organization?

Selecione uma das seguintes:

  • Fee-for-service plan

  • Health maintenance organization (HMO)

  • Preferred provider organization (PPO)

  • Independent practice association (IPA)

Explicação

Questão 16 de 33

1

A Medicare care recipient reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?

Selecione uma das seguintes:

  • The individual must see a primary care provider before being referred to a specialist

  • The focus of care is prevention and management of individuals with chronic disease

  • The individual has paid a membership fee to be part of this organization.

  • The focus of care is to conserve money in a health savings account

Explicação

Questão 17 de 33

1

Which of the following statements is correct concerning Medicare Advantage plans?

Selecione uma das seguintes:

  • They are plans which can be purchased in addition to traditional Medicare for greater coverage

  • They are a substitute for the traditional Medicare program

  • They are funded under the Affordable Care Act to improve availability of healthcare insurance

  • They are available to persons who would not otherwise qualify for Medicare

Explicação

Questão 18 de 33

1

An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

Selecione uma das seguintes:

  • High deductible health insurance plan (HDHP)

  • Point-of-service plan (POS)

  • Health maintenance organization (HMO)

  • Preferred provider organization (PPO)

Explicação

Questão 19 de 33

1

Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?

Selecione uma das seguintes:

  • Health maintenance organization (HMO)

  • Health savings account (HSA)

  • Preferred provider organization (PPO)

  • Independent practice association (IPA)

Explicação

Questão 20 de 33

1

Two working adults do not have access to health insurance for their family via their respective employers and they do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?

Selecione uma das seguintes:

  • Medicare

  • Civilian Health Medical Program for Uniformed Services (CHAMPUS)

  • State Children’s Health Insurance Program (SCHIP)

  • Veteran’s Administration Program

Explicação

Questão 21 de 33

1

A nurse complies with the Patient Self-Determination Act when asking

Selecione uma das seguintes:

  • a person upon admission to the hospital if he or she has an advanced directive

  • the family in the recovery room whether the care recipient has an advanced directive

  • a person being discharged from the hospital if he or she has an advance directive

  • the family about an advanced directive after the person has been intubated

Explicação

Questão 22 de 33

1

A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the

Selecione uma das seguintes:

  • Patient Self-Determination Act

  • Health Insurance Portability and Accountability Act of 1996

  • Americans with Disabilities Act

  • Civil Rights Act

Explicação

Questão 23 de 33

1

Which is a violation of the Health Insurance Portability and Accountability Act of 1996?

Selecione uma das seguintes:

  • Nurse reporting a case of TB to the health department

  • Nurse reporting a case of child abuse to the Department of Human Services

  • Nurse discussing the person’s case with his or her physician

  • Nurse discussing the person’s case with his or her school nurse

Explicação

Questão 24 de 33

1

Which nurse is functioning as a care manager?

Selecione uma das seguintes:

  • A nurse working with a family to coordinate care for a child with multiple previous hospital admissions due to exacerbation of asthma

  • A nurse providing asthma education in an office setting to a child with moderate, persistent asthma

  • A nurse administering the appropriate anti-inflammatory medication to a child hospitalized for exacerbation of asthma

  • Nurse making a home visit to perform a respiratory assessment on a child discharged from the hospital following an admission for an asthma exacerbation

Explicação

Questão 25 de 33

1

A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for

Selecione uma das seguintes:

  • Medicare Part A

  • Medicare Part B

  • Medicaid

  • State Children’s Health Insurance Program (SCHIP)

Explicação

Questão 26 de 33

1

Which person is at highest risk for being uninsured?

Selecione uma das seguintes:

  • 68-year-old retired mailman

  • 48-year-old on renal dialysis

  • 2-year-old whose parents work but do not have benefits through their employers

  • 27-year-old who attends college and works part-time in a small pizza parlor

Explicação

Questão 27 de 33

1

Adoption of a Canadian-style health care system in the United States has the potential to

Selecione uma das seguintes:

  • decrease waiting times for tests and procedures

  • create further health disparities

  • increase the number of HMOs

  • increase the amount of funding available for health care

Explicação

Questão 28 de 33

1

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as

Selecione uma das seguintes:

  • managed care

  • gate keeping

  • utilization review

  • Capitation

Explicação

Questão 29 de 33

1

The country with the lowest infant mortality rate in 2011 was

Selecione uma das seguintes:

  • Canada

  • Mexico

  • Sweden

  • the United States

Explicação

Questão 30 de 33

1

The country with the highest life expectancy for women in 2011 was

Selecione uma das seguintes:

  • France

  • Germany

  • Sweden

  • the United States

Explicação

Questão 31 de 33

1

A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Funding of public health programs has improved the health of the nation

  • Provision of health care has improved the health of the nation

  • Advances in technology have improved the health of the nation

  • Consumer education has improved the health of the nation

Explicação

Questão 32 de 33

1

Which of the following statements about the financing of health care in the United States is accurate? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Employee-sponsored health insurance premiums experienced minimal increases from 2001 to 2011

  • State tax dollars must fund at least 50% of a state’s Medicaid cost

  • The largest percentage of health care dollars is spent on hospital care

  • Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs)

Explicação

Questão 33 de 33

1

Which of the following would be considered part of a vulnerable population? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Deaf man

  • Cocaine-addicted teenage girl

  • Handicapped child

  • College graduate

Explicação