WWW.GRADESMORE.COM 1. A client is seen in an urgent care clinic for a broken leg which was splinted and client sent home. The client called their primary care health care provider to find out what should be done after the injury. The doctor directed the client to the emergency room where an orthopedic surgeon was consulted and performed surgery to place a pin in the leg. What kind of care was provided to this client when care was transferred from the emergency room health care provider to the orthopedic surgeon? A) primary care B) secondary care C) tertiary care D) quaternary care 2. A client has just turned 50 and is persuaded by the spouse to have a complete physical examination. The client makes an appointment with the family doctor to determine their current state of health. What level of care is this client seeking? A) primary care B) secondary care C) tertiary care D) quaternary care 3. A customer purchases a plane ticket and flies overseas to Germany. While in Germany, the individual becomes ill and travels back to the United States to be seen by primary GRA DEby SMthe ORprimary E.COMhealth care provider, the client is care health care provider. Once seen placed in isolation at a nearby hospital. Which challenge of the health care delivery system correlates with this situation? A) ensuring access to care for all human beings B) providing both preventive and curative services C) responding to actual and future epidemics D) enabling optimal health essential to high quality of life 4. A 95-year-old client is admitted to the hospital with dehydration secondary to a fall that occurred 3 days prior to admission. The client's adult child found the client on the floor. The client was unable to reach a phone to call for help. At the hospital, health care providers stated that the client was not a candidate for surgery due to the client's age and anticipated quality of life. Which challenge of the health care delivery system correlates with the situation? A) allowing consumer participation in the provision of health care services B) determining the optimal balance between illness treatment and quality of life C) providing both preventive and curative services D) attaining an effective system using governmental support and private resources Page 1 GRADESMORE.COM WWW.GRADESMORE.COM 5. A 25-year-old adult graduates from college and obtains a job working for a bank that offers a good salary, good hours, and medical and dental benefits. Which type of health care funding model would best describe the medical benefits provided by the employee and employer? A) The national health service model B) The mandated insurance model C) The Medicaid insurance model D) The entrepreneurial insurance model 6. A 45-year-old individual has been transferred to Japan for work and has elected to utilize Japan's national health service model as insurance. Where does the national health service model get funding? A) general tax revenues B) nonprofit insurance funds C) individual purchase D) income tax revenues 7. A worker in Brazil utilizes the mandated health insurance model for health care insurance. When describing the mandated health insurance model to an American friend, the worker will discuss the funding occurs through which revenue source? A) income tax revenues GRADESMORE.COM B) nonprofit insurance funds C) individual purchase D) general tax revenues 8. A nursing student is reviewing the history of the American health care system. He reads about the scientific advancements in the mid-to-late 1800s and is impressed with the use of the thermometer, laryngoscope, and the ophthalmoscope in the 1860s. What other scientific advancement occurred during this timeframe that advanced the health care providers diagnostic ability? A) anesthesia B) antisepsis C) x-ray D) hospital hygiene Page 2 GRADESMORE.COM WWW.GRADESMORE.COM 9. A Canadian student is seen by a health care provider for a routine screening before going to college. The student's family is covered by the Canadian plan. Which principle of the Canadian health care system is evident for this student? A) Each insurance plan covers all residents for uniform services. B) A public for-profit authority administers the plan. C) Canadians do not have coverage when they travel across provinces. D) Care can be denied for inability to pay for coverage. 10. A student nurse graduates from a university with a bachelor's degree in nursing. After successfully passing the state boards, the nurse decides to pursue employment at a local hospital on medical-surgical unit. There are many openings due to the current nursing shortage. Which factor is contributing to the current global nursing shortage? A) low turnover rates so that jobs are hard to find B) nursing faculty shortage limiting the number of students accepted into nursing school C) overstaffing in acute- and extended-care settings D) reduced number of persons entering the profession 11. A nurse arrives to the unit and learns that a colleague has called out sick so the nurse will be responsible for at least 10 clients for the shift. Several clients have returned from surgery and require close monitoring. Several other clients are older adults and in need GRADEAll SMclients ORE.have COMIVs and IV medications to be of dressing changes and treatments. administered throughout the shift. What is the most prevalent ethical dilemma this nurse is facing, in light of the responsibility that the nurse needs to undertake? A) safety of all the clients B) enough time to complete responsibilities C) enough help to do a good job D) prioritization of needs based on situation 12. A consumer of health care has just been laid off by their employer, thereby losing health care coverage for themselves and family members. In this situation, which key factor will contribute to this consumer not being able to afford health care? A) Access to care B) Quality to care C) Cost of care D) Continuity of care Page 3 GRADESMORE.COM WWW.GRADESMORE.COM 13. A client's parent is dying from heart failure and has just been transferred to skilled nursing facility for end-of-life care. What kind of care is the client's parent receiving when receiving care for end-of-life issues? A) primary care B) secondary care C) tertiary care D) quaternary care 14. When reviewing the history of the Civil Rights Movement in a history class, the nursing students identified which positive belief that encouraged the government to become more involved in health care? A) Anesthesia was introduced as a form of pain management following riots. B) Blood transfusions were discovered as a way to treat blood loss. C) Vaccines were proven unsafe and discouraged, especially marching in the Civil Rights Movement. D) Equal health care should become a basic right among all people. 15. Some nurse managers have enrolled in a healthcare financial class at a local college. These nurses were asked to prepare a presentation on healthcare cost. The group decided to divide topics among themselves. Which topics would be appropriate to include in this presentation? Select all that apply. GRADEcost SMOwhen RE.C OM A) Percentage of rise in healthcare compared to rate of inflation. B) Impact of limited choice of health care providers willing to see clients with certain healthcare plans. C) Disproportion of health insurance cost from entry level worker making low wages compared to those in upper management. D) Workers with no health insurance ignoring manifestation of disease until it becomes life-threatening. E) Increase use of alternative medical practices rather than seeking care from a health care provider because of cost differences. 16. While attending a high school career fair, a nurse is asked “Why does no one want to be a nurse anymore?” Which would be the best reply, based on the health care workforce 2015 report? A) “Not true. There are thousands of nurses in the U. S.” B) “The shortage relates only to the fact that more people are living longer and have more chronic diseases.” C) “Today's nurses don't want to work the usual 40 hour/week.” D) “There is not enough people interested in the profession so we attend events like this career fair to encourage you to considered nursing.” Page 4 GRADESMORE.COM WWW.GRADESMORE.COM 17. When asked by a foreign exchange student why health care costs are so high when compared to their small country, the parents of the American student identifies which sources to be responsible for the higher cost of health care? A) American nurses demand higher pay than the nurses in their small country. B) The increased use of highly technical equipment and expensive medications fuels rising costs. C) The internet is utilized by many clients who ultimately demand the most expensive diagnostic tests, meals, and medications. D) Overall, the U. S. just takes better care of their people than most other countries. 18. A nurse is explaining to a client about standardized methods for managing their COPD. The client is not “on board” since they think that more expensive treatment and medications would make them “better.” Every day this nurse maps out expected interventions along with discharge planning and instructions. Once the client has reached the “desired outcome,” this nurse recommends discharge to home. Which hospital department has this client been working with? A) social services B) risk management C) case management D) legal department GRADaEresearch SMOREarticle .COMentitled, “Changing the model of 19. A nursing student (NS) is reading care delivery: This NS is considering working for an organization after graduation that will allow them to deliver holistic care so the care the client receives will be coordinated and not fragmented. Which delivery model is this NS looking for? A) functional nursing B) team nursing C) total patient care nursing D) modular nursing Page 5 GRADESMORE.COM WWW.GRADESMORE.COM 20. When discussing “Obamacare” in a classroom discussion, many students identified which outcomes as being positive following implementation of the Affordable Care Act (ACA)? Select all that apply. A) Young adults (ages 19 to 26 years) were able to stay on the health insurance policy of their parents. B) Availability of more free-standing specialty outclient surgery centers resulted in decreased health care costs. C) All 50 states expanded Medicaid coverage for persons with incomes up to 400% of the federal poverty level. D) Closing smaller healthcare organizations resulting in consolidation of care that was financially better for their out-of-pocket expenses. E) No changes were made to the choice of health care providers the client could choose to go to for care. GRADESMORE.COM Page 6 GRADESMORE.COM WWW.GRADESMORE.COM Answer Key 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. B A C B D A B C A B A C C D A, C, D D B C C A, B GRADESMORE.COM Page 7 GRADESMORE.COM
