A nurse is looking after an unconscious client with a living will. The client’s family inquires if they can modify life-saving measures now that the client is unconscious. What should the nurse say in response?

Choice A Reason:

A workload rating is a method used to assess the amount of work required in a particular setting. While it is an important tool for understanding staffing needs and workload distribution, it does not describe a prototype evaluation system. A prototype evaluation system typically involves testing new methods or technologies to improve processes, such as scheduling or patient care.

Choice B Reason:

An experimental computer-based scheduling system that organizes staffing based on programmed rules and algorithms fits the description of a prototype evaluation system. This type of system is designed to test new approaches to scheduling and staffing, using advanced algorithms to optimize resource allocation. By experimenting with different rules and algorithms, the system aims to improve efficiency and effectiveness in staffing decisions.

Choice C Reason:

A formula-driven approach that calculates nursing productivity is a method used to measure the efficiency and output of nursing staff. While this approach is valuable for evaluating performance and productivity, it does not align with the concept of a prototype evaluation system. Prototype evaluation systems are more focused on testing new technologies or methods rather than solely calculating productivity.

Choice D Reason:

A patient classification system that gives each patient a score is used to categorize patients based on their care needs. This system helps in determining the appropriate level of care and resources required for each patient. However, it does not describe a prototype evaluation system. Prototype evaluation systems are typically experimental and involve testing new processes or technologies.

Choice E Reason:

A system that sorts patients into general groups to estimate their care requirements is a patient classification system. While this system is useful for planning and resource allocation, it does not fit the description of a prototype evaluation system. Prototype evaluation systems are experimental and focus on testing new approaches to improve existing processes.

Choice A Reason

Tertiary care refers to specialized consultative healthcare, usually provided on referral from primary or secondary medical care personnel. It involves advanced medical investigation and treatment, such as cancer management, neurosurgery, cardiac surgery, and other complex medical and surgical interventions. Long-term care typically refers to services that support the needs of people living with chronic health problems or disabilities over an extended period. The state-sponsored clinic described provides preventative health services on an outpatient basis, which does not align with the definition of tertiary, long-term care.

Choice B Reason

Private, long-term care facilities are typically privately funded and provide extended care for individuals with chronic illnesses or disabilities. These facilities focus on long-term support rather than preventative health services. The clinic in question is state-sponsored and provides preventative services, making it more aligned with public health initiatives rather than private, long-term care.

Choice C Reason

Public, specialized clinics are government-funded facilities that focus on specific health needs of the population. In this case, the clinic provides preventative health services for women and children, which is a specialized focus. These clinics aim to improve public health outcomes by offering targeted services to specific groups, often on an outpatient basis. This aligns well with the description of the state-sponsored clinic.

Choice D Reason

Secondary care refers to services provided by medical specialists and other health professionals who generally do not have first contact with patients. General secondary care includes routine hospital services, such as surgery and specialist consultations. The clinic described provides preventative health services on an outpatient basis, which is more specialized and targeted than general secondary care.