A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include?

Provide case management.

Offer primary care to uninsured members.

Teach stress management strategies.

Change a negative pressure wound therapy dressing.

Answer and Explanation

The Correct Answer is C

. The nurse should include teaching stress management strategies as an activity for a faith-based community. Stress management is a crucial part of maintaining physical, emotional, and spiritual well-being. It can help prevent chronic illnesses, improve mental health, and enhance quality of life. Stress management techniques can include exercise, meditation, deep breathing, progressive muscle relaxation, and visualization. These techniques can be taught in a group setting, and the nurse can also provide resources for the community to use at home. Providing case management and offering primary care to uninsured members are not typically activities that a parish nurse would perform. These services are typically provided by social workers and primary care physicians. Changing a negative pressure wound therapy dressing is a specialized nursing intervention that is typically performed in an acute care setting and is not an appropriate activity for a faith-based community.

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Correct Answer is C

Explanation

The correct answer is choice C, "An increase in client falls at home." A quality improvement committee is responsible for identifying and addressing areas in need of improvement in client care. Among home health clients, falls are a common cause of injury, which can lead to hospitalizations or even death. Therefore, it is essential to address this issue by examining the data and identifying trends to establish interventions to prevent falls. The committee can evaluate whether proper assessments have been completed, including a home safety evaluation, medication review, and the use of mobility aids, to prevent falls. The committee can also review the use of interventions, such as physical therapy or occupational therapy, to improve mobility and strength, and education for clients, caregivers, and family members to promote safety in the home environment. By addressing the increase in client falls, the committee can improve the quality of care provided to home health clients and reduce the risk of falls and injuries.

A. The provider bills the client directly for a predetermined percentage of the cost of services. B. The provider is paid a fixed sum for the client on a monthly or yearly basis. C. The client is participating in a fee-for-service health care insurance program. D. The client pays the insurer a percentage of the total costs for each service rendered by the provider.

Correct Answer is B

Explanation

Answer is b. The provider is paid a fixed sum for the client on a monthly or yearly basis.

A health maintenance organization (HMO) is a type of health insurance that contracts with a network of providers and facilities to offer care at a discounted rate. The HMO pays the provider a fixed sum for each client, regardless of the services they use. This is called capitation³. The HMO also requires the client to have a primary care provider who coordinates their care and makes referrals to specialists².

a. This statement is wrong because it describes a co-payment, which is a fixed amount that the client pays for each service. Co-payments are usually low in HMOs, but they are not the main payment structure².
c. This statement is wrong because it describes a fee-for-service health care insurance program, which is the opposite of an HMO. In a fee-for-service program, the client pays the insurer for each service they use, and the insurer reimburses the provider. This gives the client more freedom to choose their provider, but it also increases the cost of health care¹.
d. This statement is wrong because it describes a co-insurance, which is a percentage of the total cost that the client pays for each service. Co-insurance is more common in preferred provider organizations (PPOs), which are another type of health insurance that offer more flexibility than HMOs, but also higher premiums

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A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?

Correct Answer is C

Explanation

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

Correct Answer is B

Explanation

A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make?

A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?

A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect?

A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?

A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster?

A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?

A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?