A state-sponsored clinic provides preventative health services for women and children on an outpatient basis. This facility would likely be considered:

Tertiary, long-term

Private, long-term

Public, specialized

Secondary, general

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

Choice A Reason:

A verbal warning is typically the first step in addressing an employee with a disciplinary issue. This approach allows the manager to inform the employee about the specific behavior or performance issue and discuss the necessary improvements. It is a less formal method that aims to correct the behavior without escalating the situation. Verbal warnings are often documented to ensure there is a record of the conversation and the expectations set during the meeting.

Choice B Reason:

Suspension with pay is a more severe disciplinary action and is usually not the initial step in addressing an employee issue. This measure is often reserved for more serious infractions or when an investigation is required. It serves as a temporary measure to remove the employee from the workplace while the issue is being resolved. Starting with a suspension can be seen as too harsh and may not provide the employee with an opportunity to correct their behavior before more severe actions are taken.

Choice C Reason:

A reminder of employment standards can be part of the disciplinary process, but it is not typically the initial step. Reminding employees of the standards and expectations is important, but it is usually done in conjunction with other disciplinary actions, such as a verbal or written warning. This reminder helps reinforce the company’s policies and the importance of adhering to them, but it alone may not be sufficient to address the specific issue at hand.

A. The Patient Self-Determination Act (PSDA) will explain your rights to change life-saving measures. B. The living will states the client’s wishes regarding life-saving measures. C. The case manager can make changes to the client’s living will. D. The durable power of attorney for health care can cancel the client’s living will.

Correct Answer is B

Explanation

Choice A Reason:

The Patient Self-Determination Act (PSDA) will explain your rights to change life-saving measures. The PSDA is a federal law that ensures patients are informed of their rights to make decisions about their medical care, including the right to accept or refuse treatment and the right to create an advance directive. However, it does not specifically address the modification of life-saving measures once a patient is unconscious. The living will, which is a type of advance directive, is the document that outlines the patient’s wishes regarding life-saving measures.

Choice B Reason:

The living will states the client’s wishes regarding life-saving measures. This is the correct response. A living will is a legal document that specifies a person’s preferences for medical treatment if they become unable to communicate their decisions. It includes instructions on life-saving measures such as resuscitation, mechanical ventilation, and other interventions. The living will reflects the client’s wishes and should be followed by healthcare providers and family members.

Choice C Reason:

The case manager can make changes to the client’s living will. This statement is incorrect. A case manager does not have the authority to alter a client’s living will. Changes to a living will can only be made by the client themselves while they are still competent to do so. Once the client is unconscious, the living will remains in effect as it was originally written.

Choice D Reason:

The durable power of attorney for health care can cancel the client’s living will. This statement is also incorrect. A durable power of attorney for health care (also known as a healthcare proxy) is a person designated to make medical decisions on behalf of the client if they are unable to do so. However, the healthcare proxy must follow the instructions outlined in the living will. They cannot cancel or override the living will unless the document explicitly grants them that authority.

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A state-sponsored clinic provides preventative health services for women and children on an outpatient basis. This facility would likely be considered:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager knows that the initial step in addressing an employee with a disciplinary issue usually involves:

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

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