Kozier Erbs Fundamentals of Nursing Concepts Process and

Kozier & Erb's Fundamentals of Nursing Concepts, Process, and Practice TENTH EDITION CHAPTER 6 Health Care Delivery Systems Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 1 Which of the following is an example of a primary prevention activity? Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 1 Choices a. Antibiotic treatment of a suspected urinary tract infection b. Occupational therapy to assist a client in adapting his or her home environment following a stroke c. Nutrition counseling for young adults with a strong family history of high cholesterol d. Removal of tonsils for a client with recurrent tonsillitis Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 1 Answer a. Antibiotic treatment of a suspected urinary tract infection b. Occupational therapy to assist a client in adapting his or her home environment following a stroke c. Nutrition counseling for young adults with a strong family history of high cholesterol d. Removal of tonsils for a client with recurrent tonsillitis Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 1 Rationales a. Antibiotic therapy is secondary prevention. b. Rehabilitation efforts following an illness are considered tertiary prevention. c. Correct. Actions such as diet modification that help to prevent an illness or detect it in its early stages are primary prevention. d. Surgery is secondary prevention. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 2 Which of the following statements is true regarding types of health care agencies? Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 2 Choices a. Hospitals provide only acute, inpatient services. b. Public health agencies are funded by governments to investigate and provide health programs. c. Surgery can only be performed inside a hospital setting. d. Skilled nursing, extended care, and long-term care facilities provide care for the elderly whose insurance no longer covers hospital stays. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 2 Answer a. Hospitals provide only acute, inpatient services. b. Public health agencies are funded by governments to investigate and provide health programs. c. Surgery can only be performed inside a hospital setting. d. Skilled nursing, extended care, and long-term care facilities provide care for the elderly whose insurance no longer covers hospital stays. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 2 Rationales a. Hospitals may provide a variety of wellness and clinic programs in addition to inpatient services. b. Correct. City, county, state, or federal government funds pay for health department and agency activities aimed at the global health of the community. c. Surgery may be performed in outpatient surgery centers and physicians' offices in addition to within hospitals. continued on next slide Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 2 Rationales d. Skilled nursing, extended care, and long-term care facilities provide care to persons of all ages who require rehabilitation or subacute care. This is not necessarily related to insurance coverage for hospital stays. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 3 In most cases, clients must have a primary care provider in order to receive health insurance benefits. If a client is in need of a primary care provider, it is most appropriate for the nurse to recommend which of the following? Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 3 Choices a. b. c. d. Family practice physician Physical therapist Case manager/discharge planner Pharmacist Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 3 Answer a. b. c. d. Family practice physician Physical therapist Case manager/discharge planner Pharmacist Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 3 Rationales a. Correct. Primary care providers are limited to generalist physicians and advanced practice nurses. In some cases a gynecologist may qualify as a primary care provider and in other cases not. b. Physical therapists do not have a scope of practice broad enough to serve as primary care providers. c. Pharmacists are not responsible for providing direct client care. d. Case managers/discharge planners are not responsible for providing direct client care. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 The most significant method for reducing the ongoing increase in the cost of health care in the United States includes controlling which of the following? Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 Choices a. Number of children according to the family's income. b. Numbers of uninsured and underinsured persons. c. Number of physicians and nurses nationwide. d. Competition among drug and medical equipment manufacturers. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 Answer a. Number of children according to the family's income. b. Numbers of uninsured and underinsured persons. c. Number of physicians and nurses nationwide. d. Competition among drug and medical equipment manufacturers. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 Rationales a. The number of children is increasing, but in the United States and Canada this is a nonmodifiable factor. Also, the majority of health care costs are incurred by adults and elders who tend to have multiple and chronic health conditions. continued on next slide Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 Rationales b. Correct. When people have inadequate insurance for health costs, they tend to avoid early and preventive care. This results in eventual use of much more costly resources such as emergency rooms. Methods to provide minimum levels of insurance coverage have been successful in other countries. continued on next slide Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved

Question 4 Rationales c. There is currently a significant shortage of nurses and maldistribution of physicians so reducing their numbers would only worsen the problem. d. Competition among manufacturers is more likely to cause costs to fall than to rise. Kozier & Erb's Fundamentals of Nursing, Tenth Edition Audrey Berman | Shirlee Snyder | Geralyn Frandsen Copyright © 2016, 2012, 2008 Pearson Education, Inc. All Rights Reserved