Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 06
Question 1
Type: MCSA
The nurse is reviewing the Healthy People 2020 primary goals. Which plan should the nurse realize is in
alignment with one of the goals?
1. Providing free screening to schoolchildren
2. Opening a wellness clinic
3. Developing better insurance controls
4. Developing new pharmacological treatments
Question 2
Type: MCSA
Several nurses are working to open a clinic that focuses on health promotion. Which activity should the nurses
expect to perform once this clinic opens?
1. Teaching biofeedback techniques for stress reduction
2. Providing immunization clinics
3. Evaluating regional industrial centers for environmental pollution
4. Teaching smoking cessation classes to adolescents
Question 3
Type: MCSA
A client is in the end stages of cancer. Which type of service should the nurse consider as being the best for this
client?
1. Rehabilitation
2. Health restoration
3. Acute care
4. Palliative care
Question 4
Type: MCSA
Several nurses are looking for an agency to sponsor a program that would meet the needs of a community group
lacking in health promotion education. Which agency should the nurse approach to fill this need?
1. State health department
2. Local health department
3. Local hospital
4. Federal government
Question 5
Type: MCSA
The nurse is hired to provide care in a hospital that offers services in all specialty areas. How should the nurse
categorize this type of health care facility?
1. General hospital
2. Specialty hospital
3. Long-term care hospital
4. Short-term hospital
Question 6
Type: MCSA
A client being discharged from an acute care hospital requires IV antibiotics, is not able to complete activities of
daily living without assistance, and has no family available to assist in the recovery phase. Which type of
recommendation should the nurse make for this client?
1. Stay in the hospital until the client is fully capable of self-care.
2. Remain in the hospital until the antibiotic course is completed.
3. Be discharged to an extended care facility.
4. Go to a nursing home.
Question 7
Type: MCSA
An older client has no family in the same community, lives alone in a small house, and is having greater difficulty
with mobility due to advanced osteoarthritis. Cognitively, this client is alert, is able to manage her own business
matters, and does her own cooking, but does not enjoy “cooking for one.” The home health nurse who visits has
noticed that the client is losing weight and does not have as much energy or interest in activities as on previous
visits. What should the nurse recommend for this client?
1. See a psychiatrist because the client appears to be depressed.
2. Check out joint replacement options for the osteoarthritis.
3. Start thinking about long-term care.
4. Consider moving to an assisted living facility.
Question 8
Type: MCSA
The spouse of a client diagnosed with Stage I/II Alzheimer’s disease must continue to work full-time. The spouse
tells the occupational health nurse that the client has started to wander outside the house, forgets to turn off the
stove after preparing food, and tries to drive the car if the keys are available. What should the nurse recommend
for this family?
1. The client should be placed in long-term care.
2. The spouse should consider early retirement.
3. The client should be placed in an adult day-care environment.
4. An increase in the client’s medications should be considered to slow the progress of the disease.
Question 9
Type: MCSA
The spouse of a client referred to hospice care asks why the client needs the change in services. How should the
nurse respond to this question?
1. “So we can see if there’s any way to improve your spouse’s life.”
2. “There is no need for acute care any longer.”
3. “It’s best for your spouse to be cared for at home.”
4. “Hospice care is cheaper than acute care.”
Question 10
Type: MCSA
A young adult client recovering from an injury that resulted in partial paralysis plans to live independently as
before the injury. Which referral should the nurse identify as being the best for this client?
1. Paramedical technologist
2. Physical therapist
3. Occupational therapist
4. Case manager
Question 11
Type: MCSA
A nurse is interviewing a client at a clinic near a shelter for the homeless. Understanding the increased risk a poor
physical environment creates for this client, on what should the nurse focus during the intake phase of the
interview?
1. Lack of social support
2. Recent history of chills and body aches
3. Improper nutrition
4. Few personal resources
Question 12
Type: MCSA
A nurse is working in a clinic that emphasizes cost control, customer satisfaction, health promotion, and
preventive services. In which type of health system is this nurse providing care?
1. Managed care
2. Case management
3. Differentiated practice
4. Patient-focused care
Question 13
Type: MCSA
The manager of a small clinic has cross-trained the nurses to provide basic nursing care, and perform ECG testing,
phlebotomy, and some respiratory therapy interventions. Which type of care delivery model has the manager
implemented?
1. Managed care
2. Case management
3. Patient-focused care
4. Critical pathways
Question 14
Type: MCSA
A new graduate nurse is looking for employment and is hoping to find a facility that utilizes nursing personnel
based on their educational preparation and skill set. In which type of facility should the new graduate apply for a
position?
1. Patient-focused care
2. Shared governance
3. Differentiated practice
4. Managed care