PN LEAD Exam #2 Review

The nurse works in the local hospital emergency department, treating patients with serious illnesses as well as those requiring teaching to prevent injury. Which level of health-care services is the nurse providing?

• Primary

• Secondary

• Tertiary

• Primary and secondary

Answer explanation

The nurse provides primary care in promoting health to the patient with minor illness and preventing disease through the teaching provided. However, the nurse also provides secondary care to those with acute illness. The other answer options do not represent the level of health-care services the nurse is providing.

The nurse explains that the primary purpose of the Patient Protection and Affordable Care Act is which of the following?

• To protect providers from lawsuits when providing first aid at an accident

• To mandate states provide Medicaid to all who cannot afford healthcare

• To require illegal immigrants to pay in advance for any healthcare needed

• To reduce the number of Americans without health insurance

Answer explanation

The primary goal of the Patient Protection and Affordable Care Act is to reduce the number of Americans without health insurance and thus increase the number of people who have full access to health care. The other answer options do not accurately reflect the primary goal of the Patient Protection and Affordable Care Act.

Under the Patient Protection and Affordable Care Act, what will happen to individuals who do not purchase health insurance?

• They cannot receive medical care.

• They can be arrested and jailed.

• They are fined for noncompliance.

• They are charged more for health care.

Answer explanation

The Patient Protection and Affordable Care Act contains a contingency for individuals to be fined if they fail to buy health insurance. The other answer options do not reflect consequences for those who do not purchase health insurance.

The nurse is preparing staff assignments as the charge nurse for the shift. Which role is the nurse performing?

• Clinician

• Collaborator

• Advocate

• Manager

Answer explanation

The nurse is acting as a manager by managing other staff members as a charge nurse using management skills. The nurse is not assuming the role of clinician, collaborator, or advocate in this scenario.

The nurse contacts a reporter at a local television station to correct some misinformation included in the news last evening. What role is the nursing filling?

• Clinician

• Collaborator

• Advocate

• Manager

Answer explanation

An advocate protects the patient’s rights and serves as an ally, supporter, and source of information. By correcting misinformation, the nurse advocates for the community by making sure people have essential and correct information. The nurse is not acting as a clinician, collaborator, or manager in this scenario.

The nurse sits with a patient who is tearful after receiving a diagnosis of new-onset multiple sclerosis. The patient is fearful of further physical degeneration, and the nurse listens and helps the patient express her fears. Which role is the nurse performing?

• Consultant

• Advocate

• Researcher

• Counselor

Answer explanation

In the counseling role, the LPN helps the patient explore feelings and attitudes about wellness and illness. The nurse is not assuming the role of consultant, advocate, or researcher in this scenario.

The LPN informs the RN that the patient is short of breath with labored breathing and is not responding to interventions. Which role is the nurse performing?

• Consultant

• Advocate

• Educator

• Counselor

Answer explanation

The LPN works in the role of the consultant by communicating patient assessments to the RN and by working to understand health issues as demonstrated in this scenario. The nurse is not assuming the role of advocate, educator, or counselor in this scenario.

The nurse plans a patient care meeting that includes all of the physicians, physical therapists, and respiratory therapists involved in a patient’s care as well as the patient’s primary nurses. Which role is the nurse performing?

• Consultant

• Advocate

• Clinician

• Collaborator

Answer explanation

A collaborator works with other members of the health-care team. Although this may be a form of advocacy, the focus here is on working with other members of the team. The nurse is not assuming the role of consultant, advocate, or clinician in this scenario.

The patient no longer requires acute care but is unable to receive the complex care required in the patient’s home. The nurse may arrange for this patient to be transferred to which type of facility?

• Hospice

• Home health care

• Assisted-living center

• Extended-care facility

Answer explanation

Extended-care facilities, particularly skilled long-term care facilities, can provide continuous nursing care for patients who require more care than those who are discharged to home. Transfer to hospice, home health care, or an assisted living center is not appropriate for this patient.

The actual practice of nursing requires extensive use of which type of knowledge?

• Knowing that

• Knowing how

• Knowing why

• Knowing when

Answer explanation

The practice of nursing requires extensive “knowing that” knowledge, which is why the program to become a nurse requires many months of classes in order to build the foundation of nursing knowledge. The other types of knowledge do not require extensive use by the nurse.