Which statement indicates that a nurse manager understands the significance of the National Health Planning and Resource Development Act (NHPRA) of 1974?
1. "The focus of the NHPRA was on establishing hospital systems specializing in
certain specialty practices."
2. "The Medicare system was established by the legislation included in the
NHPRA."
3. "The NHPRA closed down facilities that were old, and some people were left
with no access to health care."
4. "The NHPRA helped to ensure equal access of small communities to health care facilities."
Answer: 4
Rationale: The National Health Planning and Resource Development Act of 1974 focused on getting everyone equal access to quality health care, regardless of location. This includes small communities. It did not establish Medicare; this system was established by an amendment to the Social Security Act of 1935. The NHPRA did not establish specialty hospital systems but funded new facilities to replace the old.
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The 30-year-old woman whose father has type 1 diabetes mellitus asks the nurse what her chances are of developing diabetes because of her father's disease. What is the nurse's best response?
A. "You have a greater susceptibility for developing the disease, with a 1 in 20 to a 1 in 50 chance." B. "Your risk is the same as the general population, because there is no genetic risk for development of type 1 diabetes." C. "Type 1 diabetes is inherited in an autosomal dominant pattern. Therefore, the risk for becoming diabetic is 50%." D. "Because you are a woman and your father is the parent with the diabetes, your risk is not increased for eventual development of the disease; however, your brothers will become diabetic."
Which information is most important for the nurse to communicate rapidly to the health care provider about a patient admitted with possible syndrome of inappropriate antidiuretic hormone (SIADH)?
a. The patient has a recent weight gain of 9 lb. b. The patient complains of dyspnea with activity. c. The patient has a urine specific gravity of 1.025. d. The patient has a serum sodium level of 118 mEq/L.
A patient is receiving continuous oxygen. The person wants to smoke. Which is correct?
a. The person can smoke if you close the room door. b. The person can smoke if you turn off the oxygen. c. Take the person to a nonsmoking area. d. Smoking is not allowed where oxygen is being used.
A team of nursing researchers is drafting a grant proposal to secure funding for a study into a new algorithm for geriatric assessment
The team has paid particular attention to the abstract of the proposal, knowing that the abstract primarily performs which of the following functions within the larger proposal? A) Informing funding agencies of the academic and research qualifications of the principle investigator and the research team B) Creating a concise but compelling argument for funding the research project C) Presenting preliminary, anticipated research findings and linking them to evidence-based practice and improved outcomes D) Presenting the potential benefits for the funding agency that the project may bring