A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?
The ACA reduces disparities in health care.
The ACA is primarily for individuals requiring tertiary care.
Individuals must qualify to participate in ACA insurance coverage.
Individuals with pre-existing conditions are not eligible for ACA coverage.
The Correct Answer is A
Choice B rationale:
The statement "The ACA is primarily for individuals requiring tertiary care" is not accurate. The Affordable Care Act (ACA) is designed to improve access to healthcare for a broad range of individuals, not just those in need of tertiary care. It aims to make healthcare coverage more affordable and accessible for all, regardless of the level of care needed.
Choice C rationale:
The statement "Individuals must qualify to participate in ACA insurance coverage" is correct to some extent. Individuals must meet certain eligibility criteria to enroll in ACA insurance plans, such as being a U.S. citizen or lawfully present, but it does not capture the full scope of the ACA's purpose. The primary goal of the ACA is to expand access to healthcare and reduce disparities, not just limited to qualification requirements.
Choice D rationale:
The statement "Individuals with pre-existing conditions are not eligible for ACA coverage" is incorrect. One of the significant achievements of the ACA is that it prohibits insurance companies from denying coverage to individuals with pre-existing conditions. In fact, the ACA has provisions to protect individuals with pre-existing conditions and ensure their access to insurance coverage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
In this scenario, the nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). By collecting evidence-based information and research on this topic, the nurse is acting in the role of a researcher. Research in healthcare is essential to stay current with best practices, guidelines, and recommendations, and it helps inform clinical decision-making.
Choice B rationale:
A nurse manager is responsible for overseeing nursing staff, unit operations, and ensuring that the unit operates efficiently and safely. While a nurse manager may use evidence-based information to guide decisions, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice on a specific topic.
Choice C rationale:
An educator's primary role is to teach and educate others, such as patients, families, or fellow healthcare professionals. While education often involves the use of evidence-based information, in this scenario, the nurse is primarily focused on gathering evidence rather than directly educating others.
Choice D rationale:
A case manager is responsible for coordinating and managing a patient's care, often involving multiple aspects of healthcare and social services. While case managers may use evidence-based information in their decision-making, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice related to CAUTI, not managing a specific patient's case.
Correct Answer is A
Explanation
Choice A rationale:
Charting by exception (CBE) is a documentation method in which the nurse documents only unexpected findings or significant deviations from the client's normal condition. It is based on the assumption that the client's baseline status remains within the expected range, and deviations from this norm are documented. CBE is efficient and allows nurses to focus on relevant and critical information, reducing unnecessary documentation. It is particularly useful in clinical settings where frequent assessments are needed.
Choice B rationale:
Focus charting (DAR) is another method of documenting client care that emphasizes a structured approach to documentation, with a focus on data, action, and response (DAR). While it provides a systematic way to document care, it does not necessarily limit documentation to only unexpected findings. Focus charting encourages documentation of care in a problem-oriented manner, which may include expected or routine assessments.
Choice C rationale:
Problem-oriented medical record (POMR) is a documentation system that focuses on organizing client information around specific healthcare problems or diagnoses. It encourages a problem-solving approach to care and promotes the inclusion of a comprehensive client history and care plan. POMR documentation may involve both expected and unexpected findings, so it does not limit documentation to only unexpected findings.
Choice D rationale:
SOAP documentation stands for Subjective, Objective, Assessment, and Plan. It is a structured method of documenting healthcare encounters. SOAP notes include a wide range of information, including both subjective (patient's description of symptoms) and objective (clinician's observations) data. While SOAP notes are organized, they do not specifically limit documentation to only unexpected findings.
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