A nurse manager at a home healthcare service has resigned to take a position at a local ambulatory care center. She has been in TIC accreditation. To initiate the changes, the nurse manager has to be knowledgeable about the differences an ambulatory care center, which is a primary care institution. Primary care institutions are facilities that provide

first access to care.

rehabilitative or long-term care.

disease-restorative care.

only outpatient services.

Answer and Explanation

The Correct Answer is A

A.   Primary care institutions, such as ambulatory care centers, are typically the first point of contact for patients within the healthcare system. They provide initial evaluations, treatment for common conditions, and ongoing care management. Primary care focuses on comprehensive and preventive services and is the entry point for patients seeking healthcare services.
B.   Rehabilitative or long-term care is not the primary focus of a primary care institution. Rehabilitative care involves services designed to help patients recover functional abilities after illness or injury, while long-term care supports individuals with chronic conditions or disabilities over an extended period.
C.   Disease-restorative care is more specific to settings that focus on managing and treating particular diseases or conditions, often in a more intensive or specialized manner. While primary care does address disease management, its primary role is broader, encompassing overall health maintenance, preventive care, and managing general health issues rather than solely focusing on restorative care for specific diseases.
D.   While ambulatory care centers and primary care institutions primarily provide outpatient services, the term “only” is limiting and may not fully capture the scope of services provided. Primary care settings do indeed offer outpatient services, but they also play a broader role in coordinating care, preventive health, and sometimes providing minor procedures.

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Correct Answer is A

Explanation

A. Acute care refers to healthcare provided for conditions that require immediate medical attention and have a relatively short duration. The average stay of less than 30 days indicates short-term care. Specialized implies that the facility focuses on a specific area of medicine, in this case, women's health.
B. Tertiary care involves highly specialized medical care for complex conditions, often requiring advanced technology and specialized professionals. The description doesn't mention complex conditions or advanced technology. Long-term implies care for extended periods, which contradicts the given average stay of less than 30 days.
C. Primary care is the first point of contact for patients, providing general healthcare and preventive services. This facility offers inpatient care, which is beyond the scope of primary care. While the care is specialized, it's not the initial point of contact for patients.
D. The facility is explicitly stated as "not affiliated with the government," ruling out the "public" aspect.

A. "You shouldn't make accusations. Your nursing care doesn't always set a good example." B. "What do you have against me? It must be something or you wouldn't be criticizing my care. C. “I am at a loss for words. I always do my best to give good care to my clients. D. " I feel as though I met the standard of care. Would you tell me more about your concerns?"

Correct Answer is D

Explanation

A. This response is defensive and confrontational. It does not address the concern about care quality but instead attacks the other nurse’s behavior and care standards. Assertiveness involves expressing oneself honestly and respectfully, which this response does not achieve.

B. This response is also defensive and dismissive. It implies that the criticism is personal rather than a professional concern, which can be seen as an emotional reaction rather than a constructive dialogue. Assertiveness involves addressing issues directly and professionally, not by questioning motives or personalizing the feedback.
C. This response indicates a lack of confidence or readiness to engage with the feedback constructively. It does not actively seek clarification or attempt to understand the specific concerns about the care provided. Instead, it focuses on the nurse's own feelings and attempts to justify their actions without engaging in a problem-solving discussion.
D. This response is assertive because it acknowledges the feedback, states the nurse’s perspective on the care provided, and invites further discussion to understand the concerns better. It demonstrates openness to feedback and a willingness to address potential issues constructively.

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Naxlex Comprehensive Predictor Exams

A hospital organization (not affiliated with the government) provides women's health services on an inpatient basis for short-term medical conditions (average stay of less than 30 days). This facility would likely be considered:

Correct Answer is A

Explanation

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

Correct Answer is D

Explanation

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