Author Question: A clinic in a rural area depends primarily on the services of a nurse practitioner. The legislation ... (Read 73 times)

evelyn o bentley · **on:** Jul 23, 2018

A clinic in a rural area depends primarily on the services of a nurse practitioner. The legislation that allows this opportunity is which of the following?

1. Medicare
2. Medicaid
3. Rural Health Clinics Act
4. National Health Planning and Resources Development Act

Question 2

A seasoned RN is especially competent in knowledge of the computerized charting system in a facility and is able to assume the team leader role on a regular basis. These two characteristics are the basis of which system?

1. Primary nursing
2. Team nursing
3. Differentiated practice
4. Case method

popopong · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Medicare provides insurance coverage for people over age 65. This is not the legislation described in the stem.
Rationale 2: Medicaid provides service to people who require financial assistance for health care. This is not the legislation described in the stem.
Rationale 3: In 1978, the Rural Health Clinics Act provided for the development of health care in medically underserved rural areas. This act opened the door for nurse practitioners to provide primary care.
Rationale 4: The National Health Planning and Resources Development Act established health systems agencies throughout the United States for the development of health care in medically underserved rural areas. This is not the legislation described in the stem.

Answer to Question 2

Correct Answer: 1
Rationale 1: Primary nursing is a system in which one nurse is responsible for total care of a number of clients, 24 hours a day, 7 days a week. It is a method of providing comprehensive, individualized, and consistent care. Primary nursing uses the nurse's technical knowledge and management skills in assessing and prioritizing each client's needs, implementing the plan of care, and evaluating its effectiveness.
Rationale 2: Team nursing is the delivery of individualized nursing care to clients by a team led by a professional nurse and consisting of RNs, LPNs, and UAPs. This is not the model described in the stem.
Rationale 3: Differentiated practice is a system in which the best possible use of nursing personnel is based on their education preparation and resultant skill sets. This is not the model described in the stem..
Rationale 4: Case method is also referred to as total care, in which one nurse is assigned to and is responsible for the comprehensive care of a group of clients during an 8- or 12-hour shift. This is not the model described in the stem.