Answer to Question 1
Correct Answer: 2, 3, 5, 6
Rationale 1: Although there is an increase in complementary and alternative medicine use, this does not affect how health care is delivered.
Rationale 2: With the improved availability of health-related information, consumers are more knowledgeable, and play an active role in their health care.
Rationale 3: People over age 85 are projected to be the fastest-growing population in the United States.
Rationale 4: Chronic illness is prevalent in this group.
Rationale 5: Technology related to health care is rapidly increasing, and includes improved diagnostic procedures and equipment that permits early recognition of diseases.
Rationale 6: Inflation increases all costs, and paying for health care services is becoming a greater problem.
Answer to Question 2
Correct Answer: 3
Rationale 1: Medicare provides insurance coverage for people over age 65. This is not the legislation described in the scenario.
Rationale 2: Medicaid provides service to people who require financial assistance for health care. This is not the legislation described in the scenario.
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 scenario.
Patients are encouraged to take an active role in their health care.
The nurse conducts the health history as the first step in the nursing assessment
Documenting the health history is a crucial step in providing patient care
The human integration pyramid care model
Applying developmental theory to care
Culturally competent care