Discussion Topics, Chapter 3, The Healthcare Delivery System

Discussion Topics / Learning Objective(s)
1. A nurse and client are having a discussion on challenges facing nursing in the 21st century. The client wonders how preventative care can affect these challenges. What should the nurse tell the client in this situation? / 1
2. The nurse is preparing a car accident victim, who is seriously injured, for admission into an acute care unit. However, the client’s colleague wants him to be admitted to the extended care unit. What does the nurse need to do in such a situation? / 2
3. A person has tuberculosis. He is interested in getting inexpensive treatment for his condition near his home. What advice should the nurse give this client? / 3
4. Two nurses are discussing the functions of a nurse, the methods by which a hospital or healthcare facility is accredited, and also the standards involved in nursing care.
a.  Discuss the possible differences between the functions of a school nurse and an industrial nurse.
b.  Discuss the areas in which a hospital is accredited.
c.  Discuss the standards for quality assurance in healthcare facilities. / 5, 6
5. A person has been in an accident and has been admitted to a hospital far away from his home. The client’s family needs help in finding accommodations close to the hospital. How can the hospital help the client’s family? / 7
6. A person is admitted to hospital with an illness. The client is concerned about how to pay for the hospital visit. What could the nurse discuss with this client to calm these worries? / 8
7. A client is scheduled for treatment of a minor illness in a hospital. During the client’s initial assessment, he expresses his wish to be administered holistic care.
a.  What can the nurse do if the client refuses care advised by a physician?
b.  How can a nurse respect the client’s feelings and advise him? / 9
8. Two nurses are discussing consumer fraud and the ailments for which people normally refer to fraudulent healthcare services. Identify areas where you can prevent a client from moving to such fraudulent healthcare services. / 10