Nokea
A healthcare professional is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist in evaluating the cost-effectiveness of the care?
- A. the age of the client
- B. the availability of community support groups
- C. the length of the client's stay
- D. the type of insurance the client carries
Correct Answer: C
Rationale: The correct answer is C: the length of the client's stay. Evaluating the cost-effectiveness of care involves considering the resources utilized, and the length of stay directly impacts costs. A shorter stay typically means lower costs without compromising quality. Age (A) does not directly impact cost-effectiveness. Community support groups (B) may contribute to the client's overall well-being but do not directly relate to cost-effectiveness. The type of insurance (D) may affect reimbursement but does not provide direct information on cost-effectiveness. Therefore, the length of the client's stay is the most relevant factor to assess cost-effectiveness.
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When considering factors like high risk for falls, infection protocols, and special communication needs to determine the mix and number of staff needed on a telemetry unit, what is being utilized?
- A. diagnostic related groups
- B. clinical pathways
- C. case management
- D. Patient classification system
Correct Answer: D
Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources.
Incorrect choices:
A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement.
B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis.
C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.
To form a core support group of nurses, where should the nurse organizer conduct meetings to gather initial information?
- A. Away from the work site with a group of managers to learn both sides of the situation
- B. In homes or local businesses with staff nurses
- C. At the facility to discuss nursing concerns
- D. At the work site with staff nurses who are respected leaders
Correct Answer: B
Rationale: The correct answer is B because conducting meetings in homes or local businesses with staff nurses creates a comfortable and informal setting for open communication. This environment fosters trust and encourages honest sharing of perspectives and concerns. It also allows for a more personal connection among the nurses, promoting collaboration and unity. Choices A and D may not provide a conducive atmosphere for open dialogue, as meetings with managers or at the work site could lead to power dynamics and inhibitions. Choice C, while at the facility, may not offer the same level of comfort and privacy as meeting outside the workplace.
While supervising the care of several clients, which action requires intervention by the charge nurse?
- A. A nurse photocopies a client's diagnostic test results.
- B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
- C. The unit secretary faxes a client's laboratory results to the provider.
- D. An RN stays with a client to discuss her understanding of her vital signs that were requested.
Correct Answer: A
Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations.
- Choice B is correct as assistive personnel can document vital signs on the client's record under supervision.
- Choice C is acceptable as long as the unit secretary is authorized to fax the client's results.
- Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.
What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
- A. Reducing the spread of infection
- B. Promoting physical activity
- C. Educating on medication administration
- D. Promoting child safety in transportation
Correct Answer: A
Rationale: The correct answer is A: Reducing the spread of infection. In the late industrialization era, poor sanitation and overcrowding led to rampant infectious diseases. Healthcare workers needed to focus on infection control measures to prevent the spread of diseases. This includes promoting hand hygiene, proper waste disposal, and sanitation practices. By addressing the spread of infection, healthcare workers could significantly improve public health outcomes.
Incorrect choices:
B: Promoting physical activity - While physical activity is important for overall health, in the late industrialization era, infectious diseases were more pressing issues.
C: Educating on medication administration - Although important, medication administration was not a primary concern in an era where infectious diseases were rampant.
D: Promoting child safety in transportation - This issue is important for child safety but was not as crucial as addressing the spread of infectious diseases in the late industrialization era.
How does the high degree of professionalism among nurses impact their willingness to engage in organized strikes?
- A. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession
- B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization
- C. Nurses who strike can be legally punished for abandonment and negligence considered to be professional misconduct
- D. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client's safety initiatives
Correct Answer: A
Rationale: The correct answer is A. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients.
Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values.
Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct.
Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.