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A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
- A. Prospective payment system
- B. Retrospective payment system
- C. Single-payer system
- D. Capitation
Correct Answer: D
Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice.
A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question.
B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant.
C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.
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Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
- A. Patient-centered care
- B. Informatics
- C. Teamwork
- D. Quality improvement
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
A student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. She receives several compliments from management and her nursing instructor for her creative suggestions. The student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. Although she constantly adds new information, she filters this out slowly to others. The student nurse is subject to the time management obstacle of:
- A. need for perfection.
- B. fear of losing creativity.
- C. unclear goals.
- D. fear of completion.
Correct Answer: D
Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task.
A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion.
B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern.
C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
- A. Emotional
- B. Spiritual
- C. Physical
- D. Mental
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:
- A. be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
- B. continue to use the title "registered nurse."
- C. have 10 years to obtain a BSN or the license will be revoked.
- D. use whatever title is established for associate degree nurses.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements.
2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN.
3. This aligns with the principle of honoring past qualifications while moving forward with new standards.
4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows.
5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses.
6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.
Medicare would be responsible for: (select all that apply)
- A. a hospital stay following a total knee replacement for a 70-year-old client.
- B. nursing home cost for a 67-year-old adult receiving hemodialysis.
- C. rehabilitation care costs for a 24-year-old client with a broken femur resulting from a fall at work.
- D. prescription cost for a young mother who meets eligibility for Aid to Families with Dependent Children (AFDC)
Correct Answer: A
Rationale: The correct answer is A because Medicare covers hospital stays for individuals aged 65 and older, which would include a 70-year-old client. Choice B is incorrect because Medicare typically covers dialysis for individuals with end-stage renal disease, not nursing home costs. Choice C is incorrect because Medicare does not typically cover rehabilitation care for individuals under 65. Choice D is incorrect because AFDC is a separate program from Medicare that provides assistance for low-income families, and prescription costs for the young mother would likely be covered under a different program.