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A nurse plans care knowing when specific recovery milestones are expected. The nurse is providing care via:
- A. patient classification systems.
- B. clinical pathways.
- C. functional nursing.
- D. case management.
Correct Answer: B
Rationale: The correct answer is B: clinical pathways. Clinical pathways are structured, evidence-based plans of care that outline the expected recovery milestones and interventions for a specific condition or procedure. By following a clinical pathway, nurses can effectively plan care and monitor progress based on established guidelines. Patient classification systems (A) categorize patients based on acuity levels, not recovery milestones. Functional nursing (C) involves delegating specific tasks to different staff members. Case management (D) focuses on coordinating care across multiple providers, not specifically on recovery milestones.
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A physician bills the insurance company for a computed tomography (CT) scan, laboratory tests, chest x-ray, and an extended visit and receives revenue for each procedure billed. This type of payment system is a payment system.
- A. prospective
- B. retrospective
- C. diagnosis-related group
- D. capitated
Correct Answer: D
Rationale: The correct answer is D: capitated. In a capitated payment system, the physician receives a fixed amount per patient regardless of the services provided. This incentivizes cost-effective care and promotes preventive measures. In this scenario, the physician is receiving revenue for each procedure billed, which is not characteristic of capitated payment.
A: Prospective payment is when a fixed amount is determined in advance for specific services rendered. This is not the case in the scenario provided.
B: Retrospective payment involves reimbursement after the services are provided, which is not reflected in the scenario given.
C: Diagnosis-related group (DRG) is a payment system used in hospitals based on the diagnosis and procedures performed, not applicable to individual physician billing as presented in the question.
The primary focus of the care provider role for the nurse involves:
- A. using the nursing process to provide guidance to the patient in recovery.
- B. encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
- C. focusing on increasing satisfaction among professional nurses.
- D. advancing nursing practice through research.
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
- A. call The Joint Commission (TJC) to ask whether the organization meets required standards.
- B. assess the work climate by walking through the facility.
- C. review financial statements of the institution.
- D. ask what they can do for you rather than what you can do for them.
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision.
Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.
Complementary alternative medicine (CAM) is gaining popularity in Western society because: (select all that apply)
- A. consumers want knowledgeable, trained physicians to control their care.
- B. CAM consumers want personalized health care.
- C. quantity, rather than quality, of life is most important in Western society.
- D. consumers have access to evidence that support CAMs.
Correct Answer: B
Rationale: The correct answer is B: CAM consumers want personalized health care. This is because CAM focuses on holistic and individualized approaches to health, addressing not just symptoms but underlying causes. Consumers seek CAM for tailored treatments and a more patient-centered approach.
Choice A is incorrect because CAM often involves practitioners who may not be traditional physicians. Choice C is incorrect as quality of life, rather than just quantity, is increasingly valued in Western society. Choice D is incorrect because although there is some evidence supporting CAM, it is not always readily accessible or universally accepted.
A client asks the nurse, "Can you explain Medicare, an amendment to the Social Security Act?" The nurse responds that Medicare:
- A. led to many hospital closings, along with a decrease in acute care hospital's based nursing care.
- B. provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer.
- C. provided preventive care for women, infants, and children.
- D. ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance.
Correct Answer: D
Rationale: The correct answer is D because Medicare is a federal health insurance program that primarily covers individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities. This answer aligns with the original intent and purpose of Medicare as established by the Social Security Act amendment.
Explanation:
1. Medicare was established to provide health insurance for specific groups, including individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities.
2. The program was not designed to lead to hospital closings or decrease nursing care, as stated in choice A.
3. Choice B is incorrect because Medicare does not specifically target younger adults or children with catastrophic illnesses.
4. Choice C is incorrect because while Medicare may cover preventive care for certain populations, its primary focus is on providing insurance for specific age groups and individuals with specific health conditions.