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.
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A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
- A. A member of a professional organization who supports the organization's political issue
- B. A citizen who is registered and is eligible to vote for a representative
- C. An elected official who proposes legislation to be considered as a potential law
- D. A member of the House of Representatives who is seeking support for a particular bill
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official.
Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.
A new nurse decides to use the Internet to apply for possible positions. How does applying online compare to applying by more traditional methods? (select all that apply)
- A. Regardless of how one applies, it is important to check the resume for correctness.
- B. Follow-up with Internet applications is no sooner than 90 days compared to a 1-week follow-up for traditional applications.
- C. Researching the mission and philosophy of the agency is not necessary with Internet searches and applications.
- D. The resume and cover letter should be reviewed by someone with excellent skills in grammar and writing to ensure the first impression is one of professionalism and attention to detail.
Correct Answer: A
Rationale: The correct answer is A because regardless of the method of application, it is crucial to check the resume for correctness to present oneself professionally. This step is essential to avoid any errors or mistakes that could negatively impact the application process.
Choice B is incorrect because the timeframe for follow-up does not solely depend on the method of application; it varies by company and industry.
Choice C is incorrect as researching the mission and philosophy of the agency is important for both online and traditional applications to tailor the application to the specific organization.
Choice D is incorrect as the importance of having the resume and cover letter reviewed for grammar and writing skills applies to both online and traditional applications to make a positive first impression.
A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:
- A. federally recognized minorities.
- B. marginalized populations.
- C. Asian/Pacific Islander cultures.
- D. Latino cultures.
Correct Answer: A
Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.
Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
- A. Ethnography
- B. Pilot
- C. Secondary data analysis
- D. Phenomenology
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period.
A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario.
C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention.
D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:
- A. educate the public about the nurse's political platform.
- B. be spontaneous and not deliver a rehearsed speech.
- C. address the person as "candidate" rather than using a first name that implies a working relationship.
- D. learn what the key issues are in the candidate's platform.
Correct Answer: D
Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures.
A, B, and C are incorrect because:
A: Educating the public about the nurse's political platform is not the primary purpose of attending the session.
B: Being spontaneous may lead to an ineffective communication strategy without proper preparation.
C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.