Nokea
An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:
- A. diagnosis-related groups (DRGs).
- B. subjective symptom management.
- C. acuity classification system.
- D. organized managed care.
Correct Answer: A
Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare.
B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms.
C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement.
D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.
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A nurse researcher who is seeking funding for a study should identify _ of funding agencies.
- A. board members
- B. priorities
- C. budgets
- D. accreditation
Correct Answer: B
Rationale: The correct answer is B: priorities. When seeking funding for a study, identifying the priorities of funding agencies is crucial as it helps align the research proposal with the agency's focus areas, increasing the chances of securing funding. Board members (A) are individuals overseeing the agency, not directly related to funding decisions. Budgets (C) refer to financial resources, which are important but secondary to understanding the agency's priorities. Accreditation (D) is about meeting certain standards and is not directly related to identifying funding agencies. Therefore, it is essential to focus on understanding the priorities of funding agencies when seeking funding for a study.
When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
- A. The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.
- B. The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.
- C. The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."
- D. An experienced nurse is nominated for outstanding employee of the month by the novice nurse.
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge.
Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)
- A. clinical nurse leader.
- B. nurse practitioner.
- C. nursing administrator.
- D. certified nurse-midwife.
Correct Answer: B
Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications.
A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges.
C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications.
D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
- A. miss appointments because they are present oriented and time is viewed as flexible.
- B. look to their ancestors for guidance.
- C. plan ahead and be future oriented.
- D. arrive early because they have no concept of time.
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
- A. authority.
- B. objectivity.
- C. accuracy.
- D. currency.
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.