Nokea
Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:
- A. hospital admission rates.
- B. length of hospital stay.
- C. outpatient services.
- D. specialty groups.
Correct Answer: B
Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care. Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.
You may also like to solve these questions
The first university to offer nursing graduates a baccalaureate degree was:
- A. Columbia Teachers College.
- B. Yale University.
- C. Harvard University.
- D. the New York Regents Program.
Correct Answer: A
Rationale: The correct answer is A: Columbia Teachers College. This institution was the first to offer nursing graduates a baccalaureate degree, pioneering the advancement of nursing education. Columbia Teachers College had a dedicated nursing program that emphasized academic and clinical training, setting the standard for future nursing education.
Explanation:
A: Columbia Teachers College - Correct. Pioneered baccalaureate degree for nursing graduates.
B: Yale University - Incorrect. Not historically known for offering the first baccalaureate degree in nursing.
C: Harvard University - Incorrect. Focused on medical education, not nursing, at the time.
D: New York Regents Program - Incorrect. Not a university and did not offer baccalaureate degrees in nursing.
Regardless of the term used to describe high-quality health care, the focus of quality is:
- A. what the consumer needs and wants.
- B. economical care.
- C. having the greatest technologic advancement.
- D. services equally distributed among populations.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Quality in healthcare should be consumer-centric, meeting their needs and preferences.
2. Consumer needs and wants drive patient satisfaction and outcomes.
3. Patient-centered care leads to better health outcomes and overall quality of care.
4. Focusing on consumer needs promotes individualized and effective care delivery.
Summary of why other choices are incorrect:
- Choice B (economical care) does not necessarily ensure high-quality care.
- Choice C (technologic advancement) is important but not the sole focus of quality healthcare.
- Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
Managers who exhibit an authoritative behavioral style are most likely to use which source of power?
- A. Informal
- B. Expert
- C. Coercive
- D. Reward
Correct Answer: C
Rationale: The correct answer is C: Coercive. Managers with an authoritative behavioral style tend to use coercive power, which involves the ability to influence others through threats or punishment. This style relies on fear and control to achieve compliance. Informal power (A) is based on relationships and influence, expert power (B) is derived from knowledge and expertise, and reward power (D) is based on the ability to provide incentives. However, coercive power aligns most closely with an authoritative style as it emphasizes control and dominance over subordinates.
A public health nurse is interested in determining which educational programs are needed in the aggregates served. The researcher personally interviews individuals who are walking on the streets in the community. This type of research design is:
- A. quasi-experimental.
- B. survey.
- C. case study.
- D. ethnography.
Correct Answer: B
Rationale: The correct answer is B: survey. In this scenario, the nurse is conducting personal interviews with individuals to gather information about educational program needs. Surveys involve collecting data from a sample of individuals through questioning, making it suitable for this situation.
A: Quasi-experimental designs involve manipulation of variables and comparison of groups, which is not evident in this scenario.
C: Case studies focus on in-depth analysis of a single case or a small group, not the entire community as in this case.
D: Ethnography involves studying a group's culture and behavior over an extended period, which is not the main focus of the nurse's research.
A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
- A. the response of local hospitals will be dictated by the federal government.
- B. the same ground rules practiced in other settings and during smaller crises will be applicable.
- C. the least experienced nurses will be assigned to triage low-risk victims and victims who have no chance of survival.
- D. multiple incident commanders ensure a quick, effective response.
Correct Answer: B
Rationale: The correct answer is B because in a mass casualty disaster following a terrorist attack, the same ground rules practiced in other settings and during smaller crises will be applicable. This is because the scale and complexity of the disaster require established protocols and procedures to manage the situation effectively.
Choice A is incorrect because the response of local hospitals may not necessarily be dictated by the federal government in such situations. Choice C is incorrect because assigning the least experienced nurses to triage patients based on their perceived risk or chances of survival is not ethical or effective. Choice D is incorrect because having multiple incident commanders can lead to confusion and delays in decision-making during a crisis.