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When considering factors like high risk for falls, infection protocols, and special communication needs to determine the mix and number of staff needed on a telemetry unit, what is being utilized?
- A. diagnostic related groups
- B. clinical pathways
- C. case management
- D. Patient classification system
Correct Answer: D
Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources.
Incorrect choices:
A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement.
B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis.
C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.
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A healthcare professional is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist in evaluating the cost-effectiveness of the care?
- A. the age of the client
- B. the availability of community support groups
- C. the length of the client's stay
- D. the type of insurance the client carries
Correct Answer: C
Rationale: The correct answer is C: the length of the client's stay. Evaluating the cost-effectiveness of care involves considering the resources utilized, and the length of stay directly impacts costs. A shorter stay typically means lower costs without compromising quality. Age (A) does not directly impact cost-effectiveness. Community support groups (B) may contribute to the client's overall well-being but do not directly relate to cost-effectiveness. The type of insurance (D) may affect reimbursement but does not provide direct information on cost-effectiveness. Therefore, the length of the client's stay is the most relevant factor to assess cost-effectiveness.
A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct Answer: C
Rationale: The correct answer is C: Point-of-care technology. Point-of-care technology is used at the bedside to access information quickly for immediate patient care, such as procedures like accessing a port-a-cath. In this scenario, the healthcare provider is using a personal digital assistant to follow steps for accessing the port-a-cath, which is a point-of-care technology.
A: Data management software focuses on organizing and storing data, not specifically on accessing information at the bedside.
B: Electronic health records (EHR) are used for documenting patient information and medical history, not for accessing procedural steps in real-time at the bedside.
D: Telehealth involves using technology for remote healthcare services, not for accessing procedural information at the bedside.
In summary, the other choices are incorrect because they do not directly relate to accessing information at the bedside for immediate patient care, unlike point-of-care technology.
When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?
- A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
- B. Facilitating patient evacuation from the disaster area to a non-affected area
- C. organizing ground for detonation of bombs by bomb squad
- D. providing mental health care for victims and healthcare providers in the community
Correct Answer: B
Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.
A healthcare professional is interested in locating reliable information concerning non-invasive blood glucose monitoring. Information is found, and the author is a scientist who conducted studies within the last year on the effectiveness of a non-invasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company excite.com. The healthcare professional is concerned about what component associated with this information?
- A. Accuracy
- B. Currency
- C. Authority
- D. Objectivity
Correct Answer: D
Rationale: The correct answer is D: Objectivity. The healthcare professional should be concerned about objectivity because the funding received from a pharmaceutical company may introduce bias into the study results. The author's objectivity could be compromised due to potential influence from the funding source. It is essential to ensure that the information provided is unbiased and not influenced by external interests.
Summary:
A: Accuracy - Accuracy relates to the correctness of information, which may not necessarily be compromised by the funding source in this scenario.
B: Currency - Currency refers to the timeliness of information, which is not directly impacted by the funding source.
C: Authority - Authority pertains to the expertise and credibility of the author, and while the funding source may raise concerns about bias, it does not directly question the author's authority.
A patient is admitted with pneumonia. My case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive pressure ventilation with bronchodilators should be changed to self-administer inhalers, and antibiotics should be changed from intravenous to oral treatment, based on assessment findings. This plan of care is referred to by what term?
- A. patient classification system
- B. patient-centered plan of care
- C. diagnosis-related group
- D. clinical pathway
Correct Answer: D
Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery.
A: Patient classification system categorizes patients based on their clinical needs, not specific care plans.
B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines.
C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans.
In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.