Nokea
Where do many people get medical insurance from?
- A. The primary care physician
- B. The local clinic
- C. Social security office
- D. The employer
Correct Answer: D
Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.
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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.
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.
How does the high degree of professionalism among nurses impact their willingness to engage in organized strikes?
- A. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession
- B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization
- C. Nurses who strike can be legally punished for abandonment and negligence considered to be professional misconduct
- D. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client's safety initiatives
Correct Answer: A
Rationale: The correct answer is A. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients.
Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values.
Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct.
Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.
In an underdeveloped country, the nurse observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?
- A. Pathogens and genetics
- B. Evil spirits
- C. Tides and planets
- D. Plants and animals
Correct Answer: B
Rationale: The correct answer is B: Evil spirits. The natives believe in a spiritual or supernatural cause of illness, as evidenced by their rituals involving fires and drums to ward off or appease evil spirits. This belief aligns with cultural practices in many underdeveloped countries where illness is often attributed to spiritual factors rather than pathogens or genetics (choice A), tides and planets (choice C), or plants and animals (choice D). The rituals surrounding the sick person suggest a belief in the influence of evil spirits on health, making option B the most appropriate choice.
Medicaid, which is financed by what part of the government, is jointly funded by which two entities?
- A. State
- B. Federal
- C. County
- D. State and federal
Correct Answer: D
Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.