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Nursing

Nursing

Quiz 39 :

Managing Care

Quiz 39 :

Managing Care

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A novice nurse is looking for employment and hopes to find a facility where the nursing staff participates in making,implementing,and evaluating client care policies.Which organizational chapter implements these practices?
Free
Multiple Choice
Answer:

Answer:

D

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The nurse is caring for an adult client from Canada who has come to the United States for a serious neurologic surgery.The client tells the nurse,"I came to this country so that I would receive the care I need." Which is the most likely rationale for the client's statement?
Free
Multiple Choice
Answer:

Answer:

A

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An older adult client tells the nurse,"I am worried about how I will pay for my hospital bill." The client is being discharged,is being referred to home healthcare,and the new plan of care involves extremely expensive drugs.Which response by the nurse is appropriate?
Free
Multiple Choice
Answer:

Answer:

D

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The nurse is managing the care of an older adult client who is near the end of life but still has treatment options available.The treatment options could potentially be painful and expensive,and they would only extend the client's life approximately 2 months.What important topic should the nurse include during initial discussions with the client and family?
Multiple Choice
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A nurse working in an outpatient OB-GYN clinic is asked to assume the case management for the clinic's adolescent clients.Which skills will the nurse need to perform this work?
Multiple Choice
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The movement from a retrospective payment system to a prospective payment system using a diagnosis-related group may have what unintentional consequence for hospitals trying to contain their costs?
Multiple Choice
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The nurse is caring for a preschool-age client who suffered brain damage following a car accident.The client has a tracheostomy,is ventilator-dependent,and will be discharged from the hospital into the family's care.The family wants to care for the child at home but does not have the resources for 24-hour care.Which action by the care manager is appropriate?
Multiple Choice
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What nursing concept is essential to ensure continuity of client care when a nurse is managing the care of a client?
Multiple Choice
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An instructor is teaching the class about cost-conscious nursing practice.The instructor knows that the students understand this concept when the students make which statements? Select all that apply.
Multiple Choice
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What action will allow facilities to better track the cost effectiveness of various nursing actions and allocate nursing resources most efficiently?
Multiple Choice
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A client recovering from an emergency appendectomy is a citizen of a foreign country.The client asks the nurse to explain why the United States has chosen such a different healthcare reimbursement system from other Western countries.Which American value could the nurse mention to explain the system in this country?
Multiple Choice
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The nurse is reviewing client records to determine which clients are good candidates for case management.Which client would the nurse choose as having the highest priority for assigning a case manager?
Multiple Choice
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The nurse is appointed to a clinical-administrative task force studying critical staffing issues and care delivery models for the hospital.Which evidence on the effects of different staffing choices and care delivery models should the task force consider? Select all that apply.
Multiple Choice
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A nurse,who works in a clinic environment,places great emphasis on cost control,customer satisfaction,health promotion,and preventive services.The primary focus of this nurse is representative of which type of healthcare system?
Multiple Choice
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A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement.The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge.The client states,"I thought my doctor manages my care." Which is the best response by the nurse?
Multiple Choice
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The nurse delegates vital signs and daily weights of assigned clients to the unlicensed assistive personnel (UAP)on duty.Which is the reason for the nurse to assess each client throughout the shift?
Multiple Choice
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A nurse working in a large municipal hospital is appointed to a task force whose focus is addressing nursing shortages.Which factor should the task force consider?
Multiple Choice
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A nurse is caring for a client who had a total hip replacement 14 days ago.The client is preparing for discharge in a few days.The nurse facilitates a care conference with the primary healthcare provider,occupational therapist,physical therapist,and the client and family to develop a plan of care for the client prior to discharge.Which roles are being demonstrated by this nurse? Select all that apply.
Multiple Choice
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A nurse is applying for a job as a case manager for a managed care insurance organization.Which responsibility is associated with this role?
Multiple Choice
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The nurse is helping with discharge planning for a client who needs extensive rehabilitation and is on a complicated medication schedule.The client and spouse currently live with their eldest son,and the family is very involved in the client's care.The nurse would want to coordinate the client's daily care by including which priority individuals? Select all that apply.
Multiple Choice
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