The nurse has taken an employment position in a healthcare facility that advertises itself as being part of a network. What can the nurse expect in this organization?
1. This hospital is part of a vertically integrated corporation that owns and manages a group of health facilities.
2. This hospital is an independent organization, but is in agreement with a number of other healthcare facilities that agree to deliver specific services.
3. This hospital has agreed to provide a continuum of services to a defined population and to be accountable for the outcomes and health status of that population.
4. This hospital has joined with another hospital to become one organization.
2
Explanation: 1. A system refers to a corporation that owns or manages health facilities, often using vertical integration.
2. A network consists of a number of healthcare facilities that agree to deliver specific services, with each facility remaining an independent organization.
3. An organized delivery system provides or arranges to provide a coordinated continuum of services to a defined population, and is willing to be held clinically and fiscally accountable for the outcomes and the health status of the population serviced.
4. A merger occurs when two or more organizations come together to form one organization.
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The nurse is caring for an older adult patient who has a history of depression. Which comment by the patient indicates an immediate need for further assessment?
a. "I am so old; all my friends have died." b. "I am useless now; there is no reason to be alive." c. "I am looking forward to seeing my husband in heaven someday." d. "I retire in 6 months, and it will be all downhill from there." ____
When admitting an elderly patient, your assessment reveals loss of peripheral vision and a decline in visual acuity. The patient needs to be evaluated further for
A) glaucoma. B) cataracts. C) diabetic retinopathy. D) senile macular degeneration.
A patient with migraine headaches is changed from an ergot to a prescription for a triptan. The nurse has completed teaching related to the drug. What statement would indicate she has a clear understanding of the new drug?
A) "My life is over. I can't function not knowing when I'm going to have a headache." B) "I will not have to avoid driving because this medication isn't sedating." C) "I should not experience as many adverse effects from my new medication." D) "I take my medication every hour when I have a headache."
The population health nurse is preparing information to share during a state judicial hearing to support the statewide implementation of pedestrian crosswalk signs. Which secondary data should the nurse include for this presentation?
1. Number of pedestrian accidents over the last 3 months. 2. Number of accidents involving motor vehicles to avoid bicyclists. 3. Number of schools in the state located on busy commercial highways. 4. Number of tickets for jaywalking issued to pedestrians over the last 3 months. 5. Results of a state survey asking residents if pedestrian crosswalk signs should be installed.