The nurse explains to the family of an elderly client that the client cannot stay in the hospital for rehabilitation from a hip replacement because Medicare and personal insurance will not continue to pay for hospital care
Which is the correct way for the nurse to explain diagnostic-related groups (DRGs) to the family? 1. Group of clients with the same diagnosis
2. Fee for service payment plan
3. Group of related diagnoses applying to one client
4. Prospective system of payment for health care
4
Explanation: 1. DRGs are a prospective system of payment to providers and organizations for a set amount for
a specific condition stipulated in advance. Health care providers have responded to this system
by reducing hospital stays. All other answers are incorrect definitions for DRG.
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The most important reason the nurse is careful to include questions about CAM therapies during the nursing history is:
1. So many clients use CAM therapies 2. CAM practices can interfere with client's medications or medical regimens 3. Clients may want to keep using their therapies 4. Nurses may be asked to administer herbal medications 5.
A breast-feeding mother who was discharged yesterday calls to ask about a tender hard area on her right breast. The nurse's first response should be:
a. "Try massaging the area and apply heat; it is probably a plugged duct." b. "Stop breast-feeding because you probably have an infection." c. "Notify your doctor so he can start you on antibiotics." d. "This is a normal response in breast-feeding mothers."
When a client progresses to stage 5 renal disease, the nurse should conduct frequent nutritional assessments and provide education on the importance of an adequate nutritional intake to prevent:
1. Hyperglycemia. 2. Fat catabolism. 3. Hypertension. 4. Hyperlipidemia.
A patient who was held hostage for 12 hours by a carjacker now repeatedly states, "I can't believe it happened to me!" while admitting to feeling anxious and being afraid of strangers and of ever driving again. The nurse's interventions should target: (Select all that apply.)
a. denial. b. anxiety. c. confusion. d. self-efficacy. e. suicide potential.