The nurse is working in a managed care environment. The rationale for managed care is
a. limit the amount of care a client receives for any one illness
b. give consumers preventive services delivered by a primary care provider
c. allow consumers a wider range of practitioners
d. improve consumer access to medical specialists
B
The rationale for managed care is to give consumers preventive services delivered by a primary care provider, and which result in less expensive interventions.
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What is the primary factor in the initiation of menses?
a. Height b. Age of the girl's mother at menarche c. Body weight d. Age
The nurse notes that a client who has been using psoralens–ultraviolet A (PUVA) therapy for psoriasis for 1 month has darkening of the skin. Which is the nurse's best action?
a. Document this assessment finding. b. Instruct the client to reduce the dose. c. Instruct the client to drink more water. d. Instruct the client to apply cortisone cream.
A patient with sleep apnea who uses a continuous positive airway pressure (CPAP) device is preparing to have inpatient surgery. Which instructions should the nurse provide to the patient?
a. Remind the patient to take the CPAP device to the hospital. b. Plan to schedule a nighttime polysomnography (PSG) study before surgery. c. Discourage the patient from requesting pain medication while hospitalized. d. Call the hospital to ensure that mechanical ventilation will be available for the patient.
A nurse is working with an elderly patient who takes multiple medications for various ailments and illnesses. What interventions could the nurse implement to help promote compliance by this elderly patient? (Select all that apply.)
a. Ensure that the number of drugs and doses per day is as small as possible. b. Explain the treatment plan in clear, concise instructions. c. Choose an appropriate dosing form, such as liquid versus pill form. d. Have the patient administer medication patches every week to cut down on pills. e. Enlist the assistance of a neighbor or friend to help with administration of medications. f. Use multiple containers clearly labeled with the medications.