The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient's hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient's condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs), each of which provides a fixed reimbursement amount based on assigned DRG, regardless of a patient's length of stay or use of services. Capitation means that providers receive a fixed amount per patient or enrollee of a health care plan. DRG reimbursement is based on case severity, rural/urban/regional costs, and teaching costs, not national averages.
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A client is in the clinic for a follow-up visit after a moderate traumatic brain injury. The client's spouse is very frustrated, stating that the client's personality has changed and the situation is intolerable. What action by the nurse is best?
a. Explain that personality changes are common following brain injuries. b. Ask the client why he or she is acting out and behaving differently. c. Refer the client and spouse to a head injury support group. d. Tell the spouse this is expected and he or she will have to learn to cope.
The nurse recognizes that pain assessment is an important aspect of all nursing assessments. Clients might be reluctant to self-report pain because of: Standard Text: Select all that apply
1. A fear of shots. 2. A belief that expressions of pain reveal weakness. 3. Not wanting to disturb staff. 4. A fear of addiction. 5. A fear that the nurse won't believe the pain reported.
The student nurse is starting the first clinical shift in a new facility and assesses the nurses working on the unit to identify a possible mentor. Which nurse would be the best choice for a mentor?
a. The friendliest, most outgoing nurse on the shift b. The new graduate who remembers what it is like to be a student c. The nurse others come to when they are unsure of how to proceed d. The nurse who is the most outspoken during change of shift report
Guidelines to consider for parents who desire to make their own baby food at home are: (Select all that apply.)
a. Select fresh high-quality foods b. Cook foods until tender c. Cook foods in a large amount of water d. Freeze pureed foods in a large flat pan e. Enhance foods with honey or salt