A nurse is teaching the staff about the Prospective Payment System (PPS). Which information should the nurse include in the teaching session?
a. PPS establishes cost-based reimbursement for health care.
b. PPS provides reimbursement for every service the patient receives.
c. PPS establishes reimbursement rates based upon diagnosis-related groups (DRGs).
d. PPS provides money to the patient for health promotion use.
C
PPS established diagnosis-related groups (DRGs). Established by Congress in 1983, the PPS eliminated cost-based reimbursement, which is reimbursement for every service the patient receives. Hospitals serving patients using Medicare were no longer paid for all costs incurred in delivering care to a patient. Instead, inpatient hospital services for patients using Medicare were combined into 468 DRGs. PPS provides a preset amount of money to hospitals and health care providers for DRGs, not for health promotion. Managed care focuses on health promotion.
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A patient who breast-feeds her infant asks the nurse about the immunity the infant receives from breast milk. What does the nurse tell the patient about immunity through breast-feeding?
a. "The immunity protects the infant from hypersensitivity reactions." b. "The immunity provides phagocytes to help the infant fight infections." c. "The immunity results from the transfer of IgA through the breast milk." d. "The immunity protects the infant from respiratory and gastrointestinal (GI) mi-crobes."
In planning the care for women with preeclampsia, nurses should be aware that:
1. induction of labor is likely, as near term as possible. 2. if at home, the woman should be confined to her bed, even with mild preeclamp-sia. 3. a special diet low in protein and salt should be initiated. 4. vaginal birth is still an option for even severe cases.
What action must the nurse always take to confirm the diagnosis before final decisions are made?
A. Ensuring it is an official diagnosis in the Omaha diagnosis system B. Checking to see if it is a reimbursable diagnosis C. Confirming that the diagnosis falls within the agency's guidelines D. Validating the diagnosis/conclusion with the community or client
The nurse is caring for a client who is in neurogenic shock. The nurse knows that this is a subcategory of what kind of shock
A. Obstructive B. Hypovolemic C. Carcinogenic D. Distributive