A 42-year-old patient admitted yesterday with a DRG (diagnosis-related group) diagnosis of Abdominal Pain, cause unknown, is being discharged this afternoon, because all diagnostic tests have been negative. This is an example of:
1. effective laboratory response.
2. Medicare guidelines limiting hospital stay.
3. cost containment related to DRG.
4. a patient who should not have been admitted in the first place.
3
Cost containment is a means by which the cost of hospitalization time is reduced when the need for acute hospital care is no longer necessary.
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The nurse is conducting a class for a group of clients with newly diagnosed type 2 diabetes mellitus. Which of the following are suggestions to help the clients make better decisions? Select all that apply
A) Eat out less often. B) Bring healthy snacks from home. C) Stock up on "fat-free" and "sugar-free" nutrition bars. D) Switch to whole milk.
The nurse prepares medication for a client who is having difficulty swallowing tablets. Which is the best nursing intervention to promote client self-esteem?
1. Insert a nasogastric tube for instillation of medication. 2. Crush medication and give in a small amount of food. 3. Ask the provider about a liquid form of the medication. 4. Provide information, explanations, and viable solutions.
The hospital administration has just notified all the unit managers that the care delivery model is to be changed from team nursing to modular nursing because of budget restraints
Identify the action by the unit managers that is essential to the successful implementation of the modular nursing care model. a. Hire nurses who are self-directed and concerned with consistency of care. b. Obtain the cooperation and input from respiratory therapy, radiology, dietary, laboratory, and other support services. c. Develop total quality management (TQM) studies to determine risk areas. d. Initiate a training program for ancillary health workers, such as nurse aides and orderlies.
In a supervision session, several of the nurses discuss methods for communicating with clients diagnosed with dementia. One nurse appropriately suggests:
A) Diminishing background noise in the environment. B) Attempting a rational discussion of issues with the client. C) Correcting errors by the client, and speaking in a loud, clear voice. D) Using multiple memory cues and giving several directions at once.