The establishment of the Medicare system of payment for hospital stays:
a. Had no impact on children's health
b. Led to shorter hospital stays for acutely ill children
c. Decreased the need for discharge teaching
d. Eliminated the need for home health care
B
The Medicare system of payment had an enormous impact on the rest of the insurance industry. Other insurance companies developed prospective payments plans of their own. The need for discharge teaching and home health care increased as a result of shorter hospital stays.
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The nurse is caring for a patient with late-stage Alzheimer's disease whose wife says that her husband has become very dependent and she feels guilty if she takes any time for herself because the patient cries out for her
The nurse should develop which of the following outcomes to assist the patient's wife? A) The caregiver learns to explain to the patient why she needs time for herself. B) The caregiver distinguishes obligations she must fulfill from those that can be controlled or limited. C) The caregiver leaves the patient at home alone for short periods of time to encourage independence. D) The caregiver avoids asking other family members to help for fear of imposing on them.
A patient has recently moved from Vermont to Southern Florida. The patient presents to the clinic complaining of "dizzy spells and weakness
" While conducting the admission assessment, the patient tells the nurse that he have been on the same antihypertensive drug for 6 years and had stable blood pressures and no adverse effects. Since his move, he has been having problems and he feels that the drug is no longer effective. The clinic nurse knows that one possible reason for the change in the effectiveness of the drug could be what? A) The impact of the placebo effect on the patient's response. B) The accumulative effect of the drug if it has been taken for many years. C) The impact of the warmer environment on the patient's physical status. D) Problems with patient compliance with the drug regimen while on vacation.
A nurse understands that the first major government involvement in health care occurred with passage of the __________ Act
a. Brady b. Hill-Burton c. Nurse Reinvestment d. Social Security
Which laboratory test is the best indicator of a patient in need of TPN?
A) hemoglobin B) hematocrit C) serum albumin D) creatinine