A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon?

a. Interim payment systems
b. Diagnosis-related groups
c. Title XVIII
d. Title XIX


ANS: B
The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs).

Nursing

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Which of the following is appropriate teaching for the parents with a 2-year-old? Standard Text: Select all that apply

1. Place hot pots on back burners. 2. Teach the child to obey all traffic and safety rules. 3. Keep cleaning solutions in locked cupboards. 4. Teach the parents to avoid the effects of drugs and alcohol on judgment and coordination. 5. Use large, soft toys with no small, detachable or sharp-edged parts.

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The student studying pediatric hematological disorders learns that anemia can occur in several ways, including which of the following? (Select all that apply.)

A. Acute or chronic blood loss B. Altered shape of RBCs C. Decreased RBC production D. Increased RBC destruction E. Lack of functional RBCs

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The nurse is concerned about aspiration precautions when feeding her patient who has recently suffered a stroke. Which of the following procedures that the nurse performs would demonstrate a need for further education?

a. The nurse uses thickened liquids. b. The nurse puts the bed at 30 degrees. c. The nurse encourages slow eating. d. The nurse has the patient alternate between food and sips of fluid.

Nursing

A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide [Reglan]. The patient asks the nurse about the medication. Which response by the nurse is cor-rect?

a. "After 3 months, if the drug is not effec-tive, you may need to increase the dose." b. "Metoclopramide may cause hiccups, es-pecially after meals." c. "Serious side effects may occur but will stop when the drug is discontinued." d. "You should take the drug 30 minutes be-fore each meal and at bedtime."

Nursing