In the attempt to decrease medical errors, CMS established a pay-for-performance program for physicians to provide an incentive to improve outcomes. Critics of the program suggest the system is a failure
What reason best describes the critics' concern?
A) Focus on provider achievement
B) Imprecise risk adjustment scores
C) Large sample sizes requiring more clients
D) Including only certain physicians
B
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The nurse is taking a history of a new client in the clinic. Histories tend to be lengthy, and the sexual part can be difficult for the client. The nurse should use what technique to make it easier for the client?
1. Let the client fill out a paper copy, so she does not have to talk about intimate matters. 2. Skip the sexual part until the next time the client comes into the clinic. 3. Start with the easier medical and surgical questions, and develop a feeling of trust with the client. 4. Leave the sexual part of the history for the doctor to ask about.
You are assigning tasks to nursing assistants in a nursing home. Which would be the most appropriate instruction to give to the assistant who will care for Mrs. Scott, a frail 80-year-old woman with arthritis?
a. Tell the NA to give her a bed bath, comb her hair, and brush her teeth b. Tell the NA to help her use a bedpan c. Tell the NA to "let her do as much as she can for herself," such as brushing her teeth, combing her hair, and walking to the bathroom with assistance d. Tell the NA to be sure to bring Mrs. Scott's meal trays to her bed each day
A young couple brings their 20-month-old daughter to the pediatrician's office for immunizations. The mother tells the nurse that she is going back to work and is looking for a day-care center in the vicinity of the clinic. What assessment is priority before recommending a day-care center that would help the parent and child adapt to the experience?
A. Available financial assets B. Available support people C. Potty-training status D. The child's temperament
The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?
A) A chancre on the genitals B) Fever, sore throat, lymph node enlargement C) Urethral drainage, dysuria D) Dementia, central nervous system involvement