The monitoring of quality of care is often a mandate from federal agencies in order for home health agencies to be certified. The Outcomes and Assessment Information Set (OASIS)
measures outcomes for quality improvement and client satisfaction with care. The first stage, data analysis:
1. Enables an agency to compare its performance to a national sample
2. Forces home health agencies to report their data on patient care to a national registry
3. Requires stabilization of a patient's condition in order to continue to receive funding
4. Allows home health nurses a program to record data and findings
ANS: 1
The first stage, data analysis, enables an agency to compare its performance to a national sample, identify factors that may affect outcomes, and identify final outcomes that show improvement in or stabilization of a client's condition.
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A patient has been diagnosed with schizophrenia. During a recent interview, he shows the nurse a picture of a man holding a decapitated head. He describes this picture as horrifying but then laughs loudly at the content. This behavior is a display of:
a. Confusion b. Ambivalence c. Depersonalization d. Inappropriate affect
What method for financing healthcare is based on the ability to keep clients healthy and out of the hospital through periodic screening, health education, and preventive services?
A) Managed care B) Preferred provider organization C) Health maintenance organization D) Point-of-service organization
A client has returned from outpatient surgery where a biopsy revealed a nodule on the laryngopharynx. The client asks where this is located. What is the best response by the nurse to the client about the location of laryngopharynx?
A) Section of the pharynx from the nares to the uvula B) Part of the pharynx extending from the uvula to the epiglottis C) Lowest portion of the pharynx D) Connects the nasopharynx to the middle ear
MC Which activities are community health nursing functions when mobilizing community partnerships to identify and solve health problems? (Select all that apply.)
A. Identify community assets and needs. B. Assist community members to articulate needs. C. Identify violations of health-related regulations. D. Identify potential coalition members to address particular health issues. E. Identify key community members.