Case managed care may enhance profit in a for-profit health organization by:
a. Minimizing costs in high resource con-sumption areas.
b. Combining licensed and non-licensed care providers in delivering patient care.
c. Increasing reimbursement from third-party payers.
d. Reducing the amount of technology used to support clinical decision making.
A
Case managed care is not revenue generating but rather revenue protecting in that better coordi-nation of care enables efficient achievement of patient outcomes, can result in shorter length of stay, and can prevent readmission.
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A neonate is being fed 20 mL every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which of the following would be the most appropriate action by the nurse?
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in three hours.
The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?
a. Supine b. On the affected side c. On the unaffected side d. In a Trendelenburg position
The nurse cautions a patient to watch his step. What response indicates concrete thinking?
a. The patient fixedly begins to watch his feet. b. The patient immediately examines his watch. c. The patient begins to watch the nurse's feet. d. The patient stands rigidly in one place without moving.
Which concern has the greatest priority for a patient admitted with a diagnosis of bulimia nervosa?
a. Social isolation b. Imbalanced fluid volume c. Compromised family coping d. Disturbed perception of body image