A patient asks a nurse, "How do managed care systems control costs?" The nurse should reply that the HMO's cost saving strategies include using: (Select all that apply.)
a. utilization reviews.
b. case management.
c. easy repayment plans.
d. preadmission certifications.
e. inexpensive health care plans.
A, B, D
Preadmission certification ensures the proper treatment setting; utilization review evaluates the appropriateness and necessity of services; and case management focuses on desirable outcomes, appropriate lengths of stay, and efficient use of resources. Each of these helps control costs. The remaining options are not suggested by HMOs. The correct response does not respond to the patient in an effective way.
You might also like to view...
Which of the following facilitates communication in interdisciplinary team (IDT) conferences?
a. Setting time limits on the discussion of each resident b. Requiring that all members attend on time and are prepared c. Writing the needed changes in the plan of care before the meeting d. Inviting the family to meet with individual members of the team rather than coming to IDT meetings
Identify three underlying assumptions of communication in family-focused nursing care
What will be an ideal response?
A patient receiving hormone manipulation as cancer therapy has all of the following side effects. For which one should you notify the prescriber immediately?
a. Redness, pain, and swelling of the calf b. Fluid retention with weight gain c. Acne and darkening of the skin d. Breast swelling and tenderness
A 5-year-old hospitalized child is refusing to have blood drawn because the mother is not in attendance. Which action would be best for the nurse to do in this situation?
A) Check with the floor administrator to see if the blood draw can wait until the caregiver returns B) Recognize the statement is a stalling technique, reassure the child, and continue with the procedure C) Tell the child that if he will let the phlebotomist take his blood without putting up a fuss he will get a lollipop D) Remind him that he has said that before and that he knows that the blood must be taken