Capitation and managed care programs are likely to strongly influence health care delivery because they:
a. provide intense services directed toward keeping clients in the community
b. reduce the incidence of mental disorders within certain populations
c. are prospective payment systems that contain rising costs of health care
d. offer multiple providers for clients with mental illnesses
C
Reimbursement mechanisms that favor cost containment are influencing the patterns of service delivery in community mental health. Capitation is increasingly evident in the general health sector. Capitation is an example of a prospective payment system.
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The patient who is to have a blood transfusion for the treatment of anemia states that she is fearful of contracting HIV through the blood. The nurse assures her that transfusion blood has been put through special HIV screening since:
1. 1980. 2. 1984. 3. 1986. 4. 1999.
A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is
a. "Back pain is common at this time during pregnancy because you tend to stand with a sway back." b. "Acetaminophen is acceptable during pregnancy; however, you should not take aspirin." c. "You should come into the office and let the doctor check you." d. "Avoid medication because you are pregnant. Try soaking in a warm bath or using a heating pad on low before taking any medication."
A 35-year-old patient in the women's health clinic has just told the nurse about being abused by her husband for the past 10 years. The nurse's most appropriate intervention, initially, is to:
1. Offer to call the police and help her to file charges. 2. Ask her to tell you the details surrounding the abuse. 3. Reassure her that many women experience the same problem. 4. Listen to her account of the situation and offer support.
Which statement made by a patient indicates to the nurse the need for more teaching about first-line drug therapy for tuberculosis (TB)?
a. "To prevent nausea and vomiting, I have been taking my drugs at night with a small snack." b. "I have stopped taking all herbal supplements and stopped drinking beer until I finish this drug therapy." c. "Now that my symptoms have disappeared after a month of drug therapy, I can no longer infect my family." d. "Now that my symptoms have disappeared after a month of drug therapy, I can stop taking all of these drugs."