The major impact that managed care plans have had on the health care system has been to
a. significantly improve the preventive care practices of individuals
b. further reduce the costs of medical technology
c. change the focus of primary care to the community
d. improve the availability of health care pro-viders to clients
C
Managed care plans control the nature, amount, and site of health services provided, thus changing the focus of health care. Managed care plans do not limit the amount of preventive care available or the number of providers and institutions that a client can use. While initially the focus of managed care plans was cost containment, the outcome was actually a limitation in availability of health care choices and increased client costs.
You might also like to view...
A nurse teaches a client who has chronic obstructive pulmonary disease. Which statements related to nutrition should the nurse include in this client's teaching? (Select all that apply.)
a. "Avoid drinking fluids just before and during meals." b. "Rest before meals if you have dyspnea." c. "Have about six small meals a day." d. "Eat high-fiber foods to promote gastric emptying." e. "Increase carbohydrate intake for energy."
Which patient should begin treatment for tuberculosis?
a. A patient with HIV and a tuberculin skin test result of a 4-mm region of induration b. A recent immigrant from a country with a high prevalence of TB with a 10-mm re-gion of induration c. A patient with no known risk factors who has a job-related tuberculin skin test result of a 12-mm area of induration d. An intravenous drug abuser with a tuber-culin skin test result of a 5-mm region of induration
A patient taking spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of:
1. Hyperkalemia. 2. Hypokalemia. 3. Hypercalcemia. 4. Hyopcalcemia.
A patient has severe chronic lung disease and is unable to excrete CO2 efficiently or oxygenate his blood adequately. What acid-base disturbance is likely to result from this condition?
A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis