The hospital benefits manager describes a health care program in which the nurse employee will pay a certain amount of money each month for comprehensive health services
The nurse will have a primary physician who will direct care within a specific network of providers. The nurse's heath care must be provided by these in-network physicians. The nurse will have which type of health care? 1. Health maintenance organization (HMO)
2. Traditional insurance service plan
3. Independent practice association (IPA) coverage
4. Preferred provider organization (PPO)
1
Rationale 1: An HMO is a group health agency that provides basic and supplemental health treatment with a fee being set without regard to the amount or kind of service provided.
Rationale 2: Traditional insurance service plans contract with providers to accept payment based on a fee schedule. The insured may have some restrictions on providers, and the provider is paid directly by the plan.
Rationale 3: An IPA is a group of health care providers who join together to offer services to managed care organizations; the fees are collected and distributed according to fee-for-service arrangements. The physicians remain independent contractors.
Rationale 4: In a PPO, a network of physicians provide care. For a higher deductible, the insured can contract to be able to see providers outside the network.
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A nurse manager is preparing her budget for the next fiscal year. Which of the following should the manager analyze to assist in preparing the budget?
1. Volume of laboratory services provided to the unit over the past year 2. Volume of intravenous supplies used over the past year 3. Statistical data related to the past year?s census 4. Pharmaceutical costs
The nurse notes that a newborn has uneven skin folds of the buttocks and a click when performing Ortolani's maneuver. These findings are a sign of which condition?
a. Polydactyly c. Hip dysplasia b. Clubfoot d. Erb's palsy
One of the three leading causes of death for farm worker children is
a. Pesticide exposure b. HIV c. Firearms/explosives d. Tuberculosis
A patient is admitted to a respiratory unit with a diagnosis of left lower lobe pneumonia. The nursing assessment reveals the patient to be febrile and experiencing a weak, congested-sounding cough
The patient has moist crackles throughout the lung fields. Based on the data provided, which nursing diagnosis is most appropriate? a. Anxiety b. Impaired Gas Exchange c. Ineffective Breathing Pattern d. Ineffective Airway Clearance