What was the primary impetus for the development of the prospective payment system?
A) Skyrocketing health care costs following the advent of Medicare and Medicaid
B) The passage of the Health Maintenance Act of 1973
C) The introduction of the Health Security Act to Congress
D) A coalition held by the three largest private insurers in 1975
A
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When a nurse is assessing a client's altered sleep patterns, which of these questions is MOST important to be included?
a. "Do you experience fatigue, confusion, or irritability during the day?" b. "How much sleep do you expect to get every night?" c. "How would you rate the quality of your sleep?" d. "Do you get up several times during the night?"
A nurse is caring for older adult patients with mild cognitive impairment (MCI). What are these patients more likely to develop?
a. Dementia, non-Alzheimer type b. Alzheimer dementia c. Parkinson disease d. Psychotic disorders
A patient who is also a nurse is being treated for anxiety with a selective serotonin reuptake inhibitor. She asks about the rationale for use of this agent rather than a benzodiazepine. Which of the following is the nurse's best response?
a. "Selective serotonin reuptake inhibitors are better for the control of bodily symp-toms than benzodiazepines." b. "Selective serotonin reuptake inhibitors provide a more rapid and durable re-sponse to the uncomfortable anxiety symptoms." c. "Benzodiazepines currently have no role in the treatment of anxiety." d. "Selective serotonin reuptake inhibitors are better for reducing the cognitive and psychic symptoms of anxiety than benzodiazepines."
The parents of an adolescent who has a history of depression are concerned because the physician has prescribed an SSRI antidepressant for their child. What information should the nurse use to formulate a response to these parents' concerns?
1. These medications are addictive and difficult to discontinue when the depressive incident is past. 2. It is difficult for teenagers to manage the dosage regimen for many of these drugs because they must be taken with a full meal. 3. There is an FDA warning regarding antidepressant use in teenagers and the increased risk of suicide. 4. Most of the SSRI antidepressant medications will deliver a marked improvement in depression within 3 to 4 days of the first dose.