Pay for Performance (P4P) otherwise known as value-based purchasing (VBP) system has been developed through ObamaCare. Which of the following are considered goals of this initiative? Select all that apply
1. Financial viability
2. Payment initiatives
3. Effectiveness
4. Ensuring access
5. Smooth transitions
1,2,3,4
Rationale: •Electronic health records—where value-driven health care supports the use of information technology to give providers the ability to deliver high quality, efficient, well coordinated care (Goals For Value-Based Purchasing, 2010, p. 4).
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To plan effective interventions, the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:
a. need to control all aspects of the world around him. b. use of intellectualization to protect against anxiety. c. inflexible view of the environment and the people in it. d. projection of blame for his own shortcomings onto others.
What is the priority nursing diagnosis for the client with Ménière's disease during an acute attack?
A. Acute Pain related to presence of inflammation B. Risk for Aspiration related to excessive vomiting C. Risk for Injury related to impaired sense of balance D. Deficient Knowledge of prevention measures
Monitoring a patient's waist-to-hip ratio provides data concerning:
a. daily caloric requirements. b. lung capacity. c. stomach cancer risk. d. cardiovascular disease risk.
In the Theory of self-transcendence, _______ refers to a pattern in living systems of increasing complexity and organization over time
A. Nursing. B. Self-organization. C. Organization. D. Well-being.