Which of the following has influenced an emphasis on primary care education in medical schools?
a. Changes in Medicare reimbursement methods recommended in 1992
b. Competition from nonphysicians desiring to meet primary care shortages
c. The need for monopolistic control in the marketplace of primary outpatient care
d. The recognition that nonphysicians have variable success providing primary care
A
The Physician Payment Review Commission in 1992 directly increased financial reimbursement to clinicians who provide primary care. Coupled with a shortage of primary care providers, this incentive led medical schools to place greater emphasis on preparing primary care physicians. Competition from nonphysicians increased coincidentally as professionals from other disciplines stepped up to meet the needs. Nonphysicians have had increasing success at providing primary care and have been shown to be safe and effective.
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Which of the following factors is likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel B) Increasing numbers of clients in hospitals C) Not devoting enough time to the client D) The rise of medical care costs in healthcare systems
A patient with a history of coronary artery disease is admitted with vomiting, abdominal distention, and hypoactive bowel sounds. Which assessment would provide the nurse with the most accurate information about the patient's fluid volume status?
1. Skin turgor assessment 2. Hourly urine output measurements 3. Daily weights 4. Pulmonary artery catheter
A nurse receives a verbal order which was understood to be for Avert 6
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After auscultating a patient's heart sounds and measuring vital signs, the nurse determines that which of the following assessment findings needs additional assessment?
1. split of S2 2. bounding, vigorous pulse 3. pulse pressure of 30 to 40 mm hg 4. apical pulse of 60 to 80