What is the purpose of managed care or coordinated care?

A. Confirming that care options chosen are the least expensive possible
B. Coordination to ensure professional specialists are called as needed
C. Keeping the focus on the individual patient's unique needs
D. Reviewing care to reduce costs and eliminate unnecessary services


ANS: D

Nursing

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A young man is noticed staggering out of a partially closed doorway to a garage, where a car is running inside. He speaks slowly in a very low voice, telling the nurse that he fell asleep in the car with the engine running

The immediate nursing diagnosis and action for this nurse is: 1. impaired gas exchange. Have the person lie down flat right where he is and begin rescue breathing. If the nurse sees anyone, call for help with CPR. 2. impaired gas exchange resulting from inhalation of carbon monoxide. Lead the patient away from the garage and call for help. Stay with the patient and continu-ally assess LOC and respirations. 3. impaired circulatory perfusion resulting from sulfur dioxide poisoning. Have the patient lie down flat, keep the patient still, and call for help. 4. impaired gas exchange. Have the man breathe deeply and continuously into a brown paper bag. Assess pulse, respirations, and color of conjunctiva. Check the man's pockets for a cell phone to call 911.

Nursing

When performing a clinical breast examination, which would the nurse do first?

A) Palpate the axillary area. B) Compress the nipple for a discharge. C) Palpate the breasts. D) Inspect the breasts.

Nursing

In helping bereaved parents cope and move on, nurses should keep in mind that:

1. a perinatal or parent grief support group is more likely to be helpful if the needs of the parents are matched with the focus of the group. 2. when taking pictures of the infant for keepsakes, do not take close-ups of any congenital anomalies. 3. there are no significant differences in grieving individuals from the various cul-tures, ethnic groups, or religions. 4. in emergency situations, nurses who are so disposed must resist the temptation to baptize the infant in the absence of a priest or minister.

Nursing

The nurse is performing discharge teaching for a newly delivered first-time mother and her infant on the 2nd postpartum day. Which statement by the mother indicates that teaching has been successful?

1. "Taking baths will help my perineum feel less sore each day." 2. "If I develop heavy bleeding, I should take my temperature." 3. "My bowel movements should resume in a week." 4. "I will go back to the doctor in 4 days for my RhoGAM shot."

Nursing