Hospital administrators in an acute care facility hoping to reduce expenditures and improve patient outcomes would most likely consider which type of client care delivery system?

1. Primary nursing
2. Case management
3. Differentiated practice
4. Functional nursing


Answer: 2
Rationale: Case management organizes client care by major diagnoses and focuses on attaining predetermined outcomes within a specific time frame. This is most likely to deliver the best care for the fewest health care dollars. Functional nursing, primary nursing, and differentiated practice do not focus on specific outcomes, and can result in a longer, more expensive hospitalization.

Nursing

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The registered nurse should modify the plan of care for a client when:

a. the outcomes are partially met. b. the goal has been met. c. the data indicate a lack of progress toward goal achievement. d. data has been omitted in the assessment phase.

Nursing

While the phlebotomist draws blood from a toddler's right arm, the nurse is having the child blow bubbles with the left hand. Which pain management technique is the nurse using with the child?

A) Imagery B) Hypnosis C) Distraction D) Thought stopping

Nursing

The nurse needs to change a patient's abdominal wound dressing. Which precautions should be implemented?

1. Standard precautions 2. Contact precautions 3. Droplet precautions 4. Airborne precautions

Nursing

A woman at 35 weeks' gestation calls the physician's office to report she has lower back pain, cramping abdominal pain, and a feeling of pressure in her vagina and pelvis. The nurse suspects:

a. Braxton-Hicks contractions b. Preterm labor c. Spontaneous abortion d. Normal sensations at 35 weeks

Nursing