A particular classification system assigns revenue according to the functional capacity of patients and the progression of patients during their stay in rehabilitation units
More independent patient activities, such as prompted voiding, require higher staff utilization than dependent activities but do not result in increased staff resources. This is an example of:
a. Bureaucracy.
b. Concern related to the validity of classification systems.
c. Inadequate reliability of classification systems.
d. Inappropriate subjectivity in making judgments about staffing.
ANS: B
Validity of categories and implications for staffing levels are in question in this situation because staffing levels are not reflective of the levels of activity required for patient care.
You might also like to view...
Before administering a continuous nasointestinal tube (NIT) feeding, the nurse verifies placement of the patient's NIT and flushes it with water. Which step should the nurse perform next?
a. Instill the formula immediately after re-moving it from refrigeration. b. Infuse the formula over 10 to 15 minutes. c. Raise the syringe 18 inches above the in-sertion site. d. Attach the feeding bag to the proximal end of the NIT.
Chronic diarrhea is usually caused by
a. foodborne pathogens. b. inadequate protein intake. c. intestinal irritation or malabsorption. d. excessive intake of dietary fiber.
While providing care for an elderly patient, a nurse learns that the patient has had only small, watery stools for several days. The nurse understands that the first priority in providing care for this patient is to
1. Assess the patient for an impaction. 2. Call the primary care physician and get an order for a laxative. 3. Administer medication to slow the diarrhea. 4. Collect a stool specimen for analysis.
The nurse is assisting a physician during a prenatal examination. The physician seeks to estimate the adequacy of the patient's pelvis for birth. The nurse understands that the physician will need to perform which measurement vaginally?
1. True conjugate 2. Diagonal conjugate 3. Transverse outlet diameter 4. Obstetrical conjugate