A trend in psychiatric nursing related to cost controls imposed in the managed care environment is:

a. reduced emphasis on utilization review.
b. a marked increase in the use of risk managers.
c. reduced use of patient and family educators to promote compliance.
d. a shift from acute inpatient to community-based positions.


D
With cost consciousness, greater emphasis is being placed on the continuum of care. The number of inpatient hospitalization days will continue to decrease, and nurses will be needed to staff alternate treatment sites.

Nursing

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A health care facility is implementing a new evidence-based nursing protocol. Which action is necessary to ensure successful implementation?

a. Develop evaluation processes to validate the protocol. b. Ask for recommendations from senior nursing administration. c. Assess cost-effectiveness of the evidence-based protocol. d. Attain support from nurses who are implementing the protocol.

Nursing

A patient is experiencing respiratory insufficiency and cannot maintain spontaneous respirations. The nurse suspects that the health care provider will implement which of the following interventions?

A) Administration of bronchodilators B) Jaw thrust maneuver C) Endotracheal intubation D) Cricothyroidotomy

Nursing

The nurse determines that a 10-month-old child is experiencing pain. What did the nurse assess in this child? (Select all that apply.)

A) Pulls on the ear B) Pale oral mucosa C) Vomiting formula D) Cries when being held E) Turns head from side to side

Nursing

The five senses are seeing, hearing, tasting, smelling, and touching. The nurse is reviewing the location of the receptors for each of the five senses and how the brain interprets the stimulus for each sense to a group of nursing students

What statement by the nursing students demonstrates the best location of the receptors for the senses? 1 . Receptors for the sense of smell are located in the upper nasal cavity. 2 . Receptors for the sense of touch are located throughout most areas of the body. 3 . Receptors for the sense of vision are located in lens of the eye. 4 . Receptors for hearing are located in the semicircular canals. A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4

Nursing