Which of the following responses is not a benefit of Pay for Performance (P4P) legislation?

1. The system rewards health care providers upon good service to consumers.
2. The system rewards physicians and other health care professionals when patients receive good results from that care.
3. Reimbursement is related to quality and efficiency of care provided.
4. Patients will play a more active role in the determination of performance-based payment.


2
Rationale: Accountable care organizations will be formed to police the quality of services health care professionals and facilities provide. This system rewards physicians and other health care professionals when patients receive good results from that care. However, success is not so easily measured in tangible and universal means. Patients will play a more active role in the determination of performance-based payment.

Nursing

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A registered nurse administers the wrong medication to a patient. She does not notify anyone of the error and documents that the correct medication was administered. The nurse was reported to the state board of nursing

Which of the following actions can the state board of nursing take against the nurse in this situation? a. Disciplinary action against the nurse's license to practice b. Criminal misdemeanor charges against the nurse c. Medical malpractice lawsuit against the nurse d. Employment release from the institution

Nursing

A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?

a. Assess the client's pupillary responses. b. Request a neurologic consultation. c. Stop the infusion and call the provider. d. Take and document a full set of vital signs.

Nursing

What is occurring as the traditional parallel structure found in hospitals is being replaced by service-line structure?

1. Adaptation and innovation are encouraged. 2. The medical staff has become autonomous from the organization. 3. Two lines of authority have been created. 4. Organizational structure is becoming much clearer.

Nursing

Which question would you be sure to ask a patient after giving any antibacterial drug?

a. "Are you allergic to any foods or medications?" b. "Have you noticed any changes in your ability to remember things?" c. "Do you know how to check your blood pressure and heart rate?" d. "How many bowel movements do you have each day and what are they like?"

Nursing