What is the most significant limitation of managed care?
A) Amount of time spent communicating with case managers
B) Restrictions on physician decision making
C) Lack of cost containment
D) Need to justify admissions and continued care
C
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A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine (Synthroid). The child comes to the clinic for a well-child check up. The nurse will expect the provider to:
a. change the dose of levothyroxine to 6 mcg/kg/day. b. discontinue the drug if the child's physical and mental development is normal. c. increase the dose to accommodate the child's increased growth. d. stop the drug for 4 weeks and check the child's TSH level.
A nurse is providing education for a client with a high intake of cured and pickled foods. The nurse knows that these foods can increase the risk of what cancer?
A) Colon B) Stomach C) Breast D) Lymphoma
A client who has been diagnosed with cancer asks the nurse, "If I take the chemotherapy, will I be cured, or am I going to die anyway?" The nurse's best response is
a. "Tell me what prompted your question." b. "I don't think you should have chemotherapy; it will harm you more than help you." c. "Let's not talk about dying; I'm sure you will be cured." d. "I really don't think you should worry about such things; it isn't something you can control."
A nurse executive reports that the nursing center receives reimbursement through contracted rates. Which of the following types of reimbursement mechanism is being used?
a. Fee-for-service b. Federally Qualified Health Center (FQHC) c. HMO provider d. Third-party reimbursement