A nurse works as a reviewer of Medicare claims. In this capacity, the nurse frequently denies these claims. What is the primary rationale for this action?
1. It helps to protect the Medicare Trust Fund.
2. It serves to control unnecessary testing.
3. It keeps physician practice from becoming too independent.
4. It helps ensure that nursing care is safe.
1
Explanation: 1. The rationale for reviewing claims for Medicare payment is to be certain that the claims are valid and for necessary procedures. This validation helps to protect the money in the Medicare Trust Fund from being used inappropriately.
2. This is a side benefit from this action, but is not the primary rationale.
3. This is not associated with the review process.
4. Review does not serve to ensure safety of nursing care.
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A female nurse is interviewing a man who has recently immigrated. During the course of the interview, he leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's knees
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A critical care nurse recognizes that the following interventions can decrease negative physical, functional, and cognitive long-term outcomes associated with critical illness. (Select all that apply.)
a. Avoidance of restraints b. Medication management to enhance orientation c. Use of restraints d. Use of indwelling catheters e. Noise reduction
The NMC standards apply ______.
a. when you are caring for patients b. when you are caring for patients and in class c. at all times d. when you are working with your mentor
The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which patient response reflects understanding of the reason for this test?
1. "It will help understand how big a baby I can have." 2. "It will be used to find out whether my baby has a chromosomal abnormality." 3. "It will help tell whether my pelvis is big enough to deliver my baby vaginally." 4. "It will be used to screen for gestational diabetes."