Answer to Question 1
Answer: C, D, E
Managed care describes a healthcare system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of client. Managed care clinics will emphasize cost-effective care by offering preventive services and health promotion activities. Case management describes a range of models for integrating healthcare services for individuals or groups. Client-focused care is a delivery model that brings all services and care providers to the client.
Answer to Question 2
Answer: A, C
The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client's nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client's problems. The physician is not involved in solving nursing problems.