A nurse educator is teaching a group of students about managed ...

[mspears3]

A nurse educator is teaching a group of students about managed care. The educator knows that the students have understood the concept when they state that managed care has which emphasis?
 
  Select all that apply.
  A) Bringing services to the client
  B) Integration of health care services
  C) Cost-effective care
  D) Preventive services
  E) Health promotion

Question 2

The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team. Which actions by the nurse are appropriate based on this data?
 
  Select all that apply.
  A) Accessing research journals for evidence that would support a change in the plan of care
  B) Proposing a nursing research project to the manager
  C) Networking online with other nurses giving similar care
  D) Asking the doctor for a new nursing approach to care
  E) Trying a different approach to care against policy

[aloop]

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.

[mspears3]

TYSM

[jackie]

Excellent