Author Question: The nurse is admitting a patient to the unit and asks the patient about the health history. The ... (Read 113 times)

Arii_bell · **on:** Jul 22, 2018

The nurse is admitting a patient to the unit and asks the patient about the health history. The nurse is engaged in which component of the nursing process?

a. Evaluation
b. Diagnosis
c. Assessment
d. Planning

Question 2

A patient tells the nurse that he or she does not understand the purpose of capitation. What is the nurse's best response?

a. To provide high-quality care at the highest cost to the hospital, not the patient
b. To provide the least expensive care for patients regardless of outcomes
c. To build a payment plan that includes the best standards of care at the lowest cost
d. To ensure that all patients receive the same care for the same cost in all hospitals

bbburns21 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The nurse is in the assessment phase. An assessment database includes a patient's comprehensive health history, which includes information about a patient's physical and developmental status, emotional health, social practices and resources, goals, values, lifestyle, and expectations about the health care system. The database also includes physical examination findings and a summary of results from laboratory and diagnostic testing. A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat. Evaluation is crucial to deciding whether, after interventions have been delivered, a patient's condition or well-being improves. Planning involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing nursing interventions.

Answer to Question 2

C
The purpose of capitation is to build a payment plan for select diagnoses or surgical procedures that includes the best standards of care and essential diagnostic and treatment procedures at the lowest cost. Capitation does not cause the hospitals to pay the highest cost but to determine qual-ity care for the lowest cost. Capitation does not provide the least expensive care for patients for outcomes because best standards are the outcome. Capitation does not make all patients receive the same care for the same cost in all hospitals.