A client tells the nurse that he has an HMO for his health ...

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A client tells the nurse that he has an HMO for his health insurance. The nurse understands that the purpose of this type of health plan is to:
 
  1. ensure payment is made to Medicare for services rendered.
  2. maximize the utilization of health care resources.
  3. efficiently manage costs while providing quality care.
  4. focus on the illness when providing care.

Question 2

The nurse is instructing a client on self-administration of insulin so that the client will not need a health care provider to do this activity. The nurse is implementing which of the following aspects of Virginia Henderson's theory of nursing?
 
  1. A caring relationship
  2. Helping the client achieve independence from the nurse's assistance as quickly as possible
  3. Integration of objective and subjective data
  4. Application of critical thinking

[macmac]

Answer to Question 1

3
Health maintenance organizations (HMOs) were created to efficiently manage health care costs while providing quality care. An HMO is a type of managed care plan with the goal of providing wellness care and not focusing on the illness during the provision of care. HMOs do not ensure payment is made to Medicare for services rendered. HMOs also do not maximize the utilization of health care resources but rather uses financial incentives to decrease care costs.

Answer to Question 2

2
Virginia Henderson's theory of nursing is to help people achieve health or a peaceful death so that they can be independent from the nurse's assistance as quickly as possible. A caring relationship, integration of objective and subjective data, and application of critical thinking are included in the American Nurses Association's essential features of professional nursing.

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Excellent

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TYSM