Author Question: The nurse is providing education to nursing staff on quality care initiatives. Which statement would ... (Read 68 times)

robinn137 · **on:** Jun 25, 2018

The nurse is providing education to nursing staff on quality care initiatives. Which statement would be the most accurate description of the impact of health care financing on quality care?

a. Hospitals are reimbursed for all costs incurred if care is documented electronically.
b. Payment for patient care is primarily based on clinical outcomes and patient satisfaction.
c. If a patient develops a catheter-related infection, the hospital receives additional funding.
d. Because hospitals are accountable for overall care, it is not nursing's responsibility to monitor care delivered by others.

Question 2

A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the nurse functioning in this role to perform which activity?

a. Care for the patient during hospitalization for the injuries.
b. Assist the patient with home care activities during recovery.
c. Determine what medical care the patient needs for optimal rehabilitation.
d. Coordinate the services that the patient receives in the hospital and at home.

snackralk · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Payment for health care services programs reimburses hospitals for their performance on overall quality-of-care measures. These measures include clinical outcomes and patient satisfaction. Nurses are responsible for coordinating complex aspects of patient care, including the care delivered by others, and identifying issues that are associated with poor quality care. Payment for care can be withheld if something happens to the patient that is considered preventable (e.g., acquiring a catheter-related urinary tract infection).

Answer to Question 2

ANS: D
The role of the case manager is to coordinate the patient's care through multiple settings and levels of care to allow the maximal patient benefit at the least cost. The case manager does not provide direct care in either the acute or home setting. The case manager coordinates and advocates for care but does not determine what medical care is needed; that would be completed by the health care provider or other provider.