You want to establish a nurse-managed health center. Which of the ...

[123654777]

You want to establish a nurse-managed health center. Which of the following must you do to be designated as a NMHC?
 
  1. You must partner with a school of nursing or community-based non-profit organization.
  2. Care in the NMHC is provided by registered nurses.
  3. Reimbursement is focused on any third party payer.
  4. NMHC services focus on comprehensive primary care and care of the older adult.

Question 2

The unit has been so understaffed that the nurse has been unable to attend education sessions on new medications that physicians will be prescribing for the treatment of hypertension.
 
  This situation is likely to result in a medication error resulting from which contributing factor? 1. Work environment
  2. Task
  3. Individual staff member
  4. Organization and management

[nathang24]

Answer to Question 1

1
Explanation: 1. NMHCs must partner with a school of nursing or if not with a community-based non-profit organization.
2. NMHCs include interprofessional providers.
3. Reimbursement is primarily from Medicare, Medicaid, and CHIP.
4. Services focus on comprehensive primary care, family planning, prenatal services, mental/behavioral healthcare, health promotion, and disease prevention.

Answer to Question 2

1
Explanation: 1. Work environment issues are problems such as staffing levels and mix, patterns of workload; work design, availability and maintenance of equipment, and administrative and managerial support. This nurse has been unable to get necessary education because of staffing issues.
2. Task issues are problems such as availability and use of protocols and availability and accuracy of test results.
3. Individual staff member factors include knowledge and skills, motivation and attitude, and physical and mental health. This nurse does lack essential knowledge, but the reason for this lack is a staffing problem, which speaks to work environment.
4. Organization and management issues are such factors as financial resources and constraints, policy standards and goals, safety culture, and priorities.