The managed behavioral health care organization nurse speaking to ...

[fahad]

The managed behavioral health care organization nurse speaking to a group of employers concerned
  about health care costs should explain
 
  that new strategies designed to decrease the high cost of
  inpatient treatment include (more than one answer may be correct)
  A. milieu therapy.
  B. shortened in-patient stays.
  C. introduction of nurse practitioners.
  D. development of new levels of outpatient care.

Question 2

The statement showing that the nurse has empathy for a client who has recently made a suicide
  attempt is
 
  a. It makes me sad to see you going through such anguish..
  b. If you tell me what is troubling you, I will be glad to speak to the doctor for
  you..
  c. You must have been very upset to do what you did today..
  d. Suicide is a drastic solution to a problem that may not be a matter of life or death
  at all..

[lauravaras]

Answer to Question 1

ANS: B, C, D
Rationale: Hospital stays have been shortened or denied on the basis of external oversight and
written criteria to approve or deny requests for treatment. New levels of outpatient care such as
partial hospitalization programs, intensive outpatient treatment, home care, and school-based
services have been introduced. The use of nurse practitioners with admitting privileges, prescriptive
privileges, and consultative skills has also been instrumental in moderating health care costs. Option
A: Milieu therapy, although useful, is not a new strategy developed to reduce cost.

Answer to Question 2

ANS: C
Empathy permits the nurse to see an event from the client's perspective, understand the client's
feelings, and communicate this to the client. Option A is nurse centered, focusing on the nurse's
feelings rather than the client's. Option B is not empathetic but is a nontherapeutic action that
promotes client dependence. Option D is a belittling statement.

[fahad]

Thanks for the timely response, appreciate it

[kthug]

Gracias!