Author Question: When caring for a patient admitted with a diagnosis if bipolar disorder, managed care regulations is ... (Read 31 times)

HCHenry · **on:** Jul 19, 2018

When caring for a patient admitted with a diagnosis if bipolar disorder, managed care regulations is the driving force behind the nurse's use of:

a. NANDA nursing diagnoses
b. Short-term stress management therapy
c. A specialized clinical pathway for such patients
d. Generic instead of brand name medications

Question 2

A nurse shows effective critical thinking skills directed towards nursing care of a cogni-tively impaired patient who continues to socially isolate by:

tively impaired patient who continues to socially isolate by:
a. Clearly stating that the patient must socially interact once daily
b. Documenting that the patient continues to resist socialization
c. Asking the patient to identify which unit activity they are willing to attend
d. Suggesting that staff take the patient with them when running errands off the unit

shayla · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Managed care regulations have brought about the use of clinical pathways (also called critical pathways or a care maps) which are standardized multidisciplinary planning tools that moni-tor patient care through projected caregiver interventions and expected patient outcomes with a projected timeline of success. NANDA nursing diagnoses are not related to regulations or payment concerns. The implementation of short-term stress management therapy in an acute care psychiatric environment would not be driven by managed care regulation or payment concerns. The use of generic medications when appropriate is primarily cost driven.

Answer to Question 2

ANS: D
Critical thinking in this case involves the creation of alternative solutions to a problem that was not resolved by conventional methods. The remaining options, although not inappropri-ate, do not show critical thinking skills