A nurse whose emphasis is on cost control, customer satisfaction, ...

[Collmarie]

A nurse whose emphasis is on cost control, customer satisfaction, health promotion, and preventive services is working in a clinic. The primary focus of this nurse is representative of which type of system?
 
  1. Managed care
   2. Case management
   3. Differentiated practice
   4. Patient-focused care

Question 2

The nurse caring for the new mother of African American descent should implement which of the following interventions regarding sudden infant death syndrome (SIDS)?
 
  1. Instruct in side-lying and face-down positions when in the crib
   2. Instruct in face-up position when in the crib
   3. Encourage good handwashing
   4. Ensure adequate nutritional intake for the mother and newborn

[upturnedfurball]

Answer to Question 1

1. Managed care

Rationale:
Managed care describes a health care system whose goals are to provide cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of clients. Case management describes a range of models for integrating health care services for individuals or groups. Differentiated practice is a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets. Patient-focused care is a delivery model that brings all services and care providers to the client.

Answer to Question 2

2. Instruct in face-up position when in the crib

Rationale:
Rates for SIDS are highest for African American children. The nurse should instruct the mother to place the baby in the face-up position when in the crib. Side-lying and face-down positions are associated with a higher risk of the syndrome and should not be instructed. Although important, good handwashing and adequate nutrition are not interventions that would assist in preventing SIDS.