Author Question: A client undergoes a knee replacement surgery and is included in the diagnostic-related group (DRG) ... (Read 62 times)

james0929 · **on:** Jul 22, 2018

A client undergoes a knee replacement surgery and is included in the diagnostic-related group (DRG) 209 . Which of the following is true about knee replacement surgery under the DRG system?

A) Replacement and surgeries are not reimbursed.
B) Replacement and surgeries are reimbursed at a predetermined rate.
C) Replacement and surgeries are reimbursed after 1 year.
D) Replacement and surgeries are not insured.

Question 2

A nurse is assessing the home environment of an elderly client with limited mobility. What recommendation by the nurse would most likely increase the client's confidence in ambulation in the home environment?

A) Placement of scatter rugs to soften the walking surface
B) Placement of trapeze handles on pathway
C) Installation of nonglare lighting in the pathway
D) Strategically placed handrails

millet · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
If a group of diseases falls in the same diagnosis-related group category, it means that all the procedures are reimbursed at basically the same rate. If actual costs are less than the reimbursed amount, the hospital keeps the difference. If costs exceed the reimbursed amount, the hospital is left with the deficit. In a DRG system, the procedures and surgeries are grouped together and the reimbursements are done at flat rate within a group. The replacement and the surgeries are reimbursed after an appropriate time and not after 1 year. Also, the replacement and the surgeries are insured.

Answer to Question 2

D
Feedback:
Strategically placed handrails promote confidence in ambulation. Placement of rugs may pose a fall risk. A trapeze is a triangular piece of metal hung by a chain over the head of the bed. It is more useful for bedridden clients. Nonglare lighting increases safety but not necessarily the confidence.