A nurse from an urban area has moved into a rural location and is ...

[EY67]

A nurse from an urban area has moved into a rural location and is now working at the small local hospital. The nurse is concerned about doing many tasks that at the former place of employment were done by ancillary personnel or by physicians.
 
  The nurse's mentor explains that the best way to determine whether the nurse is still practicing appropriately would be to a. ask the manager for further advice.
  b. check the state nurse practice act.
  c. consult other nurses at that facility.
  d. search professional nursing websites.

Question 2

In trying to understand current problems in today's health care environment, the nurse could reframe the discussion as a problem created by
 
  a. competing interests of market and governmental forces.
  b. tension between for-profit and not-for-profit institutions.
  c. too many different agencies providing the same services.
  d. unchecked rises in providers' salaries and fees for service.

[xiazhe]

Answer to Question 1

B
A nurse should always refer to the state nurse practice act for legalities regarding scope of practice within specific states. This nurse should be directed to this document.
The manager may not be a good source of information on this legal issue, especially if the manager is used to practicing in this fashion.
Other nurses working at the same facility may not be good sources of information about this legal topic.
Professional organizational websites would not have information regarding scope of practice in a specific state, unless of course the website searched was the state board of nursing website for that particular state.

Answer to Question 2

A
The U.S. health care system is a mix of market forces (based on equilibrium created through pricing mechanisms) and government entities (which should be based on egalitarian ideals). This mix of systems is primarily responsible for inequities in the health care system today.
There are both for- and not-for-profit organizations operating in health care today. Not-for-profit status is a tax designation; all entities must make enough profits to continue operating.
Redundancy in health care does exist, but it is not one of the root causes of its problems.
Unchecked rises in fees were part of the reason managed care came into being, but this is not broad enough to reframe an entire concept.

[EY67]

TYSM

[kusterl]

Gracias!