A nurse is working in a clinic that emphasizes cost control, ...

[Capo]

A nurse is working in a clinic that emphasizes cost control, customer satisfaction, health promotion, and preventive services. In which type of health system is this nurse providing care?
 
  1. Managed care
  2. Case management
  3. Differentiated practice
  4. Patient-focused care

Question 2

A nurse is interviewing a client at a clinic near a shelter for the homeless. Understanding the increased risk a poor physical environment creates for this client, on what should the nurse focus during the intake phase of the interview?
 
  1. Lack of social support
  2. Recent history of chills and body aches
  3. Improper nutrition
  4. Few personal resources

[pratush dev]

Answer to Question 1

Correct Answer: 1
Rationale 1: 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.
Rationale 2: Case management describes a range of models for integrating health care services for individuals or groups. This is not the model described in the scenario.
Rationale 3: Differentiated practice is a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets. This is not the model described in the scenario.
Rationale 4: Patient-focused care is a delivery model that brings all services and care providers to the client. This is not the model described in the scenario.

Answer to Question 2

Correct Answer: 2
Rationale 1: Lack of social support contributes to health problems in general.
Rationale 2: A poor physical environment results in increased susceptibility to infections. The client's recent history of chills and body aches should alert the nurse that this client may have an infection.
Rationale 3: Improper nutrition contributes to health problems in general.
Rationale 4: Few personal resources contributes to health problems in general.

[Capo]

Excellent

[amcvicar]

TYSM