Answer to Question 1
Correct Answer: 1
Rationale 1: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using health care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.
Answer to Question 2
Correct Answer: 2
Rationale 1: Autonomy in nursing means independence at work, responsibility, and accountability for one's actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession, as is making concerns known to supervisors, but these are not examples of controlling activitya hallmark of autonomy.
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