An older adult client who was recently widowed has become increasingly confused and disoriented. The family tells the healthcare provider's office nurse that it is imperative for their parent to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?

Managed healthcare plans do not pay for any in-hospital medical evaluations.

The client is grieving normally in response to the loss of a spouse and hospitalization is not necessary.

Managed care providers have mandatory precertification requirements for hospitalization.

Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital.

Answer and Explanation

The Correct Answer is C

Choice A rationale: This statement is inaccurate. Managed healthcare plans typically cover in-hospital medical evaluations, but the decision may be subject to precertification requirements.

Choice B rationale: While grief is a natural response to the loss of a spouse, the client's confusion and disorientation warrant a medical evaluation, and this option dismisses the family's concerns.

Choice C rationale: Managed care providers often have mandatory precertification requirements for hospitalization. Informing the family about this requirement is important for them to navigate the process effectively.

Choice D rationale: This statement does not provide relevant information about the managed healthcare plan's policies or the client's current condition.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale: Assessing whether the cost of the equipment is reasonable is crucial in determining the financial feasibility and cost-effectiveness of the purchase. Choice B rationale: While the ability to update the equipment is important, the initial cost and overall benefits should be considered first.

Choice C rationale: Considering whether the equipment will require annual repair is important but is a secondary consideration after evaluating the initial cost. Choice D rationale: The number of departments that can use the equipment is relevant, but the primary focus should be on the cost-benefit analysis to justify the expense.

A. Advise the staff nurse to remove the restraints from the client's wrists. B. Determine the client has a PRN prescription for an antianxiety agent. C. Contact the healthcare provider to ensure that a prescription for restraints was written. D. Close the door to the room to avoid disturbing other clients in nearby rooms.

Correct Answer is A

Explanation

Choice A rationale: The priority is to ensure the client's safety and comfort. If the client is restrained for bed linen change, alternative methods that don't involve wrist restraints should be considered. The nurse manager should advise the staff nurse to remove the restraints promptly.

Choice B rationale: Determining whether the client has a PRN prescription for an antianxiety agent is not the priority in this situation. The immediate concern is the use of restraints for a non-emergency purpose.

Choice C rationale: Contacting the healthcare provider to ensure a prescription for restraints was written may be needed, but the immediate concern is addressing the use of restraints for changing bed linens.

Choice D rationale: Closing the door to the room to avoid disturbing other clients is not the priority in this situation. The primary concern is the use of restraints for a non emergency purpose.

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Naxlex Comprehensive Predictor Exams

A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organizations budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

A client with life threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?

A client is admitted with exacerbation of chronic obstructive pulmonary disease (COPD) and reports that it is difficult to eat due to shortness of breath (SOB). Which task(s) should the nurse delegate to the unlicensed assistant personnel (UAP)? Select all that apply.

The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

To help prevent litigation by a dissatisfied client, which objective is most important to include in the orientation classes for staff nurses? New nursing staff members will dropdown

The nurse determines that an intravenous (IV) vesicant chemotherapy infusion is infiltrated. In responding to this finding, which task can the nurse delegate to the unlicensed assistive personnel (UAP)?

During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?

The unlicensed assistive personnel (UAP) reports to the nurse that a male client with fluid volume overload will not allow the UAP to obtain his daily weight. Which action should the nurse implement?