A physician bills the insurance company for a computed tomography (CT) scan, laboratory tests, chest x-ray, and an extended visit and receives revenue for each procedure billed. This type of payment system is a payment system.

Correct Answer: D

Rationale: The correct answer is D: capitated. In a capitated payment system, the physician receives a fixed amount per patient regardless of the services provided. This incentivizes cost-effective care and promotes preventive measures. In this scenario, the physician is receiving revenue for each procedure billed, which is not characteristic of capitated payment. A: Prospective payment is when a fixed amount is determined in advance for specific services rendered. This is not the case in the scenario provided. B: Retrospective payment involves reimbursement after the services are provided, which is not reflected in the scenario given. C: Diagnosis-related group (DRG) is a payment system used in hospitals based on the diagnosis and procedures performed, not applicable to individual physician billing as presented in the question.

Correct Answer: B

Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period. A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario. C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention. D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.

Correct Answer: B

Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery. A: Total patient care involves one nurse providing all aspects of care to a group of patients. C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients. D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.

Correct Answer: C

Rationale: The correct answer is C because autonomy in palliative care emphasizes the patient's right to make decisions about their own care. By helping the patient decide on the details of their advanced plan of care, healthcare providers respect the patient's autonomy and ensure their preferences guide the care provided. Arranging in-home health care (A) may be beneficial, but it does not directly support the patient's autonomy. Addressing pain management needs (B) is important but does not specifically relate to decision-making autonomy. Conducting a performance status screening (D) is relevant for assessing the patient's overall health but does not directly support their autonomy in decision-making.

Correct Answer: B

Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care. Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.

Correct Answer: D

Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision. A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning. B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning. C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.

Correct Answer: D

Rationale: The correct answer is D: empacho. Empacho is a traditional Hispanic folk illness characterized by a blockage in the digestive system. In this scenario, the behavior of pinching the skin and listening for a snap in the abdominal region aligns with the common practice associated with empacho diagnosis. The family member is likely trying to detect an abnormal sound, indicating a blockage in the intestines. The other choices (A: mal ojo, B: susto, C: bilis) do not fit the description of the observed behavior and symptoms. Mal ojo refers to the evil eye, susto is a fright-related illness, and bilis pertains to an imbalance of bodily fluids, none of which involve the specific diagnostic behavior described in the scenario.

Correct Answer: B

Rationale: The correct answer is B: survey. In this scenario, the nurse is conducting personal interviews with individuals to gather information about educational program needs. Surveys involve collecting data from a sample of individuals through questioning, making it suitable for this situation. A: Quasi-experimental designs involve manipulation of variables and comparison of groups, which is not evident in this scenario. C: Case studies focus on in-depth analysis of a single case or a small group, not the entire community as in this case. D: Ethnography involves studying a group's culture and behavior over an extended period, which is not the main focus of the nurse's research.

Correct Answer: C

Rationale: The correct answer is C because following up a few days after the interview shows professionalism and eagerness. It allows you to express gratitude, reiterate your interest, and inquire about the next steps. This timing is crucial as it keeps you fresh in the recruiter's mind without being too pushy. Choice A is incorrect because it is more appropriate to send a thank-you letter after the interview, not before. Choice B is incorrect as waiting 2 weeks after not getting the job may be too late for effective follow-up. Choice D is incorrect because you should not assume you got the position without confirmation.