A 21-year-old man is brought to the emergency department by the police after he was found sitting in the middle of a traffic on a busy street. By way of explanation the patient states, “the voices told me to do it”. For at least a year, he experiences delusion and auditory hallucinations. The hallucinations consist of several voices commenting on the patient’s behavior and giving him commands to do “bad things”. He became socially isolated and dysfunctional as a result of the symptoms. He denies current drug use or medical problems. A mental status examination shows several abnormalities. Disturbance in […]
1-How can finding help for a nurse to recover from substance abuse have a positive impact on the nurse and the healthcare system as a whole?How can finding help for a nurse to recover from substance abuse have a positive impact on the nurse and the healthcare system as a whole? 2-how have facilities prevented diversion?
1. Betsy, age 3 1/2, drinks milk to the exclusion of adequate amounts of foods from other food groups. What nutrient is Betsy receiving in excess? What two nutrients are most likely to be deficient? 2. Jason, age 4, refuses to eat fruit. He will occasionally accept a small serving of applesauce and a few bites of banana but little else. What two nutrients are probably deficient in Jason’s diet? 3. Jeremy, age 3, is allergic to milk and dairy products. What nutrient is deficient in Jeremy’s diet? 4. Tommy, age 2, by choice will eat only high carbohydrate foods, […]
The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders. Based on the Physician’s telephone orders which nursing interventions require immediate follow up and why? IV D5/0.9 NS at 125 mL/hr Oxygen at 2 L/min/NP Albuterol inhaler 2 puffs q4h Metaproterenol nebulizer treatment 0.3 mL (5%) in 2.5 mL NS q4h prn ABG, sputum for eosinophils Methylprednisolone sodium 125 mg IVP q6h Check oxygen saturation with pulse oximeter q2h Call physician with ABG results
1. What are two differences between the Federal Anti-kickback Statute and the Stark Law? 2. What is the significance of the Hanlester Case? 3. Regarding the Anti-kickback Statute, what is a “Safe Harbor”? 4. What is the significance of being subject to the Federal Anti-kickback Statute but not meeting the requirements of a Safe Harbor? 5. Regarding the Stark Law, what is an Exception? 6. What is the significance of being subject to the Stark Law and failing to meet the requirements of an Exception? 7. Identify a public policy interest served by the Federal Anti-kickback Statute and the Stark […]
1.How much of a role does or should medical ethics play in regulating physician behavior? 2.Should government regulators of physicians and health care (including medical boards, CMS, HHS, state agencies, etc.) take medical ethics into account when developing laws and regulations?