Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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Explain what the nursing process and the associated
steps. Provide an example for each step.
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Place the following coding steps in the correct order. Identify the main term for each condition. Verify the code in the tabular list. Locate the main terms in the alphabetic index. Check compliance with any applicable official guidelines and list codes in appropriate order. Review complete medical documentation. Abstract the medical conditions from the visit documentation.
Using the actual patient prescription below, create a script for your patient counseling scenario which aims to educate the patient with his prescription. - Directly write below, no need to discuss the steps involved in counseling, rather, write the actual counsel that you would deliver to the patient ( As if you are directly talking to him). You may use either English or Filipino language for your script. Limit your script to at least not more than five minutes of conversation when delivered to the patients. Rubric for scoring will be included
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- A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse cor-rectly verifies his identity by: a. Asking the patient his nameb. Reading the patient’s name on the sign over the bedc. Asking the patient’s roommate to verify his named. Asking, “Are you Mr. Brown?”arrow_forwardA nurse answers a patient’s call light and finds the patient on the floor by the bathroom door. After calling for assis-tance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe aspects of this proce-dure? Select all that apply. a. An incident report is used as disciplinary action againststaff members.b. An incident report is used as a means of identifyingrisks.c. An incident report is used for quality control.d. The facility manager completes the incident report.e. An incident report makes facts available in case litigationoccurs.f. Filing of an incident report should be documented in thepatient record.arrow_forwardWhat is the most frequent adverse incident that occurs in the radiology department? Name several key safety precautions that should be taken when moving x-ray equipment.arrow_forward
- A surgical technology student is being supervised by the CST preceptor during a Whipple procedure. The CST comments that the student will have learned several procedures by the time they are done with this case. What does the CST mean by this statement to the student? What are the different procedures that constitute a Whipple procedure? Discuss the different instrument trays that will be used for this case.arrow_forwardYour client developed philibitis. Write two nursing considerations to manage this I.V. Complication. For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac). BIUS Paragraph Arial 14pxarrow_forwardThe nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history. a. What questions should the nurse include in the medication history? b. The patient states that she stopped taking one of her medications due to cost, since her health insurance would not reimburse for the medication. What are other reasons that older adults may be noncompliant with ordered medications? c. How does aging affect drug absorption, metabolism, distribution, and excretion?arrow_forward
- Interview two (2) healthcare executives to discuss the current dynamics of healthcare, changes that will impact healthcare, the future of healthcare, and the executive’s Christian perspective. Formatting requirements: APA-compliant formatting Minimum of two (2) scholarly references 1,250 – 2,000 words in length (excluding the title page and reference page) Include a 250-300 word section within the paper integrating biblical foundations relating to your research findings.arrow_forwardA child admitted to the neuro ward suddenly became unresponsive and started showing abnormal hand and leg movements with up rolling of eyeballs and tongue bite in front of the relative. Which of the following actions by the relative should be stopped by the nurse? Answer Choices: a. Turning the patient on one side b. Protecting the patient by keeping side rails up c. Inserting a rubber object between teeth to prevent tongue bite d. Loosening the clothes of the childarrow_forward* Which of the following actions is most appropriate to verify the reliability of the information provided by the patient during the interview? a. Provide the patient with a printed history to complete and then compare the data provided b. Rephrase the same questions later in the interview c. Review the patient's previous medical records. d. Call the nearest relative to verify the data provided. ANSWER: RATIONALE: 3. During an interview for health history, the student nurse asks. “Mrs Cassandra O'Connor, what do you dc when you experience chest pain?" the student nurse is seeking which of the following information? The client's perception of the problem. b. Aggravating or relieving factors The frequency of the problem d. The severity of the problem а. с. ANSWER: RATIONALE: 4. Which of the following statements is an appropriate documentation of the client's reason for seeking health care or the chief complaint? a. Acute episode of Meniere's disease, duration 2 hours b. Dizziness with…arrow_forward
- Drag the missing term into each sentence/paragraph text related to completion of the 837 P claim. The HIPAA 837P uses the term for the insurance diagnosis account or guarantor, meaning the same as on the CMS-1500 clalm. The name and address of any than the subscriber or patient who has is reported if applicable. party, the entity or person other responsibility for the bill, submission line filing indicator code is an administrative code used to identify data health the type of plan, such as a PPO. and the subscriber are not the same person, an code is required to specify the patient's relationship When the claim attachment individual to the subscriber. Although sometimes called the patient number, the claim number should not be the same as the practice's account insured electronic number for the patient. The claim code, also called the claim financial policyholder code, for physician practice claims indicates whether this claim is an original, a or needs to be voided. A total of four…arrow_forwardIn 2 to 5 sentences, the students will answer the guide questions "What PDA or wireless device/s are you are currently using? How this/these devices helped you in your personal/academic life? What do you think is/are the relevance of internet resource in the field of nursing?"arrow_forwardIMMEDIATELY following the insertion of an Intercostal Catheter (ICC), list five (5) nursing assessments with rationales you would perform on the patientarrow_forward
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HEALTH ASSESSMENT TIPS | For Nursing and NP Students; Author: Nurse Liz;https://www.youtube.com/watch?v=ihQ-VSep4nI;License: Standard Youtube License