Monitoring a patient's prognosis for recovery becomes important in which type of utilization review?
Concurrent
Preauthorization
Retrospective
Prospective
The Correct Answer is A
A. Concurrent: Concurrent utilization review involves the ongoing monitoring of a patient's care and recovery while they are still receiving treatment. This type of review focuses on ensuring that the care provided is appropriate and that the patient is progressing as expected.
B. Preauthorization: Preauthorization involves obtaining approval from a health insurer before a service is provided to ensure it will be covered. It does not focus on monitoring a patient's recovery.
C. Retrospective: Retrospective review involves evaluating the care provided to a patient after the treatment has been completed. It looks at the appropriateness of care but does not monitor ongoing recovery.
D. Prospective: Prospective review involves evaluating the necessity of a treatment before it begins. It does not include ongoing monitoring of a patient's prognosis for recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A nonfederal short-stay hospital whose services are available to the general public: Community hospitals are defined as nonfederal short-stay hospitals that provide a range of services to the general public and are accessible to all members of the community.
B. Nongovernment and privately owned: While many community hospitals may be privately owned, this option does not encompass the full definition as it excludes government-owned hospitals that serve the community.
C. Government ownership (federal, state, or local): Community hospitals can be government- owned, but this answer does not capture the full scope of what defines a community hospital.
D. Often located in large urban areas: Community hospitals can be found in both urban and rural areas, so this answer is not sufficiently inclusive.
Correct Answer is C
Explanation
Rationale:
A. Secondary care: Secondary care refers to specialized healthcare services provided by medical specialists upon referral from primary care providers. It typically involves services such as diagnosis, treatment, and management of specific health conditions.
B. Primary care: Primary care involves general healthcare services provided by healthcare professionals such as physicians, nurse practitioners, and physician assistants. It focuses on preventive care, health maintenance, and initial diagnosis and treatment of common health problems.
C. Hospice care: Hospice care is a type of end-of-life care provided to individuals with terminal illnesses or conditions. It focuses on enhancing quality of life and providing comfort, support, and symptom management for patients and their families during the final stages of life.
D. Tertiary care: Tertiary care refers to highly specialized medical care provided by specialized hospitals, medical centers, or specialty clinics. It involves complex procedures, treatments, and interventions for patients with serious or complex health conditions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.