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You are the director of a home health agency that has recently become part of a managed care system. In the past, only a physician’s order was necessary for authorization from the Medicare system, but now approval must come from the managed care organization (MCO). In the past, public health certified nurses (all BSNs) have […]

 

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Richard Mudd, an employee of Compuserve, is called for jury duty in Wayne County, Michigan. His immediate supervisor, Harvey Lorie, lets him know that he “must” avoid jury duty at all costs. Mudd tells the judge of his circumstances and his need to be at work, but the judge refuses to let Mudd avoid jury […]

 

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You are the head nurse of an intensive care unit and are interviewing Sam, a prospective charge nurse for your evening shift. Sam is currently the unit supervisor at Memorial Hospital, which is the other local hospital and your organization’s primary competitor. He is leaving Memorial Hospital for personal reasons. Sam, well qualified for the […]

 

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You have been working in a home health agency for 3 years. During that time, the acuity of your caseload has increased dramatically, and you find that teaching home health aides has become more difficult, as the equipment they need to use has become more complex. The home health aides seem motivated to learn, but […]

 

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