Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up.". An objective assessment of this complaint is achieved by using the:
a. tuning fork.
b. reflex hammer.
c. otoscope with pneumatic attachment.
d. tympanometer.
D
This patient is describing eustachian tube dysfunction. The tympanometer measures compliance of the middle ear as air pressures are varied. It is an objective means of assessing the function of the ossicular chain, eustachian tube, and tympanic membrane. The tuning fork assesses vibration. The reflex hammer assesses tendon reflexes. The otoscope with pneumatic attachment assesses tympanic membrane movement.
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The client worries that her antidepressant medications are not working. She has been taking them for 3 days now and feels no change. The nurse's best response to her is,
1. You really don't need these medications to control yourself. 2. Many antidepressant medications are not effective with some people. 3. Many antidepressant medications take 1 to 4 weeks before the effects are noticed. 4. Many antidepressant medications take 1 to 2 months before the effects are no-ticed.
Vulnerable populations have limited access to health care compared to the rich. An example of upstream thinking to address this problem is:
1. Provide services to families through the use of a mobile van staffed with nurses and nurse practitioners. 2. Donate food and money to the local food bank. 3. Start a homeless shelter in your local community. 4. Work with families to help them recognize how they are responsible for their own problems.
Subjects who participate in a study of patients with inflammatory bowel disease are described as the:
a. accessible population. b. element. c. sample. d. target population.
Identify an important similarity between the various types of educational programs for nurses
a. There is a homogeneity of entering stu-dents. b. No state or national approval is required. c. The same courses are taught in all pro-grams. d. Clinical experience is required to gain certain knowledge and skills.