A definitive diagnosis of Alzheimer disease (AD) can be made by detecting or using which one of the following methods?
a. Clinical observation of dementia
b. Inability to speak with relevance
c. Development of neurofibrillary tangles
d. Computed axial tomographic (CAT) scan
C
Confirming the development of neurofibrillary tangles is the only accurate method for diagnosing AD. Patients with AD can be observed for dementia and delirium, but these indicators are nonspecific for the disease. The inability to speak with relevance is a feature of dementia; if other causes of dementia are ruled out, then it may be dementia of the Alzheimer type. A CAT scan is the most useful means for diagnosing a stroke.
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The student nurse in the perinatal clinic asks why it is so important to screen women for intimate partner violence during the first prenatal visit. What information does the registered nurse provide the student? (Select all that apply.)
A. Approximately one in three women has been a victim of abuse. B. Intimate partner violence is more common than preeclampsia. C. Many women may abuse substances to cope with the violence. D. Partners abuse over 300,000 pregnant women each year. E. Violence rarely occurs for the first time during pregnancy.
The primary reason for calculating productive hours paid instead of simply calculating work paid per year is that productive hours enable the manager to:
a. Anticipate total costs for patient care. b. Know how much time staff will likely be unavailable because of illness. c. Determine when orientation needs to occur for new staff. d. Determine the number of hours available for patient care.
Which concept best describes the role of the health care professional, particularly applicable to community health nursing, as that of catalyst?
A) The concept involves understanding the world view, life circumstances, and priorities of those requesting or receiving care and exploring the possible options with them in light of their preferences. B) The health care professional tries to imagine experiencing the situation of the person seeking care and offers an opinion of the best choice in full consideration of the other party's individuality. C) The community is seen to contain all the necessary qualities and resources for change, and the role of the health care professional is to provide the spark that will initiate change, as desired by the community and on its terms. D) The concept attempts to describe action within political, economic, and social systems on behalf of health interests of communities.
While working as a nurse in a hospital, you notice that a coworker has a slightly unsteady gait and slurred speech. You suspect that your coworker may be an impaired nurse. Which of the following would be the first appropriate action to take?
A) Confront the coworker with your suspicions. B) Ask your coworker to perform a sobriety test. C) Report your coworker's behavior to your supervisor. D) Ignore your coworker's behavior until others notice the problem.