The medical–surgical unit's census has decreased since the previous shift. The manager is reviewing the staffing grid. Which factor is used to determine staffing mix?
1. Average daily census of the hospital
2. Client care needs
3. Number of staff on vacation
4. Financial productivity of the unit
2
Rationale 1: The average daily census of the hospital probably will not have a direct bearing on the staffing mix of this unit.
Rationale 2: The staffing mix should be based on the needs of the clients currently on the unit. A higher need for assessment, education, or discharge planning requires more registered nurses.
Rationale 3: The number of staff on vacation is not an issue, as the clients still need care.
Rationale 4: The financial productivity of the unit should not be an issue as that is historical data, not current client care need data.
Global Rationale:
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The nurse working in a Planned Parenthood program recognizes that chlamydial infections are often asymptomatic, so the nurse should focus on:
1. care of clients who have symptoms and can be diagnosed and treated. 2. talking to high school students about the disease. 3. identification and screening of women at high risk for chlamydia. 4. talking to parents of teenagers about the disease.
The nurse is caring for a patient with mental illness who expresses a desire to learn more about complementary and alternative medicine (CAM). What will the nurse tell the patient about the difference between osteopathic and naturopathic medicine?
1. "Osteopathy is a hands-on therapy that focuses on the health and function of the spine and other body structures and their effect on health; naturopathy stimulates the body's ability to heal itself by giving very small doses of highly diluted substances that, in larger doses, would produce symptoms or illness." 2. "Osteopathy aims to support the body's inherent ability to maintain and restore health, and prefers to use treatment approaches considered to be the least invasive; naturopathy is a system of medicine that emphasizes the relationship between structure and function of the body." 3. "Osteopathy is a system of medicine that emphasizes the relationship between structure and function of the body; naturopathy aims to support the body's inherent ability to maintain and restore health, and prefers to use treatment approaches considered to be the least invasive." 4. "Osteopathy stimulates the body's ability to heal itself by giving very small doses of highly diluted substances that, in larger doses, would produce symptoms or illness; naturopathy is a hands-on therapy that focuses on the health and function of the spine and other body structures and their effect on health."
The home health nurse is caring for a client with Parkinson's disease. The nurse understands that the purpose of adding selegiline (Eldepryl) with carbidopa-levodopa (Sinemet) to the medication regime should result in which purpose?
A) Slows the progression of the disease B) Replaces dopamine C) Relieves symptoms of dyskinesia D) Prevents side effects from Sinemet