In which of the following settings would the nurse be expected to minimally implement the supervisor role of the nurse?
A. Subacute care setting
B. Home care setting
C. Skilled nursing facility
D. Assisted living facility
B
In skilled nursing facilities, subacute care settings, and assisted living facilities, there are nu-merous unlicensed assistive personnel who are delegated various tasks. The registered nurse is responsible for overseeing the actions of such personnel. In the home care setting, the individual staff nurse does not generally supervise any other health care worker.
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A client asks if insurance pays for genetic testing. How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "It depends on the insurance carrier." 2. "They are required to do so by federal law." 3. "These tests are not paid for by insurance companies." 4. "Insurance companies do not, but a federal program pays for many of them if you allow them access to the results." 5. "Some insurance companies pay for some tests."
The patient who has had an incarcerated hernia for many years begins to experience abdominal pain and vomit dark material with a fecal odor. The nurse recognizes these signs as indications of:
a. intestinal obstruction. b. ruptured bowel. c. gastroenteritis. d. duodenal ulcer.
John Brown, age 70, is admitted to the critical care unit with uncontrolled hypertension. Mr. Brown's point of maximal impulse (PMI) is enlarged and displaced laterally. What is the normal size of the left ventricular impulse (LVI)?
A) <1 cm B) No greater than 2 cm C) Between 3 and 4 cm D) >4 cm
A 78-year-old nursing home resident with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me."
In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident: a. may have a cognitive impairment associated with medication effects. b. may be developing Alzheimer‘s disease associated with advanced age. c. had a transient ischemic attack and developed sensory perceptual alterations. d. has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.