The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?
1. Sixty percent of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them.
2. Seventy percent of respondents accurately listed their discharge medication.
3. Eighty-eight percent of respondents reported that invasive interventions were performed by an RN.
4. Thirty percent of respondents reported that their nurse sometimes seemed rushed.
1
Rationale 1: This response may indicate that the RN is not able to provide the skilled care needed. There may be a lack of RN presence in patient care.
Rationale 2: This statistic indicates the RN is providing discharge instructions, which is correct use of RN knowledge.
Rationale 3: Most invasive procedures are done by RNs, so this indicates correct use of skill sets.
Rationale 4: The nurse will sometimes be rushed. This low percentage is likely not an indicator of problems.
Global Rationale:
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The nurse is involved in an active discussion with people in the community about healthcare systems in the United States. The nurse explains characteristics that cause problems in the current system, including what? (Select all that apply.)
1. There is no central agency to govern healthcare systems. 2. Access to healthcare is governed by ability to pay. 3. Insurance payers must approve most procedures and services. 4. Prejudice prevents some groups from receiving adequate care. 5. People have no faith in the quality of patient care at local hospitals.
You are the nurse assessing an 18-year-old woman. You note bruising to the patient's upper arm that appears as fingerprints as well as yellow bruising to the lower eye. The patient makes minimal eye contact during the assessment
How might you best inquire about the bruising? A) "Is anyone physically hurting you?" B) "Tell me about your relationships." C) "Do you want to see a social worker?" D) "Is there something you want to tell me?"
Which of the following actions would be the strongest primary prevention deterrent to the prevalence of suicide in the population as a whole?
a. reduced accessibility of guns b. prohibition of the sale of poisons c. reduced amount of carbon monoxide in household gas d. blocking access to high mountains
Which patient would be most likely to seek complementary and alternative therapies as a treatment modality?
1. A 48-year-old male who wants to boost his immune system 2. A 22-year-old male athlete who is preparing for the Olympics 3. A 50-year-old female going through menopause 4. A 58-year-old male with prostate problems 5. A 28-year-old female who is healthy