A group of nursing students are given a test on Starfield's (1998) foundations of primary care. Which of the following responses by the students describing the foundations of primary care would indicate that further teaching is necessary?
a. Comprehensiveness c. First contact
b. Organization d. Coordination
B
According to Starfield (1998), both clinicians and patients need to work together to appropriately
utilize services based upon these four foundations of primary care: first contact (conduct the initial
evaluation and the plan for the dysfunction, treatment options, and health goals), longitudinality
(maintaining the clinician-patient relationship continuously over time), comprehensiveness (managing
the wide range of needs for each patient), and coordination (care is organized and integrated, thus
eliminating duplication of services).
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1. Experiences a mild headache. 2. Voids clear yellow urine. 3. Develops severe shaking, chills, and fever. 4. Complains of being thirsty.
The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin) 85 mg 4 times daily. The patient reports experiencing ringing in the ears. The nurse will contact the provider to discuss
a. decreasing the dose to 50 mg QID. b. giving the dose 3 times daily. c. obtaining a serum drug level. d. ordering a hearing test.
It is likely that a client with seasonal affective disorder will begin to feel better in the
A. fall. B. winter. C. spring. D. summer.
Elimination is promoted by
A. inactivity and immobility. B. trying to use the bedpan or urinal hourly. C. fiber in the diet and adequate fluid intake. D. taking extra pain medications daily.