A client is the single parent of three children under the age of six. The client is currently unemployed and receives government assistance. The client reports a history of depression and has a positive family history for depression
The nurse recognizes that this situation may be viewed through the lens of which predominant American value? A) Equality B) Moral orientation
C) Humanitarian mores D) Activity and work
D
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A patient is to be administered an immunization. The serum contains aluminum phosphate. What route is most appropriate to administer this immunization?
A) Intramuscularly B) Subcutaneously C) Intravenously D) Orally
State legislatures are gradually changing the care that patients potentially receive from health maintenance organizations (HMOs). What is one means by which this improvement has occurred?
1. States have set the premiums that enrollees pay for HMO coverage. 2. States have mandated how many HMOs will operate within the state. 3. States have mandated that all citizens be covered by HMOs if that is the desire of the citizen. 4. States have allowed patients who receive substandard care to successfully bring suit against HMOs.
A patient diagnosed with leukemia says, "If I have too many white blood cells, and white blood cells fight infections, why do I have to be careful not to be exposed to germs?" What would be an appropriate response for the nurse?
1. "With leukemia, you have the wrong kind of white blood cells." 2. "That's not what leukemia is." 3. "The white blood cells with leukemia aren't effective at fighting infections." 4. "Your bone marrow can become infected."
What disorder of the chest best describes her symptoms?
A 60-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can't do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination she is in no acute distress. Her blood pressure is 160/100 and her pulse is 100. She is afebrile and her respiratory rate is 16. With auscultation she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination the S1 and S2 are distant and an S3 is heard over the apex. A) Pneumonia B) Chronic obstructive pulmonary disease (COPD) C) Pleural pain D) Left-sided heart failure