Sandy is in her nursing lab, learning some new procedures. She has never seen a tuning fork and asks you, the instructor, what it is used for. Discuss tuning fork tests
a. What are they used to determine?
b. How are they used?
c. Are they accurate with their results?
Students' answers should include the following:
a. Produces sound at same level as speech
b. Used for sensorineural (nerve impairment) and conductive hearing loss
c. Used in early detection of hearing changes and can impact selecting hearing assisting devices
Rinne test—tuning fork is struck and placed behind mastoid process until sound is not heard
Weber test—tuning fork is struck and placed in midline of client's skull; should be heard equally in both ears, if not then conduction hearing loss in one ear
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The mother of a staff nurse is critically ill and the nurse must miss several shifts of work. If the leadership style of the nursing manager is transactional, which approach to covering these shifts is most likely?
1. "I have made out a schedule of who will work to cover these shifts." 2. "I can work an extra shift tomorrow night. Who can cover tonight?" 3. "How can we work together to cover these shifts to help our coworker?" 4. "If you work overtime tonight I will authorize double your hourly pay rate."
Assistive devices such as canes, crutches, and walkers are used for people who need to limit weight-bearing on joints. The statement by the nurse that best illustrates an understanding of appropriate use of these devices is:
1. "Canes provide minimal support and balance and are carried on the unaffected side." 2. "When using a cane, slide it as you go to decrease the arm strain." 3. "A three-point gait is used when walking with a walker." 4. "When using crutches, the unaffected leg goes down the steps first."
To provide adequate postpartum care, the nurse should be aware that postpartum depres-sion (PPD) without psychotic features:
a. Means that the woman is experiencing the baby blues. In addition she has a visit with a counselor or psychologist. b. Is more common among older, Caucasian women because they have higher ex-pectations. c. Is distinguished by irritability, severe anxiety, and panic attacks. d. Will disappear on its own without outside help.
The key opportunities for population-focused practice exist because:
1. Population-focused care will replace acute care. 2. Universal health insurance coverage for all Americans will become a reality and subgroups will not need to be monitored. 3. The primary focus of the health care system of the future will be on communi-ty-oriented strategies for health promotion and disease prevention. 4. As more nurse leaders are trained, more students will choose community health nursing as a career.