A nurse working in a disaster recovery center is interviewing a patient whose home and business were destroyed in a tornado. The patient is determined to recover and rebuild. W

Which statement by the patient would indicate the need for referral to a social worker?
1. "I almost feel as though God has abandoned me."
2. "I don't know where to begin to get back on my feet."
3. "I don't think I can go back to my old work since the nerves in my hand were damaged."
4. "No matter how hard I try, I can't get to sleep at night and I seem to be crying most of the time."


Answer: 2
Explanation: Social workers have knowledge and experience with linking patients and families to other financial and health resources that can assist in recovery. Clergy and spiritual leaders can help address spiritual distress. Occupational therapists address specific issues with living and work skills, which may be necessary for patients who have damaged extremities. Mental health specialists address mental health conditions such as depression and anxiety.

Nursing

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Which of the following describe current legislation acts that limit what managed care organizations (MCOs) are allowed to do? (Select all that apply.)

a. Allowing patients to see a specialist without having to obtain approval from their primary care provider b. Allowing patients to go to the emergency department without first telephoning for approval c. Allowing patients the right to choose a physician d. Requiring the MCO to fulfill expectations of the national patients' rights bill e. Requiring the MCO to accept any provider who meets plan requirements f. Requiring the MCO to accept advanced practice nurses as primary care providers

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The government's Medicare and Medicaid programs were created to assist:

a. children and the elderly. b. health insurance companies. c. managed care plans. d. migrant populations.

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When providing discharge instructions to a patient who has been prescribed home oxygen therapy, a nurse teaches the patient to do which of the following? Select all that apply

1. Burn candles near the oxygen source. 2. Avoid smoking near the oxygen source. 3. Avoid wearing wool blankets or sweaters. 4. Use extension tubing to move around the house. 5. Use an open-flame heater near the oxygen source.

Nursing

The nurse is searching for evidence related to a PICOT question. What source provides the best evidence?

a. Medline database b. Cochrane library c. CINAHL database d. Library of Congress

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