A nurse practitioner (NP) has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Developing a comprehensive education program for clinic patients
2. Working with individual patients to promote their wellness
3. Discussing how to prevent illness with patients during regular visits
4. Managing the business office of the clinic
5. Providing expert care to younger patients while the clinic physicians care for older patients
1,2,3
Rationale 1: Education is a primary focus of the NP.
Rationale 2: NPs focus on individualized care and wellness.
Rationale 3: A primary focus of the NP is prevention.
Rationale 4: The NP's focus is on patient care, not running the clinic business office.
Rationale 5: NPs provide care across the lifespan.
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An adult daughter brings a patient to the gerontology clinic and reports that the patient has become increasingly withdrawn and no longer goes out during the day. What response by the nurse is best?
a. Administer a mini mental state exam. b. Ask the patient why this is happening. c. Assess if the patient feels safe at home. d. Determine if abuse is occurring.
A client is receiving a serotonin antagonist and a corticosteroid as premedications for chemotherapy. The nurse understands these agents are used in this circumstance to:
a. prevent chemotherapy-induced inflammation of the hypothalamus. b. treat chemotherapy-induced loss of hair and nausea and vomiting. c. prevent acute and delayed nausea and vomiting caused by chemotherapy. d. prevent adverse effects of chemotherapy drugs.
The complex pharmacokinetics in the older adult should suggest that you be alert for possible adverse ________ and side ________. You must watch especially for signs of accumulation, toxicity, drug interactions, and unusual effects.
Fill in the blank(s) with the appropriate word(s).
A patient with a history of schizophrenia has completed an advance directive agreeing to hospitalization should decompensation occur. How should the hospitalization be categorized if the patient is brought to the emergency department experiencing delusions, hallucinations, and unsafe behavior?
1. Voluntary admission 2. Involuntary admission 3. Temporary involuntary admission 4. Emergency involuntary admission