To decrease the threat of a pressure ulcer, the nurse instructs a person who is in a wheelchair for long periods to:
a. reposition self every 2 hours.
b. lift weight on the arms of the chair every 15 minutes.
c. massage bony prominences of the buttocks and hips.
d. use a donut device to keep weight off of the buttocks.
B
Lifting or off-loading weight every 15 minutes while in a wheelchair will reduce the threat of pressure ulcer. Tissue anoxia can result in less than 2 hours. Movement to shift weight every 15 minutes is most effective. Massage can damage delicate tissues in the at-risk patient. The donut device reduces circulation to the area compressed and is contraindicated.
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The population health nurse is participating in a discussion about the number of physicians in the United States being able to meet health care needs. What should the nurse identify as the primary reason for physicians contributing to escalating health
care costs? 1. Decreased hospital beds nationwide. 2. Increased numbers of uninsured citizens. 3. The higher number of specialists than generalists. 4. More expensive prescription medications being prescribed.
A patient tells a nurse, "I belong to a health maintenance organization (HMO) that advertises being a capitated system. What does that mean?" The nurse replies:
a. "It's complicated but if you like I'll have the payments office discuss it with you.". b. "You pay a sliding fee for each illness based on your monthly take-home income.". c. "You pay a fixed fee per month while the HMO provides all medically necessary care.". d. "The HMO pays your physician a flat fee for a particular episode of illness regardless of the number of office visits you make.".
Which model addresses the structure and processes of using the population-based tools of disease management and critical pathways to offer care for client populations?
a. Client-focused b. System-focused c. Social service d. Long-term care
The nurse educator is aware that the nursing student has a grasp of the primary prevention needs of older adults when the nursing student makes which of the following comments?
A) It is unnecessary for older adults to receive immunizations. B) All older adults must restrict their sodium intake. C) Older adults don't need to drink as much fluid as they are often less thirsty. D) The oral health of older adults is often neglected and so it is important that they see a dentist regularly.