A registered nurse desires to work at a hospital close to her home. A nurse who works at the hospital tells her that he spends much of his day delegating to unlicensed assistive personnel (UAPs)
The nurse realizes that the hospital practices one of which types of care delivery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Functional nursing
2. Primary nursing
3. Team nursing
4. Case method
5. Relationship-based care
1,3
Rationale 1: Functional nursing relies heavily on unlicensed assistive personnel to complete required tasks.
Rationale 2: In primary nursing, the RN has 24-hour responsibility for all care. Care is provided by registered nurses.
Rationale 3: Team nursing often employs an RN as a team leader with other RNs, LPNs or LVNs, and UAPs providing care at the RN's direction.
Rationale 4: In the case method, the RN provides all care to a patient for the time on duty.
Rationale 5: Relationship-based care is a form of primary care. Primary care is delivered by registered nurses.
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The nurse is caring for a patient receiving chemotherapeutic agents, and notices that the patient's neutrophils count is low. The nurse realizes that:
a. the patient has a bacterial infection. b. a shift to the left is occurring. c. chemotherapeutic agents alter the ability to fight infection. d. neutrophils have a long life span and multiply slowly.
The National Childhood Vaccine Injury Act of 1986 provides:
a. legal services on a sliding-fee scale for any family suffering from a reaction to one or more recommended or required vaccinations b. rehabilitative services for anyone requiring rehabilitation due to vaccine injury c. funds for hospitalization and burial for any child under age 21 who dies as a result of a vaccination d. an alternative to civil litigation in which anyone who was injured or lost a family member due to a vaccine may seek compensation
A client is prescribed a disease-modifying antirheumatic agent. What will the nurse explain as the mechanism of action for this medication?
1. Provides rapid relief of symptoms 2. Prevents the need for orthopedic surgery 3. Reduces damage and delays disease progression 4. Allows the client to be more active
Continuity of care for a particular client is important to prevent:
A) multiple providers. B) infection. C) fragmentation of services. D) rising health care costs.