The nurse is working in a flu immunization clinic. Which situation would require a postponement of immunization?
a. A patient has a history of asthma.
b. A patient takes herbal remedies such as valerian and Ginkgo biloba daily.
c. A patient has a history of poorly con-trolled diabetes.
d. A patient received immune globulin 2 weeks ago.
D
Immune globulin will decrease the immune response to the vaccine, rendering it useless. Asthma, Ginkgo biloba, and uncontrolled diabetes do not prevent an individual from receiving a flu immunization.
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The client complains of severe back pain and is excused from work. Later, he is seen water skiing and jogging. These behaviors describe:
a. Malingering b. Somatization c. Hypochondriasis d. A factitious disorder
When the nurse is alone with a battered client, the client seems extremely anxious and says, "It was all my fault. The house was so messy when he got home and I know he hates that." The best response by the nurse is:
a. "No one deserves to be hurt. It's not your fault. How can I help you?" b. "What else do you do that makes him angry enough to hurt you?" c. "He will never find out what we talk about. Don't worry. We're here to help you." d. "You have to remember that he is frustrated and angry, so he takes it out on you."
A cost-of-illness analysis is conducted for diabetes mellitus. Which of the following variables would be expected to be included in such a study?
a. Comparison of costs with the assumption that the outcomes of all interventions are equal b. Client preferences regarding treatment options and life-years saved c. Direct costs of medical services and indirect costs from loss of productivity due to illness d. The outcome of treatment in terms of a natural health unit (reduction in serum glucose level)
The nurse is analyzing the current trends associated with the delivery of health care services. Which statement is true regarding current trends for the delivery of health care services?
a. A greater percentage of health care is being administered in acute care settings than in the past. b. The acuity level of hospitalized clients is decreasing. c. The number of clients admitted to nursing homes is steadily growing. d. Most children are receiving adequate health care services.