The nurse manager is considering adopting clinical practice guidelines to care for clients experiencing abruptio placentae. What advantages of these guidelines should the manager discuss with the nursing staff? Select all that apply
1. Limit the cost of care.
2. Help evaluate the effectiveness of care.
3. Reduce the number of nurses needed to provide care.
4. Reduce variations when caring for clients with the same health problem.
5. Provide sequence and timing of interventions to help achieve expected client outcomes.
1, 2, 4, 5
Explanation:
1. Clinical practice guidelines are adopted within a healthcare setting to limit costs of care.
2. Clinical practice guidelines are adopted within a healthcare setting to evaluate the effectiveness of care.
3. Clinical practice guidelines are not used for evidence to reduce the number of nurses needed to provide care.
4. Clinical practice guidelines are adopted within a healthcare setting to reduce variation in care management.
5. Clinical practice guidelines are comprehensive interdisciplinary care plans for a specific condition that describe the sequence and timing of interventions that should result in expected client outcomes.
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The nurse may assist the health care provider in determining the fetal position and presentation by abdominal palpations called _____________________________ _____________________________
ANS:
A patient with borderline personality disorder cut her wrists while out on a pass. For future planning, staff should consider that the reason for the self-mutilation is probably related to:
a. an inherited disorder that manifests itself as an incapacity to tolerate stress. b. fear of abandonment associated with relationships or increasing autonomy. c. use of projective identification and splitting to bring anxiety to manageable levels. d. a constitutional inability to regulate affect, predisposing to psychic disorganization.
What will the nurse instruct an older patient with asthma to do to control house dust? Standard Text: Select all that apply
1. Wash the hands frequently. 2. Remove carpets from the bedroom. 3. Reduce indoor humidity to less than 50%. 4. Stay out of a room that is being vacuumed. 5. Do not sleep or lie on upholstered furniture.
Consider the following statements: Statement A. When physicians discuss end-of-life with cancer patients, their health-care costs are much higher in the last week of life. Statement B. Many dying persons never get referred to hospice care
1. Both statements A and B are true. 2. Both statements A and B are false. 3. Statement A is true and statement B is false. 4. Statement A is false and statement B is true.