The patient is a 69-year-old woman who has a history of diabetes mellitus, peripheral vascular disease, and myocardial infarctions
She was admitted to the hospital with a stroke and is being transferred to a subacute facility and then to a rehabilitation facility. At every admission, she must review her entire history, provide telephone numbers of family members, list all 30 of her medications, and list all home care and medical supply companies. Also, at each facility, a phy-sician or nurse practitioner completes a total history and physical about her and orders the same laboratory tests to be done. This is an example of ____. a. Continuum of care
b. Fragmented service delivery
c. Optimal health care economics
d. Seamless care provision
B
Fragmented service delivery occurs with transferring of the patient's health care from one pro-vider to the next with much duplication from site to site. This is a costly provision of care, which unfortunately occurs frequently.
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A 15-month-old girl is having her first health visit at a clinic. The mother has no immunization record but says the child was immunized 3 months ago at the local health department. Which of the following is the best action for the nurse to take?
A) Ask the mother to bring the records to the next health maintenance visit. B) Start the catch-up schedule since there are no immunization records. C) Keep the child at the facility while the mother returns home for the records. D) Call the local health department and verify the child's immunization status.
Which of the following is an issue that a qualitative researcher attends to in planning a study? Select all that apply
A) Selecting a site B) Identifying needed equipment for field work C) Selecting research instruments D) Determining the maximum amount of time available for field work
Which of the following is not an example of a function?
1. Upgrading 2. Order entry 3. Results reporting 4. Documentation
Concerning umbilical cord care, nurses should be aware that:
1. the stump can easily become infected. 2. a nurse noting bleeding from the vessels of the cord should immediately call for assistance. 3. the cord clamp is removed at cord separation. 4. the average cord separation time is 5 to 7 days.