The nurse, who works in a large urban high school, provides programs on nutrition, smoking cessation, and the prevention of sexually transmitted infections (STIs). Which areas of nursing competence is this nurse demonstrating? Select all that apply
A) Health restoration
B) Health and wellness promotion
C) Caring for the dying
D) Illness prevention
E) Care cost savings
Answer: B, D
Health restoration focuses on the ill client. Health promotion enables individuals and communities to increase their control over the determinants of health and thus improve their health. Caring for the dying involves helping clients live as comfortably as possible until death. Illness prevention programs are designed to maintain optimal health by preventing disease. Care cost saving is not a core area of nursing competence.
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A nurse who is caring for an older patient with bipolar disorder knows that the patient needs ad-ditional education when the patient states:
a. "Bipolar disorder often results in ‘a level-ing out' of symptoms as one ages." b. "Relapses in bipolar disorder tend to be precipitated by medical problems." c. "Older adults with bipolar disorder tend to be ‘rapid cyclers'." d. "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
A nurse is providing education to a group of nurses at a fertility clinic. The nurse asks the group, "Which agents have the effect of inducing ovulation?" Which responses by the nurses best dem-onstrate understanding? (Select all that apply.)
a. Choriogonadotropin b. Clomiphene c. Menotropins d. Follitropins e. Nafarelin
A client diagnosed with primary bone sarcoma of the leg is scheduled for tumor removal. The client expresses fear of loss of function. Which is the nurse's best response?
a. "It is normal to feel this way." b. "Physical therapy will assist you to regain function." c. "This surgery is better than an amputa-tion." d. "This surgery is necessary to save your life."
The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility
While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program. Which behavior by the staff development coordinator is most appropriate in this situation? a. Disregard staff concerns and continue with development of the program. b. Inform the nurses that this program is a requirement for JCAHO accreditation. c. Schedule a meeting with the chief nurse executive to apprise her of the situation. d. Facilitate a meeting so nurses can articulate their values and concerns about a competency program.