A primary care clinic is being established in a rural county that recently experienced a hurricane severely damaging its infrastructure for medical care. Which of the following considerations would be the priority when planning for this clinic?
a. The ability to provide mental health services to community members
b. The ability to deliver primary care services to community members
c. The ability to refer community members to other necessary services
d. The ability to supply community members with daily necessities
Answer: a. The ability to provide mental health services to community members
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The home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury. These are (select all that apply):
1. diminished vision. 2. pet cats. 3. cluttered bedroom. 4. wearing loose house slippers. 5. generalized weakness.
A middle-aged female client tells you that whenever she is stressed she binges on fast food. In the past year since starting a new job she has gained excessive weight and her BMI is > 25
She has a family history of hypertension and coronary heart disease. You talk to her about: 1. Only keeping fruits and vegetables in the house so she is not tempted to eat junk foods. 2. Attending a behavior modification class to learn new coping strategies to help resist eating when she is stressed. 3. Increasing daily exercise and not worrying about occasional binges with fast Food. 4. Starting on medication to prevent hypertension since she has a family history of the disease.
Identify the issues this scenario raises in relation to patient safety
You are waiting for a RN Rosie has been working as an anaesthetic nurse for several months and she is in the anaesthetic room with Mrs A, who is to undergo a total knee replacement. Mrs A has had a premedication, which has made her drowsy, but she is clearly still very anxious and holding firmly onto Rosie's hand. Rosie notices that Mrs A's healthcare record and her consent form both state that the procedure that she is about to undergo is a right total knee replacement. The operating list in the operating suite has Mrs A listed for a left total knee replacement. Rosie asks Mrs A to clarify which knee she is having replaced and Mrs A points to her right knee, but tells Rosie that ‘both knees are bad'. Rosie checks Mrs A's legs to see whether the surgeon has marked the operative site for today's procedure and notes that this has not occurred. What will be an ideal response?
Which is the causative agent of scarlet fever?
a. Enteroviruses b. Corynebacterium organisms c. Scarlet fever virus d. Group A ?-hemolytic streptococci (GABHS)