The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems. The patient, however, receives many visitors from the neighborhood and from former coworkers, as well as frequent phone calls from extended family
When concerned about how the large number of visitors may be fatiguing the patient, the nurse should
a. Restrict the number of visitors for the patient's welfare.
b. Voice concerns to the patient and proceed according to the patient's wishes.
c. Allow visitors to come and go freely as they have been.
d. Create visiting hours when the patient may see non–family members.
ANS: B
With the individual and the family as patients, the context of community-based nursing is family-centered care within the community. This focus requires a strong knowledge base in family theory, principles of communication, group dynamics, and cultural diversity. The nurse learns to partner with patients and families, so ultimately the patient and the family assume responsibility for their health care decisions.
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A nurse is weighing a 2-month-old infant in the clinic. To ensure safety, which action is most appropriate?
A. Have the parent hold the child while standing on an adult scale. B. Place the baby in the scale and place one hand on top of the baby. C. Place the baby in the scale and hold one hand just over the baby. D. Prop the infant sitting up in the scale, then weigh the prop separately.
Which of the following statements is true about a safe, effective care environment for older adults?
a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day. b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers. c. Barrier-free buses and low fares make public transit a safe transportation option. d. A nurse's perception of temperature is a useful guide for patient thermal needs.
The use of both of qualitative and quantitative data in a study or cluster of studies serves the important purpose of which of the following?
A) Providing researchers with different skills an opportunity to collaborate B) Enhancing the study's validity C) Allowing participants to select an unstructured or structured method of responding D) Enhancing the likelihood that the study will be published
The nurse is documenting care in the medical record. The nurse provides narrative documentation only for abnormal assessment findings. Which type of charting is the nurse using based on this example?
A) Computerized documentation B) Charting by exception (CBE) C) SOAP charting D) Focus charting