A nurse is working with a clinical microsystem. Which of the following best describes what the nurse is working with?
a. Evidence-based practices
b. Managed care organizations
c. Electronic health records
d. Registries
ANS: C
Clinical microsystems are the systems, people, information, and behaviors that take place at the point of client care. Managed care organizations are systems in which patients only visit certain providers and hospitals. Electronic health records are where all of the care that is provided is documented. Registries are examples of clinical databases dedicated to certain population groups.
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1. "You need to let her make her own decisions." 2. "Do you think if we talked to her she would change her mind?" 3. "My role is to assure your loved one's wishes are followed." 4. "You need to talk to her physician about revising the do not resuscitate order."
Compared to the ICD-9 diagnoses, the DSM-IV provides:
a. a clearer view of an individual client's situation b. less information relevant to diagnoses c. less information describing the phenomena of mental disorders d. an easier method for accounting and billing practices
The client with a new medication prescription for allopurinol (Zyloprim) asks the nurse, "I know this is for gout, but how does it work?" In formulating a response, the nurse understands that allopurinol:
1. Decreases uric acid production 2. Reduces the production of fibrinogen 3. Lowers the risk of sulfa crystal formation in the urine 4. Prevents influx of calcium ions during cell depolarization
How many kilocalories per kilogram (kcal/kg) of body weight does a breastfed term infant require each day?
a. 50 to 65 c. 95 to 110 b. 75 to 90 d. 150 to 200