Brian went to his general practitioner (GP) for a consultation as he was concerned about his blood pressure. This is an example of which type of service delivery system?
a. Public health.
b. Primary care.
c. Specialised care.
d. Aged care.
b
Primary care is the first health service visited by individuals with a health concern. GPs authorise access to other
services, so if Brian required further treatment from a physician, his GP would need to make a referral.
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A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP)
Which manager statements would direct these nurses to the forms of strongest clinical evidence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "We may find studies that use only one group of subjects." 2. "Look for articles that report on how to use evidence in other clinical situations." 3. "The studies we want are built around the scientific approach to solving problems." 4. "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness." 5. "Many articles will have information reported by someone who is an expert in the field."
A patient is taking ginkgo biloba, a botanical supplement. She asks the nurse if it would be safe to take aspirin for her arthritis at the same time. The nurse's response is based on what knowledge?
A) Ginkgo biloba affects platelet function and should not be taken with aspirin. B) Aspirin will not have any effect if taken at the same time as ginkgo biloba. C) Ginkgo biloba does not have any effect on the blood, so it is safe. D) Ginkgo biloba has an anticoagulant effect and aspirin decreases clotting.
Which person has the least risk for a pressure ulcer?
a. The person who has urinary incontinence b. The person who has fecal incontinence c. The person who has shortness of breath d. The person who has circulatory problems
The primiparous patient has asked the nurse why her cervix has only changed from 1 to 2 cm in three hours of contractions occurring every five minutes. The best response by the nurse is:
1. "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress." 2. "When your perineal body thins out, your cervix will begin to dilate much faster than it is now." 3. "What did you expect? You've only had contractions for a few hours. Labor takes time." 4. "The hormones that cause labor to begin are just getting to be at levels that will change your cervix."