What services are considered to be under the administration of the U.S. Department of Health and Human Services (HHS)? (Select all that apply.)
a. Public Health Service (PHS)
b. Administration for Children and Families
c. Administration on Aging
d. American Medical Association
e. Centers for Medicare and Medicaid
A, B, C, E
The Public Health Service (PHS), Administration for Children and Families, Administration on Aging, and Centers for Medicare and Medicaid all share the administration of the Department of Health and Human Services (HHS).
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The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the NANDA nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:
1. Fear related to separation from support system during hospitalization. 2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment. 3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness. 4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area.
The primary mechanisms of action of certain antidepressants result from neurotransmitter inactivation by enzyme-based metabolism and
a. electrochemical stimulation. b. stimulation of natural precursors. c. extraction of precursors from the bloodstream. d. reuptake into the presynaptic storage vesicles.
During auscultation, the nurse hears fine rales in the patient's lower lobes bilaterally. Fine rales are described as
1. Noisy, snoring sounds during respirations. 2. Musical or whistling sounds with respirations. 3. A sonorous wheeze upon inspiration. 4. Sounding like hair being rubbed between the thumb and index fingers.
Some studies have shown that a child who has been abused has altered brain chemistry post mortem. This is an example of:
A. A teratogenic effect B. Congenital birth defect C. An epigenetic change D. Fetal Alcohol Syndrome