The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to "sell" the staff on this care concept. A goal of managed care that the staff must un-derstand is that managed care is:
a. Grounded in business theory.
b. Useful for long-term patients only.
c. Designed to reduce unit resources and staff.
d. Not concerned with the best interests of clients.
A
Managed care combines delivery of needed care with business principles of efficiency and cost. Nurse managers who know business principles become conduits for ensuring safe, effective, af-fordable care.
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The nurse is caring for a woman in the emergency room who is complaining of chest pain. She states that she was walking from her apartment to the grocery store when the pain became very severe. She reported that people were following her
She said she couldn't really see them but she could hear them talking about "grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. The nurse would obtain what further assessment data in this situation? 1. Spiritual affiliations 2. Dietary preferences and habits 3. Review of systems 4. Focused psychosocial interview
For best results, an otoscopic and oral examination in a child should be:
a. conducted at the beginning of the assess-ment. b. done after inspection. c. performed at the end of the examination. d. performed before palpation.
A nurse is caring for a client with pancreatic disease. The client is receiving total
parenteral nutrition (TPN) to help maintain adequate levels of carbohydrates, proteins, fats, vitamins, minerals, water, and electrolytes. Which measure should the nurse follow when providing TPN? A) Perform insertion of a central line under aseptic conditions B) Check the client's vital signs for evidence of developing infection C) Avoid folding the tape over when securing the catheter D) Measure the blood glucose level at the end of the day
A client requires urinary catheterization but has difficulty keeping her legs in the usual position needed for this procedure. The nurse has worked for many years and adapts the procedure to al-low the client to lie on her side
This action is based on the critical thinking element of: 1. Curiosity 2. Experience 3. Perseverance 4. Scientific knowledge