An older woman has just had surgery to repair a fractured hip. Identify the care settings, ordering from least to most client autonomy, that the woman may encounter
A. Transitional care unit (TCU)
B. Skilled nursing facility (SNF)
C. Inpatient orthopedic unit
D. Independent living in her own home
E. Assisted-living facility (ALF)
C, A, B, E, D
Rationale: Each care setting provides needed rehabilitative services, but the client's ability to en-gage in all needed activities of daily living determine the amount of skilled nursing care needed.
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The nurse is preparing to provide oral care to an unconscious client. The priority nursing action is:
1. Rinse the mouth 2. Position the client 3. Don gloves 4. Inspect and clean the oral tissues
A nurse is preparing a care plan for a client in a long-term care facility who is experiencing dysphagia. Which of the following would be the priority nursing diagnosis for this client?
A) Imbalanced nutrition: more than body requirements related to assisted feedings B) Imbalanced nutrition: less than body requirements related to inability to swallow foods and liquids C) Deficient knowledge related to need for thickened liquids D) Noncompliance related to need for thickened liquids
A patient asks why the prescriber is changing his anxiety medication from lorazepam (Ativan) to sertraline (Zoloft). What is your best response?
a. "Sertraline is a stronger drug and will do a better job of controlling your anxiety." b. "Sertraline has milder side effects and a decreased risk for drug dependence." c. "Sertraline acts much faster to get the symptoms of your anxiety under control." d. "Sertraline can be taken only when needed to control symptoms of anxiety."
Suicidal deaths are probably underreported for which of the following reasons?
a. Many accidents are misclassified as nonsuicidal. b. Suicide is a crime. c. Insurance companies do not investigate accidents. d. Families obscure the details about suicidal intent of the family member.