When explaining community-based nursing versus nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?
A) Increased time available for education
B) Improved access to resources
C) Decision making in isolation
D) Greater environmental structure
C
Feedback:
Community-based nurses often have to make decisions in isolation. This is in contrast to the acute care setting, where other health care professionals are readily available. Nursing care and procedures in the community also are becoming more complex and time-consuming, leaving limited time for education. Nurses working in the community have fewer resources available and the environment is less structured and controlled when compared to the acute care setting.
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A nursing instructor is teaching about suicide among active duty military. Which fact should the instructor include in the lesson plan?
1. On average, two suicides a day occur in the U.S. military. 2. From 2005 to 2009, relationship distress factored in more than 25% of Army suicides. 3. Statistically, in 2012, suicide rates of service members surpassed the number killed in combat. 4. Military suicides are associated with a narcissistic personality disorder diagnosis.
Older people have many altered reactions to disease that are considered age-related changes. When the nurse observes physical indicators of illness in the older population, that nurse must remember what?
A) Potential life-threatening problems in the older adult population are not as serious as they are in a middle-aged population. B) Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults. C) The same physiologic processes that indicate serious health care problems in a younger population indicate mild disease states in the elderly. D) Middle-aged people do not react to disease states the same as a younger population does.
A patient becomes unresponsive. The patient's heart rate is 32 beats/min, idioventricular rhythm; blood pressure is 60/32 mm Hg; SpO2 is 90%; and respiratory rate is 14 breaths/min. Which of the following interventions would the nurse do first?
a. Notify the physician and hang normal saline wide open. b. Notify the physician and obtain the defibrillator. c. Notify the physician and obtain a temporary pacemaker. d. Notify the physician and obtain a 12-lead ECG.
Which symptom is often the earliest to occur in a patient with Alzheimer's disease?
a. Difficulty solving simple math problems b. Problems performing simple tasks c. Mild forgetfulness d. Inability to read