A nurse is giving a report to the hospital nursing counsel on the Institute of Medicine's report:
"The Future of Nursing: Leading Change, Advancing Health." What broad goals does the nurse report on? (Select all that apply.)
a. Credentialing will continue to be the best way to advance practice.
b. Nurses should be allowed to practice to the extent of their capabilities.
c. Nursing should be included as an equal partner in health care reform.
d. The nursing workforce is encouraged to attain higher levels of education.
e. Workforce data collection needs infrastructure to enable meaningful use.
B, C, D, E
The IOM's report's key messages and related recommendations affirm and encourage professional nurses to practice fully, achieve higher levels of education, become full partners in providing and reforming health care, and develop an infrastructure for workforce data collection. Credentialing is not one of the key recommendations.
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A nurse is teaching the parents of a 10-year-old child diagnosed with cystic fibrosis. Which instruction by the nurse is most appropriate?
A. "For Pseudomonas infections, we can use penicillin antibiotics." B. "Preventing respiratory infections is crucial for quality of life." C. "Unfortunately, your child is sterile and unable to have children." D. "With pancreatic enzymes, vitamin replacement is not needed."
Which of the following is a priority psychosocial outcome for a patient who has had a radical neck dissection?
A) He indicates acceptance of altered appearance and demonstrates positive self-image. B) He freely expresses needs and concerns related to postoperative pain management. C) He compensates effectively for alteration in ability to communicate related to dysarthria. D) He demonstrates effective stress management techniques to promote muscle relaxation.
A nursing instructor is educating a student nurse about military time. The time on the clock reads 6:00 p.m. The student nurse demonstrates understanding by documenting the time as
1. 1500. 2. 1600. 3. 1700. 4. 1800.
Which therapeutic activity would be most important in helping a patient diagnosed with schizophrenia remain in the work force?
a. Social skills training b. Physical therapy to develop muscle strength c. Occupational therapy to improve coordination d. Group therapy to improve motivation for working