Your grandmother calls to tell you about her neighbour, Norma, who recently had a stroke. She says the physician in the urgent care center at St. John's hospital saw Norma after she was brought in by a friend
Then Norma was transferred to a larger hospital (Holy Oaks Regional Hospital) where she had to have a "coiling thing" done. Your grandmother tells you that they don't do this type of procedure at their local hospital, "only in those big cities." Norma spent a couple of days there and then was transferred back to the hospital in the next town (Springfield Hospital) where they have special "brain doctors." Then they moved Norma back to the local hospital (St. John's Hospital) where they took care of her for two weeks. Now Norma is seeing Dr. Bradley in his office every week and has home care every day. What level of health care did Norma receive at each of the following places? a) St. John's Hospital b) Holy Oaks Regional Hospital c) Springfield Hospital d) Dr. Bradley's office
a) St. John's Hospital: Secondary Care
b) Holy Oaks Regional Hospital: Quaternary Care
c) Springfield Hospital: Tertiary Care
d) Dr. Bradley's office: Primary Care
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An ethnic older adult may experience a loss of self-worth when the nurse
a. informs the patient about ethnic support services. b. allows a patient to rely on ethnic health beliefs and practices. c. has to use an interpreter to provide explanations and teaching. d. emphasizes that a therapeutic diet does not allow ethnic foods.
The nurse wants to reduce the stress level for a preoperative client. Which of the following communication techniques can the nurse use to achieve this result?
1. Allow the client to be alone before the surgery. 2. Observe and ask the client if there is anything that can be done to help reduce her anxiety. 3. Refer to the client by her first name. 4. Make tasteful jokes or comments to help the client laugh.
A patient with bipolar disorder, who is being treated on an outpatient basis, takes lithium carbonate 300 mg three times daily. The patient complains of nausea. To reduce the nausea, the nurse can suggest that the lithium be taken with:
a. meals b. an antacid c. an antiemetic medication d. a large glass of juice
Which prescription should the nurse anticipate to be included in the treatment of a client experiencing mild migraine headaches?
A. Ibuprofen B. Sumatriptan (Imitrex) C. Ergotamine (Ergostat) D. Amitriptyline (Elavil)