Which nursing interventions would be in line with the chronic care model? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Blood sugar is measured frequently in an attempt to achieve tight glycemic control.
2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic respiratory disease.
3. The nurse advocates for the client who has decided to forego further dialysis.
4. Client information is entered into an electronic medical record.
5. Information about the operating hours of a community recreation center is provided to the client with coronary artery disease.
2,3,4,5
Rationale 1: The chronic care model manages how care is delivered, not a specific disease.
Rationale 2: Self-management is one of the six components of the chronic care model.
Rationale 3: Decision support is one of the six components of the chronic care model.
Rationale 4: Use of clinical information systems is essential to the chronic care model.
Rationale 5: Use of community resources is one of the six components of the chronic care model.
Global Rationale:
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When an elderly person is adequately physically cared for in the home by adult children, but socially isolated and expresses no purpose or will to live, this is a sign of:
a. psychological or emotional neglect b. psychological or emotional abuse c. direct physical abuse d. physical neglect
While working at a weekend "free clinic," the nurse is assessing a 3-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget, and that she is not sure that
she has enough money to buy food for the rest of the month, let alone the antibiotic that is needed for the child's ear infection. Which is the intervention by the nurse that would be most beneficial for the child and this family? 1. Giving the mother enough free samples of the antibiotic for the recommended course of treatment 2. Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community 3. Talking with the mother about the factors that increase a child's risk of acquiring an ear infection 4. Talking with the mother about the importance of a balanced diet in the growth and development of children, and providing her with a list of inexpensive, nutritious foods
A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but she said she couldn't be pregnant
" The nurse understands that the patient's mother's behavior exemplifies: 1. Low self-esteem. 2. Anger. 3. Denial. 4. Ignorance.
A nurse begins an infusion of intravenous immune globulin (IVIG) to a child who has combined immunodeficiency disease. Which assessment finding indicates that the nurse should stop the infusion?
1. A mild headache 2. Clear yellow urine 3. Severe shaking, chills, and fever 4. Complaints of being "thirsty"