Which of the following are elements of the MAPP (Mobilizing for Action Through Planning and Partnership) Program Planning Model? (Select all that apply.)
a. Generate shared visions and common values
b. Assess priorities in health problems
c. Develop a framework for long-range planning
d. Choose health priorities
ANS: A, C
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A patient with schizophrenia tells the nurse "I don't know, it's just all the same. You never know. It comes, it goes, it blows away. Get it?" The best response for the nurse to make would be:
a. "Nothing you are saying is clear; you are not making sense.". b. "Yes, life can be like that sometimes, very confusing.". c. "Try to organize your thoughts and then tell me again.". d. "I am having difficulty understanding what you are saying.".
The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
a. sit calmly in a chair next to the person and ask questions in a non-threatening manner b. ask loud, direct questions c. have the person write down the information on the chart d. ask the family member instead of the person
The nurse prepares to give a patient the next scheduled dose of an opioid analgesic. The patient arouses easily but the respiratory rate remains at 10 breaths per minute. What is the nurse's best first action?
a. Hold the dose and notify the prescriber. b. Hold the dose and apply oxygen by mask or nasal cannula. c. Check the patient's oxygen saturation and ask about his or her pain level. d. Call the Rapid Response Team and prepare to administer the prescribed opioid antagonist.
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
a. "What are the common elements here?" b. "Tell me again about your experiences." c. "Am I correct in understanding that . . ." d. "Tell me everything from the beginning."