The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in:

a. Nursing homes
b. State mental health facilities
c. Residential treatment centers
d. Homeless shelters


A
Many mentally ill, especially elderly, people were inappropriately placed in nursing homes with personnel who were not trained to care for these people. OBRA prevented this practice. State mental health facilities, residential treatment centers, and homeless shelters were not addressed in the OBRA of 1987.

Nursing

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The clinician should be aware of the Wells' Criteria when evaluating a patient for deep vein thrombosis (DVT). Wells' Criteria are risk factors that are assigned points toward the likelihood of DVT. Wells' Criteria include:

A. Active cancer B. Recent bedridden condition C. Pitting edema D. All of the above

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The older person's ability to remember, dream, and exercise behavioral control is a factor most related to:

1. biologic age. 2. psychological age. 3. social age. 4. chronological age.

Nursing

The pregnant patient at 41 weeks is scheduled for labor induction. She asks the nurse whether induction is really necessary. What response by the nurse is best?

1. "Babies can develop postmaturity syndrome, which increases their chances of having complications after birth." 2. "When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid." 3. "Sometimes the placenta ages excessively, and we want to take care of that problem before it happens." 4. "The doctor wants to be proactive in preventing any problems with your baby if he gets any bigger."

Nursing

In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. How many grams should be in the daily diet?

A) 20–30 g B) 40–50 g C) 60–70 g D) >80g

Nursing