Which statement about the effect of healthcare quality report cards is accurate?
1. They have been shown to have a direct influence on consumer healthcare decisions.
2. These report cards are generally not accessible to consumers.
3. Releasing information via these report cards does not guarantee changes in quality.
4. Most consumer healthcare choices are now based on facts from these report cards rather than opinion.
3
Explanation: 1. There is no evidence that these report cards have influenced consumer health decisions.
2. These report cards are accessible to consumers via websites.
3. This is the primary issue with these report cards. There is no guarantee that publishing negative report cards will have any influence on how the employees of a facility do their jobs.
4. Many healthcare decisions are still based upon geography, tradition, or personal beliefs about a facility.
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A client who drinks 3 to 4 martinis before dinner every night feels that people who drink beer are alcoholics because of the volume of alcohol in each can. Which response should the nurse make to this client?
a. "Beer and martinis have the same alcohol and calorie content." b. "Only beer drinkers are considered alcoholics if they overindulge." c. "The alcohol in 4 martinis is equal to about 11 cans of regular beer." d. "People who drink martinis may consume a smaller amount of alcohol but can still be considered alcoholics."
Anne Potter works in a primary care clinic. Recently, Anne helped care for Marvin Smith who came to the clinic for a preemployment physical. The physical required testing for tuberculosis,
and Marvin's test was positive. In compliance with state regulations, Anne's supervisor told her to report the positive result. To do this, she should contact: 1. Her local public health department. 2. Mr. Smith's employer. 3. The CDC. 4. The Department of Health and Human Services.
The physician ordered a brand name drug for the client, paroxetine (Paxil). After taking this medication for a year, the client tells the nurse that it is no longer working. What is the best assessment of the nurse at this time?
1. "This sounds like your medication needs changing." 2. "Let's look for interactions with other medications you are taking." 3. "Are you taking Paxil or paroxetine?" 4. "It is time for us to do the Beck Depression assessment again."
The nurse is preparing to ambulatea client in the hall. Which action by the nurse is a strategy to reduce the client's risk of falls?
1. Encouraging client to wear nonskid footwear 2. Cautioning the client about cords or clutter on the floor 3. Encouraging the client to continue walking after complaints of feeling tired 4. Acting as the client's means of support instead of using a walker to provide additional support