A client says, "My mom had Alzheimer disease and I am so afraid I am going to get it." Which nurse, if any, could best determine this client's risk and provide direction for care?
1. Any professional nurse
2. A nurse who has worked in an Alzheimer unit
3. A genetic clinical nurse
4. Nurses do not have the skills for this level of intervention.
3
Rationale 1: Any professional nurse should have skills in collecting a health history, constructing a pedigree, and making referrals, but this client requires the help of a nurse with advanced knowledge.
Rationale 2: Such a nurse does not necessarily have the skills to determine disease risk or the ability to direct care.
Rationale 3: A genetic clinical nurse is a professional nurse with specialized education and training. This nurse can counsel the client, determine disease risk, determine the need for genetic testing, and guide interventions and treatments.
Rationale 4: There are nurses with these skills.
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1. Routine metabolic screening 2. Hearing screening 3. Formula safety 4. SIDS risk reduction 5. Toilet training
In which of the following circumstances would it be more helpful to use the wheel model of epidemiology than the epidemiological triangle model?
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Prior to delegating a task, the nurse reviews the "rights" of delegation; these include which rights?
1. Supervision 2. Evaluation 3. Client 4. Time 5. Task
Which nurse's statement most closely indicates paternalism?
1. "While I know you are scared, you need to consider all your options." 2. "I must follow these orders and prepare you for surgery now." 3. "The tests and blood work are completed, so the course of action is decided." 4. "If you don't understand why we are doing something, just ask questions."