The models of nursing care delivery have been many and varied throughout the history of nursing. Which of the following best describes the idea of the continuity of care?
A) Money focused
B) Client focused
C) Primary nursing
D) Functional nursing
Ans: B
Community-based nursing practice, admission and discharge from a health care setting, transfer from one setting to another, and readiness for home health care all have to do with the continuity of care and are client-focused. In other words, they focus on a client's needs and the nurse's role in providing that continuity. The other answers are incorrect.
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Select the best response for the nurse who receives a query from another mental health professional seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis
a. "There is no functional difference between the two. Both identify human disorders." b. "The DSM-IV-TR diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." c. "The DSM-IV-TR diagnosis is associated with present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems." d. "The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for phenomena a patient is experiencing."
The client is undergoing a splenectomy as a result of splenic rupture and hemorrhage after a motor vehicle crash. Which is the most important precaution to teach this client regarding immunologic function and health alteration?
A. "You will no longer develop a fever when you have an infection, so you must learn to identify other symptoms of infection." B. "You will be at a decreased risk for developing allergies, so it will no longer be necessary for you to avoid common allergens." C. "You will need to avoid people with viral infections because it is harder now for you to develop antibodies." D. "You will need to have yearly checkups because your risk for cancer development is greater now."
Which factors are absolute contraindications for thrombolytic therapy? (Select all that apply.)
a. Active peptic ulcer disease b. Active internal bleeding c. Recent head trauma d. Endocarditis e. Suspected aortic aneurysm f. Surgery within the last 10 days
The nurse evaluates different healthcare systems and determines that those delivering safe and high-quality care require what? (Select all that apply.)
1. Health professionals such as nurses, physicians, occupational and physical therapists 2. Medical vendors such as supplies of linens, foods, medications, and supplies 3. Ancillary service professionals such as food, maintenance, and business office services 4. An adequate intake of cash to pay competitive salaries to employees 5. National certification as a magnet hospital in the community