Primary health care serves to benefit the patient in three ways. Which one of the ways is not correct?
a. reduce hospitalizations c. reduce morbidity
b. improve health d. reduce costs
D
In 1996 the Institute of Medicine defined primary care to meet the needs of the population. Starfield (1998) took that definition and goal further. He outlined seven facets that are important to primary care. These include that the care should begin at the first contact and that it should be continuous, comprehensive, coordinated, community oriented, family centered, and culturally competent. By providing primary health care interventions, such as health promotion and timely preventative care and medication administration, we can reduce the need for hospitalizations, improve the health of patients, and avert adverse morbidity and mortality outcomes.
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The nurse is working with a client who has recently been diagnosed with hypertension. Which of the following would be most therapeutic?
1. "What would you like to know about hypertension?" 2. "What concerns do you have about this diagnosis?" 3. "Do you know what hypertension is?" 4. "Does this diagnosis upset you?"
A new CEO has been hired at Valley Hospital who proposes to change the centralized organizational structure that was put in place ten years ago, based on widespread consultation with staff
The proposed structure involves substantial flattening of the organizational structure, with significant decision making being made at the point-of-care and an emphasis on interprofessional collaboration. There is a great deal of discussion about the balance between hospital-wide budget decision making and unit-based decision making. This discussion represents: a. Chaos theory. b. Organizational redesign. c. Organizational reengineering. d. Restructuring.
The nurse cares for a client who requires hemodialysis and has an arteriovenous fistula. Which statements will the nurse include when teaching the client safety precautions for the AV fistula? Select all that apply.
A. "Keep the AV fistula dry and avoid washing with soap." B. "Do not wear constrictive clothing or jewelry." C. "Avoid lifting heaving objects with the extremity that has the AV fistula." D. "Avoid lying on the extremity with the AV fistula." E. "Immediately report swelling or discoloration."
The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
a. Encourage copious amounts of water. b. Start an additional intravenous (IV) line. c. Measure and record all intake and output. d. Weigh the patient and compare with preoperative weight.