Which of the following trends should the psychiatric nurse consider when engaged in planning for
future managed behavioral health organization services? (More than one answer may be correct.)
A. Cost constraints will continue.
B. Community-based care will evolve.
C. Case management is a necessary skill.
D. The prevalence of dementia is falling.
E. Cultural diversity in the United States is decreasing.
ANS: A, B, C
Rationale: Cost constraints will continue. More people will need mental health services, making
scarce services even more scarce. Costs will rise because of the sheer numbers of individuals
requiring care. Community-based care will continue to increase in an attempt to keep costs as low as
possible. New services will evolve as innovative responses to need. Case management is necessary
because it ensures that care is provided as efficiently and effectively as possible, thus saving scarce
dollars. Option D is incorrect. The prevalence of dementia is expected to rise as the population ages.
Increased need for institutions to care for clients with dementia is expected. Option E is incorrect.
Cultural diversity in the United States is increasing. Nursing cultural competence is necessary.
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The nurse is newly inducted in Sigma Theta Tau International for outstanding academic achievement while attending a program to earn a bachelor's degree in nursing
Which global health initiatives should the nurse investigate as a new member to this international organization? (Select all that apply.) 1. Future of nursing 2. Guidelines for genetics 3. Education of nurses and midwives 4. Disaster preparedness and response 5. Informatics guiding education reform
In planning care for the elderly population, the nurse should be aware that this population is susceptible to environmental hazards due to:
A) increased metabolic rate. B) increased surface-to-body mass ratio. C) increased blood flow. D) reduced cell-mediated immunity.
Risk management is a hospital program organized to prevent the incidences of preventable accidents, injuries, and errors. Which of the following situations would a hospital risk manager need to investigate?
a. A patient breaks his wrist from a fall caused by a wet floor. b. A patient receives a dose of subcutaneous heparin 1 hour later than scheduled. c. A patient who is NPO is not given her morning medications. d. A patient who is allergic to shellfish is given preprocedure medications to reduce his risk for allergic reaction to the dye being used in the procedure.
The nurse administers narcotics to surgical patients. Which statement represents the nurse's best understanding as it relates to the potency of different narcotics?
1. Codeine is less potent than morphine; it will not produce an allergic reaction. 2. Morphine is more potent than codeine; a lesser dose will be required. 3. Morphine is more potent than codeine; it will produce more adverse effects. 4. Codeine is less potent than morphine; it will not relieve pain as well.