Which of the following actions cause health care disparities?
a. Refusal of treat-ment c. Trust in the health care system
b. Provider–patient relationships d. Provider bias and discrimination
A
Disparities in health care can include both provider and patient variables. Patient variables are mistrust of the health care system and refusal of treatment.
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A 72-year-old woman has been diagnosed with osteoporosis and has begun taking alendronate (Fosamax). The nurse should be aware that this drug can increase the woman's bone density by which of the following means?
A) Decreasing renal excretion of calcium B) Increasing the binding of vitamin D to calcium ions C) Suppressing the function of osteoclasts D) Enhancing the function of osteoblasts
A client with a diagnosis of schizophrenia has experienced a recent increase in the frequency and severity of command hallucinations that has culminated in a suicide attempt
The nurse should anticipate that this client may benefit from which of the following? A) An SSRI B) Lithium C) Naltrexone (ReVia) D) Clozapine (Clozaril)
While reviewing laboratory values, the student notes a patient's digoxin level is increased. Which of the following actions should the nurse take regarding the patient's scheduled dose of digoxin?
1. The nurse should continue with digoxin until the physician changes the order. 2. Increased levels of digoxin are toxic, so the nurse should hold the patient's digoxin. 3. The nurse should continue with digoxin but notify the physician of the level. 4. Increased levels of digoxin are not cause for concern as long as vital signs do not register changes, so the nurse should check the patient's pulse and blood pressure before administration.
When working with a client who is HIV positive, the nurse serves as an educator, teaching about the modes of transmission, and serves as a(n)
a. Advocate, lobbying for AIDS research b. Counselor, discussing implications of future sexual activity c. Role model, providing supportive care d. Policy maker, addressing laws governing privacy rights of HIV-positive persons