A nurse practitioner and a physician are considering establishing a medical home
For this venture to be successful, these health care providers should ensure which resources are available? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Electronic medical records (EMR) technology
2. A sufficient number of older adults who require long-term care
3. An understanding of the complexity of multiple-need clients
4. A robust marketing plan that describes the home's physical environment
5. A plan for compensation for the primary care provided
1,3,5
Rationale 1: For medical homes to be most effective, EMR should be implemented.
Rationale 2: A medical home is not the same as a long-term-care facility.
Rationale 3: One of the challenges in developing a medical home is the multiple needs of clients who have chronic conditions.
Rationale 4: The medical home is not a bricks-and-mortar facility.
Rationale 5: Problems with electronic delivery of data and information and compensation for primary care are challenges associated with developing a medical home.
Global Rationale:
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A nurse is teaching the daughter of a client who has Alzheimer's disease. The daughter asks, "Will the medication my mother is taking improve her dementia?" How should the nurse respond?
a. "It will allow your mother to live independently for several more years." b. "It is used to halt the advancement of Alzheimer's disease but will not cure it." c. "It will not improve her dementia but can help control emotional responses." d. "It is used to improve short-term memory but will not improve problem solving."
A 40-year-old man who has been separated from his father since early childhood tells the nurse that his father recently contacted him to inform him that he is dying of Huntington disease. What is an essential component of care for this patient?
A) Assist the patient in determining signs of neuromuscular weakness B) Instruct the man on treatment options for Huntington disease C) Teach the man how to avoid passing Huntington disease to his own children D) Provide genetic counseling, evaluation, and testing for the disease
A depressed client states, "I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again." Which nursing response is appropriate?
1. "Medications only address biological factors. Environmental and interpersonal factors must also be considered."2. "Because biological factors are the sole cause of depression, medications will improve your mood."3. "Environmental factors have been shown to exert the most influence in the development of depression."4. "Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment)."
Which purpose of the evaluation phase of the nursing process is a priority during client care?
A) Examine the client's behavioral response to the care received. B) Provide basis for the revision of plan of care. C) Monitor the quality and effects of the nursing care. D) Appraise collaboration of the client and family.