The nurse refers the client to a website on smoking cessation after evaluating its contents. Which factor increases the probability that the website is appropriate for the client?
1. The site is written in technical language and has comprehensive chemical diagrams for credibility.
2. The site has a current revision date and a URAC accreditation seal that the site meets quality standards.
3. The site is sponsored by a pharmaceutical company that manufactures a smoking cessation medication.
4. The site has a list of broadly generalized indications for smoking cessation.
2
Rationale: Established websites should include revision dates of all pages and be written at the appropriate comprehension level of the intended audience. Additionally, a URAC accreditation seal that the site meets quality standards increases the site's credibility. The consumer should be wary of bias, poorly referenced materials, and broad generalizations of facts.
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Sustained release methylphenidate (Concerta) was administered to a child with ADHD. Which finding best indicates the medication was effective?
a. Increased expressiveness in communication with others. b. Improved ability to participate in play with other children. c. Ability to identify anxiety and implement self-control strategies. d. Improved socialization skills with other children and authority figures.
The nurse is assessing a client with a suspected femur fracture. Which of the following findings would most support this diagnosis?
1. External rotation of the lower leg and foot 2. Internal rotation of the lower leg and foot 3. Limited hip internal rotation 4. Limited hip external rotation
A patient diagnosed with delirium stares at the corner of the room, wrings hands, and says, "I'm scared those snakes will bite me." The nurse should document
a. agnosia. b. disorientation. c. confabulation. d. visual hallucinations.
During a previous home care patient visit, the nurse instructed the patient to obtain certain supplies for wound care and to create a specific area within the home for these supplies
The nurse sees during the current visit that the patient did neither of these actions. Which of the following should the nurse do? a. Assume the patient is unable to follow directions and phone the physician b. Ask the patient which part of the instructions they did not understand c. Tell the patient that home care is canceled because the patient is resistant to instruction d. Assess the patient for reasons why the in-structions were not carried out