The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system?
1. Team nursing
2. Functional nursing
3. Case method
4. Primary nursing
4
Rationale 1: In team nursing, patients are assigned to a nursing team that is usually led by an RN. The team is responsible for the patients' care during the one shift of duty.
Rationale 2: Functional nursing is a delegation of tasks over one shift worked.
Rationale 3: The case method of delivering nursing care is sometimes referred to as total patient care. The RN has total care responsibility for the patient during the shift worked.
Rationale 4: Primary nursing is defined as a system in which each patient is assigned to a nurse who has 24-hour responsibility for the nursing care delivered to the patient.
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The nurse is working on the night shift when she notices sinus bradycardia on the patient's cardiac monitor. The nurse should:
a. give atropine to increase heart rate. b. begin transcutaneous pacing of the patient. c. start a dopamine infusion to stimulate heart function. d. assess for hemodynamic instability.
The nurse is making recommendations to a client with a diagnosis of chronic constipation on ways to increase the fiber intake in his diet. Which of the following could be one of those recommendations?
A) Drink organ juice instead of orange drink. B) Eat legumes two or three times per week. C) Eat cream of wheat instead of white toast. D) Eat pretzels instead of potato chips.
During orientation with a home care agency, the nurse is learning the difference in care delivery between home health nursing and community nursing. What should the nurse understand as being the focus of home health care nursing?
1. Individuals, families, and groups 2. The individual and his or her family 3. The terminally ill client and his or her family 4. The client in a home setting
While going through the process of acculturation a client will be:
1. Identifying with 2 or more cultures 2. Adapting to and adopting a new culture 3. Showing favor to the dominant culture 4. Socializing within their primary cultural group