Transfer from a long-term care facility is being considered for a combative resident.OBRA Resident Rights that impact this decision include

a. a legitimate and documented reason for the transfer.
b. addressing the problem behavior in the care plan.
c. the family preventing the discharge through litigation.
d. the resident has the right to delay the transfer for 20 days.


A
OBRA Resident Rights include the provision of a legitimate reason for the transfer. The other options are not included in the rights as published.

Nursing

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The nurse is caring for the client in the preoperative period and documenting rationale for a palliative surgical procedure. Which rationale is most appropriate?

A) The physician needs additional information to plan medical treatment. B) The client wishes to improve body structures and elects a procedure. C) The physician is repairing a deformity from birth or disease process. D) The client and physician are focusing on symptom relief not a cure.

Nursing

Why is it imperative that the nurse keep informed and up-to-date about demographic trends pertaining to families and all types of households?

a. To understand the demographics of the areas they are serving b. To provide safe care to the public c. To predict the needs of families within the community d. To identify households where children may need special attention

Nursing

Which one of the following is a principle that guides and enhances family nursing practice?

A) The nurse should expect that the family will be normal and will not change. B) The nurse should start where the family is at the present time and not the ideal level of functioning. C) The nurse should focus on each family member individually. D) The nurse should evaluate the family based on consistency with traditional family patterns.

Nursing

The nurse is explaining the pain response process to a patient experiencing chronic pain. In which order should the nurse identify the steps in the neural pain pathway? Place in order the steps of the process.Choice 1. In the thalamus and cerebral cortex, the pain impulse becomes pain when the sensation reaches conscious levels and is perceived and evaluated by the person experiencing the sensation.Choice 2. Dorsal horn synapses relay impulses up the spinal cord. Spinal neurons transmit the impulses via axons that cross over to the spinothalamic tract.Choice 3. The impulses ascend the spinothalamic tracts and pass through the medulla and midbrain to the thalamus.Choice 4. A noxious stimulus is perceived by cutaneous nociceptors and then transmitted through A-delta (A?) and even

smaller C nerve fibers to the spinal cord dorsal horn. Fill in the blank(s) with the appropriate word(s).

Nursing