An elderly resident of a long-term care facility has developed diarrhea and dehydration as a result of exposure to clostridium difficile during a recent outbreak

The resident's primary care provider has consequently prescribed the antibiotic metronidazole (Flagyl). Which model of health promotion and illness prevention is most clearly evident in these events?

A) The Agent-Host-Environment Model
B) The Health-Illness Continuum
C) The Health Promotion Model
D) The Health Belief Model


Ans: A
The presence of an infectious microorganism and the act of treating that agent are associated with the Agent-Host-Environment Model of health promotion and illness prevention. The client's beliefs about health are not central in this scenario, and health promotion and the pursuit of health are not the most important priorities during this active treatment of illness. This client is not being characterized as existing on a point on a health continuum.

Nursing

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A gardener sustained a deep laceration while working and requires sutures. The patient is asked about the date of her last tetanus shot, which is over 10 years ago. Based on this information, the patient will receive a tetanus immunization

The tetanus injection will allow for the release of what? A) Antibodies B) Antigens C) Cytokines D) Phagocytes

Nursing

Although the Occupational Safety and Health Act (OSHA) increases the cost of care, it also specifies the requirements for safe:

a. environment. b. medication administration. c. food preparation. d. ambulation and transportation.

Nursing

What type of adnexal disorder is causing her pain?

A 34-year-old married daycare worker comes to your office, complaining of severe pelvic pain for the last 6 hours. She states that the pain was at first cramp-like but is now sharp. Nothing makes the pain better or worse. She has had no vaginal bleeding or discharge. She has had no pain with urination. She has had some nausea for the last few days but denies vomiting, constipation, or diarrhea. She states she feels so bad that when she stands up she has fainted. Her past medical history consists of two prior cesarean sections and an appendectomy. She is married and has two children. She denies any tobacco, alcohol, or drug use. Her parents are both healthy. On examination you find a pale young woman who is obviously in a great deal of pain. She is lying on her right side with her eyes closed. Her blood pressure is 90/60 and her pulse is 110. She is afebrile. She has bowel sounds and her abdomen is soft. The speculum examination reveals a bluish cervix but no blood or purulent discharge at the os. There is a mild amount of tenderness with palpation of the cervix. The uterus is nongravid but the right adnexal area is swollen and very tender. Urine analysis is normal and the urine pregnancy test is pending. A) Ovarian cysts B) Tubal pregnancy C) Pelvic inflammatory disease

Nursing

Health education is a vital part of community nursing. What is the purpose of education across the three levels of illness prevention? Education

1. Enables clients to attain optimal health 2. Identifies and treats health problems early to eliminate disability 3. Allows populations to break into individuals 4. Teaches people about Healthy People 2010

Nursing