Which patient is most likely to need long-term nursing care management?
a. 72-year-old who had a hip replacement after a fall at home
b. 64-year-old who developed sepsis after a ruptured peptic ulcer
c. 76-year-old who had a cholecystectomy and bile duct drainage
d. 63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
ANS: D
Osteoarthritis and obesity are chronic problems that will require planning for long-term interventions such as physical therapy and nutrition counseling. The other patients have acute problems that are not likely to require long-term management.
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A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful?
A) Increased use of early screenings B) Increased emergency room visits C) Increased episodic care D) Increased disparities in care
A 15-year-old patient is hospitalized after a suicide attempt. The adolescent lives with his mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine
a. how the family expresses and manages emotion. b. the names and relationships of the patient's family members. c. the communication patterns between the patient and parents. d. the meaning the patient's suicide attempt has for family members.
The parents of a newborn ask the nurse about what their baby can see. The nurse responds correctly by saying:
1. "Babies aren't able to see until they are around 4 months old." 2. "Babies won't track moving objects until about 5 months." 3. "Newborns blink in response to bright lights and sound and will follow large objects." 4. "Newborns aren't able to focus, so everything looks blurry to them."
The nurse is using the Snellen chart. Which patient is the nurse assessing?
a. A patient who frequently reports the incorrect time from the clock across the room. b. A patient who is having difficulty remembering how to perform familiar tasks. c. A patient who turns the television up as loud as possible. d. A patient who has trouble saying words.