At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?

1. "We have always had the patient at the center of everything we do."
2. "We can't afford to hire more RNs."
3. "I'm concerned about the increased time and leadership our nurse managers will have to provide."
4. "I like the idea of centralizing all our care."


3
Rationale 1: Patient-centered care as a practice model is not the same as centering care around the patient.
Rationale 2: There would be fewer RNs in the patient-centered care model.
Rationale 3: The nurse manager's role in patient-centered care requires considerable time. The nurse manager must be a strong leader.
Rationale 4: Patient-centered care is actually decentralized. Many of the tasks traditionally done by a central office, such as admission, are unit based.
Global Rationale:

Nursing

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A parent says to a nurse, "How do you know when my baby needs these screening tests the doctor just mentioned?" Which response should the nurse make to the parent?

1. "Screening tests are administered at the ages when a child is most likely to develop a condition." 2. "Screening tests are done in the newborn nursery, and from these results, additional screening tests are ordered throughout the first two years of life." 3. "Screening tests are most often done when the doctor suspects something is wrong with the child." 4. "Screening tests are done at each office visit."

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The nurse is teaching a prenatal class on the signs and symptoms of true labor. Which statement made by a participant indicates an understanding of true labor contractions?

A) Increase even if relaxing and taking a shower B) Remain irregular with the same intensity C) Subside when walking around or in the lateral position D) Cause discomfort over the top of the uterus

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Why is it important that the public health nurse be included in disaster planning?

a. To be most effective as a disaster responder b. To anticipate the potential disasters that may occur c. To educate the public about their responsibilities if a disaster occurs d. To demonstrate the importance of community partnerships

Nursing

A patient with possible viral hepatitis reports recent intake of raw shellfish. Which of these types of hepatitis does the patient most likely have?

a. Hepatitis A virus b. Hepatitis B virus c. Hepatitis C virus d. Hepatitis D virus

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