On your inpatient ob-gyn unit, the model of patient care delivery consists of a group of patients who are cared for by an RN, an LPN, and a nursing assistive personnel (NAP). This patient care model is called:
a. functional nursing c. total patient care
b. team nursing d. primary nursing
B
In the team nursing model of patient care, a group of patients is assigned and cared for by a group or team of care providers such as an RN, an LPN, and an NAP. Functional nursing is task-oriented. Total patient care can be described as a patient (or patients) cared for by an RN with some support by other members of the health care staff, but the support staff is not specifically assigned to a particular group of patients. Primary nursing designates the RN as the primary provider of patient care.
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A hospice nurse is caring for a 22-year-old with a terminal diagnosis of leukemia. When updating this patient's plan of nursing care, what should the nurse prioritize?
A) Interventions aimed at maximizing quantity of life B) Providing financial advice to pay for care C) Providing realistic emotional preparation for death D) Making suggestions to maximize family social interactions after the patient's death
A patient asks the nurse what it means when the doctor said that he had adenocarcinoma of the bladder. Reviewing the pathophysiologic principles behind this type of cancer, the nurse knows
A) it is a low-grade tumor that is readily cured with bladder surgery. B) after resection of the cancer, the prognosis is excellent with this type of cancer cell. C) that these types of cancer cells are very invasive to the tissue; therefore, the entire bladder must be removed. D) this is a rare but highly metastatic tumor that has a very poor prognosis.
Which intervention is appropriate for a client receiving palliative care? (Choose all that apply.)
1) Surgical insertion of a device to decrease the workload of the heart in a patient awaiting heart transplantation 2) Administering intravenous dopamine to raise blood pressure of a patient with end-stage lung cancer 3) Providing moisturizing eye drops to an unconscious patient whose eyes are dry 4) Administering a medication to relieve the nausea of a patient with end-stage leukemia
Recheck your calculation if the results indicate that you should administer more than __________ tablets
or capsules. A. 3 B. 1 C. 2 ½ D. 2