Which is an appropriate primary nursing intervention to help meet the health care needs of the elderly?
A. Advocacy by lobbying for appropriate community resources
B. Case management and collaboration with the client and family in setting goals
C. Teaching the family how to care for the elderly person in the family
D. Under the Geriatric Evaluation Service, screening applications for nursing home placement
ANS: A
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A study utilized the medical records of nursing home residents as the source of data for the study. This is an example of which type of study?
1. Longitudinal. 2. Retrospective. 3. Prospective. 4. Cross-sectional.
A 31-year-old patient has returned to the post-surgical unit following a hysterectomy. The patient's care plan addresses the risk of hemorrhage. How should the nurse best monitor the patient's postoperative blood loss?
A) Have the patient void and have bowel movements using a commode rather than toilet. B) Count and inspect each perineal pad that the patient uses. C) Swab the patient's perineum for the presence of blood at least once per shift. D) Leave the patient's perineum open to air to facilitate inspection.
A woman has undergone fine needle biopsy of a breast lump. Which statement would the nurse evaluate as indicating that the patient understands discharge teaching?
1. "Even if this lump was cancer, it is all gone now.". 2. "I will massage my breast twice daily for the next week.". 3. "I can go back to work today if I wish.". 4. "There is no risk of infection with this procedure.".
A patient who has been casted for a fracture of the left ulna asks the nurse when the cast will come off. The nurse's response is based on the knowledge that the cast will be removed when which physiologic parameter has been met?
1. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A specific amount of time has passed, predetermined by the severity of the break. 4. The X-ray of the fractured bone shows that the ends are well joined.