What is the most significant change today in healthcare providers that impacts all types of healthcare settings?
1. Use of hospitalist
2. Increased emphasis on interprofessional teams
3. Development of the Doctor of Nursing Practice degree
4. Use of unlicensed assistive personnel
2
Explanation: 1. Hospitalists are new, but they are only used in hospitals and not all hospitals use them.
2. Interprofessional teams are the major focus today in healthcare delivery—in practice and need to develop education—meeting the healthcare professions core competency to utilize interprofessional teams.
3. The Doctor of Nursing Practice is important, but it is not important to all settings and not clear what its long range impact will be.
4. Unlicensed assistive personnel are not new to healthcare delivery.
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At a first aid station on a marathon route, a patient after the race complains of headache, muscle cramps, weakness, nausea, and confusion. Which statement made by the patient might explain these symptoms?
a. "I was really thirsty after the race. I drank several large bottles of water." b. "I perspired quite a bit during the race so I drank sports drinks when I finished." c. "I take steroids regularly and did not stop taking them for the race." d. "I am diabetic and checked my blood sugar after the race. It was normal."
A nurse assesses a client suspected of having the diagnosis of major depressive episode. Which client symptom would rule out this diagnosis?
1. The client is disheveled and malodorous. 2. The client refuses to interact with others and isolates self in room. 3. The client is unable to feel any pleasure. 4. The client has maxed-out charge cards and exhibits promiscuous behaviors.
A client with terminal colon cancer is refusing all food and fluids. The client has a living will that states no artificial nutrition is to be provided; however, the family is asking for a gastrostomy tube. What should the nurse do?
A) Take the case to the hospital's ethics committee. B) Talk to the physician so he or she can move forward with the family's wishes. C) Honor the client's refusal and help the family come to terms with the situation. D) Honor the family's wishes and have them sign a consent form.
An advantage of primary nursing is:
a. accountability. c. geographic boundaries. b. cost. d. performing all interventions.