The responsibility for making decisions about and designing strategies to create a climate and environmental context around the provision of nursing and health care services lies with:
a. staff nurses.
b. care councils.
c. the nurse manager.
d. executive leadership.
D
Executive leadership is responsible for making decisions about and designing strategies to create a climate and environmental context around the provision of nursing and health care services.
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The parent of an adolescent with schizophrenia asks the nurse, "My child's doctor ordered a PET. What kind of test is that?" Select the nurse's best reply
a. "This test uses a magnetic field and gamma waves to identify problem areas in the brain. Does your teenager have any metal implants?" b. "PET means positron-emission tomography. An injection is given and images are taken. It shows blood flow and activity in the brain." c. "A PET scan passes an electrical current through the brain and shows brain-wave activity. It can help diagnose seizures." d. "It's a special type of x-ray that shows structures of the brain and whether there has ever been a brain injury."
A healthy 70-year-old woman confides to the nurse that she has vaginal soreness with some bleeding and white discharge. She is embarrassed and confused because she has not been sexually active for more than a year
The nurse should explain that older women are predisposed to vaginitis for what reason? A) Limited sexual activity B) Lack of proper hygiene C) Reduced response of the immune system D) Age-related changes to vaginal tissue
Diekelmann and colleagues proposed a 7-stage process of hermeneutic analysis that includes the identification of:
A) An appropriate metaphor B) A constitutive pattern C) A hermeneutic circle D) An exemplar
Indicate which assessment findings are considered abnormal for an adult client. (Select all that apply.)
A. Respiratory rate of 34 breaths per minute B. Diaphragmatic excursion is 1 cm C. Exhalation is twice as long as inhalation D. Vibrations can be palpated bilaterally on the client's upper back when the client says the number "99." E. Trachea is in the midline F. Suprasternal retractions are present during inhalationG. Loud, hollow sound is present on percussion of the right middle lobeH. Bronchial breath sounds are heard over the lateral areas of the left lung I. Absence of breath sounds bilaterally below the diaphragm J. The words "one, two, and three" are heard distinctly through the stethoscope on the client's back when he or she whispers