A nurse assessing a patient with the role performance model of health in mind would add which question to the nursing assessment as a priority?
a. "Are you able to meet your needs when you are sick?"
b. "How has this illness affected your daily activities?"
c. "How much stress do you have in your life right now?"
d. "When did the symptoms first become bothersome?"
B
Daily activities reflect roles, and the role performance model of health looks at disease as interfering with the ability to fulfill one's social roles.
The adaptive model of health addresses whether or not patients are able to meet their own needs.
The adaptive model of health addresses the amount of stress patients have in their lives.
The clinical model of health considers the absence of disease (and absence of symptoms) to be the defining characteristic of health.
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You document your patient's vital signs into a bedside documentation device and are able to compare your patient's vital signs with patients who have similar diagnoses and similar medica-tions, and who are of a similar age. You are accessing:
a. E-mail. b. Telecommunications. c. A database. d. Technology.
A client who had a thrombotic stroke finished receiving intravenous rt-PA therapy at 10:00 AM on Sunday. Sunday afternoon the physician writes an order to start Coumadin and Plavix that evening. The most appropriate action by the nurse would be to
a. call the physician and clarify when the medications should be given. b. consult with the pharmacist about giving both medications together. c. give the Coumadin at 5:00 PM because that is the standard administration time. d. provide appropriate education and administer the medications as ordered.
A patient demonstrates visual aphasi
a. The nurse can project that there is dysfunction in which cerebral lobe? a. Temporal b. Parietal c. Occipital d. Frontal
While discussing assessment of suicidal clients, one nurse mentions, "I was taught to always base my care on concrete, evidence-based scientific reasoning and never to rely on intuition."
Which response by another nurse shows greater understanding of intuitive reasoning? 1. "That's wise, since intuition went out of favor with the scientific revolution." 2. "Critical thinking and intuition are at opposite poles. Keep relying on your exper-tise." 3. "It's possible that intuition about suicidality is generated by transfer of feelings from the client to the nurse." 4. "It's been determined that intuition is nothing more that extrasensory perception, so some folks have it, and some don't."