Other than educational preparation, what is the main difference between health care provided by a nurse practitioner and that provided by a physician?
A. Federal law permits only physicians to prescribe medications.
B. Nurse practitioners are limited to providing interventions centered on nursing di-agnoses.
C. Nurse practitioners provide care from a wellness model, and physicians more of-ten focus on illness care.
D. There is no difference in scope, interventions, responsibility, and liability in the health care provided by nurse practitioners and physicians.
C
Nurse practitioners (NPs) work from a wellness model focused on empowering clients to stay well and care for themselves. The traditional role of nurse practitioners is centered in primary care.
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You are the nurse caring for a 51-year-old man who has just been told in a family meeting that he has stage IV colon cancer
You expect that the patient now has an increase in blood pressure, heart rate and respiratory rate. You spend time talking with this patient and his vital signs become closer to normal range. To what would you attribute this phenomenon? A) Cortisol levels are decreasing. B) Endocrine activity has increased. C) The patient is adapting to noxious stressors. D) The sympathetic response has been activated.
The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. The client's diagnosis is most likely to be
1. malingering. 2. hypochondriasis. 3. a conversion reaction. 4. body dysmorphic disorder.
The nurse has finished teaching a class for adolescents and young adults on sexually transmitted infections (STIs) and safe sexual practices. The nurse determines further teaching is needed when which statements are made? Select all that apply
a. "It is important for me to avoid STIs, so I will get a prescription for birth control pills." b. "I cannot contract an STI if we only perform oral sex on one another." c. "I should see my provider to be tested if I experience burning on urination." d. "If I contract an STI, it isn't my fault because I had sex with only one person." e. "I need to have a discussion with my sexual partner about our past sexual histories."
The nurse notes edema in the hands and legs of an older client who appears undernourished. What should the nurse consider as being the reason for this client's edema?
a. Thyroid hormones are out of balance b. The kidneys are failing, causing fluid retention c. Lack of adequate protein is causing a fluid shift d. The client has been drinking large amounts of water to prevent feelings of hunger