In which model of care delivery is the focus on patients' needs rather than on staff needs?
a. primary c. differentiated practice
b. patient-centered d. modular
B
Patient-centered care is designed to focus on patients' needs instead of staff needs. Primary nursing delineates the responsibility and accountability of the RN and designates the RN as the primary provider of care to patients. Differentiated practice sorts the roles, functions, and work of RNs according to identified criteria. Module nursing divides a geographic space into modules of patients, with each module cared for by a team of staff led by an RN.
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The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage?
a. Use sterile material b. Leave the toes exposed c. Bandage the extremity tightly d. Bend the knee after bandaging
A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety
When the son visited today, he found his mother confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the emergency department, and hospital admission followed. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed over a 2-day period. The patient's symptoms are most characteristic of: a. delirium. b. dementia. c. amnestic syndrome. d. Alzheimer's disease.
A mentally competent patient has an extremely low blood count and will likely die without a blood transfusion. The patient knows the risk, but continues to refuse the blood. Which action by the nurse is the most appropriate?
a. Assume the patient is confused and give the blood anyway. b. Request a psychological evaluation to ensure that the patient understands the risk. c. Ask family members to intervene and make the patient consent to receiving blood. d. Follow the patient's wishes and do not administer a blood transfusion.
The nurse coming on duty received in report that the client's lung sounds were clear to auscultation in all lobes. The nurse coming on heard moderate-intensity and moderate-pitch "blowing" sounds between the scapulae and lateral to the sternum at the first and second intercostal spaces when doing her own assessment. Which should the nurse do next?
A. Encourage the client to cough and deep breathe. B. Notify the healthcare provider of abnormal breath sounds. C. Document assessment findings as normal breath sounds. D. Raise the head of the bed to allow maximum air excursion.