A unit manager recently graduated as a clinical nurse specialist with a focus in gerontology. She applied to take a certification exam. Certification is designed to recognize:
a. Basic knowledge in a specified area.
b. Advanced practice in functional roles.
c. Special knowledge beyond basic licensure.
d. Continued competence as a registered nurse.
ANS: C
Certification is an expectation in some settings for career advancement in advanced practice or in specialized areas and goes beyond basic preparation.
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After a male patient receives a diagnosis of a fatal disease, he expresses sadness and states that he does not know what to do next. Which is the most effective response by the nurse to facilitate communication?
a. Ask the patient what he finds comforting in his life. b. Reassure the patient that his family will take care of him. c. Refer the patient to a church for spiritual counseling. d. Tell the patient that hospice care is avail-able immediately.
Which finding for a patient who has a head injury should the nurse report immediately to the health care provider?
a. Intracranial pressure is 16 mm Hg when patient is turned. b. Pale yellow urine output is 1200 mL over the last 2 hours. c. LICOX brain tissue oxygenation catheter shows PbtO2 of 38 mm Hg. d. Ventriculostomy drained 40 mL of cere-brospinal fluid in the last 2 hours.
During which step of the nursing process does the nurse collect information?
A) Diagnosis B) Planning C) Analysis D) Evaluation
Of the following options, which is the greatest barrier to providing quality health care to the old-er-adult client?
1. Poor client compliance resulting from generalized diminished capacity 2. Inadequate health insurance coverage for the group as a whole 3. Insufficient research to provide a basis for effective geriatric health care 4. Preconceived assumptions regarding the lifestyles and attitudes of this group