Primary healthcare:

a. is usually the initial point of contact that a person has with healthcare.
b. is expensive and requires specialised equipment.
c. is where a person needs to be referred from another person.
d. provides care for mothers and babies with complex medical needs.


ANS: A

Nursing

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The nurse is preparing a critically ill patient for transfer to another facility. Based on the criteria established by the Emergency Medical Transfer Active Labor Act (EMTALA), what patient situation would prevent transfer?

A) The sole reason for transfer is the patient's uninsured status. B) The patient has been stabilized before the transfer. C) The receiving agency has the expertise to care for the patient. D) Transfer records are complete and sent with the patient.

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The nurse is teaching a middle-aged African American client who was recently diagnosed with glaucoma. Which statement by the client indicates for further education on this diagnosis?

1. "I just thought my pupils were big, I didn't know it could be associated with glaucoma." 2. "So, my headaches may be occurring because of the increased pressure within my eyes." 3. "My race doesn't have anything to do with this diagnosis." 4. "Those halos that I see around lights are associated with glaucoma."

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What should the nurse conclude who observes constant bubbling in the water-seal chamber of a closed chest drainage system?

A) The system is functioning normally. B) The patient has a pneumothorax. C) The system has an air leak. D) The chest tube is obstructed.

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The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client's concerns by:

(Select all that apply.) 1. Tactfully communicating the reason for the visit. 2. Establishing appropriate expectations for the visit for the client and nurse. 3. Starting to establish a rapport with the client. 4. Stating that the neighbors made the referral. 5. Informing the client that her name has been given to a local women's shelter.

Nursing