A student nurse has learned that traditionally, medicine has relied primarily upon biomedical parameters and measures such as laboratory and diagnostic tests to determine if a clinical intervention has been successful.

The student nurse asks the nurse educator if this practice reflects current patient needs. Which of the following responses by the nurse educator would be correct? a. Yes,

because it has always been done this way, and it is a sound practice for patient care.
b. Yes, because these tests provide the clinical indicators necessary for accurate diagnosis.
c. No, because they may be false and thus not give enough information to make a sounddiagnosis or intervention.
d. No, because these measures do not always address the multifaceted outcomes that
patients care about most (quality of life).


D
Traditionally, health care providers have relied solely upon biochemical parameters and diagnostic
tests to determine if an intervention is needed or if a treatment was effective. However, in today's
society, there are other outcomes of care that matter most to patients such as quality of life, family,
work, and overall level of functioning, which are not reflected in these types of tests or procedures.

Nursing

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The nurse is completing a survey that includes questions about different aspects of cultural competence. What is the purpose of this survey?

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The director of nursing at a certified long-term care facility overhauls the nursing assistant training program to include which features? (Select all that apply.)

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A patient on the high-acuity care unit has decided to accept the fact that they are terminally ill and forgo additional treatments for their disease. The patient has presented a valid living will

The family of the patient is not happy with the decisions made by the patient about the end-of-life care. They have asked the nurse to consider their feelings because their family member is acting this way as a result of feeling depressed. What response by the nurse is indicated? 1. "I must act as an advocate for your family member's wishes.". 2. "You can just go to the physician to have the plan of care changed.". 3. "Let's talk to the patient to see if we can get him to change his mind.". 4. "You just need to get on board for your family member's healthcare plan.".

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