Over the past two decades, the health care delivery system has changed dramatically. Among the changes are
1. Care is becoming more focused on acute health care rather than health promotion and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on the individual.
ANS: 3
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Some methods that nurse managers can use for creating an ethical workplace are listed below. Which is not necessarily correct?
a. training programs in ethics and social responsibility b. have nurses refer to the AMA code of ethics c. written organizational codes of conduct d. widespread communication in the hospital to reinforce ethically and socially responsible behavior
One adult client assaults another client in a psychiatric unit and is unable to be managed through less restrictive means. The client is placed in restraints at 1345 hours. When should the nurse remind the physician to see the client?
A) 1445 h B) 1545 h C) 1745 h D) 1945 h
This nursing diagnosis applies to a patient with mania: Imbalanced nutrition: less than body requirements related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. Select the most appropriate outcome
The patient will: a. ask staff for assistance with feeding within 4 days. b. drink six servings of a high-calorie, high-protein drink each day. c. consistently sit with others for at least 30 minutes at mealtime within 1 week. d. consistently wear appropriate attire for age and sex within 1 week while in the psychiatric unit.
A patient returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a patient controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care:
b) Offer sips of sweetened liquids at frequent intervals c) remind the patient that PCA use may slow the return of bowel functions d) Support the surgical incision during patient coughing and turning in bed