A Navy war veteran is seeking advice about getting treatment for a chronic respiratory problem at the local veterans hospital. The nurse's initial response is to ask:

a. "Why aren't you considering the local general hospital for the care that you need?"
b. "Are you willing to travel to a veterans hospital that offers respiratory diag-nostic services?"
c. "Have you ever been treated at a veterans hospital before?"
d. "Is the problem related to something that occurred while you were in the Na-vy?"


ANS: D
Instead of coverage of any health problems, priorities were set for those problems that were in some way deemed "service connected"; in other words, the health care problem had to be linked to the time the person was on active duty. While the other questions are not inappro-priate, they do not address the issue of whether the client is illegible for care at a veteran's Hospital.

Nursing

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A 40-year-old female has been categorized as being obese, with a body mass index (BMI) of 33.2. Which of the following health problems place the client at a significantly increased risk for when compared with individuals with a BMI below 25?

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A patient will have an incision in the lower left abdomen. Which intervention by the nurse will help decrease discomfort in the incisional area when she coughs postoperatively?

a. Apply a splint directly over the lower abdomen. b. Keep the patient flat with feet flexed. c. Turn her on her right side. d. Apply a splint above and below the incision.

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A nurse usually avoids physical contact with patients, but when one is diagnosed with a terminal disease, the nurse wishes to hug the patient

This contradiction initially confuses the nurse, but a co-worker helps the nurse differentiate the two behavioral responses based on a. feelings of closeness to this patient. b. the context in which each occurred. c. therapeutic communication techniques. d. values that guided each situation.

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