As an administrator, the advanced public health nurse:
a. Engages in consultation and problem solving with individuals, families, and the community
b. Is often responsible for and has direct authority and supervision over the staff and client care
c. Works with doctorally prepared nurses on research projects
d. Educates the public on current health care practices
B
The APHN or NP functioning in the role of administrator is often responsible for and has direct authority and supervision over the staff and client care.
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An analysis of tissues indicates that an aborted fetus had nullisomy. How would the nurse explain this finding to the parents?
1. "Your baby had an additional chromosome that was incompatible with life." 2. "Some of your baby's chromosomes were arranged incorrectly." 3. "Your baby's chromosomes were damaged during fertilization." 4. "Your baby was lacking two chromosomes."
A nurse is caring for a client who, according to the Social Security Administration, is considered disabled. Which of the following best describes the client?
a. A wheelchair-bound person b. A person unable to engage in any gainful activity because of a medical impairment c. A handicapped person d. A person who has had a stroke or has lost the use of a lower extremity
A primary care physician has told a patient that she has a pulse deficit. She asks her nurse to explain what that means. The nurse replies:
1. "It is when your radial pulse is faster than your apical pulse, and they should always be equal." 2. "The irregularity of your heart beat is compromising your blood flow, resulting in your radial pulse being slower than your heart rate." 3. "A pulse deficit exists when the heart sounds become distant and, in some cases, such as yours, muffled." 4. "Pulse deficit simply means that your heart muscle has been damaged and can no longer pump as effectively."
A client is prescribed medication for a psychiatric disorder. After 3 days, the client tells the nurse that he has been constipated. Which instruction would the nurse give the client?
A) "You need to eat more high-protein foods such as meat and peanut butter." B) "You need to eat more fruits and vegetables and drink more water." C) "Ask your psychiatrist to prescribe a stool softener for you." D) "This side effect should disappear within a week or so."