The nurse is investigating environmental health problems caused by contaminated ground water. Which of the following types of nursing practice is being used?
a. Community-oriented
b. Community-based
c. Policy development
d. Tertiary care
ANS: A
Community-oriented nursing emphasizes the prevention of disease and disability. Communi-ty-based nursing practice is a setting-specific practice whereby care is provided for clients and families where they live, work, and attend school. Policy development seeks to build constituen-cies that can help bring about change in public policy. Tertiary care focuses on highly specialized medical care.
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A nurse is caring for a patient with Paget's disease and is reviewing the patient's most recent laboratory values. Which of the following values is most characteristic of Paget's disease?
A) An elevated level of parathyroid hormone and low calcitonin levels B) A low serum alkaline phosphatase level and a low serum calcium level C) An elevated serum alkaline phosphatase level and a normal serum calcium level D) An elevated calcitonin level and low levels of parathyroid hormone
A student nurse is discussing the three areas of focus regarding Cultural Care nursing. Which statement by the student indicates a lack of understanding of Cultural Care nursing?
A) "A nurse must apply the underlying background knowledge that must be possessed to provide a given patient with the best healthcare possible." B) "A nurse must possess some basic knowledge of and constructive attitudes toward the health traditions observed among the diverse cultural groups found in the practice setting." C) "A nurse must understand and attend to the total context of the patient's situation. It is a complex combination of knowledge, skills, and attitudes." D) "A nurse must understand the basic traditions of diverse cultural groups and be able to explain to clients how these traditions must be changed to fit into the plan of care."
For a patient who has all of the following nursing diagnoses, which should be given highest priority?
a. Anxiety b. Constipation c. Deficient fluid volume d. Ineffective airway clearance
The nurse is providing care for a client requiring mechanical ventilation. When the nurse enters the room at the beginning of the shift, the client's monitor displays a heart rate of 64 and oxygen saturation of 88%. Which nursing action is the priority?
1. Increasing the oxygen concentration and quickly assessing the client 2. Removing the client from the ventilator and hyperoxygenating and hyperventilating the client 3. Assessing the client for airway obstruction 4. Checking ventilator settings