Which statement best describes the process of nursing case management?
a. The coordination of care services to at-risk populations
b. A collaborative process to promote quality and cost-effective care
c. The implementation of care to acutely ill, underserved populations
d. A cost-effective care delivery model meeting the needs of specially defined groups
B
The process of case management involves collaboration to assess, plan, implement, coordinate, monitor, and evaluate services to meet health care needs in a manner that promotes quality and cost-effective outcomes. It does not solely involve coordination of care services to at-risk populations, implementation of care to acutely ill and underserved clientele, nor a cost-effective model of care delivery that will meet the needs of specially defined groups.
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a. Bunch all nursing activities and treatments close together. b. Schedule rest periods during the day. c. Assist the patient only when needed to encourage independence. d. Provide daily ambulation to build toler-ance.
Slowly removing some amniotic fluid is a treatment for hydramnios. What consequence can occur with too rapid a withdrawal of fluid?
1. Preterm labor 2. Placental abruption 3. Pre-eclampsia 4. Placenta previa
A patient is receiving IV amphotericin B (Fungizone) for a systemic fungal infection. Which assessment parameter should you perform to determine whether the patient is having an adverse reaction to the therapy?
a. Measure abdominal girth for presence of ascites b. Assess mouth and oral cavity for candidiasis c. Assess infusion site for phlebitis d. Assess calves for pain
When taking the health history of a patient who presents with acute abdominal pain, the nurse should first:
A) Avoid using subjective 1 to 10 pain scale to assess the patient's pain. B) Collect detailed demographic information from the patient. C) Explore the patient's past history of GI illness. D) Postpone an in-depth history to take vital signs.