A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse's primary objective?

a. Screening
b. Education
c. Dependence
d. Counseling


ANS: B
Health promotion and education are traditionally the primary objectives of home care, yet at present most patients receive home care because they need nursing care. Screening is preventive care. The home health nurse focuses on patient and family independence. Counseling is through psychiatric care.

Nursing

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Which of the following is an example of a problem that requires recording on the patient's problem list?

a. Common age variations b. Expected findings c. Problems needing further evaluation d. Minor variations

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A patient tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, no matter how hard I try. Am I doing harm to my body?" Select the nurse's best response

a. "Tell me about strategies you have tried to increase your total sleep hours." b. "Lack of sleep acts as a stressor on the body and can cause physical changes." c. "If you have really tried to sleep more, maybe you should consult your health care provider." d. "If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people."

Nursing

An elderly patient is experiencing lower gastrointestinal bleeding. On questioning the patient, the nurse learns that she consumes little fiber in her diet, takes aspirin daily, and frequently has constipation

The nurse should suspect which of the following as the most likely cause of this patient's bleeding? A) Hemorrhoids B) Crohn's disease C) Diverticulosis D) Ulcerative colitis

Nursing

The nurse is teaching a patient who will begin taking doxepin (Sinequan) to treat depression. Which statement by the patient indicates a need for further teaching?

a. "I should expect results within 2 to 4 weeks." b. "I should increase fluids and fiber while taking this medication." c. "I should take care when rising from a sitting to standing position." d. "I will take the medication in the morning before breakfast."

Nursing