The pre-licensure curricula developed by the Quality and Safety Education for Nurses (QSEN) Institute include competencies developed by the Institute of Medicine (IOM) and frequently require aspects of communication and behavior
Indicate whether this statement is true or false.
ANS: T
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A patient has a morphine sulfate patient controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse's first response is which of the following?
a. Stop the infusion. b. Call the physician or health care provider immediately. c. Ask the patient to describe the pain. d. Speak to the patient in a calming tone to reduce anxiety.
Which of the following best describes why folk healers are used by many people? (Select all that apply.)
a. Folk healers are often effective. b. Folk healers do not charge for their efforts. c. Folk healers integrate religion and medicine. d. Folk healers use media very effectively. e. Folk healers may involve the whole family. f. Many physicians recommend folk healers.
A 56-year-old patient has come to the clinic for his routine eye examination and is told he needs bifocals. The patient asks the nurse what change in his eyes has caused his need for bifocals. How should the nurse respond?
A) "You know, you are getting older now and we change as we get older." B) "The parts of our eyes age, just like the rest of us, and this is nothing to cause you to worry." C) "There is a gradual thickening of the lens of the eye and it can limit the eye's ability for accommodation." D) "The eye gets shorter, back to front, as we age and it changes how we see things."
A client is admitted with chest pain. A series of diagnostic tests are ordered, and the client undergoes coronary artery bypass grafting
The cost of care for this client is increased because of a four-pack-per-day smoking history that resulted in extension of the client's intensive care unit (ICU) stay by 3 days because of respiratory problems. The case manager realizes that under the terms of the diagnosis-related group (DRG) payment system for this diagnosis: a. the cost of caring for this client was $5000 greater than the DRG reimbursement fee, and the hospital will be allowed to collect the additional fees from the insurance company. b. although the cost of care for this client was greater than the DRG reimbursement amount, the hospital will be reimbursed only at the set fee. c. the client will be sued to pay back the insurance company for the extra fees incurred because smoking is a modifiable health risk for heart disease. d. the physician who admitted the client will receive a reduced payment to cover the loss incurred by the hospital.