A new registered nurse who recently began working in a nursing center has been asked to complete a Resident Assessment Instrument (RAI) on a newly admitted resident. She knows the purpose of this instrument is to:
A. provide a database to better understand the healthcare needs of this population.
B. provide the nursing staff with an overall physical assessment of the resident.
C. provide statistical evidence to support a universal healthcare policy.
D. determine how many health care resources this population consumes.
A
The facility needs to complete the RAI on all residents. The RAI consists of the Minimum Data Set (MDS) (Box 2-4), Resident Assessment Protocols (RAPs), and utilization guidelines of each state. The RAI ultimately provides a national database for nursing facilities so that policy makers will better understand the health care needs of the long-term care population.
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A nurse reads in the chart that a baby has a positive crossed extension reflex and asks a more experienced nurse to demonstrate this assessment. How does the nurse perform the assessment?
A. Place the infant supine, stimulate one foot, and watch for reaction of the other leg. B. Tap the infant's forehead gently, and assess for blinking for the first few taps. C. Watch the infant attempt to crawl when he is placed on his abdomen. D. With the infant prone, stroke one side of the spine; watch the buttocks curve toward the stimulation.
The nurse, in planning care, considers that the two most common opportunistic infections and malignant neoplasms in the HIV-positive patient are:
1. Streptococcal pneumonitis and myeloma. 2. Streptococcus pneumoniae and malignant melanoma. 3. Pneumocystis jiroveci pneumonitis and Kaposi's sarcoma. 4. Mycoplasmal pneumonia and Kaposi's sarcoma.
Computers can exchange information over telephone lines.
Answer the following statement true (T) or false (F)
Type 1 diabetes mellitus is suspected in an adolescent. Which clinical manifestation may be present?
a. Moist skin c. Fluid overload b. Weight gain d. Poor wound healing