People are living longer and with older age comes a higher risk of terminal illness
Many individuals have chosen to maximize their quality of life but stop aggressive life-sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role?
a. Hospice
b. Infection control
c. Coordinator
d. Case manager
ANS: A
Correct: Hospice nurses specialize in holistic care for the patient and family and end of life care to maximize quality rather than quantity of years of life.
Incorrect:
b. Infection control nurses follow patients with infectious diseases, evaluate possible sources of infection, and apply epidemiologic principles to understand prevalence of infectious disease.
c. Coordinator positions coordinate and integrate the clinical and administrative roles of overseeing patients from admission to rehabilitation to home.
d. Case managers coordinate resources to achieve improved outcomes based on quality, access, and cost.
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The nurse is teaching nursing students about personal emergency preparedness. Which statement by a student indicates that further teaching is indicated?
a. "I will get a prescription for antibiotics just in case I have to work in an area that has been infected with anthrax." b. "I should keep an extra uniform in my locker in case I get stuck at work." c. "I may be torn between caring for my young daughter and caring for victims at work." d. "I should make plans for my family to evacuate our house in case of tornado or earthquake."
Which of the following most accurately summarizes the effect of managed care on the provision of mental health care?
A) Managed care provides cost-effective care in an equitable fashion. Access to specialized mental health care is not influenced by socioeconomic status. Therefore, everyone's mental health needs are effectively addressed in both institutional and community settings. B) Managed care cuts costs while enhancing the quality of mental health care provided to all citizens. Both rural and urban populations have equal access to specialized mental health care regardless of the costs entailed. C) There is a resurgence of institutionalized mental health care because managed care has determined it is the most cost-effective way of providing care. Community mental health care facilities are slowly closing in both rural and urban areas. D) Managed care theoretically provides access to specialized mental health care; however, financial barriers prevent equitable access. Due to the emphasis on cutting institutional costs, monetary and staffing resources are shifting from traditional health care institutions to community settings.
A nurse is working on a task force setting up a suicide prevention hotline. When gathering data to support projected numbers of calls and staffing levels, the nurse is guided by the knowledge that suicide rates of adolescents and young adults:
a. are inversely related to homicide rates b. correspond to homicide rates c. do not predictably relate to homicide rates d. equal homicide rates of 3 months earlier
The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women?
A) Calcium B) Folic acid C) Vitamin C D) Iron