The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems
The patient, however, receives many visitors from the neighborhood and from former coworkers, as well as frequent phone calls from extended family. When concerned about how the large number of visitors may be fatiguing the patient, the nurse should a. Restrict the number of visitors for the patient's welfare.
b. Voice concerns to the patient and proceed according to the patient's wishes.
c. Allow visitors to come and go freely as they have been.
d. Create visiting hours when the patient may see non–family members.
B
With the individual and the family as patients, the context of community-based nursing is family-centered care within the community. This focus requires a strong knowledge base in family theory, principles of communication, group dynamics, and cultural diversity. The nurse learns to partner with patients and families, so ultimately the patient and the family assume responsibility for their health care decisions.
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An assisted-living community would be an appropriate choice for which of the following?
a. A nonambulatory terminally ill patient b. An ambulatory patient who has a chronic condition that requires medication c. A nonambulatory, very frail person with a serious chronic illness d. A completely independent and ambulatory older adult
Because the elderly client has decreased albumin concentration, the nurse should be alert for what impact on drug therapy?
a. Difficulty swallowing tablets b. Greater accumulation of fat-soluble drugs c. Higher concentrations of protein-bound drugs d. Difficulty absorbing medications through the intramuscular injection route
A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
a. The scrotum will be dark. b. The scrotum will appear light pink or yellow. c. The scrotum will appear milky white. d. The internal structures will be clearly visible.
In 1909, Yssabella Waters published her survey Visiting Nurses in the United States. This document highlighted the fact that
1. Nurses were trained by Boards of Education. 2. Trained nurses adequately covered less densely populated areas. 3. Visiting nurses services were concentrated in the northeastern quadrant of the nation. 4. Nurses were curing diseases such as tuberculosis and typhoid fever that greatly enhanced their credibility.