A patient with COPD asks a nurse if nicotine patches are very effective for smoking cessation. What is the best response by the nurse?
a. "No. Only about 25% are successful."
b. "Yes. The success rate is between 50% and 60%."
c. "No. Prescriptions such as Wellbutrin are 90% effective."
d. "Yes. Individual success has been ob-tained with combination of patches and gum."
A
The patches have a lower than 25% success rate. Smoking addiction is too strong to be overcome by medication or gum without a very unusual commitment from the patient. Successful smoking cessation is measured by 1 year of no smoking.
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The nurse explains the end result of the hypothalamus in regulating the central nervous system (CNS), autonomic nervous system (ANS), and endocrine system is what?
A) Regulation of the negative feedback system B) Creation of a diurnal rhythm C) Maintenance of homeostasis D) Production of prolactin-inhibiting factor (PIF)
During review of back injuries, it is determined that a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In addressing this concern, the unit manager:
a. Meets individually with nurses who are observed to be using the lifts incorrectly to review the correct procedure. b. After consultation with the staff about the review, orders new lifts to replace older ones that are malfunctioning. c. Blames the system for inadequate funding for resources. d. Reviews the system of reporting incidents to ensure that appropriate reporting is occurring.
A quality control nurse for a large group of long-term care facilities assesses the quality of care at the end of life for the residents. Which of the following measures indicate quality care? (Select all that apply.)
A) Increase in the number of deaths in the hospital B) Increase in the number of residents who refuse treatments at the end of life C) Increase in the percent of residents with advanced dementia D) Increase in the use of hospice services E) Increasing number of staff trained in palliative care
For a person who is implementing therapeutic lifestyle changes (TLCs) to reduce his or her risk of coronary heart disease, the best salad choice would be
a. coleslaw. b. mixed greens with olive oil vinaigrette and walnuts. c. sliced tomatoes with basil vinaigrette and feta cheese. d. fruit salad with yogurt dressing and coconut.