A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit?
a. Functional care c. Patient-focused care
b. Primary care d. Case management
B
This is an example of primary care nursing, in which the nurse is the principal or primary person to manage and coordinate the patient's care around the clock. Patient-focused care is an interdis-ciplinary approach to patient care. Functional care is the provision of care by nursing and nursing ancillary staff rather than by an all-nursing staff as seen in primary care nursing. Case manage-ment is a model of care delivery in which a nurse case manager coordinates and collaborates with other health services when a patient has complicated health care needs, but the case manager may not be involved in the daily care activities of the patient.
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A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate?
A) "His disability should automatically cover the cost of the chair." B) "We'll need to check with the insurance company about coverage." C) "You'll probably be able to get it if you pay for half the cost." D) "You might be able to get a regular wheelchair, but a motorized one is impossible."
A nurse with a history of narcotic abuse became unconscious in the locker room after overdosing. After stabilization, the nurse was transferred to the inpatient psychiatric unit. Which action by nursing staff may be enabling?
a. Empathizing when the nurse discusses fears of disciplinary action by the state board of nursing. b. Pointing out that work problems are the result, not the cause, of substance abuse. c. Conveying understanding that pressures associated with nursing practice cause substance abuse. d. Providing health teaching about stress management.
A 45-year-old patient was diagnosed with an anterior myocardial infarction. The patient asks the nurse why his chest hurt when he had his heart attack. What is the best response from the nurse?
a. "One of your heart valves wasn't working properly and caused an obstructed blood flow." b. "One of your coronary arteries had a spasm, and your heart muscle wasn't able to get enough blood." c. "Your heart muscle was deprived of oxy-gen, which caused chest pain." d. "The heart muscle is sensitive to changes in electrical conduction."
A client is taking glucocorticoids. Which is a significant finding that a nurse should monitor when caring for this client?
A) Increase in blood volume B) Change in the body's rate or metabolism C) Low sugar level in the blood D) Small rise in temperature