The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the management of certain illnesses exist. This implies
1. All patients will be treated the same.
2. Nursing diagnoses are used as the basis of practice.
3. Assessment is based on the medical model and does not involve nursing.
4. The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.
ANS: 4
Protocols and algorithms are frequently used by nurses who are practicing independently. These were previously agreed upon by the physician and NP.
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A community health nurse identifies a problem of increased infant mortality with adolescent pregnancies. The nurse decides to address this problem with a health policy. The nurse is engaging in which stage of the policy process?
A) Formulation B) Adoption C) Implementation D) Evaluation
A husband whose wife is terminally ill says, "I don't want to cry in front of her. I need to be strong for her.". Select the nurse's most therapeutic response
a. "She might find comfort in your tears.". b. "You should be honest about your feelings.". c. "You need to consider the fact that time is running out.". d. "You are right to protect her at a time when she is so vulnerable.".
The behavior that would be considered inconsistent with the clinical picture of a client who is
becoming increasingly aggressive is a. pacing. b. sobbing inconsolably. c. rigid posture with a clenched jaw. d. staring with narrowed eyes into the eyes of another.
Which of the following units can provide high quality and cost effective care for patients who are less complex, more stable, and have a decreased need for physiologic monitoring could be placed on?
a. intensive care units b. triage units c. progressive care units d. medical surgical units