The nurse is assessing several patients. For which patient does assessment reveal a psychosocial history that may affect the patient's outcome?
1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home
2. Middle-aged patient with Down syndrome living in a group home
3. Recently divorced mother of three children with breast cancer
4. Sixteen-year-old requesting birth control without parental consent
5. Seven-year-old with asthma in a foster care home
Correct Answer: 1,2,3
Rationale 1: This patient may not be able to return to a home that requires climbing stairs.
Rationale 2: A patient with Down syndrome needs additional care to ensure that treatment outcome is successful.
Rationale 3: This patient may be the family's sole provider and may have financial concerns.
Rationale 4: Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome.
Rationale 5: Residing in foster care should not have a negative impact on outcome.
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A dying patient is being cared for at home. The family relates to the hospice nurse that they are distressed that the patient no longer wants favorite food items. What response by the nurse is best?
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What disorder of the anus, rectum, or prostate is mostly likely in this case?
A 45-year-old African-American minister comes to your clinic for a general physical examination. He has not been feeling very well for about 3 months, including night sweats and a chronic low-grade fever of 100 to 101 degrees. He denies any upper respiratory symptoms, chest pain, nausea, constipation, diarrhea, blood in his stool, or urinary tract symptoms. He has had some lower back pain. He has a past history of difficult-to-control high blood pressure and high cholesterol. He has had no surgeries in the past. His mother has diabetes and high blood pressure. He knows very little about his father because his parents divorced when he was young. He knows his father died in his 50s, but he is unsure of the exact cause. The patient denies smoking, drinking, or drug use. He is married and has three children. On examination he appears his stated age and is generally fit. His temperature is 99.9 degrees and his blood pressure is 160/90. His head, ears, nose, throat, and neck examinations are normal. His cardiac, lung, and abdominal examinations are also normal. On visualization of the anus there is no inflammation, masses, or fissures. Digital rectal examination elicits an irregular, asymmetric, hard nodule on the otherwise normal posterior surface of the prostate. Examination of the scrotum and penis are normal. Laboratory results are pending.
Name all of the links in the chain of infection
a. Infectious patient, inadequate supply of gloves and a staff member wearing false nails. b. Reservoir, portal of exit, susceptible host, infectious agent, mode of transmission. c. Infectious agent, reservoir, portal of exit, transmission, portal of entry and susceptible host d. Infectious agent, reservoir, portal of exit, portal of entry and susceptible host.