The Healthy Communities and Cities initiative supports the idea that
a. Healthy cities and communities must be both environmentally and socially sustainable.
b. Health public policy is the responsibility of elected officials.
c. Physical environments cannot be changed, thus strategies must be developed in order to cope with them.
d. The World Health Organization is the primary source of information for cities.
ANS: A
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A patient who had provided an advance directive indicating that he should not be resuscitated was allowed to die when his heart stopped beating shortly after his admission to the ICU
The family of the patient has disputed the authenticity of the advance directive and filed a complaint with the hospital. Which intervention would be most appropriate to address this ethical dilemma? A) Ethics rounds involving the medical staff involved in the patient's care B) Review by the hospital's institutional ethics committee C) An individual patient ethics conference with the family D) Review of the ANA Code of Ethics by the patient's nurse
The nurse is accurate when stating that adequate discharge planning:
a. "May decrease the incidence of patients required to return to the hospital." b. "Increases complications and readmissions in most cases." c. "Adapts to the situation as the patient's conditions changes." d. "Should begin as soon as the patient is discharged home."
A nurse is assessing an older adult's respiratory status. Which of the following are normal age-related changes in the respiratory system? (Select all that apply.)
a. Diminished cough reflex b. Stiffening of the chest wall c. Increased resistance to airflow d. Decreased respiratory rate e. Loss of elastic recoil
A patient reports "right shoulder pain that comes and goes" as the chief complaint. During the physical examination, the patient asks why the upper right abdomen is being examined for shoulder pain. What is the appropriate response from the nurse?
a. "A comprehensive examination is required to determine the cause of your pain." b. "There may be associated problems that have not produced any symptoms yet that we want to identify." c. "Yes, this can be confusing, but if you will be patient I'm sure we can find something to help you." d. "It does seem odd, but the gallbladder doesn't have pain receptors of its own, so the pain shows up in the shoulder."