What was the primary reason why Lillian Wald was able to develop the practice of school nursing in this country in the early twentieth century?
a. Concern over the increasing number of school absences
b. Expansion of public health care from adults to children
c. Government mandate to have nurses in the schools
d. Additional funds available to finance health care in school systems
ANS: A
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A 52-year-old patient presents to the emergency department with reports of substernal chest pain
A history is taken; serum creatine kinase (CK) and lactate dehydrogenase (LDH) isoenzymes and serum lipid studies are ordered, as is a 12-lead ECG. Which of the following results is most significant in diagnosing an MI during the first 12 hours of chest pain? a. ECG-inverted T waves b. Serum enzymes-elevated LDH4 c. Serum enzymes-elevated CK-MB d. Patient history-substernal chest pain
The nursing manager evaluates which nurse as the best representative of the phrase "high tech, high touch"?
a. Able to form close bonds with patients requiring highly technological nursing care b. Combines clinical and people skills to provide holistic patient-centered care c. Uses ethics to make decisions and to guide daily nursing practice d. Willingly works with the most difficult or complex patients as a team member
Every time the nurse enters the room of a postpartum patient who gave birth 3 hours ago, the patient asks something else about her birth experience. The nurse should:
1. Answer questions quickly and try to divert her attention to other subjects. 2. Review the documentation of the birth experience and discuss it with her. 3. Contact the physician to warn him the patient might want to file a lawsuit, based on her preoccupation with the birth experience. 4. Submit a referral to Social Services because of possible obsessive behavior.
Which of the following clients will most benefit from client/parent education regarding the pre-vention of renal infections via proper hygiene habits?
1. Males ages 35 to 65 2. Males ages 3 to 16 3. Females ages 3 to 12 4. Females ages 20 to 50