The Institute of Medicine (IOM) identified essential competencies that are necessary to move health care into the 21st century. The competencies consist of:
A. Employing the use of evidence-based practice (EBP).
B. Providing client-centered care.
C. Utilizing informatics.
D. All of the above.
ANS: D
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A nurse is instructing a patient on performing isometric exercises. What instruction should the nurse include?
a. Contract the muscle for several seconds, then relax the muscle for a few seconds, and contract it again. b. Perform full range-of-motion exercises of each joint. c. Have a family member perform full range-of-motion exercises on each of the patient's joints. d. Stand in front of a wall and push with the arms without bending the elbow.
Which nursing question is essential when caring for a client prior to a pelvic examination?
A) "Are you sexually active?" B) "Do you have any sexually transmitted diseases?" C) "Would you like to have assistance to get in position for the exam?" D) "Would you like to void at this time?"
A nurse administers warfarin (Coumadin) to a patient who is concurrently taking drug X, which also is highly protein bound. The nurse would anticipate that drug X will act at the receptor site as a
a. competitive agonist. b. sympathomimetic. c. competitive antagonist. d. parasympathomimetic.
The nurse demonstrates an understanding of mutuality when stating to the client,
a. "Mr. Jones, I think you should go to bed now." b. "Mr. Jones, I would like you to go to bed now." c. "Mr. Jones, I don't think you should sit in the chair." d. "Mr. Jones, I thought we agreed that you would return to bed at this time."