NURS 345 PrepU Test 1 review: Health care in the community

A nurse recommends palliative care for a patient who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care?

Relief from physical, mental, and spiritual distress

Nursing students are reviewing information about the changes in the healthcare industry and the effects on the scope of nursing practice. The students demonstrate understanding of this information when they identify which of the following as having significantly affected the delivery of home healthcare?

Advances in technology

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush his teeth?

An occupational therapist assists physically challenged clients to adapt to limitations and use a variety of adaptive devices and strategies in carrying out activities of daily living.

Following the death of a hospice patient, the nurse continues to care for the family. What is this type of care called?

Bereavement care; The continuation of hospice care for the family of a patient who has died is called bereavement care. It may continue for up to 1 year after the patient's death.

A client has a complex medical history involving the consequences of diabetes. As a result of his diabetic nephropathy, he is now a client of the local hospital's dialysis program and has been referred to an ophthalmologist by his primary care physician following the onset of vision problems. In addition, he receives home care nursing for the treatment of a foot ulcer that is slow to heal. This client's situation characterizes which of the following phenomena?

Fragmentation of care; Fragmentation of care occurs when multiple, specialized practitioners are involved in various aspects of a complex client's care. This creates the potential for miscommunication and conflicting advice and treatment with the lack of a unified plan of care. This situation is not indicative of primary care and it is not necessarily a consequence or manifestation of case management and managed care

What is the primary focus of health care today?

Health Promotion

The nurse is providing care for a client who has a tracheotomy and whose pulse oximeter has recently alarmed, showing the client's oxygen saturation to be 77%. The nurse has repositioned the client and applied supplementary oxygen, interventions that have raised the client's oxygen levels to 80% and have somewhat decreased his work of breathing. The client is not in immediate distress, and his level of consciousness remains high. The nurse should page which of the following practitioners?

Respiratory therapist

A client was admitted to the hospital two weeks ago following an ischemic stroke. Following the early introduction of stroke rehabilitation, he has seen significant improvements in both his medical status and activities of daily living (ADLs). This morning, however, his nurse notes that the client has been coughing since he ate his minced and pureed breakfast. Auscultation of his chest reveals the presence of coarse crackles. Which of the following practitioners should the nurse consult with in order to obtain a swallowing assessment?

Speech therapist; The diagnosis and treatment of dysphagia (swallowing problems) is within the purview of speech therapists. The physician should be made aware, and respiratory therapy may be involved with assessing and promoting the client's oxygenation, but swallowing assessment is a task most often performed by a speech therapist.

Nurses now have the option to practice in a variety of settings. One of the fastest growing venues of practice for the nurse in today's health care climate is home health care. What is the basis for the growth in this health care setting?

The discharge home of patients who are more critically ill.

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as which of the following?

transition