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During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
- A. excessive bleeding.
- B. kidney stones.
- C. lower blood sugar.
- D. jaundice.
Correct Answer: B
Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.
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Which organization provides federal funding for research?
- A. National Institute of Nursing Research
- B. Robert Wood Johnson Foundation
- C. W. K. Kellogg Foundation
- D. Sigma Theta Tau International
Correct Answer: A
Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.
Which statement is true regarding health care for minorities?
- A. Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.
- B. Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
- C. Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate.
- D. Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct:
1. Federal legislation such as the Affordable Care Act has expanded Medicaid coverage and provided subsidies for health insurance.
2. This legislation has helped reduce the number of minorities lacking health insurance.
3. Consequently, fewer minorities than members of the general population now lack health insurance.
4. Therefore, the statement that federal legislation has resulted in fewer minorities lacking health insurance is true.
Summary of why other choices are incorrect:
B. This choice incorrectly attributes the lack of seeking health care by minorities solely to higher costs and lower wages, overlooking the impact of legislation.
C. This choice makes a sweeping generalization about Mexican Americans without considering the broader context of health care access for minorities.
D. This choice relies on stereotypes about Asians and does not take into account the complexities of the health care system and insurance coverage.
Nursing in the 1990s was characterized by:
- A. men leaving nursing to enter the armed services.
- B. traditional 8-hour shifts to nurse burnout and compassion fatigue.
- C. a focus on preventable diseases.
- D. a decrease in nursing research.
Correct Answer: C
Rationale: The correct answer is C: a focus on preventable diseases. In the 1990s, nursing shifted towards preventative care due to the rise in chronic diseases. Nurses focused on educating patients on disease prevention strategies and promoting healthy lifestyles. This shift was in response to the increasing healthcare costs associated with treating preventable illnesses.
A: Men leaving nursing to enter the armed services is irrelevant to the characterization of nursing in the 1990s.
B: Traditional 8-hour shifts leading to nurse burnout and compassion fatigue may have been a challenge in the 1990s, but it does not characterize the entire nursing profession during that time.
D: There was actually an increase in nursing research during the 1990s, so this choice is incorrect.
One difference between a leader and a manager is that a:
- A. leader has legitimate authority.
- B. manager motivates and inspires others.
- C. manager focuses on coordinating resources.
- D. leader focuses on accomplishing goals of the organization.
Correct Answer: C
Rationale: Step 1: A manager focuses on coordinating resources, such as people, time, and materials, to achieve organizational goals.
Step 2: Coordinating resources is a key responsibility of a manager, as it involves planning, organizing, and controlling to ensure efficient operations.
Step 3: Leaders, on the other hand, focus on setting a vision, inspiring and motivating others to achieve goals.
Step 4: While both leaders and managers play crucial roles, the distinction lies in their primary focus and responsibilities.
Step 5: Therefore, the correct answer is C, as it accurately reflects the key difference between a leader and a manager.
According to the Quality Chasm report:
- A. health care providers should be proactive rather than reactive to patient needs.
- B. common needs rather than individual preferences should be the priority.
- C. medical information should be confined to the primary care provider.
- D. specialized providers or case managers should control health care decisions.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Proactive care emphasizes prevention and early intervention.
2. The Quality Chasm report advocates for patient-centered care.
3. Being proactive ensures better health outcomes and lower costs.
4. Reactive care may lead to delayed diagnosis and treatment.
Summary:
B: Focusing on common needs ignores individual preferences, contradicting patient-centered care.
C: Limiting medical information to one provider is not patient-centered and hinders care coordination.
D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.