The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand of†change of shift reporting. Which of the following is a standardized “hand off†change of shift reporting system that you may want to consider for implementation on your nursing care unit?
- A. The Four P's
- B. UBAR
- C. ISBAR
- D. MAUMAR
Correct Answer: C
Rationale: ISBAR is a widely recognized handoff communication tool.
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Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
ne female sex hormone is called
- A. estrogen
- B. progesterone
- C. mesogen
- D. androgen
Correct Answer: A
Rationale: Estrogen is a primary female sex hormone, driving reproductive and secondary sexual characteristics.
----things factor into the diagnosis of intellectual disability:
- A. Two
- B. Three
- C. Four
- D. Five
Correct Answer: B
Rationale: Diagnosis involves 3 factors: IQ, adaptive functioning, and onset before 18.
Which type of intervention is not usually useful for Level 4 families?
- A. Object relations family interventions
- B. Family sculpting
- C. Case management
- D. Genograms
Correct Answer: C
Rationale: Level 4 families focus on abstract, philosophical concerns, so case management, which addresses concrete needs, is less relevant compared to insight-oriented interventions.
Which of the following is common among indigent, rural Appalachian patients?
- A. Perceived socioeconomic discrimination
- B. Lack of knowledge about preventive health care
- C. Sexually transmitted infections
- D. Willingness to adhere to prescribed medications
Correct Answer: A
Rationale: Perceived discrimination is prevalent due to socioeconomic disparities.
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