solved. Question
Answered step-by-step
Asked by MasterWillpower927
Case 1: Planning
Lalani is a nursing student who provides nursing care to a Vietnamese neighbourhood as part of her community health rotation. The residents of this community typically do not speak English. Many of the older residents do not have reliable transportation.
Lalani visits Ms. Lam, a 68-year-old woman with a history of breast cancer. Ms. Lam underwent treatment for breast cancer 5 years ago, including radiation and chemotherapy. She has not undergone mammography since completion of the cancer therapy. Lalani works with her to schedule mammography at the hospital clinic.
1.  Lalani needs to call the hospital clinic to arrange an interpreter for Ms. Lam for mammography. Rank in order the steps Lalani should take for ensuring a successful phone consultation.
A. Summarize the problem.
B. Have all of the necessary information available.
C. Think through possible solutions to the problem.
D. Assess the patient.
2.  Lalani reviews Ms. Lam’s care plan to ensure accuracy. The main purpose of critical pathways is to present an overview of the patient’s care goals. Is this statement true or false?
3.  Lalani updates Ms. Lam’s care plan. Care plans for community-based settings require a thorough assessment of ___________, _______, and _______.
Aiyana is a nursing student assigned to Mr. Tate, a 62-year-old male admitted to the hospital with uncontrolled high blood sugar secondary to type 2 diabetes. After several hours, his blood sugar is back under control, and he is feeling much better.
Aiyana plans to teach Mr. Tate regarding his diabetes medications, diet, and activity level. She reviews his care plan to help him make the necessary modifications.
1.  Aiyana is modifying Mr. Tate’s care plan. Rank in order the steps she must take.
A. Review goals and expected outcomes.
B. Reassess patient factors.
C. Evaluate interventions.
D. Redefine diagnoses.
2.  Aiyana knows that she must deliver the accepted minimum level of care to ensure high quality of care to Mr. Tate. This minimum level of care is referred to as _____________.
3.  When discontinuing a portion of Mr. Tate’s care plan, it is not necessary for Aiyana to document the discontinued care plan because it is no longer effective. Is this statement true or false?
Case 3: Documenting
Boris is a nursing student on the medical-surgical unit who is assigned a newly admitted patient from the postanaesthesia care unit, Mr. Scalini. Mr. Scalini, age 54 years, has had a right total hip replacement. He is an owner of a local Italian restaurant chain, is 165 cm tall, and weighs 98 kg.
Mr. Scalini’s hip replacement was precipitated by his obesity and refusal to engage in a regular exercise program. Boris conducts his admission assessment of Mr. Scalini and charts his findings in the electronic health record.
1.  Boris completes Mr. Scalini’s admission paperwork via a computer at Mr. Scalini’s bedside. Which of the following are advantages to point-of-care information systems? (Select all that apply.)
A. They reduce documentation time.
B. They decrease medication errors.
C. They provide access to references.
D. They provide increased patient confidentiality.
2.  Boris charts Mr. Scalini’s pain assessment in Mr. Scalini’s chart. Which of the following is a correct example of charting?
A. “Patient appears to be free from pain.”
B. “Patient states a 0 on a pain-rating scale of 1 to 10.”
C. “Patient seems to be resting comfortably.”
D. “Patient seems to have pain at the incision site.”
3.  Boris takes Mr. Scalini’s vital signs at 0800 hours. When should Boris chart Mr. Scalini’s vital signs?
A. At the time of occurrence.
B. At the end of shift.
C. Before the lunch break.
D. At 1200 hours.
4.  At the end of his shift, Boris provides a change-of-shift report to the nurse who is taking over Mr. Scalini’s care. The purpose of the change-of-shift report is to maintain continuity of care. Is this statement true or false?
SCIENCE
HEALTH SCIENCE
NURSING
NURSING 304