Exam 16: Managing Care in Secondary and Tertiary Health Care

A patient has been discharged home after being hospitalized for a fractured foot following a motor vehicle accident. The doctor has ordered physical therapy for the patient to help gain strength and flexibility after the cast can be removed. This patient will likely receive a referral for what tertiary service?

After being diagnosed with cancer, the patient appears angry. At this point it would be appropriate for the nurse to assess for which kind of distress?

The nurse is listening to a lecture on the Orem's theory. Which statement indicates that teaching has been effective?

Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?

The nurse is listening to a lecture on the health maintenance focus for the patient in tertiary care. Which statement indicates that the teaching has been effective?

The nurse is listening to a lecture on discharge planning. Which statement indicates that the teaching has been effective?

In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)

Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?

Which of the following is an example of a responsible resource manager in an acute care facility?

A nurse writes the diagnosis of "potential for infection" for a postoperative patient. The charge nurse makes certain not to place a patient with a diagnosed infection in the same room with the fresh postoperative patient. The nurse does this to manage which of the following?

A stroke patient has been discharged from the hospital and requires care at home. Family support includes the patient's husband and one adult child who lives 90 minutes away with her family, who helps as often as possible. The husband has had to miss work often and has stopped playing golf weekly to care for his wife. What tertiary care service may be a benefit not only to the family members but to also the patient?

By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?

The nurse is listening to a lecture on the acute care environment and the role of the RN. Which statement indicates that the teaching has been effective?

A patient has endured 3 years of treatment for colon cancer but recently learned that the cancer has spread to her liver and bone. The patient and her family have learned she may have less than 6 months to live and there is nothing medically to consider. What tertiary service can the RN suggest to the patient and family?