REF: Pages 4-12, 13 TOP: Nursing Process: Planning MSC: Client Needs: Safe, Effective Care Environment 15. The unit secretary receives a phone call from the health insurer for a hospitalized patient. The caller seeks information about the patient’s projected length of stay. How should the nurse instruct the unit secretary to handle the request? a. Obtain the information from the patient’s medical record and relay it to the caller. b. Inform the caller that all information about patients is confidential. c. Refer the request for information to the patient’s case manager. d. Refer the request to the health care provider.
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ANS: C The case manager usually confers with insurers and provides the treatment team with information about available resources. The unit secretary should be mindful of patient confidentiality and should neither confirm that the patient is an inpatient nor disclose other information.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 4-10, 13, 49 (Box 4-3) TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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16. Select the example of primary prevention. a. Assisting a person diagnosed with a serious mental illness to fill a pill-minder b. Helping school-age children identify and describe normal emotions c. Leading a psychoeducational group in a community care home d. Medicating an acutely ill patient who assaulted a staff person
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ANS: B Primary preventions are directed at healthy populations with a goal of preventing health problems from occurring. Helping school-age children describe normal emotions people experience promotes coping, a skill that is needed throughout life. Assisting a person with serious and persistent mental illness to fill a pill-minder is an example of tertiary prevention. Medicating an acutely ill patient who assaulted a staff person is a secondary prevention. Leading a psychoeducational group in a community care home is an example of tertiary prevention.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 4-16, 17 TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
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17. Which level of prevention activities would a nurse in an emergency department employ most often? a. Primary b. Secondary c. Tertiary ANS: B An emergency department nurse would generally see patients in crisis or with acute illness, so secondary prevention is used. Primary prevention involves preventing a health problem from developing, and tertiary prevention applies to rehabilitative activities.
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