7 "A"'s of challenges to Elders in rural areas - Availability
Accessibility
Affordability
Awareness
Adequacy
Acceptability
Assessment
A client arrives at the clinic shaky and requesting a refill on a prescription for alprazolam (Xanax). The
nurse suspects that the client might be experienci...
NRSG 4604 Final 7 "A"'s of challenges to Elders in rural areas - Availability Accessibility Affordability Awareness Adequacy Acceptability Assessment A client arrives at the clinic shaky and requesting a refill on a prescription for alprazolam (Xanax). The nurse suspects that the client might be experiencing substance withdrawal. Which comment by the client would most tend to confirm your suspicion? A. "Lately I've had to double up on my dose just for it to be effective." B. "I ran out of pills a week ago and have felt sweaty and agitated ever since." C. "I feel like I just can't function without the medicine." D. "The medicine has been wonderful. I think one more refill should do it for me." - B A client with tuberculosis sneezes in the wood room and infects several other clients who are sitting on the other side of the room. Which mechanism of transmission is involved in this case? A. Airborne B. Droplet C. Direct contact D. Indirect contact - A. airborne A hurricane recently struck a nurse's hometown, and the nurse on behalf of the hospital is coordinating local relief efforts with nongovernmental organizations (NGOs). Which organization should this nurse most expect to work with in this situation? A. Bill and Melinda Gates Foundation B. Living Proof Project C. International Committee of the Red Cross D. Oxfam International - C. International Committee of the Red Cross A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? Select all that apply. A. household income of $23,000 per year B. reading level of a third grader C. medication ineffective due to error in prescription D. originally from Sudan E. no family in the area - A, B, D, E A nurse is coordinating an initiative in the community to make sure that the healthcare needs of local refugees and asylees are recognized and addressed. Which federal agency should this nurse contact, as it is directly involved with the health and healthc are of refugees and asylees in the United States? A. United States Department of Health and Human Services B. National Institutes of Health C. Agency for Healthcare Research and Quality D. Centers for Disease Control and Prevention - A. United States Department of Health and Human Services A nurse visits a community health clinic in a remote rural area, at which emergency care is not provided because the facility lacks the medical staff necessary to offer such services. Based on this information, which is the most accurate description of thi s situation? A. health professional shortage area B. Medically underserved area C. medically underserved population D. underserved population - A A reservoir of an infectious agent can be: (SATA) A. an asymptomatic human B. a symptomatic human C. an animal D. the environment - A, B, C, D (all of the above) According to the Centers for Disease Control and Prevention, the largest number of new HIV infections is among: A. African American women B. Latina women C. White women D. Homosexual women - A According to the Lathrop (2013) article, Florence Nightingale, Lillian Wald and Loretta Ford exhibited what type of leadership style to impact population health? A. authoritarian leadership B. transformational leadership C. democratic leadership D. Laissez -faire leadership - B. Transformational leadership An older client is seeking a fourth refill on a prescription for benzodiazepines. The nurse is concerned that the client may be developing a tolerance for the drug. Which comment by the client would most confirm this concern? A. "Lately I've had to double up on my dose just for it to be effective." B. "I ran out of pills a week ago and have felt sweaty and agitated ever since." C. "I feel like I just can't function without the medicine." D. "The medicine has been wonderful. I think one more refill should do it for me." - A An older woman in a rural health clinic tells the nurse that this is the first time she's been in a medical facility for more than 10 years. She shows signs of advanced diabetes, including significant necrosis in her feet. When asked why she didn't come so oner, she says "I don't drive, myself, and I hate asking my son to bring me - I feel like a burden." This situation exemplifies which of the seven A's of challenges to elders in rural areas? A. Awareness B. adequacy C. acceptability D. assessment - C Bioavailability is the amount of the contaminant that: A. is absorbed into the body and becomes available at the site of physiological activity B. initially escapes a container and becomes available for contact with living organisms C. is airborne and available for inhalation D. is waterborne and available for skin contact - A chain of infection - infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should be considered with children? (SATA) A. their body systems are still rapidly developing B. they eat less, drink less, and breathe less in proportion to the body size than do adults C. their bodies may be less able to break down and excrete contaminants D. their behaviors can expose them to more contmainants E. their breathing zone is closer to the ground - A, C, D, E Chloroquine -resistant malaria occurs in most of Africa, the Middle East, Asia, and all of the South Pacific islands. This type of disease occurrence is known as: A. endemic B. epidemic C. pandemic D. outbreak - A. endemic Cluster - an aggregation of cases grouped in place and time that are suspected to be greater than the number expected
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